Study Group Question - Do you think you know it?

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if a pt is on capoten/captopril which dianogstic studies should the nurse monitor for

1- urinalysis

2- h & h

3- creatinine:up: captopril should be used cautiously in pt with renal failure because of its side effect.

4- serum glucose

if a pediatric pt is admitted to the nicu after cleft repair. what is the priority nursing action

1- medicate for pain

2- review the post-op medication

3- check vital sign

4- turn the child on the side:up: airway takes priority override other option.

what will you do if a physician write an order for pre-op pt to have "enema until clear". if the nurse administer three enema and the pt still pass brown liquid stool

1- wait for 30mins, then check the pt electrolyte and continue with the enema

2- continue to administer the enema until clear

3- notify the physician:up: after 3 enema, the physician must be notified

4- encourage the pt to drink clear liquid and continue after 30mins

cleft palate is common among__boys__and cleft lips among__girls_

if a nurse is asked to obtain abg, then the charge nurse notice inappropriate action. which action need further clarification

1- recording the pt temperature

2- recording the oxygen saturation

3- using 3ml syringe from the medical supply room:up: heparinized syringe is used instead

4- place the specimen on ice

first drug of choice to treat asthma__bronchodilator ___

most common complication of tpn__hyperglycemia_____

which of the following will a pt undergoing gastrecomy develop post-op

1- dm

2- esophageal reflux

3- pernicious anemia:up: intriinsic factor(vitamin b12)

4- peptic ulcer

a pt is treated with lasix and c/o having excessive urination. which of the following diagnosis is correct for the pt

1- inefficient tissue perfusion

2- deficient fluid volume

3- excessive fluid volume

4- deficient knowledge:up: lasix side effect is excessive urination

avoid given atropine to pt with __glaucoma__

which of the followig condition can not be treated asa

1- athritis

2- 102 degree fever

3- ulcer:up: causes irritation to the stomach and bleeding

4- headache

prednisone is used to treat cancer because of __anti-inflammatory effect __

a pt with parkinson's disease is taking levodopa. which statement requires further teaching?

1. "i should change positions slowly"

2. "my urine may become discolored"

3. "i will need to increase my vitamin b6 intake":up:

4. "i should chew sugarless gum"

a dr. ordered metformin for a pregnant client with gestational diabetes. what should you do?

1. question the order and call the dr.

2. administer the med and monitor the pt for hypoglycemia

3. administer the med and monitor the pt for hyperglycemia

4. assess the pt's heart rate prior to administering the med

you've noticed that a pt experiencing mania is not eating enough. she becomes distracted and leaves the dinner table. what dinner selection would be the best for this client?

1. grilled chicken, mashed potatoes, salad

2. pork chops, rice, coffee

3. turkey sandwich, carrot sticks, milkshake:up:

4. steak, peas, apple pie

a pt with parkinson's disease is taking levodopa. which statement requires further teaching?

1. "i should change positions slowly"

2. "my urine may become discolored"

3. "i will need to increase my vitamin b6 intake":up:

4. "i should chew sugarless gum"

a dr. ordered metformin for a pregnant client with gestational diabetes. what should you do?

1. question the order and call the dr.

2. administer the med and monitor the pt for hypoglycemia

3. administer the med and monitor the pt for hyperglycemia

4. assess the pt's heart rate prior to administering the med

you've noticed that a pt experiencing mania is not eating enough. she becomes distracted and leaves the dinner table. what dinner selection would be the best for this client?

1. grilled chicken, mashed potatoes, salad

2. pork chops, rice, coffee

3. turkey sandwich, carrot sticks, milkshake:up:

4. steak, peas, apple pie

correct

airborne precautions-measles, sars, chicken pox, tb

Throbocytopenia-petechiae, bruising, fatigue, malaise, bleeding that is hard to stop from a wound. Precautions-(prevention) injury, s/sx of bleeding, shaving with razor, ??

Thyroid storm- very high fever, increased hr, n/v, diarrhea, irregular hr, weakness, heart failure, confusion, muscle weakness. Interventions - LOC, patent airway, resp. status-rate, depth, sounds, O2 sat, anticipate endotracheal intubation and mechanical ventilation, O2 vi nc, frequent rest periods to min. O2 demand, hob up to max airway, heart rate/rythm/sound...lots more

Fruity smelling breath- ketoacidosis, occurs when lungs are blowing off excess acetone. results when insulin levels are too low to transport glucose into cells- diabetes. treatment need to be immediate. Blood gases- low ph (below 7.35), and bicarb is low (below 20??) Not sure about that!!

:yeah:Nice job!

For bicarb, we were always told below 22 (with a range of 22-26). But of course, it ranges depending on the source you use.

1-b

2-4 (indication of bleeding)

:yeah:A patient with peptic ulcer disease should avoid medications that are irritating to the stomach lining--aspirin and NSAIDs.

if a pt is on capoten/captopril which dianogstic studies should the nurse monitor for

1- urinalysis

2- h & h

3- creatinine

4- serum glucose

if a pediatric pt is admitted to the nicu after cleft repair. what is the priority nursing action

1- medicate for pain

2- review the post-op medication

3- check vital sign

4- turn the child on the side

what will you do if a physician write an order for pre-op pt to have "enema until clear". if the nurse administer three enema and the pt still pass brown liquid stool

1- wait for 30mins, then check the pt electrolyte and continue with the enema

2- continue to administer the enema until clear

3- notify the physician

4- encourage the pt to drink clear liquid and continue after 30mins

cleft palate is common among______asians?_____ and cleft lip among__hispanics?________i really have no clue_____

if a nurse is asked to obtain abg, then the charge nurse notice inappropriate action. which action need further clarification

1- recording the pt temperature

2- recording the oxygen saturation

3- using 3ml syringe from medication supply room-just guess

4- place the specimen on ice

first drug of choice to treat asthma_____epinephrine/ bronchodilators______

most common complication of tpn___hyponatremia________

which of the following will a pt undergoing gastrecomy develop post-op

1- dm

2- esophageal reflux

3- pernicious anemia- i know this is a complication but i am not sure abt immediately after post op. so either this or esophageal reflux

4- peptic ulcer

a pt is treated with lasix and c/o having excessive urination. which of the following diagnosis is correct for the pt

1- inefficient tissue perfusion

2- deficient fluid volume

3- excessive fluid volume

4- deficient knowledge

avoid given atropine to pt with____dehydration? diabetic insipidus? well i know it dries things up...gosh i am terrible______

which of the followig condition can not be treated asa

1- athritis

2- 102 degree fever

3- ulcer

4- headache

prednison is used to treat cancer because of ___antinflammatory property?___________

a pt with parkinson's disease is taking levodopa. which statement requires further teaching?

1. "i should change positions slowly"

2. "my urine may become discolored"

3. "i will need to increase my vitamin b6 intake"

4. "i should chew sugarless gum"

a dr. ordered metformin for a pregnant client with gestational diabetes. what should you do?

1. question the order and call the dr.

2. administer the med and monitor the pt for hypoglycemia

3. administer the med and monitor the pt for hyperglycemia

4. assess the pt's heart rate prior to administering the med- altho i dnt know wat is metformin

you've noticed that a pt experiencing mania is not eating enough. she becomes distracted and leaves the dinner table. what dinner selection would be the best for this client?

1. grilled chicken, mashed potatoes, salad

2. pork chops, rice, coffee

3. turkey sandwich, carrot sticks, milkshake- they can move with these w/o dashing them to the floor lol

4. steak, peas, apple pie

i really love ethis thread. lets me know how much i need to review:coollook:

i feel so bad. but i will learn better like this.

if a pt is on capoten/captopril which diagnostic studies should the nurse monitor for

1- urinalysis

2- h & h

3- creatinine :up:captopril should be used cautiously in pt with renal failure because of its side effect.

4- serum glucose

if a pediatric pt is admitted to the nicu after cleft repair. what is the priority nursing action

1- medicate for pain

2- review the post-op medication

3- check vital sign

4- turn the child on the side:up: airway takes priority override other option.

what will you do if a physician writes an order for pre-op pt to have "enema until clear". if the nurse administer three enema and the pt still pass brown liquid stool

1- wait for 30mins, then check the pt electrolyte and continue with the enema

2- continue to administer the enema until clear

3- notify the physician:up: after 3 enema, the physician must be notified

4- encourage the pt to drink clear liquid and continue after 30mins

cleft palate is common among__boys:up:__and cleft lips among__girls_

if a nurse is asked to obtain abg, then the charge nurse notice inappropriate action. which action need further clarification

1- recording the pt temperature

2- recording the oxygen saturation

3- using 3ml syringe from the medical supply room:up: heparinzed syringe is used instead

4- place the specimen on ice

first drug of choice to treat asthma__bronchodilator ___

most common complication of tpn__hyperglycemia_____

which of the following will a pt undergoing gastrecomy develop post-op

1- dm

2- esophageal reflux

3- pernicious anemia intrinsic factor(vitamin b12)

4- peptic ulcer

a pt is treated with lasix and c/o having excessive urination. which of the following diagnosis is correct for the pt

1- inefficient tissue perfusion

2- deficient fluid volume

3- excessive fluid volume

4- deficient knowledge:up: lasix side effect is excessive urination

avoid given atropine to pt with __glaucoma__

which of the following condition can not be treated asa

1- arthritis

2- 102 degree fever

3- ulcer :up:causes irritation to the stomach and bleeding

4- headache

prednisone is used to treat cancer because of __anti-inflammatory effect __

which of these pt are at risk for deficient fluid volume

1- ileostomy

2- renal failure

3- wound drainage

4- diarrhea

If a pt is on diuretic, the nurse should monitor the pt for side effect of hypokalemia with the pt is placed on which medication

1- aldactone

2- bumex

3- levopoda

4- amphogel

A Prominent U wave on the ECG is associated with _________

During blood transfusion, the pt must be monitor for _________ minutes

After cardiac catheterization the pt must be position _________ and HOB elevated not more than________ degree

During IV tube changing the nurse should instruct the pt to__________ to avoid Air embolism

Before given a pt TPA medication for CVA, which lab value must be check ______ and _______

A pt has a multiple lumen central venous line. what intervention should the nurse perform in discarding and replacing the injection cap on the central venous line

1- change the CVC everyday

2- change the CVC every 7days

3- change the CVC whenever blood is drawn from CVC

4- change the CVC @ the beginning of each shift

One person rescue breathing for CPR is________ compression and___________ ventilation

Two person rescue breathing for CPR is________ compression and ___________ ventilation

once there is no response, so i decided to give out the answer:typing:typing:typing:typing:typing:typing:typing:typing:typing:typing:typing

which of these pt are at risk for deficient fluid volume

1- ileostomy

2- renal failure

3- wound drainage

4- diarrhea

if a pt is on diuretic, the nurse should monitor the pt for side effect of hypokalemia with the pt is placed on which medication

1- aldactone

2- bumex

3- levopoda

4- amphogel

a prominent u wave on the ecg is associated with _hypokalemia__

during blood transfusion, the pt must be monitor for __15__ minutes

after cardiac catheterization the pt must be position _supine__ and hob elevated not more than__30___ degree

during iv tube changing the nurse should instruct the pt to_deep breath and hold his breath___ to avoid air embolism

before given a pt tpa medication for cva, which lab value must be check ___pt___ and _ ptt__

a pt has a multiple lumen central venous line. what intervention should the nurse perform in discarding and replacing the injection cap on the central venous line

1- change the cvc everyday

2- change the cvc every 7days

3- change the cvc whenever blood is drawn from cvc (to prevent infection)

4- change the cvc @ the beginning of each shift

one person rescue breathing for cpr is__15_compression and__2__ventilation

two person rescue breathing for cpr is_ 30_compression and _2_ ventilation

I'm going to reply to several off page 15 here:

Cranial nerves for the tongue are 5, 9, and 10, if my memory serves me correctly. Five for taste, 9 for all other sensations, and 10 hits the posterior 1/3, central for everything.

Most common problem of subclavian central line insertion is pneumothorax. The apex of the lung extends ~2 inches above the top border of the clavicle and if you aim too deep, you'll drop the lung.

(Side note: occasional problem with left SC lines is a chylothorax, where the left thoracic duct is punctured. If severe enough, it can necessitate a chest tube and TPN for months on end while the lymphatic duct heals. You can tell if you're aspirating milky white fluid from the line or see it in the JP drain.)

Lidocaine toxicity is hallmarked by confusion/altered LOC, RINGING IN THE EARS (big sign!) and CV instability.

Irreversible sign with ETOH withdrawals: Are you sure they're not talking about Wernicke's Encephalopahy? B-6 deficiency? The whole reason we give "banana bags?" But you're right, DT's are nothing to play with.

Question for y'all: Which benzodiazepene is the treatment of choice for DT's and why?

(Lorazepam, because it is metabolized by plasma cholinesterases, not cytochrome P450 enzymes from the liver, which are already auto-induced to a higher level by the chronic alcohol abuse. Both diazepam and midazolam are metabolized by that means, and they will chew straight through anything you give them, QUICK! Lorazepam is a much better option.)

This is a great review. Keep 'em coming - I take anesthesia boards in a year, but all these are bringing it back - and I need every bit of info to try and integrate for the right answer. :)