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Chapter 1: Prescriptive Authority Test Bank Multiple Choice 1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the types of medications the APRN is allowed to prescribe. State law does not require the APRN to practice under physician supervision. How would the APRN’s prescriptive authority be described? a. Full authority b. Independent c. Without limitation d. Limited authority ANS: B The APRN has independent prescriptive authority b...

1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? Move about every hour Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return. 2. A 26-year-old, gra...

1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? Move about every hour Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return. 2. A 26-year-old, gra...

1. The nurse is caring for a 3-year-old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? Right foot is cool to the touch and appears pale and blanched 2. An infant with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? Place the infant in a knee- chest position 3. A child admitted with diabetic ketoacidosis is demonstrating...

1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer’s solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client’s heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? a. Measure and document the cl...

History 1. How can I help you today? a. My mom made me come here. I don't have any problems -- I'm fine, i'm normal, I just don't want to go to school, okay?? 2. What has been happening since your last visit? a. This is my first visit??? HOW I HAVE RECORDS FROM ONE YEAR AGO 3. Mother: How can I help him today? a. His grades are dropping and he is refusing to go to school. He’s always had difficulties at school but things have been getting worse over the past year. And theres so much ...

Multiple Choices For which clinical indicator associated with a complication of portal hypertension would the nurse assess the client? A. liver abscess B. intestinal obstruction C. perforation of the duodenum D. hemorrhage from esophageal varices {{Ans- c. The increased pressure within the portal circulatory system causes increased pressure in areas of portal systemic collateral circulation (most importantly, in the distal esophagus and proximal stomach). Hemorrhage is a possible complica...

1. The patient made a of arranging the food on his plate A. Formal B. Ritualistic C. Formalizing D. Ritual 2. After becoming INVALID . . . A. Dejected B. Shamefully fearful C. Injured D. Symbiotic 3. What is another word for AEGIS? A. Relationship B. Respectability C. Ramifications D. Responsibility 4. Someone who is FRUSTRATED/ANNOYED is? A. Exacerbated B. Transient C. Lithe D. Terse 5. Another word for STRICT is? A. Stringent B. Daily C. Weekly D. Nominal 6. ...

1. A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopulmonary dysplasia 2. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching? A. “The medication could cause me to experien...

MAGGOTS The healing power of maggots is not new. Human beings have discovered it several times. The Maya are said to have used maggots for therapeutic purposes a thousand years ago. As early as the sixteenth century, European doctors noticed that soldiers with maggot-infested wounds healed well. More recently, doctors have realized that maggots can be cheaper and more effective than drugs in some respects, and these squirming larvae have, at times, enjoyed a quiet medical renaissance. The probl...