In general, If an IV site is infiltrated the first two steps should be...

stop the infusion, call the doctor

What role do the kidneys play in medication distribution?

Most medications are excreted via the kidneys

A thoracentesis is...

needle in pleural space to remove fluid

In a burn patient, why are the at risk for infection?

loss of protective barrier (skin)

In the patient with a suspect hip fracture, which objective criteria lends to fracture?

shortening of leg, external / internal rotation of foot

What is the primary reason for CAUTI's?

Inappropriate use of Foley Catheters

Why do we perform glucose checks on non-diabetic patients on TPN?

TPN has a high glucose concentration

renin-angiotensin-aldosterone system

Why do we check the blood sugar of a patient with a suspected stroke?

hypoglycemia mimics stroke symptoms

Why must a patient with Alzheimers keep to a routine?

overstimulation can cause irritation and increased confusion

A pneumonia can be defined as...

Infection of the lungs causing inflammation and dyspnea

inflammation of mucous membranes of mouth & lips

Why are a.fibb patients placed on coumadin?

because of the risk of blood clots

Why do we not mix erectile dysfunction meds and cardiovascular meds?

life threatening irreversible hypotension can occur

Why do we have neutropenic precautions?

to prevent infections in those that are immunocompromised

Why do we take VS in between doses of nitroglycerin?

Nitro causes vasodilation and can significantly lower BP

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Spring 2019 Nursing Across the Lifespan: Final Review

76 termsStudBud Administration622 plays

a #nursing review for the final exam covering #cardiovascular #anemia #genitourinary #burns and #sexual health

Flashcards76 cardsFPractice quizPHost liveL

Questions 76

Answers

1
In general, If an IV site is infiltrated the first two steps should be...
slow the infusion, call the doctor
rapid bolus the infusion, call the doctor
hold the infusion, call the doctor
stop the infusion, call the doctor
2
BPH affects which organ?
spleen
kidney
urethra
prostate
3
What is the most abundant intracellular cation?
Calcium
Umbridge
Potassium
Sodium
4
Instrinsic factor plays what role?
allows for health of gastric mucosa
allows or mucous production
allows for absorption of B6
allows for absorption of B12
5
What role do the kidneys play in medication distribution?
The kidneys absorb and transport medication metabolites
Most medications are metabolized by the kidneys
Most medications are excreted via the kidneys
The kidneys play no role
6
During the death of a loved one it is important for the nurse to not ask families needs?
False
True
7
A thoracentesis is...
needle in diaphragm to remove fluid
decompression to remove air
decompression in 5th intercostal space to release air
needle in pleural space to remove fluid
8
Which type of anemia is caused by the breaking apart of RBCs?
hypoproliferative
hemorrhagic
hematocyclic
hemolytic
9
In a burn patient, why are the at risk for infection?
loss of protective barrier (skin)
loss of fluid
loss of hair
loss of nerve endings
10
In the patient with a suspect hip fracture, which objective criteria lends to fracture?
lengthening of leg with foot sticking straight up
lengthening of leg, external / internal rotation of foot
shortening of leg with foot sticking straight up
shortening of leg, external / internal rotation of foot
11
What lab value must be monitored for the patient taking coumadin?
none
APTT
APT
INR
12
What is the primary reason for CAUTI's?
Inability of patient to turn every 2
Chronic incontinence
Inadequate peritoneal care
Inappropriate use of Foley Catheters
13
Why do we perform glucose checks on non-diabetic patients on TPN?
TPN patients frequently become hypoglycemic during infusions
TPN can cause diabetes
TPN has a high glucose concentration
this is not common practice
14
What is dyspareunia?
spleen
painful intercourse
vaginal dryness
another term for menopause
15
All of the following are stat treatments for a patient presenting with chest pain, except?
Cardiac monitor
Draw troponin
Oxygen
Heparin
16
A patient with Alzheimer's forgets to use the restroom. Which type of incontinence is this?
Urge
Functional
Overflow
Stress
17
What is one of the biggest risk factors in a patient post cardiac catheterization?
hypervolemia
Pain
hemorrhage
Vascular collapse
18
What is a priority nursing diagnosis for a patient admitted with anemia?
incontinence
confusion
fatigue
hot flashes
19
Which of the following would you administer to a patient having an acute asthma attack?
montelukast
pyridostigmine
flovent
albuterol
20
RAAS stands for?
renin-angiotensin I - angiotensin 1 - aldosterone
renin-angiotensin-aldosterone system
ribs - apples - avocado - surprise
right-as-always-sir
21
PVD most often refers to the veins, while PAD refers to?
capillaries
interstitial tubules
arteries
venules
22
What is considered the normal daily urine output?
800-1,000 ml
Equal to daily intake
1,500-2,000 ml
2,000-2,500 ml
23
Why do we check the blood sugar of a patient with a suspected stroke?
hypoglycemia is always found in the stroke patient
hypoglycemia mimics stroke symptoms
hyperglycemia is always found in the stroke patient
hyperglycemia mimics stroke symptoms
24
In the patient with chronic kidney disease, what imbalance can cause arrhythmia's?
vascular
peripheral
Osmotic
Electrolyte
25
Why must a patient with Alzheimers keep to a routine?
you should frequently change the routine
overstimulation can cause irritation and increased confusion
26
Test used to measure air flow in your lungs & to see where blood flows in your lungs.
Electroencephalogram
Pulmonary function test
V/Q scan
Endoscopy
27
What should we put in the mouth of the patient experiencing a seizure to keep them safe?
padded tongue blade
endotracheal tube
are you serious? NOTHING!
bite block
28
A pneumonia can be defined as...
Irritation to the alveoli caused by heart failure
Infection of the lungs causing inflammation and dyspnea
Irritation to the bronchioles caused by RSV
Infection of the bladder causing inflammation and dysuria
29
Define stomatitis
swelling and edema of fingers and toes
inflammation of mucous membranes of mouth & lips
inflammation of hair follicles
inflammation of colostomy adherence site
30
what is the role of ADH?
to increase loss of water
to prevent loss of water
decrease furosemide levels
increase furosemide levels
31
What risk factor presents itself in burn victims due to loss of protective skin layer?
peripheral vascular disease
overheating
high blood volume
infection
32
Overstretching of the ventricles of the heart due to excess fluid elevates which enzyme?
CMP
BtNP
AST / ALT
BMP
33
What is an important consideration with pelvic and femur fractures?
fracture induced anemia
blood loss
skeletal traction
nutrient deficiency
34
What lab must be checked before administering contrast die to a patient?
aldosterone
troponin
creatinine
albumin
35
Which of the following is just one known risk factor for Hypertension (HTN)?
anemia
trauma
atrial fibrillation
hyperlipidemia
36
Why are a.fibb patients placed on coumadin?
because of the risk of blood clots
they should not be placed on coumadin
because of risk of arrhythmias
because of the risk of bleeding out
37
Which infection of the stomach requires long-term antibiotic use?
E.coli
salmonella
cellulitis
H. pylori
38
Why do we not mix erectile dysfunction meds and cardiovascular meds?
life threatening irreversible hypotension can occur
life threatening irreversible hypertension can occur
the patient may have go into supraventricular tachycardia
There is no contraindication, it is only a suggestion
39
What is the primary concern for a patient with a new diagnosis of atrial fibrillation?
blood clot formation
peripheral vascular disease
DVT
hyperammoniaemia
40
The score I am going to get on the Final
An A baby
Just enough to pass
Hoping for a B!
C = nurse
41
Cellulitis does not require a portal of entry?
False
True
42
Respiratory depression may lead to which ABG change?
metabolic alkalsosis
respiratory alkalosis
metabolic acidosis
respiratory acidosis
43
What is the "point" where appendicitis is determined?
McMicks
Kehrs
Mcdonald's
Mcburney's
44
What does broca's motor speech control?
receptive aphasia
coordination
expressive aphasia
falling
45
Why do we have neutropenic precautions?
to prevent patients from being exposed to radiation
to prevent infections in those that are immunocompromised
to quickly assess for patients who may need TPN or PPN
you just made up the word neutropenic
46
Which scale would I use to assess a patients level of consciousness?
Barthel Index
Braden Scale
Mini Mental Exam
Glasgow Coma Scale
47
Which of the following would NOT be considered an event that could lead to Acute Kidney Injury?
Hypothyroid
Hypotension
Trauma
Hypovolemia
48
Which of the following is the normal serum Hemoglobin (per facility will vary)
12-16 g/dl
1-2 g/dl
20-22 g/dl
4-6 g/dl
49
Why do we take VS in between doses of nitroglycerin?
Nitro causes vasoconstriction & can significantly lower BP
Nitro causes vasodilation and can significantly elevate BP
Nitro causes vasoconstriction & can significantly elevate BP
Nitro causes vasodilation and can significantly lower BP
50
What is the priority assessment in a patient status post ORIF or External fixation?
cardiac
neurologic
pin length
neurovascular
51
Calculate 38.0 in farenheight
103.1
98.6
101.0
100.4
52
Soot in nares, burns to face, hoarseness to voice: what type of injury (burn) am I describing?
conductive
1st degree
peripheral
inhalation
53
All of the following are functions of the liver, except
generate new red blood cells
conjugate ammonia into urea for excretion
create and store plasma proteins like albumin
conjugate bilirubin into bile for use in emulsifying fats
54
Which of the following insulins DOES NOT have a rapid onset of action?
lispro
aspart
Levemir
glulisine
55
Which of the following is a therapeutic range for coumadin therapy?
1-2
2-3
4-5
3-4
56
Which of the following is considered an "intermediate" acting insulin?
NPH
Toujeo
Levemir
Lantus
57
All of the following are types of CVAs, except?
blunt
hemorrhagic
TIA
ischemic
58
Lets talk about sex, baby - What is a good way to do that?
Get a book
PLISSIT
Google it
Just don't
59
What is Nadir?
the lowest point of RBC count in pts with Cancer
the highest point of WBC count in pts with Cancer
the highest point of RBC count in pts with Cancer
the lowest point of WBC count in pts with Cancer
60
What is the pain that is most often found in amputee patients called?
ouchee
phantom
absence
amputapain
61
Erythropoitein is released by which organ in response to decreased RBCs?
spleen
intestines
kidneys
liver
62
Which of the following represents the class of Meds: granulocyte colony stimulating factor?
bethenacol
metoprolol
filgrastim
colchine
63
Which condition is best treated by education on how to perform weight-bearing exercise?
gout
osteoarthritis
rheumatoid arthritis
osteoporosis
64
A patient with hypothyroidism has the potential to develop?
avengers
myexedema
cushings
SIADH
65
Sickle cell crisis occur mainly due to stress, infections, dehydration and?
Heat
Cold
Tighty Whities
Headache
66
Which condition can cause ulcerations through the gastric mucosa: Crohns or Ulcerative Colitis?
Crohns
Ulcerative colitis
67
gastritis simple means inflammation of the lining of the stomach? T/F
True
False
68
What are optimal findings of an IV site?
soiled, red, swollen
Dry, red, dressing intact
tender, soft, impaired
clean, dry, dressing intact
69
Which of the following IS NOT a hormone of the posterior pituitary?
TSH
Oxyctocin
ADH
70
What are the function of platelets?
prevent bleeding
maintain electrolyte balance
to eat from
promote bleeding
71
A patient with a hx of DM arrives with non-painful gangrene of the toes. Why no pain?
Dying body parts are not painful
Insulin masks the pain
venous ulcerations
peripheral neuropathy
72
Pyelonephritis can occur if an infection starting in the <BLANK> is non-treated / undertreated.
Spleen
Rectum
Adrenal glands
Bladder
73
DVT + VE = <BLANK> prophylaxis
PBR
ICE
VTE
PE
74
Which labs are checked in patients on heparin therapy?
PTT / APTT
INR
BtNP
PT
75
Why is it important to assess for a gag reflex?
to prevent aspiration
to prevent cellulitis
to prevent phlebitis
to prevent gagging
76
Hospice nurses should hold pain meds if the patient is not moaning?
True
False

Spring 2019 Nursing Across the Lifespan: Final Review Flashcards | StudBud