Oxygenation and Perfusion
What transports oxygen in the blood?
Hemoglobin
What is a severe clinical manifestation of hyponatremia?
Confusion
A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief?
Prolonged grief
What are the 6 rights of medication administration?
What technique should be used to insert a Foley catheter?
Maintaining strict aseptic technique
How should a nonrebreather mask fit on a patient’s face?
Snugly/Tightly
Decreased deep tendon reflexes
What are two physical manifestations during the fight-or-flight response to stress?
Dilated pupils
Increased blood glucose
Elevated blood pressure
Elevated heart rate
Dilated bronchial airway
What are the 3 checks of medication administration?
During dispense, while preparing, and right before administration
When inserting a foley catheter and you see a flash of urine, what is the next step?
Advance catheter 2-4 inches
What are two clinical manifestations of circulatory overload?
Hypertension
Tachycardia
Crackles in lungs
Which acid-base imbalance would a client present with nausea and vomiting?
Metabolic alkalosis
A patient with dementia is upset she can’t find her husband, who passed away a few years ago. What should the nurse do?
A. Give meds
B. Remove client from area so she doesn’t upset the other clients
C. Take the client on a walk and talk about her family
C. Take the client on a walk and talk about her family
What route of medication administration has the fastest onset?
Intravenous
A nurse is caring for an adult with an NG tube in place for continuous enteral feedings. Which of the following actions should the nurse perform to reduce the client’s risk for aspiration?
Elevated the head of bed to 30 or 45 degrees
What should the nurse do with a patient who is dehydrated and has hypotension?
Increase the client’s fluid intake
What are 2 clinical manifestations of hypercalcemia?
Nausea and vomiting
Confusion
Excess urination
What is the first stage of grief in the Kubler-Ross stages of grief?
Denial
A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?
A. Check the client’s vital signs
B. Notify the provider
C. Fill out an incident report
D. Document the client’s condition in the EMR
A. Check the client’s vital signs
The patient has an indwelling catheter and started having a distended bladder. What should the nurse do first?
Assess the tubing for kinks and ensure downward flow
What are the forms of high flow oxygen delivery systems?
Nonrebreather
High-flow nasal cannula
Venturi mask
A nurse is planning care for a client who has hypernatremia. Which of the following IV solutions should the nurse plan to initiate?
A. Dextrose 5% in water
B. 25% albumin
C. Dextrose 10% in water
D. Normal saline
A. Dextrose 5% in water
The nurse is providing discharge instructions for a patient with multiple sclerosis. Which discharge instruction is aimed at preventing a future exacerbation?
Avoid stressful situations
A nurse is preparing to administer cefotaxime 1,000 mg IM to a client. How many grams (g) should the nurse plan to administer?
1 gram
The nurse is inserting an nasogastric tube in a patient for a small bowel obstruction. While inserting the NGT, the patient starts coughing, gagging, and turning blue. What should the nurse do next?
Stop inserting and remove the NGT