Nursing Process
Types of med orders
Poke ME
Endocrine
Random stuff
100
The nurse is sitting in a chair near the patient’s bed, leaning forward to hear what the patient is saying, and does not interrupt. What is the nurse demonstrating? a.Support b.Caring c.Active listening d.Interest
Active listening
100
An abbreviation for a medication that is given "when necessary."
What is PRN?
100
An injection that is injected directly under the skin, amount of drug is small and absorption is small.
What is Intradermal Injection?
100
In diabetes insipidus, a deficiency of which hormone causes clinical manifestations? a. antidiuretic hormone (ADH) b. follicle-stimulating hormone (FSH) c. thyroid-stimulating hormone (TSH) d. adrenocorticotropic hormone (ACTH)
a. antidiuretic hormone (ADH)
100
69. When giving medications, the nurse will follow the rights of medication administration, which include what rights? (Select all that apply.) a. Right drug b. Right route c. Right dose d. Right room e. Right time
a. Right drug b. Right route c. Right dose e. Right time
200
A statement of the patients problems or unmet needs.
What is Nursing Diagnosis?
200
An order that is to be given only once and immediately.
What is STAT?
200
An injection of a drug that is injected undert the skin into the subcuataneous fascia, solutions are ideally limited to no more than 1 ml
What is Subcutaenous Injection?
200
What do the Chvostek sign and the Trousseau sign indicate? a. Low levels of serum calcium b. High levels of blood sugar c. Low levels of serum sodium d. High levels of serum aldosterone
a. Low levels of serum calcium
200
68. The nurse would evaluate successful client teaching with regard to morphine administration via patient controlled analgesia (PCA) when the patient makes which statement? a. “I will probably use less morphine this way than with taking injections in my hip.” b. “I will get a dose of morphine every time I push the button.” c. “If I push the control button too often, I may get more medicine than needed.” d. “Using the device will keep me comfortable at all times.”
a. “I will probably use less morphine this way than with taking injections in my hip.”
300
A patient states, “I’m really strung out about this pregnancy.” The nurse responds by asking, “What about this pregnancy worries you?” What communication technique is this? a.Closed inquiry b.Restating c.Open-ended question d.Minimal encouraging
Open-ended question
300
A medication that is given twice a day and is stated as...GIVE
What is BID?
300
57. You receive an order to give your client a dose of Fluphenazine (Prolixin) by intramuscular injection (IM). What is the most important nursing intervention related to the injection? (Select all that apply.) a. Administer the drug using the Z-track method. b. Injection not to exceed more than 3 mL in one site c. Rotate the injection sites. d. Massage the site vigorously after injection. e. Select a small 23-gauge needle.
a,b,c Administer the drug using the Z-track method. Injection not to exceed more than 3 mL in one site Rotate the injection sites.
300
A patient has come to the clinic because of enlarged hands and feet, amenorrhea, and increased hair growth. These symptoms most likely indicate problems with the: a.pituitary gland. b.adrenal glands. c.thyroid gland. d.pancreas.
a.pituitary gland.
300
20. While being prepared for a biopsy of a lump in the right breast, the client asks the nurse what the difference is between a benign tumor and a malignant tumor. The nurse explains that a benign tumor differs from a malignant tumor in that benign tumors a. do not cause damage to adjacent tissue. b. do not spread to other tissues and organs. c. are simply an overgrowth of normal cells. d. frequently recur in the same site.
b. do not spread to other tissues and organs.
400
The nurse caring for a patient in the acute care setting assumes responsibility for a patient’s care. What is this legally binding situation? a.Nurse-patient relationship b.Accountability c.Advocacy d.Standard of care
Nurse-patient relationship
400
In emergencies this kind of order is taken over the phone and hospital policy should be followed.
What is a Telephone Order?
400
A catheter that is implanted beneath the skin and diffuses drugs into the central spinal fluid.
What is an epidural?
400
.What are the three major life-threatening complications postoperatively of a thyroidectomy? (Select all that apply.) a.Hemorrhaging b.Seizures c.Tetany d.Hypoglycemia e.Thyroid crisis (storm) f. SIADH
a.Hemorrhaging c.Tetany e.Thyroid crisis (storm)
400
Ativan, Xanax, Librium, Valium
What are benzodiazepines?
500
An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention? a.Standards of care b.Regulation of practice c.American Nurses’ Association Code d.Nurse practice act
Nurse practice act
500
A type of order that must be written and signed within a certain time frame.
What is a Verbal Order?
500
65. When administering an opioid narcotic, which interventions should the nurse implement to provide for client safety? (Select all that apply.) a. Clarify all orders with the health-care provider b. Assess the client’s vital signs prior to administration c. Compare the hospital number on the MAR to the client’s bracelet d. Determine if the client has any allergies to medications e. Have a witness verify the wasted portion of narcotic
b. Assess the client’s vital signs prior to administration c. Compare the hospital number on the MAR to the client’s bracelet d. Determine if the client has any allergies to medications e. Have a witness verify the wasted portion of narcotic
500
The nurse is caring for a patient who is receiving calcium gluconate for treatment of hypoparathyroid tetany. Which assessment would indicate an adverse reaction to the drug? a.Increase in heart rate b.Flushing of face and neck c.Drop in blood pressure d.Urticaria
Drop in blood pressure
500
2. Which of the following statements about biosynthetic the long-acting insulin: Lantus (glargine) is correct? a. It has a very high risk of hypoglycemic reactions because of large fluctuations in insulin levels b. Lantus (glargine) should not be mixed with other insulins c. This drug is always administered first thing in the morning d. This drug provides a 48-hour basal source of insulin for the body
b. Lantus (glargine) should not be mixed with other insulins
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