Acidosis/Alkalosis
PH <7.35
HCO3 <22
metabolic acidosis
Therapeutic Coumadin (warfarin) INR levels
2.0-3.0
The nurse prepares to bathe and change the bed linens of a client with localized herpes zoster. The lesions are open and draining a scant amount of serous fluid. Which precaution should the nurse ensure is followed by all health care workers?
Contact Precautions
The unlicensed personnel reports to the LPN that an assigned client is experiencing difficulty breathing. Which action should the LPN take first?
1. Call respiratory
2. Notify the clients family
3. Obtain a set of vitals
4. Call the health care provider.
Obtain a set of vitals
Patients taking theophylline (theo-24) should limit the intake of (select all that apply) these items while on this medication.
Tea, cola, milk, chocolate, orange juice
Tea, Cola, and Chocolate
PH >7.45
PaCO2<4.7
Respiratory alkalosis
Potassium (K)
3.5-5.5
The nurse suspects a foreign body airway obstruction in a responsive infant. The nurse plans to relieve the obstruction by performing which action?
Delivering five back slaps and five chest thrusts
The nurse uses the principle of beneficence in which situation?
1. The nurse is fair in providing resources to all clients
2. The nurse follows through with care offered to a client
3. The nurse suspects the clients right to determine a course of action
4. The nurse tells the client that the flu shot may cause some discomfort but describes the benefits of the immunization.
The nurse tells the client that the flu shot may cause some discomfort but describes the benefits of the immunization.
What medication should the nurse anticipate will be prescribed for the client with herpes simplex type 1?
Furosemide (lasix), Acyclovir (zovirax), Tazarotene (tazorac), Clotrimazole (Lotrimin AF)
Acyclovir (zovirax)
PaCO2 >6
Ph <7.35
Respiratory acidosis
Hct 35.5-44.9
Hgb 11.6-15
The nurse is preparing to assist a client who is able to transfer with two assistants from the bed to the chair. The nurse requests assistance from staff members, but no staff members are able to help at this time. Which action by the nurse is most appropriate at this time?
Use a mechanical lift to transfer the client from the bed to the chair.
The nurse has responded to the scene of a disaster, and the first victim the nurse encounters is one who has a large wound on the leg that is actively bleeding. The nurse should identify this victim as belonging to which classification.
Urgent, delayed, emergent, nonurgent
Emergent
Metoprolol succinate (Lopressor) has been prescribed for a client for the treatment of tachydysrhythmias. The nurse ensures that which baseline data are collected before administration of this medication?
Intake and Output, Hematologic studies, hepatic function studies, basic metabolic panel results
Intake and Output
Metabolic alkalosis
HCO3 >28
Normal Magnesium
1.3-2.1
Which client is at greatest risk of fluid volume deficit?
The client on diuretic therapy.
Out of these tasks which ones can be performed by a LPN.
Assessment, urinary catheterization, endotracheal suctioning, IM administration, SC administration, IV push administration.
Urinary catheterization, endotracheal suctioning, IM administration, SC administration.
What is a side effect octreotide acetate (sandostatin) that the nurse should monitor for in a patient with acromegaly?
Dyspnea, diarrhea, bradycardia, constipation
Diarrhea
Ph <7.35
Acidosis
Normal white blood cell level
4,500-11,000
The pulse point to use when assessing a pulse in an infant is located in which area?
Brachial
A client just underwent a lung resection and has two chest tubes in place that are draining red fluid. The charge nurse should most appropriately assign which health care personnel for the client?
Student nurse, Outside agency nurse, RN, LPN
RN
A patient reports taking St. Johns wort for the treatment of depression. The nurse determines that a potential medication interaction can occur if the client is also taking which medication?
Lisinopril (Zestril), Sucralfate (Carafate), Memantine (Namenda), Spironolactone (Aldactone)
Lisinopril (Zestril)