Pharmacology
This drug class is commonly used to reduce blood pressure, and drugs in this class end with "-pril"
ACE Inhibitors; Lisinopril, Captopril, Perindopril, etc.
PEA
Pulseless Electrical Activity
You are a nurse on the mental health unit taking care of a patient with schizophrenia. When it is time to administer medications, they state, "I know that you put poison in my pills."
What type of delusion are they exhibiting?
Delusion of persecution
A nurse is teaching a newly diagnosed Type 2 diabetic about Blood Glucose monitoring. What statement indicated a need for further teaching?
A) "I will check my blood sugar before every meal and right before bed."
B) "I can reuse the lancet after cleaning it with alcohol."
C) "I will record my BG in a log book so I can share with my provider."
D) "If I get an alert that my BG is low, I will have 15g of a carbohydrate and recheck in 15 minutes."
A patient reports abdominal pain starting around the naval and is migrating to the lower right side. The patient also has a low grade fever and nausea. What is a potential diagnosis?
A) Gallstones
B) Acute appendicitis
C) Pancreatitis
D) Gastroenteritis
What is a potential side effect of opioid administration that can be life threatening?
Respiratory Depression
TEE
Transesophageal Echocardiogram
This disorder is commonly characterized by recurring intrusive memories, nightmares, and anxiety.
Post Traumatic Stress Disorder
A nurse is teaching a client how to use a metered-dose inhaler (MDI). Which of the following statements indicates a correct understanding of using MDI?
A) "I should hold my breath for 5-10 seconds after inhaling the medication."
B) "I don't need to shake the inhaler before using it, because it's not a dry powder inhaler (DPI)."
C) "I will take a quick, forceful breath in to administer the medication."
D) "If I am prescribed 2 puffs per dose, I can take them back-to-back with no period of rest between each inhale."
Which of the following may present with clubbing of the fingernails?
B) Bronchial cancer
C) COPD
D) Pericarditis
What vitamin can reduce the effectiveness of warfarin?
Vitamin K
DIC
Disseminated Intravascular Coagulation
This personality disorder is characterized by a flat affect, detachment from interpersonal relationships, and a lack of desire to engage with or seek out relationships with others.
Schizoid personality disorder
What is the most important education to provide to the patient when they are taking lithium?
pH- 7.35-45
PaCo2- 35-45
HCO3- 22-28
respiratory alkalosis
Why is aspirin prescribed for angina?
B) Analgesic properties
C) Antipyretic properties
D) Inhibition of platelet aggregation
MODS
Multi-Organ Dysfunction Syndrome
This personality disorder is characterized by a desire to be the center of attention (regardless of positive or negative), exaggeration of emotions and flamboyant behavior.
Histrionic Personality Disorder
What is an expected finding for the nurse to educate the patient on in regards to taking rifampin?
Bodily fluids will turn to an orange/red color.
You are assigned a patient with a chest tube for the shift. When you are performing your respiratory assessment, you palpate an area of skin that feels crackly and is swelled. What is this presentation called?
Subcutaneous Emphysema
The nurse is administering ear drops to a 4 year old patient. What action would the nurse take to ensure the drops enter the ear canal properly?
Pulling the pinna down and back
ROSC
Return of Spontaneous Circulation
This technique of psychotherapy alleviates the distress associated with traumatic memories. It involves recalling the memory while performing side-to-side eye movements to reprocess the memory.
Eye Movement Desensitization Reprocessing (EMDR)
A nurse is teaching parents of a 2 month old infant on upcoming immunizations. What statement indicated their need for further teaching?
A) "My baby can receive more then one vaccine today, even being 2 months old."
B) "My baby may have mild redness at the site of injection."
C) "The vaccines will provide lifelong protection against these diseases."
D) "My baby will need a follow-up appointment for additional doses."
A nurse is caring for a client who is experiencing hypovolemic shock following significant blood loss from a traumatic injury. What following S&S will the nurse expect?
A) increased heart rate, weak and thready pulse, hypotension
B) decreased respiratory rate, warm skin, increased urine output
C) Bradycardia, flush skin and low BP
D) Elevated BP, bounding pulse, warm extremities