Pain
Allergies
Disorders
CVA
Disorders 2
100

Is pain subjective or objective? Who determines a patient's pain level? 

Subjective.

The patient. 

100

When a patient is experiencing anaphylactic shock what medication should be given first?

Epinephrine

100

Should patients that have received organ transplants take immune boosting medications? Why or Why not?

No. They counteract immunosuppressant medications.

100

Does having a seizure make a patient an epileptic?

No, there are several reasons a patient can have seizures. 

100

Provide Raynaud's patient education.

Wear gloves when removing food from freezer, do not smoke, avoid stress, avoid cold environments, ensure home temperature is warm.

200

What is phantom pain? 


Neuropathic pain that occurs in an area where a limb has been removed.

200

When a patient is receiving a CT scan which food allergy should the nurse screen for? 

Shellfish due to iodine content

200

Describe S/S of SLE

Fatigue, joint pain, rashes, mouth sores, hair loss.

200

Do patients often have seizures after a CVA? Why or Why not?

Yes, the brain cells have been deprived of oxygen or blood has leaked into surrounding tissues causes irritants/ vasospasms.

200

Provide nursing care for a patient with a DVT

Limit mobility, elevate extremity, monitor platelet levels along with additional coagulation studies.

300

Provide ice pack application education.

Allow ice pack to remain in place for 15-20 minutes/ 4 times a day. Provide a barrier between the ice pack and skin.

300

What is the best initial indicator that the patient may be experiencing an anaphylactic reaction?

Angioedema. 

Discuss wheezing.

300

Describe the environment recommended for a patient with bacterial meningitis.

Quiet, dark, minimal distractions- droplet isolation.

300

What is receptive aphagia?

What is expressive aphagia? 

Receptive- lifts arms when asked to stick out tongue. 

Expressive- unable to speak

300

What are common changes with vision and hearing in the aging adult?

Distorted depth perception, yellowing of lens, presbycusis, decreased lacrimal secretions, difficulty distinguishing dark colors, intensified glares at night.

400

Many pain medications cause constipation. What is the first intervention a nurse implements to prevent constipation?

Increase fluid intake.

400

Which immunoglobin is triggered during allergic reactions?

IgE
400

What are late-stage Parkinson's manifestation a nurse must provide nursing care for?

Dysphagia, immobility, incontinence, insomnia.

400

What is agnosia? What is an appropriate nursing intervention?

The inability to recall familiar items. Present an item and repeat the name/purpose of the item.

400

With GBS what are areas the care plan should address?

Nutrition, immobility complications, ventilation, advancing paralysis assessments.

500

What assessment findings indicate a patient is experiencing pain?

Muscle tension, diaphoresis, increased HR, increased RR, increased BP, nausea/vomiting. 

500

A patient comes into the ER having stepped on a nail what is the nurse's most important thing to inquire about? 

When was your last Tetanus vaccine.

500

Provide dietary instructions for a patient with MS?

High fiber, Fluid hydration (1500ml/day), Calcium and Vitamin D supplements.

500

Provide patient education on the medication Dilantin.

Dilantin causes gingival hyperplasia which means the patient should visit the dentist every 3-6 months. 

Dilantin may turn urine pink and alcohol should be avoided due to its sedative effects.

500

Provide eye patch education. 

Rest eyes, limit activity of uncovered eye. Audio books, music, sleep. No TV, No exercises of eyes, do not apply pressure to covered eye. 

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