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A task an AP can do - ansObtain clean urine specimen samples A task an AP can do - ansSpecimen collection Ace inhibitors include - ansCaptopril Enalapril Lisinopril After a hip arthroplasty, how often do you perform neurovascular checks of the surgical extremity? - ansevery 2 to 4 hours Agonist-Antagonist opioids are which meds? - ansButorphanol, Nalbuphine, Buprenorphine, Pentazocine. Alcohol delirium is what? - ans2 to 3 days after cessation of alcohol. This is considered a medical emergency. An example of complicated grief is what? - ansA patient develops chest pain when talking about their partner An induration (palpable, raised, and hardened area) of 10 mm or greater in diameter indicates what? - ansa positive skin tb test Arthroplasty refers to the surgical removal of what? - ansA diseased joint due to osteoarthritis, osteonecrosis, rheumatoid arthritis, trauma or congenital anomalies, and replaced with prosthetics or artificial components made of metal or plastic. At 12 hours post-Parton, where should the fundus be? - ansThe fundus will be 1 cm above the umbilicus. autonomy - ansClient having the right to make their own decisions. Basal body temperature does what? - ansDrops slightly and rises during ovulation. Bathing infant by submerging in water should not occur until when? - ansThe cord has fallen off. Most cords fall off within the first 10 to 14 days although it can take up to 3 weeks. Before administering a pain medication, you should measure the patients respiratory rate and withhold if it is less than? - ans12/min Before doing ECT, what should you do as a nurse? - ansThirty minutes prior to the beginning of the procedure, an IM injection of atropine sulfate or glycopyrrolate is administered to decrease secretions that could cause aspiration as to counteract bradycardia.
Beneficence - ansDoing good or causing good to be done; kindly action Best way to communicate with a client who speaks a different language? - ansUse gestures to increase understanding, speak slowly at a normal volume avoiding abbreviations or slang. Determine understanding throughout the conversation. Use printed materials suited to the clients level of understanding. Buddhism - when someone dies, what is something you need to know as a nurse in this culture? - ansThe body is prepared by a male. Can emancipated minors consent for themselves? - ansYes Client education for a patient taking an ACE inhibitor? - ansAdvise the patient to change positions slowly and lie down if feeling dizzy, lightheaded or faint. Colostomies end in the - ansColon Common complications of agonist-antagonist opioids like butophanol and buprenorphine are what? - ansAbstinence syndrome, sedation and respiratory depression, dizziness, headache Complications of ECT? - ansMemory loss and confusion that can last for up to several weeks. Reactions to anesthesia, cardiovascular changes, relapse of depression Contraindications for agonist-antagonist opioids? - ansUse cautiously in clients who have a history of MI, kidney or liver disease, respiratory depression, or head injury, and clients who are physically dependent on opioids. Contraindications for taking oral contraceptives? - ansClients who have a history of thromboembolic disorders, stroke, heart attack, coronary artery disease, gallbladder, cirrhosis, breast cancer, liver tumor, less than 6 weeks pp, hypertension Cultural awareness refers to - ansSelf-awareness for the nurse, examining personal attitude to identify possible bias Cyclosporine is considered a what? - ansA DMARDS III - Immunosuppressant med cystocele - ansPractice perineal exercise to prevent urinary leakage Data collection for a patient taking furosemide? - ansIncreased urinary output, monitor potassium Diaphragm - birth control - teaching points for a patient? - ansUse spermicidal gel/cream. It has to be properly fitted. Replaced every 2 years. It can be inserted up to 6 hours before intercourse and must stay in place 6 hours after intercourse but no more than 24 hours. Empty bladder prior to insertion.
Hinduism - when someone dies what is something you need to know as a nurse in this culture? - ansCare of the body is done by same gender How can you prevent hip dislocation in a patient following a hip arthroplasty? - ansPlace client in a SUPINE position with head slightly elevated and the affected leg in a neutral position. Place a pillow or abduction device between the legs when turning to the UNaffected side. The client should NOT be turned to the operative side. How can you provide a safe environment for an Alzheimer's patient? - ansFrequent monitoring/visual checks, keep clients from stairs, elevators, and exit. Remove or secure dangerous items. Provide frequent walks to reduce wondering, maintain a sleeping schedule. Provide verbal and nonverbal ways to communicate. How do you store nitroglycerin tablets? - ansStore tablets in original bottles and in a cool, dark place. How do you test bath water? - ansTest comfort with your elbow prior to bathing a newborn. How do you validate a patient has learned discharge instructions taught? - ansBy the patient providing a return demonstration? How far do you insert a rectal tube during an enema for a child? - ans5 to 7.5 cm (2 to 3 inches) How far do you insert a rectal tube during an enema for an adult? - ans7.5 to 10 cm ( to 4 inches) How far do you insert a vaginal suppository along the posterior wall? - ans7.5 to 10 cm (3 to 4 inches) How far do you insert creams, jellies or foams along the posterior wall of the vaginal wall? - ans5 to 7.5 cm (2 to 3 inches) How long after ovulation can the human ovum be fertilized for? - ans24 hours. How long can HCG be detected for after birth? - ansUp tp 4 weeks after How long do you monitor VS after a patient has a thyroidectomy? - ansEvery 15 minutes until stable then every 30. How long does the ability for sperm to fertilize the ovum last for? - ans48 to 72 hours How long should a female patient remain supine after insertion of a suppository? - ans10 minutes after insertion.
How many mg of minerals are required through dietary sources each day? - ans100mg How often is complete bathing performed in a newborn? - ansTwo to three times per week using mild soap. How often should deep-breathing exercises be performed after a thyroidectomy? - ansEvery 30 to 60 minutes. How to perform a blood glucose test? - ansFinger should be in a dependent position and wipe with an alcohol swab, but let it dry before puncturing. How would you position a patient recovering from a hip arthroplasty? - ansPlace head slightly elevated with the affected leg in neutral position. Place a pillow or abduction device between the legs when turning to the unaffected side. DO NOT TURN TO THE OPERATIVE SIDE. How would you take your basal body temperature? - ansTake temperature after waking up and getting out of bed. Hypothyroidism - ansprovide warm temperature. Identifying risk factors for child maltreatment - which are? - ansYounger parents, low- income, lack of education, substance use disorder, history of abuse, children younger than 1 years old, kids who are hyperactive, or have physical/mental disabilities, premature infants, unemployment/crowded living conditions, substitute caregivers If a client with Alzheimers is unable to sit for long periods of time, what should you do as a nurse? - ansOffer snack or finger foods If a patient has an MI and needs to decrease their caffeine intake - what can happen if they dont? - ansThe caffeine will stimulate the heart and increase the heart rate. If a patient is admitted to the hospital and does not have advance directives, what should you do as a nurse? - ansProvide written information that outlines their rights related to health care decisions and how to formulate advance directives. If a patient is having an allergic reaction to peanuts, what should you do? - ansAdminister epinephrine If a patient is suffering from dysphagia, what should you instruct them to do? - anstilt head forward. If a patient is taking a - statin drug, what would you monitor for? - ansMuscle pain
pulses - ans Level 1 diet is considered what? - ansPuréed Level 2 diet is considered what? - ansMechanically altered Level 3 diet is considered what? - ansAdvanced Levothyroxine can increase the effects of? - ansWarfarin Libel - answritten defamation Living will - anslegal document that expresses client's wishes regarding medical treatment in the event the client becomes incapacitated and is facing end-of-life issues Lochia alba is what? - ansYellowish, white and creamy in color. Lasts day 10 to about 8 weeks postpartum. Lochia rubra is what? - ansDark-red blood, lasts 1-3 days Lochia serosa is what? - ansPinkish-brown color, lasts 4-10 days. Manifestations of alcohol delirium include? - ansSevere disorientation, psychotic effects (hallucinations), severe hypertension, cardiac dysrythmias which can lead to death. Manifestations of alcohol withdrawal? - ansN/V, tremors (key s/s), restlessness, insomnia, irritability, tachycardia, BP, RR and temperature, diaphoresis, tonic-clinic seizures and illusions. Mental health conditions for which ECT has not been found useful include the following.
- ansSubstance use disorders, personality disorders, dysphoric disorder. Monitor for hyperkalemia when taking an ACE inhibitor? - ansThese symptoms include numbness and tingling and paresthesia in hands and feet. Morphine is contraindicated after which surgery? - ansBiliary tract surgery Most important assessment after a thyroidectomy is what? - ansAssess the neck and back of neck for bleeding. This can cause the patient to hemorrhage. Non-maleficence - ansdo no harm Nursing actions when a patient is taking phosphorus? - ansEvaluate the use of antacids and use of alcohol because alcohol impairs absorption
Nursing care after discharge for a patient at risk for suicide? - ansHave the patient agree to a no-suicide contract, a verbal or written agreement to not harm themselves. Nursing care for a patient at risk for suicide? - ansAlways follow-up with a question if the first answer is negative. Nursing care for a patient at risk for suicide? - ansProvide one-on-one supervision. Remove all harmful objects. Allow client to have plastic eating utensils and count them. NEVER LEAVE A SUICIDAL PATIENT ALONE Nursing care for a patient following a hip arthroplasty? - ansProvide early ambulation - transfer the client out of bed from their UNaffected side into a chair or wheelchair. Nursing care for a patient on contact precautions? - ansRequired if anyone is within 3 feet of the client. Requires a private room or a room with other clients who have the same infection. Gloves and gown worn by the caregivers and visits. Disposal of infectious dressing material into a single, nonporous bag without touching the outside of the bag. Nursing care for a patient taking agonist-antagonist opioids? - ansMeasure baseline vital signs, if the respiratory rate is less than 12/min, withhold the medication and notify the charge nurse and provider. Have naloxone ready. Use caution when getting out of bed or standing, and do not operate heavy machinery or drive until CNS effects are known. Nursing care for a patient who practices Judiasm - ansCircumcision is done on the 8th day. Practice Kosher diet. When death occurs, someone stays with the body. No autopsy. Body is prepared by the jewish burial society. burial often occurs within 24 hours unless during sabbath. Nursing care for a patient with Alzheimer's? - ansKeep a structured environment, use a calendar to assist with orientation. Use short directions. Be consistent and repetitive and use therapeutic touch. Nursing care for applying restraints? - ansCannot be PRN, new prescription every 24 hours. Assess skin integrity every 2 hours. Pad bony prominences to prevent skin breakdown. Secure restraints to moveable part of bed frame. If a buckle strap is not available, use a quick release knot to tie the strap, be sure 2 fingers fit. Nursing care for hypothyroidism - ansMonitor for low BP, bradycardia, edema and monitor weight. Nursing care for obtaining a telephone prescription from a provider? - ansHave a second nurse listen to a telephone prescription, repeat it back and be sure ton include the medications name, dosage, time and route. Make sure the provider signs the
Post-op care of a patient recovering from a knee arthroplasty? - ansAvoid knee gatches and pillows, place one pillow under the lower calf and foot to cause a slight extension of the knee joint, and to prevent flexion contracturas. The knee can rest flat on the bed. Place a small pillow/blanket above the ankle area to keep heals off the bed. Prioritization order? - ansBasic life support, ABC, Maslow's hierarchy of needs, steps of the nursing process, acute vs. chronic, and new onset vs. unexpected Remember VEAL CHOP - ansV- variable/ C - cord compression - change positions. E - early/ H- head compression - baby is ready A - accelerated / O-Kay - happy, healthy baby L - ate / P - lacental insufficiency - turn to the left side, give O2, call DR. Seizure precations? - ansOral suction equipment available, place pillow under clients head when experiencing seizure Semi-Fowlers is how many degrees? - ans15 to 45 degrees Signs and symptoms of hypocalcemia? - ansExtreme twitching, tingling, positive chvostek and trousseau sign. Signs/Symptoms of Hypothyroidism - ansIntolerance to cold, constipation, weight gain, thick-brittle fingernails, bradycardia, hypotension Slander - ansverbal defamation Stool samples should come from where? - ansFresh stools, avoid contaminating with water or urine. Tertiary prevention is considered what? - ansFocusing on providing support and assistance to survivors of a client who died by suicide. The vastus lateralis is best for who? - ansInfants 1 year and younger. The ventrogluteal site is preferable for what? - ansIM injections and for injecting volumes exceeding 2 mL Therapeutic communication for a patient being aggressive? - ans"I need you to stop yelling, and walk with me to the day room where we can talk" Therapeutic use of Ace inhibitors? - ansHypertension, heart failure, MI Things to know about advance directives includes - ansAdvance directives don't expire, however they might not be accepted into another state.
Treatment options for a patient with psoriasis? - ansTopical meds(corticosteroids), Vitamin A. Pura therapy - ensure the client wears eye protection during treatment and for 24 hours following a treatment (indoors and outdoors) Veracity - anshonesty, truthfulness Warfarin (Coumadin) Antidote? - ansVitamin K Warfarin is used for what? - ansPrevention of venous thrombosis, and PE. Reduction of the risk of recurrent ischemic attacks or MI. What are acceptable identifiers before medication administration? - ansClients name, an assigned identification number, telephone number, birthday, photo id card. What are adverse effects of Ciprofloxacin? - ansGI discomfort ( N/V, Diarrhea), take with food. Achilles' tendon rupture, suprainfection such thrust or yeast infections, and photo toxicity (severe sunburn) What are complications of Cyclosporine? - ansRisk of infection, flu-like findings, painful urination What are contraindications for a patient receiving Warfarin? - ansPregnancy, pts with low platelet counts (thrombocytopenia) or uncontrolled bleeding. Use cautiously in patients with hemophilia, dissecting aneurysm, peptic ulcer disease, severe hypertension or a threatened abortion. What are some good practices to prevent self-harm? - ansInitiate one-on-one constant supervision around the clock. Document every 15 minutes. Search the clients belongings with the client present. Remove all glass, metal silverware, electrical cords, vases, belts, shoelaces, metal nail files, tweezers, matches, razors, perfume, shampoo, plastic bags. Allow the client to use only plastic eating utensils. Count utensils when brought in and out of room. Ensure clients hands are always visible, even when sleeping. What are the contraindications for ECT? - ansThere are no absolute contraindications. However conditions such as cardiovascular disorders such as a recent MI, hypertension, heart failure, cardiac arrhythmias. Cerebrovascular disorders such as a history of stroke, brain tumor, subdural hematoma. ECT increases intracranial pressure and blood flow through the brain during treatment. What are the interactions associated with taking Warfarin? - ansConcurrent use of Heparin, aspirin, Tylenol, glucocorticoids, sulfamides = all at an increased risk for bleeding. Foods high in vitamin k Resveratol and Saw Palmetto increase risk for bleeding.
What is normal INR levels, and when should INR levels be reported to the HCP? - ansNormal is 2- 3 Report 5 to HCP What is normal INR levels? - ans2 to 3. What is psoriasis? - ansIt is characterized by scaly dermal patches and caused by an overproduction of Keratin What is some client teaching you would provide for Phenytoin? - ansIt's an anti epileptic drug. Take the med at the same time every day to be effective. Go to all routine dental visits and have good oral hygiene. Avoid oral contraceptives, and avoid warfarin. What is something you would report if a patient has hypothyrodism - ansChest pain What is the antidote for warfarin? - ansVitamin K What is the best way to respond to escalating aggression? - ansFIRST PRIORITY - Provide a safe environment. Respond quickly and remain calm and in control. Encourage the patient to express their feelings verbally. Seclusion and restraints are a LAST RESORT. Allow as much personal space as possible. Maintain eye contact and sitting/standing at the same level. Avoid accusing or threatening statements. Describe options clearly and offer choices. Set limits for the client. What is the correct way to reposition a client? - ansTighten abdominal muscles. When lifting from the floor, flex your hips, knees and back. Bring the object to thigh level. Bend your knees and keep your back straight. Stand up and hold the object as close to you as possible. What is the immediate goal for the 4th stage of labor? - ansMonitor for PP hemorrhage. What is the nurses role in the informed consent process? - ansIt is to witness the clients signature on the informed consent form and to ensure that the provider has obtained the informed consent responsibly. What is the order of abdominal inspections? - ansInspection, Auscultation, percussion, light then deep palpation. What is the priority indicator for validating pain? - ansThe most reliable report is whatever the patient says it is. What is xanthelasma? - ansyellow plaque on eyelids What medication is given to newborns as a prophylactic eye care to prevent ophthalmia neonatorum? - ansErythromycin.
Ophthalmia neonatorum is caused by gonorrhoeae or chlamydia and can cause blindness. What nonpharmacologic measure can you advise a patient to take after a hip arthroplasty? - ansApply ice to the surgical site following ambulation to decrease pain and discomfort. What nursing care should you take for a patient with TB? - ansAdminister humidified oxygen therapy. Wear a N95 HEPA filter or powered air purifying respirator when caring for clients who are hospitalized. Place pt in a negative airflow room and implement airborne precautions. Have the client wear a surgical mask if transportation to another department is necessary. Test exposed family members for TB What order do you clean a baby? - ansMove from the cleanest to the dirtiest part of the newborns body - beginning with the eyes, face, and head. Proceed to the chest, arms and legs and wash the groin area last. What order do you suction a newborn? - ansSuction the side of the mouth then the nasal passages - one at a time. What other medication should a patient avoid using concurrently with an ACE inhibitor?
- ansNSAIDS What position restrictions should you advise a patient do to avoid dislocation? - ansUse elevated seating. Use straight chairs with arms. Use an abduction pillow or regular pillow between legs. Externally rotate the toes. Avoid hip flexion greater than 90 degrees. Avoid low chairs. DO NOT cross the legs. DO NOT internally rotate the toes. Avoid turning to the operative side. What precautions should a patient be on who has a multi-drug resistant organisms? - ansContact precautions What should you observe the client for after administering digoxin that can indicate toxicity? - ansFatigue, muscle weakness, confusion and loss of appetite. Also monitor for nausea and vomiting. What should you recommend for a client following a hip arthroplasty? - ansUse assistive (walker) and adaptive (raised toilet seat, grab bars, and shower chairs) devices when caring for the client. What should you teach a patient to avoid who is taking cyclosporine? - ansAvoid grapefruit juice What size gauge needle would you use for older adults? - ans22 to 24-gauge What strain of staphylococcus bacteria is resistant to vancomycin - ansVRSA
When should bathing take place? - ansAt the convenience of the parents, but not immediately after feeding to prevent spitting up and vomitting. When should you check the patients blood pressure after initiation of treatment? - ans hours after When should you stop taking a diuretic if you will be starting an ACE inhibitor? - ansstop the diuretic for 2 to 3 days prior. When would you notify a provider after a signed consent form has been signed? - ansIf the patient has more questions or appears not to understand any of the information. The provider is responsible for giving clarification. Where do you store nitroglycerin tablets? - ansIn original bottles and in a cool, dark place Where is psoriasis most common the body? - ansElbows, knees, scalp, sacrum, and lateral aspects of extremities. Where should the fundus be in the 4th stage of labor? - ansPalpable firm at the midline and 2 cm below the umbilicus. Who can consent for another person? - ansParent of a minor, legal guardian, court- specified representative, an individual who has durable power of attorney authority for health care. Who determines weight-bearing status? - ansOrthopedic surgeon Who governs the PNs responsibility in assigning, supervising and accepting assignments and making assignments - ansNurse Practice Act Who is at greatest risk for suicide? - ansFemales are more likely to commit, but males are more successful. Older adults. Veterans. People with mental health disorders, white people, and people who have access to lethal methods (firearms) You administered ACE inhibitors orally except which drug that can be administered IV use? - ansEnalaprilat You cannot give Ciprofloxacin to which age group? - ansKids under 18 years old. A task an AP can do - ansObtain clean urine specimen samples A task an AP can do - ansSpecimen collection Ace inhibitors include - ansCaptopril Enalapril
Lisinopril After a hip arthroplasty, how often do you perform neurovascular checks of the surgical extremity? - ansevery 2 to 4 hours Agonist-Antagonist opioids are which meds? - ansButorphanol, Nalbuphine, Buprenorphine, Pentazocine. Alcohol delirium is what? - ans2 to 3 days after cessation of alcohol. This is considered a medical emergency. An example of complicated grief is what? - ansA patient develops chest pain when talking about their partner An induration (palpable, raised, and hardened area) of 10 mm or greater in diameter indicates what? - ansa positive skin tb test Arthroplasty refers to the surgical removal of what? - ansA diseased joint due to osteoarthritis, osteonecrosis, rheumatoid arthritis, trauma or congenital anomalies, and replaced with prosthetics or artificial components made of metal or plastic. At 12 hours post-Parton, where should the fundus be? - ansThe fundus will be 1 cm above the umbilicus. autonomy - ansClient having the right to make their own decisions. Basal body temperature does what? - ansDrops slightly and rises during ovulation. Bathing infant by submerging in water should not occur until when? - ansThe cord has fallen off. Most cords fall off within the first 10 to 14 days although it can take up to 3 weeks. Before administering a pain medication, you should measure the patients respiratory rate and withhold if it is less than? - ans12/min Before doing ECT, what should you do as a nurse? - ansThirty minutes prior to the beginning of the procedure, an IM injection of atropine sulfate or glycopyrrolate is administered to decrease secretions that could cause aspiration as to counteract bradycardia. Beneficence - ansDoing good or causing good to be done; kindly action Best way to communicate with a client who speaks a different language? - ansUse gestures to increase understanding, speak slowly at a normal volume avoiding abbreviations or slang. Determine understanding throughout the conversation. Use printed materials suited to the clients level of understanding.
durable power of attorney - ansa legal agreement that allows an agent or representative of the patient to act on behalf of the patient Each facility must have an emergency operating plan. How often is the EOP mandated to be tested for? - ansAt least twice a year Education for a patient taking digoxin? - ansCount pulse for 1 full minute. Take the dose at the same time each day. Do not take digoxin at the same time as antacids - separate the two meds by at least 2 hours. Have blood digoxin and potassium levels checked regularly. Epoetin Alfa should be administered? - ansSubQ External emergencies include what? - ansThese affect a facility indirectly and include weather (tornado, and hurricane, pandemic fly, chemical plant explosions) Fertile period is approximately which days on the calendar? - ansDay 8 through 19. Fidelity - ansLoyal and faithfullness Findings of a patient with hypoglycemia - ansrapid pulse (tachycardia), diaphoresis, decreased level of consciousness. Following ovulation, mucus becomes what? - ansThin and flexible. For a client taking Digoxin, you should do what before administering the medication? - ansTake the apical heart rate for 1 minute. Hold the medication if the apical pulse is less than 60/min, and notify the provider. For a patient with bucks traction, what should you do as a nurse? - ansWeights should hang freely, do not loosen, compare bilateral pedal pulses. Fowlers position is how many degrees? - ans45 to 60 degrees Glucocorticoid - (prednisone, beclomethasone) A/E? - ansHyperglycemia and fluid retention Heparin antidote? - ansprotamine sulfate High-Fowler's is how many degrees? - ans60 to 90 degrees Hinduism - when someone dies what is something you need to know as a nurse in this culture? - ansCare of the body is done by same gender How can you prevent hip dislocation in a patient following a hip arthroplasty? - ansPlace client in a SUPINE position with head slightly elevated and the affected leg in a neutral
position. Place a pillow or abduction device between the legs when turning to the UNaffected side. The client should NOT be turned to the operative side. How can you provide a safe environment for an Alzheimer's patient? - ansFrequent monitoring/visual checks, keep clients from stairs, elevators, and exit. Remove or secure dangerous items. Provide frequent walks to reduce wondering, maintain a sleeping schedule. Provide verbal and nonverbal ways to communicate. How do you store nitroglycerin tablets? - ansStore tablets in original bottles and in a cool, dark place. How do you test bath water? - ansTest comfort with your elbow prior to bathing a newborn. How do you validate a patient has learned discharge instructions taught? - ansBy the patient providing a return demonstration? How far do you insert a rectal tube during an enema for a child? - ans5 to 7.5 cm (2 to 3 inches) How far do you insert a rectal tube during an enema for an adult? - ans7.5 to 10 cm ( to 4 inches) How far do you insert a vaginal suppository along the posterior wall? - ans7.5 to 10 cm (3 to 4 inches) How far do you insert creams, jellies or foams along the posterior wall of the vaginal wall? - ans5 to 7.5 cm (2 to 3 inches) How long after ovulation can the human ovum be fertilized for? - ans24 hours. How long can HCG be detected for after birth? - ansUp tp 4 weeks after How long do you monitor VS after a patient has a thyroidectomy? - ansEvery 15 minutes until stable then every 30. How long does the ability for sperm to fertilize the ovum last for? - ans48 to 72 hours How long should a female patient remain supine after insertion of a suppository? - ans10 minutes after insertion. How many mg of minerals are required through dietary sources each day? - ans100mg How often is complete bathing performed in a newborn? - ansTwo to three times per week using mild soap.
