Illinois State University

Rights of Psychiatric Clients Correct Answer-they have all rights unless documented evidence proves they are an eminent danger to themselves or others -any restrictions to their rights must be made for verifiable, documented reasons Who makes the decisions to take away a client's rights? Correct Answer--primary RN -treatment team(judge, social worker, psychiatrist) -court Informed consent Correct Answer-permission granted in the knowledge of the possible consequences, typically that wh...

Upon admission assessment, the nurse hears a murmur located at the fifth intercostal space, midclavicular line. The client asks, "What does that mean?" The nurse will base her answer on which of the following physiologic principles? Correct Answer-"You have a heart valve that is diseased." A client is diagnosed with an abdominal aortic aneurysm that the physician just wants to "watch" for now. When teaching the client about signs/symptoms to watch for, the nurse will base the teaching o...

Dysfunction Correct Answer-a breakdown in normal functioning; impairment in social or work related functioning Ego-syntonic Correct Answer-Behaviours, values, and feelings that align with the needs/goals of the ego and the individual's self-image Ego-dystonic Correct Answer-Behaviours, values, and feelings that conflict with the needs/goals of ego and the individual's self-image Deviant Correct Answer-A person who breaks significant societal or group norms Principles of psychologic...

Stress Correct Answer-Body's non-specific response to any demand made upon it. Any stressor that produces a biological response. Flight or Fight response. Neurotransmitters Correct Answer-Chemical messengers that cross the synaptic gaps between neurons. Dopamine - motivation, thinking Norepinephrine - energy, mood Serotonin - "feel good" Acetylcholine - memory GABA - calming Glutamate - neurogenic destruction Acute Stress Response Correct Answer-"Fight or Flight" 1. A...

Patient has chest pain, what data will show myocardial ischemia? Correct Answer-chest pain that is relieved by one SL Nitro Spike before p wave means what? Correct Answer-atrial pacing Spike before QRS means what Correct Answer-ventricular pacing What are the only two shockable rhythms? Correct Answer-v-fib and v-tach What is important for after a pacemaker placement? Correct Answer--adduct the left arm -watch out for s&s of infection -maintain good cardiac output -know how to ch...

What does a Transient Ischemic attack warn of? Correct Answer-impending stroke: "brain angina" Levadopa action Correct Answer-precursor to dopamine, converted in brain and peripheral tissue to dopamine Levadopa contraindications Correct Answer-glaucoma, caution with heart, renal, liver, endocrine diseases, MAO inhibitors (depression med) Adverse Effects of Levodopa Correct Answer-anorexia, nausea & vomiting, liver toxicity, orthostatic hypotension, tachycardia, Headache, anxiety, rest...

Patient is allergic to penicillin, what other antibiotic could the patient be allergic to as well? Correct Answer-Rocephin What is a side effect of aminoglycosides? Correct Answer-Ototoxicity, check hearing loss What does the nurse do if vanco levels come back too high? Correct Answer-hold the medicine and call the doctor A nurse is caring for a C. Diff patient, what interventions/precautions are correct to take? Correct Answer--wash hands with soap and water -clean with bleach -DO NO...

After assessing the patient's pain patterns, the nurse determines that frequent breakthrough cancer pain is occuring. Which member of the health care team is the nurse most likely to contact first? A. Physical therapist to reevaluate physical therapy routines B. Healh care provider (HCP) to review medication, dosage, and frequency C. Assistive personnel to increase help with activities of daily living D. Psychiatric clinical nurse specialist to evaluate psychogenic pain Correct Answer-...

Furosemide Correct Answer-- diuretic, loop diuretic - prototype: most commonly used loop diuretic, effective and versatile - action: inhibit sodium and chloride reabsorption in the ascending limb of the loop of Henle, there reabsorption of most filtered sodium occurs -- significant diuresis - use: given alone or in combination of antihypertensive agents to treat hypertension; management of pulmonary edema, heart failure, hepatic/renal disease - AE: fluid and electrolyte imbalance, ototoxi...

The physician preforms a what type of examination to confirm a patients health or diagnose a medical problem . Correct Answer-General Physical Examination The customary size for an exam room is Correct Answer-8x12 feet What act requires that businesses, serve , and public transportation provide reasonable accommodations for individuals with disabilities . Correct Answer-Americans with Disability Act of 1990 (ADA) The doorway to allow a person in a wheelchair to pass through must be at l...