Neurology
The nurse begins her shift in the morning and notices that her patient is exhibiting signs of a seizure, such as jerking movements and loss of consciousness. What is the first action she should take to ensure the patient's safety and well-being?
Turn the patient to the side.
This is the type of diet a patient will follow after the removal of the gallbladder.
Low fat diet, Avoid fatty, greasy, and fried foods
State the difference between a modifiable vs a nonmodifiable risk factor.
Modifiable: Something can be changed or modified (patient has control over it)
Nonmodifiable: Something that cannot be changed or modified (patient has no control over it)
Which task can a nurse delegate to a unlicensed assistive personnel (UAP) in a hospital setting, taking vital signs or giving an enema?
taking vital signs for a stable patient
A client is admitted with an exacerbation of multiple sclerosis. The nurse is assessing the client for possible precipitating risk factors. Which factor, if reported by the client, would the nurse identify as being unrelated to the exacerbation?
A) Annual influenza vaccination
B) Increased ingestion of fruits and vegetables
C) An established routine of walking 2 miles each evening
D) A recent period of extreme outside ambient temperatures
E) Infection
B) Increased ingestion of fruits and vegetables
This enzyme, typically found in high levels during acute pancreatitis, is often used as a diagnostic marker
amylase, lipase
This is medical treatment that uses drugs to target and destroy cells that divide and grow quickly.
chemotherapy
The nurse has assigned the vital signs and daily weights of her patients to the unlicensed assistive personnel (UAP) on duty for that shift. It is still important for the nurse assigned to the patient to reassess each patient throughout the shift because:
A) The nurse remains accountable for the patients' care.
B) The UAP is not trustworthy.
C) The UAP cannot report to the next shift.
D) The nurse maintains the authority to care for the patients.
A) The nurse remains accountable for the patients' care.
What is the first intervention with new onset stroke patient & state the time window to use tPA.
CT scan, 3-4.5 hours
True or False: A patient with hepatitis B needs to reduce fluid intake.
False, a patient with hepatitis B needs to increase fluid intake to prevent dehydration, promote toxin removal, prevent or manage jaundice
The nurse is caring for a client following a modified radical mastectomy. Which nursing intervention should be included in the plan of care?
A) Avoid arm exercises in the immediate postoperative period.
B) Elevate the affected arm on a pillow above the heart level.
C) Maintain an intravenous (IV) site below the antecubital area on the affected side.
D) Place cool compresses on the affected arm
Elevate the affected arm on a pillow above the heart level.
The nurse is caring for an 87-year-old patient admitted for failure to thrive. Which care tasks would be appropriate for the RN to delegate to an experienced unlicensed assistive personnel (UAP)?
4. Have the nursing assistant gather equipment that will be needed to care for the patient.
State why the HOB is raised when a patient is experiencing autonomic dysreflexia?
To decrease the BP
True or False
Hepatitis C is a slow-growing infection, and the patient usually does not have symptoms.
True; most of the time, patients will not notice that they have hepatitis C until liver damage is occurring.
What is TURP & why is it performed?
transurethral resection of the prostate. The surgery removes part of the prostate to help improve urination and relieve symptoms like difficulty or pain when peeing
The registered nurse is planning the patient assignments for the day. Which is the most appropriate assignment for an assistive personnel?
1. A patient requiring a colostomy irrigation.
2. A patient receiving continuous tube feedings.
3. A patient who requires urine specimen collections.
4. A patient with difficulty swallowing food and fluids.
3. A patient who requires urine specimen collections.
List 3 nursing interventions for a patient with Huntington's disease
Encourage them to increase their caloric and protein intake.
Assist the patient with activities of daily living (walking, eating, bathing, dressing)
Review & administer medications for the patient.
This is a medication used to manage hepatic encephalopathy; state the mechanism of action.
Lactulose; Reduces ammonia levels in the body by excreting it through the stool
This is a medication used in the treatment of syphilis
Penicillin G IM (antibiotics) if allergic : doxycycline or tetracycline (for adults).
The nurse has received the assignment for the day shift. After making initial rounds and checking all of the assigned patients, which patient should the nurse plan to care for first?
1. A patient who is ambulatory demonstrating steady gait.
2. A postoperative patient who has just received an opioid pain medication.
3. A patient scheduled for physical therapy for the first crutch-walking session.
4. A patient with a white blood cell count of 14,000 mm and a temperature of 38.4
4. A patient with a white blood cell count of 14,000 mm and a temperature of 38.4