Nursing diagnosis
A client/patient with one of the following nursing diagnosis has a disorder of this body system/
•Impaired cardiac output associated with inadequate ventricular filling or altered heart rate
•Anxiety associated with fear of the unknown outcome of altered health state
•Lack of knowledge about the arrhythmia and its treatment
What is the cardiac system.
A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take?
A. Suction two to three times with a 60-second pause between passes.
B. Perform chest physiotherapy prior to suctioning.
C. Lubricate the suction catheter tip with sterile saline.
D. Hyperventilate the client on 100% oxygen prior to suctioning.
A. Suction two to three times with a 60-second pause between passes.
What is the normal HGB rate for male or female adult?
Male: 14-18 g/dL
Female: 12-16 g/dL
Give the title and artist of this christmas song.
https://open.spotify.com/track/0bYg9bo50gSsH3LtXe2SQn?si=5e3e66c657b14297
All I want for Christmas is you
Mariah Carrey
Galen's policies can be found where?
In the student catalog or handbook.
Your aging patient is experiencing age related respiratory symptoms. Name at least 3 symptoms the patient will experience.
breathlessness
decreased chest/lung expansion
fluid accummulation in the lungs
fatigue
decreased ability to exhale
Pronounce This: erythropoietin
eh·ri·thruh·poy·tin
hormone produced primarily by the kidney; necessary for erythropoiesis
An IV of 750 mL lactated Ringer’s solution is to be infused over 12 hours. The IV tubing has a drop factor of 20 gtt/mL. Calculate the drops per minute.
21 gtt/min
Each one of your instructors has a favorite football team.
Armstrong - Philadelphia Eagles
Joubert - Houston Texans
Rouzan - New Orleans Saints
if a patient is has one of the following nursing diagnosis which body system is affected?
Discomfort associated with distressing symptoms and feelings of discomfort from the infectious process
•Anxiety associated with worry about symptoms
•Risk for infection or spread of infection
•Lack of knowledge about proper hygiene and preventive measures
Reproductive
The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?
A. He is hard of hearing.
B. Pain
C. Confusion
D. Language barrier
C. Confusion
What is the normal range WBC (white blood cell)?
5,000-10,000 mm3
Listen to this clip.
Give the title and artist.
https://open.spotify.com/track/33BG8PfZ2ewPnie2wndGz4?si=90134430abc74d00
Let it Snow
Boyz to Men
True or false.
Students who violate the dress code and not having their badge visible can be removed from the class, in person or virtual, and the clinical site.
True
As we age our integumentary system changes. We get wrinkles, we have heat intolerance, we experience dryness. The aging patient becomes more susceptible to skin tears due to the skin doing this
thinning
thin
Pronounce this: Xersostomia
Give the definition.
zee·ruh·stow·mee·uh
What is dry mouth.
An IV fluid is infusing at 150 mL/hr. The drop factor of the tubing is 15 gtt/mL. Calculate the drops per minute.
38 gtt/min
Which professors are PVAMU alumni?
Joubert and Rouzan
The body system that would warrant this one of the fo
•Impaired airway clearance associated with excessive mucus production secondary to retained secretions and inflammation
•Acute pain associated with upper airway irritation secondary to an infection
•Impaired verbal communication associated with physiologic changes and upper airway irritation secondary to infection or swelling
•Hypovolaemia associated with decreased fluid intake and increased fluid loss secondary to diaphoresis associated with a fever
•Lack of knowledge regarding prevention of URIs, treatment regimen, surgical procedure, or postoperative self-care
llowing nursing diagnosis:
The respiratory system
A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?
A. Steatorrhea
B. Blood
C. Bacteria
D. Parasites
B. Blood
What is considered a normal PLT (platelet count)?
150,000-400,000 mm3
Watch this clip.
Name the title and artist.
https://open.spotify.com/album/63MKT9hwmiMFFdFp5SdB1p?si=gnH3jVueTie_qsaXY54Idw
Under the Mistletoe
Justin Beiber
This type of offense will result in immediate suspension and dismissal. Examples: cheating, plagarism, offensive behavior.
Critical Minor Serious
Critical
When a patient is experiencing learning difficulties, at risk for delirium and syncope, and responds slower than normal. This system is being affected.
The nervous system
Pronounce this: Peristalsis
Give the definition.
peh·ruh·staal·suhs
What is the involuntary muscle contraction of the GI tract.
3 mL
Which one of your professors was a school nurse?
Rouzan
A patient/client with one of the following nursing diagnosis has a disorder of which body system?
•Hypovolaemia associated with anorexia, nausea, and diarrhea
•Impaired nutritional status associated with dietary restrictions, nausea, and malabsorption
•Risk for impaired skin integrity associated with malnutrition and diarrhea
•Lack of knowledge concerning the process and management of the disease
What is GI
A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions?
A. An upper respiratory infection
B. Pulmonary edema
C. Atelectasis
D. Delayed gastric emptying
C. Atelectasis
What is the desired therapeutic INR (international normalized ratio)?
Desirable therapeutic level is 2-3
Listen to this clip.
Name the title and artisit.
https://open.spotify.com/album/7Jahqd1kx9Qau0E9x9iZj6?si=ysvmekS1SVCoiyQvTHb-tA
Underneath the Tree
Kelly Clarkson
Galen has an honor society for its baccalaurreate nurses with a GPA of 3.0 and in the top 35% of their class. Name the organization.
Alpha Beta Zeta
A patient must have these 5 signs/symptoms to be diagnosis with Alzheimers.
Agnosia
Amnesia
Anomia
Aphasia
Apraxia
Pronounce this: telangiectasias
Define it.
tuh·lang·jee·uhk·tay·zhuh
What is vascular structures; red marks on the skin caused by distention of the superficial blood vessels
5 mL
Can you name the nursing specialties of your instructors?
NICU, surgery - Joubert
Psych, Peds/OB - Rouzan
Wound care - Armstrong
A nurse is caring for a client who requires cold applications with an ice bag to reduce the swelling and pain of an ankle injury. Which of the following actions should the nurse take?
A. Apply the bag for 30 min at a time.
B. Reapply the bag 30 min after removing it.
C. Allow room for some air inside the bag.
D. Place the bag directly on the skin.
A. Apply the bag for 30 min at a time.
A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?
A. Testing visual acuity
B. Observing for facial symmetry
C. Eliciting the gag reflex
D. Checking the pupillary response to light
D. Checking the pupillary response to light
A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?
A. The client who has a tracheostomy tube attached to humidified oxygen
B. The client who has an indwelling urinary catheter to gravity drainage
C. The client who has a chest tube to water seal
D. The client who has a nasogastric (NG) tube to suction
D. The client who has a nasogastric (NG) tube to suction
A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV
infusion. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site?
A. “The infusion rate has stopped but the tubing is not kinked.”
B. “The area surrounding the insertion site feels warm to the touch.”
C. “There is fluid leaking around the insertion site.”
D. “There is no blood return when the tubing is aspirated.”
B. “The area surrounding the insertion site feels warm to the touch.”
A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client’s potential allergies during which phase of the nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
C. Assessment
A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data
includes pulse 100/min, respiratory rate 24/min, BP 132/76 mm Hg, and temperature 36.8º C (98.2º F). Which of the following actions should the nurse perform?
A. Complete a neurological check.
B. Administer the prescribed PRN antihypertensive medication.
C. Increase the client's fluid intake.
D. Hold the client's evening dose of digoxin.
A. Complete a neurological check.
A nurse is reviewing a client’s prescription for 1,000 mL of 5% dextrose in water IV to infuse over 8 hr. At 1400, the nurse observes that there is 500 mL of solution remaining in the client's current IV bag. At what time should the nurse administer the next bag of IV solution?
A. 1500
B. 1600
C. 1700
D. 1800
D. 1800
our patient has a headache and the doctor has ordered Ibuprofen 450 mg to be
administered PO q8h PRN for pain. The recommended safe dose range for Ibuprofen is
5-10mg/kg/dose. Your patient weighs 100 lbs. Calculate the safe dose range and
determine if the medication is safe to administer. Round to the tenth.
3. The physician has ordered for your client to receive Gentamycin 1000mg IVPB Q8H for
an infection. The recommended safe dose range for Gentamycin is 50-100mg/kg/dose.
Your patient weighs 20kg. Calculate the safe dose range and determine if the medication
is safe to administer. Round to the tenth.
4. The recommended safe dose range for Lasix is 0.5-1mg/kg/dose. Your client weighs 250
lbs. Calculate the safe dose range for this patient. Round to the tenth.
227.3-454.5
safe
A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
A. Trochanter roll
B. Sheepskin heel pad
C. Abduction pillow
D. Footboard
D. Footboard