Might Be the Covid
A client who is newly diagnosed with type 2 diabetes states," I feel really dizzy and shaky." Which of the following actions should the nursing perform?
a. administer glucagon
b. give 10 units of lispro
c. check urine ketones
d. provide 8 oz. milk
D. provide 8 oz of milk
Todd really hates his boss but can't direct his feelings to him because of his fear of getting fired. So Todd takes these feelings out onto his wife and yells at her. What defense mechanism is this?
A. Denial
B. Projection
C. Displacement
D. Sublimation
C. Displacement
involuntarily displaces the effects from an individual or anything which are felt unacceptable to another situation which the mind distinguished more acceptable.
A toddler is 16 months old and has been recently admitted into the hospital. According to Erickson which of the following stages is the toddler in?
A.Initiative vs. guilt
B.Intimacy vs. isolation
C. Trust vs. mistrust
D. Autonomy vs shame and doubt
C. Trust vs Mistrust
12-18 months
For a diabetic male client with a foot ulcer, the physician orders bed rest, a wet-to-dry dressing change every shift, and blood glucose monitoring before meals and bedtime. Why are wet-to-dry dressings used for this client?
A. They contain exudate and provide a moist wound environment.
B They protect the wound from mechanical trauma and promote healing.
C. They debride the wound and promote healing by secondary intention.
D They prevent the entrance of microorganisms and minimize wound discomfort.
C. They debride the wound and promote healing by secondary intention
The nurse recognizes that the primary purpose of a nursing diagnosis is to:
A. Recognize the client’s response to an illness or situation
B Offer the nurse’s subjective view of the client’s behaviors
C Support the medical plan of care
D. Provide a standardized approach for all clients
A. Recognize the client's response to an illness or situation
A patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute?
A. Muscle weakness of the extremities
B. Migraines
C. Paresthesias
D. Decreased HR
B. Migraines
A patient with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died. I've always been a failure. Nothing ever goes right for me." Which response demonstrates therapeutic communication?
a. "You have everything to live for"
b. "Why do you see yourself as a failure?"
c. "Feeling like this is all part of being depressed."
d. "You've been feeling like a failure for a while?"
D. "You've been feeling like a failure for awhile?"
The correct option is an example of the use of restating
A nurse is providing change of shift report to the oncoming nurse. Which of the following information should the nurse include?
A. Subjective comments about client
B. Routine morning care the nurse provided
C. The client's insurance
D. Time the clients last pain medication
D. Time of clients last pain medication
A patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?”
A. yogurt and Milk
B. Yellow vegetables and red meat
C. Green Vegetables and liver
D. Carrots and peas
A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient’s medication does not cause urine discoloration?
A. Levodopa
B. Sulfasalazine
C. Aspirin
D. Phenolphthalein
C. Aspirin
A nurse reviews a client room assignments. Which of the following ID require droplet precautions? Select all that apply
A. Mumps
B. Measles
C. Verasella
D. Pertussis
E. Pneumonia
A, D, E
Mumps, Pertussis, Pneumonia
During the initial interview with a client, the nurse begins to feel uncomfortable and realizes the client's behavior and mannerisms remind the nurse of the nurse's abusive parent. The nurse concludes that the current situation represents which phenomenon?
A. Transference
B. Countertransference
C. Denial
D. Reaction formation
B. Countertransference
Transference (noun): the redirection of feelings about a specific person onto someone else (in therapy, this refers to a client's projection of their feelings about someone else onto their therapist). Countertransference (noun): the redirection of a therapist's feelings toward the client
Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The nurse should monitor this client’s fluid intake because fluid overload may cause:
A Hypovolemic shock
B Cerebral edema
C Heart failure
D Dehydration
B. Cerebral Edema
Because of the inflammation of the meninges, the client is vulnerable to developing cerebral edema and increase intracranial pressure.
If you were to educate a new nurse on administration of medication. What are the 7 rights of medication administration?
Route, dose, medication, patient, documentation, time, reason
Which pain management task can the nurse safely delegate to nursing assistive personnel?
1) Asking about pain during vital signs
2) Evaluating the effectiveness of pain medication
3) Developing a plan of care involving nonpharmacologic interventions
4) Administering over-the-counter pain medications
1. Asking about pain during vital signs
You’re assessing your patient’s morning labs. The metabolic panel shows the following results below. Which results are abnormal? Select all that apply:*
A. Potassium 3.2
B. BUN 10
C. Calcium 5.7
D. Sodium 148
E. Hemoglobin 13
A. Potassium normal 3.5-5
C. Calcium normal 8-10
D. Sodium normal 135-145
What would be the primary crisis intervention carried out to the client who was recently raped?
A. Assist the client to express her feelings
B. Help her identify her resources
C.Support her adaptive coping skills
D. Help her return to her pre-rape level of function
D. Help her return to her pre-rape level of function
The goal of crisis intervention to help the client return to her level of function prior to the crisis
An adult woman is admitted to an isolation unit in the hospital after tuberculosis was detected during a pre-employment physical. Although frightened about her diagnosis, she is anxious to cooperate with the therapeutic regimen. The teaching plan includes information regarding the most common means of transmitting the tubercle bacillus from one individual to another. Which contamination is usually responsible?
A. Forks
B. Dairy Products
C. Hands
D. Coughing
D. Coughing
The most frequent means of transmission of the tubercle bacillus is by droplet nuclei. The bacillus is present in the air as a result of coughing, sneezing, and expectoration of sputum by an infected person.
For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for Chvostek’s sign and Trousseau’s sign because they indicate which of the following?
A. Hypokalemia
B. Hypocalcemia
C. Hypercalcemia
D Hyperkalemia
B. Hypocalcemia
The client with hypocalcemia will exhibit a positive Chvostek’s sign (facial muscle contraction when the facial nerve in front of the ear is tapped) and a positive Trousseau’s sign (carpal spasm when a blood pressure cuff is inflated for a few minutes)
How do you draw up Regular and NPH insulin?
Draw up R, Draw up NPH
A nurse reviews the clients arterial blood gas results: ph 7.48, PaCO2 44, HCO3 35, Which of the following acid base imbalances is present?
A. Uncompensated metabolic alkalosis
B. Uncompensated respiratory acidosis
C. Fully compensated respiratory alkalosis
D. Partially compensated metabolic acidosis
A. Uncompensated metabolic alkalosis
Go to https://abg.ninja/abg
This side effect of long term antipsychotic use is associated by stiff jerky movements of face or body that you can not control, grimacing, tongue movements and eye blinking. What is it?
Tardive dyskinesia
Signs of hypoglycemia include?
A. Fruity breath, thirst, flushed skin
B Diarrhea, itching, hypertension
C. Anxiety, weakness, pallor, sweating
D Muscle Ache, fever, thirst
C. Anxiety, weakness, pallor, sweating
These are signs of hypoglycemia, along with restlessness, chills, confusion, nausea, hunger, tachycardia, weakness, or headache. Choice A are signs of hyperglycemia.
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no electrocardiographic complexes on the screen at the nurses station outside the patient room. Which is the priority action of the nurse?
A .Call a code.
B.Call the health care provider.
C.Check the client's status and lead placement.
D.Press the recorder button on the electrocardiogram console.
C. Check the client's status and lead placement
Which factor in the patient's past medical history dictates that the nurse exercise caution when administering acetaminophen (Tylenol)?
A) Hepatitis B
B) Occasional alcohol use
C) Allergy to aspirin
D) Gastric irritation with bleeding
A. Hepatitis B
Even in recommended doses, acetaminophen can cause severe hepatotoxicity in patients with liver disease, such as hepatitis