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N102 Final
N102 Final
94 terms
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1
What is NOT a sign & symptom of diabetes insipidus ?
Constipated
Fluid output 100ml in 4hours
Drinking & peeing
Retains fluid
2
After patient undergoes a thoracentesis why should the nurse monitor breath sounds ?
Monitor if their is so breath or lung sounds
Atelectasis (collapsing of lungs)
Routine
Monitor if needle caused an accidental puncture
3
What is a sign that COPD + Right CHF is getting better?
Frequent urination
Fluid buildup is leaving
Increase in urine output
Patient is retaining fluid
4
What is expressive aphasia
Cannot speak or can’t understand
Cannot speak but can understand
Unable to talk but can understand
Can’t speak
5
What does increased paCo2 mean ?
Acidity
Respiratory acidosis
Respiratory alkalosis
Alkaline overload
6
What syndromes are related to thiamine deficiency?
Down syndrome
Vitamin B1 alcoholics
Wernickes encephalopathy
Korsakoff psychosis
7
What is the advantage of a GTube ?
You don’t have to feed the patient
Food entering straight through belly
Reducing risk for aspiration
Patient is full faster
8
Signs & symptoms of SIADH
Fluid overload without peripheral edema
Hemodilution
PRIORITY (decrease sodium in serum blood)
Decreased sodium less than 135
9
Lithotripsy doesn’t involve what ?
Dissolution of stone with meds
Surgery
Breaking down bladder or kidney stones
Capture of stone via scope
10
When is the peak for lispro insulin?
1hour
30 minutes
After 2hours
45min
11
What must the Nurse first do when administering blood ?
Check/verify blood type with another nurse
Start O2
Cross match (find best donor) with another nurse
Check & verify by themselve
12
What is NOT related to blood glucose tests ?
24hr glucose clearance
Blood sugar
GBS-Gestational
Fructosamine
13
Why should the nurse give the patient mannitol for increased ICP?
Decreases cerebral edema
Increases urine output
Cerebral edema
It is a diuretic
14
What will the nurse NOT teach patient about terminal cancer pain ?
Accept that you are in pain
Don’t accept pain
Don’t use opioids
Do not take pain medication
15
Teaching for patient with glaucoma taking pilocarpine
Blurred vision after medication is normal
May experience butter vision after taking medication
Will improve vision instantly
Will instantly see clear
16
Theophylline at 13 what should PN do?
Give med to patient
Contact provider
Hold med
Administer medication as ordered
17
A patient with a colostomy is complaining of abdominal pain/ rigidity. What should the nurse do & report?
Report if wound looks dark purple
Report abnormal vital signs
Report anything abnormal
Report abnormal lab values
18
What signs & symptoms will the nurse report after giving hydrochlorothiazide?
Fatigue
Flank pain
Muscle cramp
Muscle weakness
19
What does a negative time test mean ?
Your senses work
Your ears are ringing
Blockage in here
Conductive hearing loss
20
Wheezing is a result of air moving through narrowed airways
False
True
21
What medications are considered chemical restraints ?
Lorazepam/ Ativan
Meds ending in Pam & Lam
Alprazolam/xanax
Haloperidol/benzodiazepines
22
What are signs & symptoms of Cushing’s triad? (3answers)
Irregular respirations
Headache
Widening pulse pressure (above 40 difference between systolic & diastolic)
Bradycardia
23
Coping strategies are influenced by
Culture
Environment
Age, finances, environment, health, personal values
Cultural role expectations
24
What are dietary modifications to make when taking spironolactone?
Decrease potassium
Eat extra potatoes
Eat banana
Consume lots of cantaloupe
25
What should the nurse do if the patients glucose is low before a procedure?
Notify the provider
Postpone
Give orange juice to raise glucose
Wait 15 minutes & recheck glucose
26
Brachytherapy ?
Internal radiation
Patient is source of radiation
Throat radiation
Patient is not a source of radiation
27
Tardive dyskinesia signs & symptoms
Cannot sit still
Rocking back & forward
Rolling eyes, tongue protruding, chewing motion lip smacking
Moving back & forward
28
Metoclopramide (REGLAN) & heart burn (Gerd). What are the actions ? SATA
Promotes paristalsis
Acts as an anesthetic
Increases GI mobility
Gastric emptying
29
Ranitidine, patient needs further teaching.
Take early morning
Protects mucus membrane
Neutralize stomach acid
Take at night
30
Name some neurotransmitters
Methyldopa
Epinephrine
Dopamine
Acetylcholine
31
What Advice will the nurse give a family member or visitor regarding an internal radiation patient?
Stay at patients bedside
No fresh fruits or flowers
Limit time with patient
Stay 6 feet away from patient
Cluster care
Avoid pregnant women & children under 18
32
What is an abnormal babinski sign ?
No pulse in foot
Big toe flexed back
Foot drop
Toes spreading apart
33
What is low molecular weight heparin used for ?
Prevent DVT
Prevent possible pulmonary embolism
Prevent blood clots
Prevent sweating
34
What advice will the PN give to a female client with alopecia?
Wear a Turban
Shave your head bald since it stopped growing
Wear a wig
Wear a bald head
35
Myopia is NOT referred to as
Astigmatism (defect in eye)
Farsightedness
Diplopia (double vision)
Amblyopia (lazy eye)
36
Etiologies for secondary HTN
Renal Failure
Increased ICP
Heart problems
Running too fast
37
What are tricyclic meds side effects ?
Decrease BP
Hypotension
Hypertension
Low blood pressure
38
What hernia is NOT a medical emergency?
Strangulated
Inguinal
Incisional
Reducible, umbilical
39
Why are elderly adults at more risk for drug toxicity?
Because they are old
Liver slows down functioning
The liver function slows down as we age
The older you are the weaker
40
The difference between dementia & delirium.
Delirium is rapid & onset for short period of time (short term memory loss)
Dementia is a cerebral disorder (permanent)
Delirium is reversible
Dementia is permanent
41
What does it NOT mean if the CSF is cloudy ?
Increased ICP
Patient has an infection
Patient has possible meningitis
Meningineal irritation
42
How should the new stoma appear on a patient ?
Small or mild bleeding
Pink & moist
Red
Swollen
43
Patient teaching for a myleogram with oil based medium
Sit up straight after procedure
HOB flat for 8hrs
Lay flat on belly after procedure
Lie flat after procedure for 8hours
44
When should a nurse suction a patient with Guillain-barre ?
Adventitious lung sounds
Tachycardia
Patient yawns
Crackles or wheezing
Breathing difficulty
Plural fiction rub
45
What signs & symtoms are NOT expected of Addison disease?
Edema
Hirsutism (Hair on face, excessive facial hair)
Obesity
Malnutrition
46
Patient signs & symptoms if appendix is NOT ruptured
Pain comes & goes
Nausea
Elevated WBCs
Urge to poop
47
Why does a patient with cystic fibrosis (thick body secretions) have bulky mucus in stool.
Fat absorbed fast
Food is not digesting properly
Because fat is not absorbing
Poor digestion of food
48
Patient teaching after a cataract extraction
Wear an eyepatch when sleeping
Avoid lying on effected side
No vigorous coughing
No reading or eating tv for long periods of time
No bending at base
Do not lift heavy objects heavier than 10lbs
49
What is NOT an early s/s of dumping syndrome
Nausea & vomiting & diarrhea
Hypotension
Urge to bm
Migraine
50
What disorder will the nurse order for cholinergic med?
UTI
Infection
Residual urine
Pyleonpehritis (infection of kidney & tubes)
51
The patient is post opp after receiving an NG tube. The PN suspects electrolyte problem after patient is vomiting when
Patient has a change in LOC
Patient is confused
Patient is disoriented
Patient is alert & oriented x4
52
What should the nurse teach a patient regarding a post cholecystectomy diet?
Cut down on fat
Avoid fat
Avoid fatty foods
Decrease fatty foods
53
What are primary interventions for myxedema coma?
Bradycardia
Maintain patent airway
ABC’s
Decreased vitals
54
The priority for a patient who is having a seizure is safety & to maintain safety precautions
True
False
55
What is the difference between decorticate & deceberate (severe head injury)
Decorticate is related to flexion
Deceberate is flexion
Deceberate is related to extension
Decorticate is extension
56
The best objective sign to determine fluid balance is to obtain a daily weight
True
False
57
SATA. Patient with Steatorrhea didn’t have which disorders
Peritonitis
Chrons disease
Appendicitis
Ulcerative colitis
58
Patient is scheduled for an angiogram, what should patient be assessed for?
Iodine & shellfish allergy
Shellfish allergy
Dye
Iodine allergies
59
What will the nurse NOT teach a patient about dry desquamation of skin (peeling)?
Apply lotion
Apply ice packs to skin
Scrub the skin
Engage in extra sunlight
60
What should the nurse teach patient if Hbg A1C = 8?
Eat extra sugar
Count carbs in diet
Monitor blood sugar for hyperglycemia
Increase sugar
61
T3 N2 M2 Patient requesting pain meds; Just had 2 3/4 hours ago. What will PN do?
Give IV hydration
Administer morphine
Give morphine
Give Fluids
62
Why should the nurse hyper-oxygenate a patient prior to suctioning ?
To prevent/ decrease chance of cardiac dysrhythmias
Irregular heart beat
So they can breath
To prevent dry throat
63
What is respiratory alkalosis?
Too much alkaline & not enough acid
CO2 below 35
Ph below 7.45
Ph above 7.45
64
Adult plantar flexion of toes. When sole is swept with blunt object means ?
Negative babinski
Toes curl upward
Positive babinski
Toes curl down
65
What happens during a sickle cell crisis?
Severe pain
Blockage blood flow in arteries causing severe pain
Affects RBC
Blockage of RBC in artery (Blood clot/blockage of blood flow in artery)
66
What should the nurse recommend for a patient with Ménière’s disease to eat ?
Fresh fruit
Yogurt
Cucumbers
Fried chicken
Low sodium diet
Fresh veggies
67
Which are NOT blood levels for hemorrhage?
PPT
Creatinine
Platelets
Hematocrit
Magnesium
CBC
68
Nursing interventions for a patient with acute appendicitis (RLQ pain)
Monitor I&Os
Initiate IV fluids 0.9 saline
Bed rest
Assess pain
Patient NPO
Let patient drink water
69
A patient with Parkinson’s gait is shuffling & leaning forward ?
False
True
70
What are home health goals for a patient with CVA?
To promote independence
To wait for assistance
To do as much as possible on their own
To depend on the home taker
71
What is projection defense mechanism
Blaming others
Making something responsible for your problems
Taking ownership
Blaming someone else for our own problems
72
Nursing intervention for polycythemia Vera (risk for blood clots)
Have patient stay bed bound
Tell patient to lie flat
Have patient walk
Have patient ambulate
73
Acute CVA- preserve joint mobility (sudden stroke). How will nurse do this
Reposition patient
Maintain proper body alignment
Turn patient on side
Keep patient aligned
74
Wernicke encephalopathy (acute neurological condition) signs & symptoms
Decrease in loc
Ataxia (poor muscle coordination)
Confabulation (false statement)
Delirium
75
What is the definition of well rounded
Cultural
Functional interaction with cognitive affective
Behavior
Mental wellness
76
Anemia s/s
Lethargic
Full of energy
Fatigue
Tiredness
77
What medication to give a patient who had TIA (Mini-stroke)
Aspirin (blood thinners)
Baby aspirin
Resolves blood clot
Aspirin 81 mg
78
What is the difference between a benign tumor & a malignant tumor?
Benign stays in a particular area (does not metastasize)
Malignant tumor spreads to different areas of body (it metastasizes)
Benign growth is not a tumor
Malignant does not spread
79
What is the nursing intervention for for Asthmatic patient + impaired gas exchange?
Encourage H2O
Increase hydration
Limit fluids
Hydration
80
For pernicious anemia always ask patient about a history of what?
History of B12 deficiency related to stomach surgery
Vitamin K
Vitamin B12
B12
81
What is methyldopa used for ? What problems may occur?
Patient may stop abruptly (they should never do this)
Patient may be non compliant with taking meds on regular schedule
Used for Parkinson’s
Increase dopamine
82
The nurse should ask a patient who is going for a CT scan if they are allergic to shellfish or iodine
True
False
83
Post op excercises
Plantar flexion
Dorsiflexion
Ankle rotation
Circles with feet
84
The highest priority for pancreatitis is PAIN MANAGEMENT
True
False
85
SIADH is not resolving if
Patient is dehydrated
High specific gravity
Patient continues to pee
Concentrated higher than 1.030 (notify provider)
86
The nurse should teach a male patient to harvest the sperm (store) before starting chemo to reproduce in future?
True
False
87
What is the goal for rehab for a SCI paraplegia (Spinal cord injury)
Get as much help as possible
Maximum independence to perform ADLs
Adjustments necessary to reenter society
Comb hair on own, brush teeth on own
88
What are some early signs & symptoms of hypocalcemia
Numbness around fingers
Tingling around lips
Paresthesia around fingers & lips
Numbing progressing to feet & toes
89
Patient has a new colostomy. What should the nurse teach the patient?
Consume fatty foods
Avoid spinach
Avoid broccoli
Avoid gassy foods
90
Hypercalcemia signs & symptoms
Fatigue
Muscle cramps/pain
Confusion
Muscle weakness
91
What are NOT signs & symtoms of Delirium?
Impaired memory
Change in LOC
Disorganized thinking
Hallucinating
92
What are good signs & symtoms post abdominal hysterectomy?
No shooting pain/ moderate NOT severe pain
No signs of infection
Normal vitals
No purulent drainage
93
Delusions & hallucinations are symptoms of schizophrenia
True
False
94
What are some signs & symptoms of multiple myeloma?
Bone Ace
Lethargy
Bone pain
Restlessness
