MED SURG
Metformin is generally the first medication prescribed for type 2 diabetes. It works primarily by lowering glucose production in the liver and improving your body's sensitivity to insulin so that your body uses insulin more effectively.
What is Type 2 Diabetes?
Nursing care that incorporates prevention, early detection of health problems, and strategies to achieve optimal health
What is Health Promotion and Maintenance?
Nagele's Rule
What is LMP - 3 months + 7 days?
What should the graduate nurse consider when preparing to go to the site for the National Council Licensure Examination?
What is to allow ample travel time to the test site?
Stroking the outer edge of the sole of the infant's feet and the toes move upward
What is the Babinski reflex?
A client with cancer has arrived to receive chemotherapy. The nurse administers prochlorperazine prophylactically before the infusion. What assessment finding best indicates therapeutic effect?
A) Client’s vital signs are within normal range.
B) Client participates in activities.
C) Client requests food.
D) Client denies nausea.
What is D. Client denies nausea?
Rationale: Nausea is a subjective symptom and the reason the medication is being administered. The client telling the nurse about a decrease in nausea would be the best indication the drug is working, even though all the listed assessment findings are beneficial.
PLACE YOUR WAGERS!!!
THERAPEUTIC COMMUNICATION
The client has been hospitalized and is participating in substance abuse therapy group sessions. On discharge, the client consented to participate in AA community groups. Which statement by the client best indicates that the client has developed effective coping response styles and has processed information effectively for self-use?
A. "I know I’m ready to be discharged. I feel I can say 'no' and leave a group of friends if they are drinking…'No Problem.’"
B. "This group has really helped a lot. I know it will be different when I go home. But I’m sure that my family and friends will all help me as the people in this group have… They’ll all help me… I know they will… They won’t let me go back to my old ways."
C. "I’m looking forward to leaving here. I know that I will miss all of you. So, I’m happy and I’m sad, I’m excited and I’m scared. I know that I have to work hard to be strong and that everyone isn’t going to be as helpful as you people."
D. "I'll keep all my appointments; go to all my AA groups; I’ll do everything I’m supposed to… Nothing will go wrong that way."
What is C: I’m looking forward to leaving here. I know that I will miss all of you. So, I’m happy and I’m sad, I’m excited and I’m scared. I know that I have to work hard to be strong and that everyone isn’t going to be as helpful as you people?
Hypersecretion of HG during fetal development or childhood that results in limited growth congenital or result from damage to the pituitary gland.
What is Dwarfism?
The nurse valuing and respecting all patients and colleagues
What is human dignity?
DAILY DOUBLE!!!
When the FHR (fetal heart rate) can be detected.
What is as early as 10 weeks?
DAILY DOUBLE!!!
A nursing student has used up the limited number of attempts to pass the NCLEX. What should the nurse do to best improve their chances of successfully passing the examination?
What is take a refresher nursing course? Or if they haven't already, enroll in a HESI, HURST, etc. review course?
During this stage, this age group typically tends to search for their own identity.
What is adolescence?
The nurse is educating a patient on low-molecular-weight-heparin medications. What would the nurse indicate as an advantage of these medications?
A. Indicated for patients who are on an exercise regimen
B. Initiates angiogenesis
C. Blocking factors IXa and Iaa
D. Cause fewer systemic adverse effects
What is D. Cause fewer systemic adverse effects?
Rationale: Low-molecular-weight-heparins do not greatly affect thrombin, clotting, or prothrombin times; therefore cause fewer systemic adverse effects.
Weekly vitamin b12 injections would be appropriate for a client with this type of anemia.
What is pernicious anemia?
The belief that one's own culture is superior to that of another while using one's own cultural valued as the criteria by which to judge other cultures.
What is ethnocentrism?
Poses serious ethical concerns; counter this by being culturally knowledgeable, sensitive, and competent.
Symptoms of fever and persistent cramping.
What is endometritis?
While studying for the National Council Licensure Examination, the graduate nurse is determining the extent in which a client's goals have been achieved after care. Which phase of the nursing process is this situation measuring?
What is evaluation?
Protective thick cheese covering in skin folds
What is vernix?
The nurse is caring for a client with cystic fibrosis who has recently not been taking prescribed pancreatic enzymes recently. What is the primary assessment finding the nurse will see as a result of this nonadherence?
A) Constipation
B) Diarrhea
C) Malnutrition
D) Abdominal pain
What is C. Malnutrition?
Rationale: Pancreatic enzymes promote digestion and absorption of nutrients so not taking the drug would result in malnutrition and weight loss.
The blood type considered a "universal donor"?
What is Type O?
A mutual, purposeful, interactive process between a nurse and a patient, which may include family, to promote the patient's spiritual health."
What is spiritual care?
Provided when interconnectedness of the physical, cultural, and spiritual realms are recognized and included in addressing a patient's holistic needs. Required by Joint Commission in hospitals by the multidisciplinary team)
For pregnant women, identification as this determines the nature of prenatal care and the delivery experience, as well as exposure to technological interventions, relationships with healthcare providers, and even the ability to maintain custody of infants
What is "high risk"?
A nurse is functioning as a manager in a healthcare facility. What should the nurse do when coordinating the staff activities in order to be an efficient manager?
What is motivate staff to give quality nursing care?
Muscle where vitamin K is administered in infants.
What is the vastus lateralis?
A nurse is monitoring a client who is taking propranolol. Which assessment data would indicate a potential serious complication associated with propranolol?
a. The development of complaints of insomnia
b. The development of audible expiratory wheezes
c. A baseline blood pressure of 150/80 mmHg followed by a blood pressure of 138/72
d. A baseline resting heart rate of 88 beats/min followed by a resting heart rate of 72/beats/min after two doses of the medication
What is B. The development of audible expiratory wheezes?
Rationale: Audible expiratory wheezes may indicate a serious adverse reaction, bronchospasm. Beta-blockers may induce this reaction, particularly in clients with COPD, or asthma. Normal decreases in BP and HR are expected. Insomnia is a frequent mild side effect and should be monitored.