Universty Of West Ga
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1. The nurse is caring for a client with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern to the nurse? 
1. The blood pressure is 90/40 mm Hg. 
2. Urine output is 30 mL over the last hour. 
3. Oral fluid intake is 100 mL for the last 8 hours. 
4. There is prolonged skin tenting over the sternum. Correct Answer-1. The blood pressure is 90/40 mmHg 
 
2. The nurse is caring for a client recently admitted with small cell carci...
1. The nurse is caring for a client with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern to the nurse? 
1. The blood pressure is 90/40 mm Hg. 
2. Urine output is 30 mL over the last hour. 
3. Oral fluid intake is 100 mL for the last 8 hours. 
4. There is prolonged skin tenting over the sternum. Correct Answer-1. The blood pressure is 90/40 mmHg 
 
2. The nurse is caring for a client recently admitted with small cell carci...
Important things to know about levothyroxine: Correct Answer-Take forever, in the morning, without food, do not stop 
Monitor levels 
 
When is it a good time for a diabetic exercise: Correct Answer-1 hour After eating because blood sugar goes up 
 
What are the symptoms of hypoglycemia: Correct Answer-Clammy skin, diaphoresis, tachycardia, confusion, incontinence episode at night 
 
If someone is taking thyroid medicine what would you teach them: Correct Answer-Can't stop it, tachycardia, nerv...
When analyzing the waveforms of a client's electrocardiogram (ECG), the nurse will need to investigate further upon assessing which of the following findings? 
a. A P-R interval of 0.18 seconds 
b. A QRS interval of 0.14 seconds 
c. Q-T interval of 0.34 seconds 
d. T wave of 0.16 seconds Correct Answer-QRS interval of 0.14 second 
 
Unconsciousness without response to painful stimuli is assessed in a client with a head injury who has been admitted to the emergency department. To promote cerebra...
gas exchange Correct Answer-main purpose of the respiratory system 
 
upper respiratory tract Correct Answer-nose, pharynx, larynx, trachea 
 
lower respiratory tract Correct Answer-bronchi, bronchioles, alveolar ducts, alveoli 
 
alveoli Correct Answer-primary site for gas exchange in lungs; interconnected by pores of kohn; composed of cells that provide structure and that secrete surfactant (which prevents collapse) 
 
pulmonary circulation Correct Answer-blood for gas exchange 
 
pulmonary ar...
Hydrocortisone Correct Answer-* Trade: Cortef 
 
* Classification: corticosteroid 
 
* Uses: severe inflammation, asthma, COPD 
 
* Precautions: pregnancy, breastfeeding, diabetes, osteoporosis, hypothyroidism 
 
* Contraindications: fungal infection, hypersensitivity 
 
* Side effects: flushing, sweating, hypertension, diarrhea, nausea 
 
* Nursing implications: assess potassium, blood and urine glucose for long-term therapy, BP and pulse, I&O, infection, mental status, and GI effects (nausea, ...
A nurse is providing oral care for a client who is immoblie. Which of the following actions should the nurse take? Correct Answer-Turn the client on his side before starting oral care. 
 
A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider? Correct Answer-White coating in the mouth 
 
A nurse is preparing an adolescent client ...
When computing a heart rate from the ECG tracing, the nurse counts 15 of the small blocks between the R waves of a client whose rhythm is regular. From these data, which of the following rates should the nurse calculate as the client's heart rate? Correct Answer-A: 60 beats/minute 
B: 75 beats/minute 
C: 100 beats/minute A 
D: 150 beats/minute 
 
A: C- Since each small block on the ECG paper represents 0.04 seconds, 1 500 of these blocks represents 1 minute. By dividing the number of small blo...
In Maslow's hierarchy what receives highest priority? Correct Answer-physiologic needs such as air, food, and water 
 
___________ are predeveloped to indicate the actions commonly required for a particular group of clients. For example, an agency may have a set of rules for admitting a client to the ICU or for caring for a client receiving continuous epidural analgesia. Correct Answer-Protocols 
 
___________ are developed to govern the handling of frequently occurring situations. For example,...
Nursing interventions for pt receiving O2 via nasal cannula(nose prongs) Correct Answer--Assess for signs of O2 impairment 
-Ensure proper functioning and rate of O2 
 
Nursing interventions to promote circulation and oxygenation in hospitalized patients Correct Answer--Teach effective coughing and Deep breathing 
-TCDB(Turn, Cough, Deep Breathe every 2 hrs. 
-Postural drainage with percussion(Chest Vest) 
-Hydration 
-Assuming Fowler's or High Fowler's position 
-Ambulation 
 
Priority nursin...