Assessment
Delegation/Intervention
Nursing Diagnosis
Pharm
Diagnostic Safety
100

GI sign of imminent death.

What is bowel incontinence?

100

Priority nursing intervention for client complaining of chest pain.

Cardiac monitor

100

Assessment findings: verbal pain rating of 8/10, lower back, radiates down left posterior leg, unrelieved with OTC medications  

Acute pain

100

What is antiretroviral therapy (ART)?

What is a combination of medications used to control and suppress HIV replication?

100

Neutrophils less than 1,000 cells/mm3

What is neutropenia?

200

Breathing pattern observed as a sign of imminent death.

What is Cheyne-Stokes respirations?
200

A licensed practical nurse is able to educate a patient on a new antihypertensive medication.  True or False

False

200
Assessment findings: client unable to walk 30 ft without becoming short of breath and SpO2 decreasing below 94%

Activity intolerance

200

Remdesivir (Veklury) is in this medication class

What is antiviral?

200

Platelets below 50,000 per microliter

What is thrombocytopenia?

300

Lab value to assess prior to administering an ace inhibitor for a client on spironolactone.

What is potassium?

300

It is appropriate for an unlicensed assistive personnel to adjust a client's oxygen to keep oxygen saturation in prescribed parameters.  True or False

False

300

Client's family member states: I cannot go on without them.  There is not point in me living anymore.

Abnormal/complicated grief

300

This medication decreases glucose absorption from the gut, decreases glucose production in the liver, and increases cell sensitivity to insulin.

What is metformin?

300

This medication should be held ___ hours before a CT and ___ hours after the procedure.  

What is metformin- 48 hours before and after.  Also, increase fluids

400

Observed as hypertension class 2.

140/90 or above

400
Intervention is required when a new nurse is recommending a beta blocker for this type of patient. 

Asthmatic 

400

Assessment findings: HR 105 bpm, thready pulse, blood pressure 98/56, capillary refill >4 sec

Ineffective tissue perfusion, impaired cardiac output

400

This medication is used when someone has inadequate insulin to meet specific metabolic needs.

What is Exogenous insulin?

400

Elevated ST segment and/or inverse T wave on and ECG.

What is a STEMI?

500

Identify the priority assessment finding: 1. weak cough 2. No gag reflex 3. Bilateral crackles 4. Respirations of 12/min

What is bilateral crackles?

500

Appropriate action(s) for continuous bubbling in the water seal chamber of the chest tube atrium.

Assess patient and check for leak

500

Assessment findings: inspiratory and expiratory wheezes, productive cough, infiltrates found on CXR, pH 7.33, PaCO2 50, HCO3 22, SpO2 88%

Impaired gas exchange

500

Lispro (Humalog) is a rapid acting insulin with an onset of ___ to ___ minutes.

What is 10-30?

500

Medications often prescribed following cardiac catheterization with stent placement.

What are aspirin and clopidogrel?