ms nursing

7/21/2019 Ms Nursing

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MEDICAL SURGICAL

NURSINGBy: Mr. Emerson Aliswag


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1. A client is receiving NPHinsulin 20 units subQ at 7amdaily. At 3pm the nurse fnds

the client apparently asleep.H! !uld the nurse "n! i#

the client !ere having ahypglycemic reactin$


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a.%eel the client and bed#r dampness

b.&bserve client #r

'ussmaul respiratinsc. (mell the client)s breath

#r acetne drd. *hec" the client)s pupils

#r dilatatin


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2. Pstperativethyridectmy nursingcare includes !hich

measures$


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.+ t 10 minutes i#

harseness is presentb.Prvide a l!,calcium diett prevent hypercalcemia

c.*hec" the dressing at thebac" # the nec" #r

bleedingd. Apply a s#t cervical cllar

t restrict nec" mvement


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. pain #ever

b.%ever hypglycemiadehydratinc./elena persistent vmitinghyperactive b!el sunds

d. Hypactive b!el sunds

decreased amylase and lipaselevel


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. A client is #und t becmatse and hypglycemic!ith a bld sugar level #

+0mgdl. -hat nursingactin is implemented frst$


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a.n#use 1000ml # +- ver a12,hur perid

b.Administer +04 glucse 5c.*hec" the client)s urine #r the

presence # sugar and acetne

d. 6ncurage the client t drin"range uice !ith added sugar


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+. -hich medicatin !ill thenurse have available #r

emergency treatment #tetany in the client !h has

had thyridectmy$


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8. -hen instructing a clientin the prper administratin

# sublingual nitrglycerin9N:;


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a. (tre N:; tablets in the re#rigeratr.b. =epeat the dsage every + minutes #r

three times i# pain is nt relieved.c. Assess bld pressure #r reactivehypertensin a#ter each dse.

d. :a"e an aspirin be#re each dse #

N:;.


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7. :he nurse !ulde>plain that angina pain

usually di?ers #rm thepain # a mycardial

in#arctin 9/< in thatangina pain


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a. @asts less than 1+minutes.

b. =adiates t the arm a!r thrat.c. s seldm relieved by rest.d. s accmpanied bypalpitatins.


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. A nurse is telephned by a

neighbr !h describes nn,radiating substernal chest painthat !as precipitated by climbingthree Bights # stairs. :he neighbrhas ta"en ne sublingual 9(@in 9@an>in


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a. Prvide #ds high inptassium 9'


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10. :he client iscmplaining # aheadache a#teradministratin #nitrglycerine. -hatshuld the nurse instructthe client t d$


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a. ecrease the nitrglycerinedse.

b. nt ta"e the ne>tscheduled dse #

nitrglycerine.c. @ie d!n in a cl

envirnment and rest.d. :ell a healthcare !r"erimmediately.


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11. -hat is the

primary actin #insulin in the bdy$


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a. 6nhances the transprt #glucse acrss the cell !alls

b. Aids in the prcess #

glucnegenesisc. (timulates the pancreatic beta

cells

d. ecreases the intestinalabsrptin # glucse


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12. -hat !ill the nurseteach the diabetic client

regarding e>ercise in hisr her treatment

prgram$


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a.uring e>ercise the bdy !ill usecarbhydrates #r energy prductin !hichin turn !ill decrease the need #r insulin

b. -ith an increase in activity the bdy !illutiliJe mre carbhydratesK there#re mre

insulin !ill be reFuiredc. :he increase in activity results in anincrease in the utiliJatin # insulinK there#rethe client shuld decrease his r her

carbhydrates inta"ed. 6>ercise !ill imprve pancreatic circulatinand stimulate the islets # @angerhans tincrease the prductin # intrinsic insulin


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13. :he nurse is caring #r aclient !h has e>phthalms

assciated !ith her thyriddisease. -hat is the cause #e>phthalms$

23 An ptimal supprtive


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23. An ptimal supprtiveenvirnment #r a persn !ithdementia includes all e>ceptLa. (imple nurse care #r the patientday a#ter dayb. Handling memry lss bydistracting r diverting patient)sattentin t smething mre psitive

c. evelping a realistic uni#rmedand cnsistent daily scheduled. 6ngaging the elderly in lgical and

abstract thin"ing


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elderly !hich # the #ll!ing

!ays # verbal cmmunicatinshuld the nurse useminimally$

a. As"ing #r pen endedFuestins

b. ;uiding the patient ne stepat a timec. As"ing simple Fuestins


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a. %luid and edema in the retr,

rbital tissues !hich #rce the yest prtrudeb. mpaired visin !hich causes the

client t sFuint in rder t seec. ncreased eye lubricatin !hichma"es the client blin" less

d. ecrease in e>tracular eyemvements !hich results in theCthyrid stareD


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1. -hat is a characteristicsymptm # hypglycemia

that shuld alert the nurset an early insulin reactin$


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a.iaphresis

b.r!sinessc. (evere thirst

d.*ma


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1+. A client is scheduled#r rutine glycsylated

hemglbin 9HbA1c< test.-hat is imprtant #r the

nurse t tell the clientbe#re this test$


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a. rin" nly !ater a#ter midnight

and cme t the clinic early in themrningb. 6at a nrmal brea"#ast and be at

the clinic 2 hurs laterc. 6>pect t be at the clinic #rseveral hurs because # the

multiple bld dra!sd. *me t the clinic at the earliestcnvenience t have bld dra!n

l i i # h t i


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cmplaining # chest pain.He categriJes his chestpain as a 8 9n a 1 t 10scale


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a.Administer anther N:;.

b. *hec" the bld pressure.c. *hec" the pulse rate.d. &btain an 6';.


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17. -hen caring #r aclient immediately a#ter

an / the nurse)s frstpririty !uld be


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a. =elie# # pain.b. /nitring #r presence #dysrhythmias.

c. Preventin # emblism.d. =elieving client)s

apprehensin.

1 -h th i di t


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1. -hen the immediate

pst,/ client cmplainsabut the s#t high,fber

diet the nurse !uldin#rm the client that the

pupse # such a diet ist


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a. /aintain b!el health tdecrease gas.b. *reate a high,bul" s#t stl

t minimiJe 5alsalva)smaneuver.

c. @!er chlesterl levels.d. Prmte easy digestin.


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a. se the bedside cmmde#r b!el mvements.

b. :a"e a bath in the sh!er.c. Ambulate in the hall.

d. Per#rm gentle ismetrice>ercises.


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20. n the dischargeteaching plan #r a

client a#ter / thenurse !uld include

that the client shuld


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a. =esume se>ualintercurse in 3 mnths.

b. Gegin !al"ing #r shrt

perids every day.c. :a"e 1 aspirin every

hurs as rdered.d. *ntinue previus

li#estyle !hen ready


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21. Prmtin #team spirit builds

harmny and unity!ithin the

rganiJatin


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a. (calar chain

b. nity # directinc. 6sprit )d *rp

d. iscipline


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22. :he Head Nurseimplements her supervisry

plan accrdingly #rminstitutinal needs. As %aylidentifed the management#unctinsL


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a.Planning rganiJatincnsistent cntrl cnduct

b.Persnal rle rganiJing

cntrl cmmand centraliJedc.Planning rganiJatin

cmmand crdinate cntrld. Plan rganiJing centraliJedcmmand cntrl


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23. :he Nursing irectremphasiJes a thery that

assumes that the capacity#r leadership is inherentthat great leaders are brnnt made


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a.;reat man thery

b. :rait theryc. ndividual character

theryd.%ield thery # human

behavir


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2. *hange prcess is

develped t help therganiJatin cpe and innvatene! appraches. -hich # the

#ll!ing stages best e>plainsthat i# nurse is made a!are #

prblems per#rmance gap rneed #r change$


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a. n#reeJingb. *hanging

c. =e#reeJingd. nchanging

" i " h i


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sa"e en#ironment "or the patientsat the $sy%hiatry &ar'(

7. All # the #ll!ing cncepts aretrue 6O*6P:L

a. hstility is destructiveb. #rustratin develps in respnse tunmet needs !ants and desire

c. anger is al!ays incmpatible !ithlved. aggressin can be e>pressed in a

cnstructive as !ell as a destructive aggressive #eeling by "ic"ing the


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aggressive #eeling by "ic"ing thechairs in the rm. :he /&(:

e?ective !ay t deal !ith *arl)sbehavir is initially tLa. set limits n the behavir by

verbal cmmandb. administer prn tranFuiliJerc. remve the chairs #rm thermd. restrain the patient and place

him in the C slatin =mD


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2+. (ystems apprach

cnceptualiJe by @i"ert gavespecial attentin t

leadership,managementstyles that uses threats and

#ear !hich superirs andsubrdinates are distant

a Genevlent


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a.Genevlent,authritative

b.6>plitive,

authritativec.*nsultative

d. Participative grupmanagement


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28. A client has beenreceiving inhalatin

vaspressin therapy. -hat!ill the nurse evaluate tdetermine the therapeuticrespnse t this medicatin$


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a.rine specifc gravityb. Gld glucse

c. 5ital signsd. &>ygen saturatin

levels


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27. A client !ith a diagnsis #type 2 diabetes has beenrdered a curse # prednisne

#r her severe arthritic pain. Ane>pected change that reFuires

clse mnitring by the nurseis


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a. ncreased bld glucse

levelb. ncreased platelet

aggregatinc. ncreased creatinineclearanced. ncreased "etne level inurine


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2. :he nurse isper#rming anassessment n a client!h has been receivinglng,term sterid therapy!uld e>pect t fnd


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a. aundiceb. %lan" pain

c. Gulging eyes

d. *entral besity


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2E. A diabetic patient

receives a cmbinatin #regular and NPH insulin at

0700 hurs. :he nurseteaches the client t be alert

#r signs # hypglycemia at


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a. 1200 and 1300 hursb. 1100 and 1700 hurs

c. 1000 and 2200 hursd. 000 and 1100 hurs


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30. t is imprtant #rthe nurse t teach the

client that met#rmin

9;lucphagetra blan"ets.

client !uld detect the early


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client !uld detect the earlymani#estatins # heart #ailure

bya. btaining daily !eights.

b. mnitring cardiacenJymes.c. chec"ing vital signs

#reFuently.d. evaluating the

electrcardigram 96*;< 33. :he nurse !uld e>plain


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33. :he nurse !uld e>plaint a client that the

isenJyme specifc #rdamage t the mycardial

muscle isa. *',//.

b. *',/G.c. *',GG.

d @H,+

3 N i # li t #t


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3. Nursing care # a client a#ter apercutaneus transluminal

crnary angiplasty 9P:*Acess related t

inta"e greater than utputd. =is" #r impaired s"in integrityrelated t generaliJed edema

3. A client is admitted !ith


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phechrmcytma returns #rm

the perating rm a#teradrenalectmy. :he nurse shuldcare#ully assess this client #r

a. Hyp"alemiab. Hyperglycemiac. /ar"ed sdium and !aterretentind. /ar"ed Buctuatins in bld

pressure

3E -h t i # li t


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3E. -hat caring #r a client

in a thyrid crisis the nurse!uld Fuestin n rder #ra. 5 Buidsb. Prpranll 9inderalpiratry sunds.c. @ud inspiratry sunds.

d crac"ling sunds 2. -hen a #emale client


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e a e a e c etells the nurse C al!ays get

pains in my legs !hen!al"ingD the nurse !uld

Fuestin her abuta. number # pregnancies.

b. presence # s!elling.c. histry # hypertensin.

d amunt # activity

3 % li t d itt d t


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3. %r a client admitted t

the hspital !ith chrnicvenus disease the nurse)sassessment # the client)slegs !uld mst li"ely reveala. erythema.

b. reduced muscle mass.c. vergr!th # hair.

d decreased ulses


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. ! varterial disease having diRculty


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arterial disease having diRculty#alling asleep due t pain in her

legs the nurse frst !ulda. elevate the client)s legs 30

degrees.b. assist the client t dangle herlegs.

c.call the physician #r ananalgesic rder.d. call the physician #r a

8 /anagerial ;rid /del


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8. /anagerial ;rid /del

that cnceptualiJes leadershas l! cncern #r bthpeple and prductin.

a. mpverished styleb. *untry club style

c. Prduce r perish styled. :eam style

7. -illiam ;. &uchi e>punded


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pseven basic criteria that are

characteriJed in :hery S. -hich# the #ll!ing C(D re#ers tcherence # all parts # the

rganiJatin #r a cmmn gal$a. (ystemsb. (tructurec. (trategyd. (uperrdinate gals

.implements practices that


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implements practices thatencurages lng,termcmmitment # emplyeesparticularly # managers in the

institutina. iscipline

b. (tability and tenure #persnnelc. 6Fuity

E. /artha !ants t d study


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yn this tpicL C6?ects #

massage and meditatin nstress and painD. :he type #

research that best suits thistpic isLa. Gasic research

b. Applied researchc. Quantitative research

d Qualitative research +0. *lient)s rights shuld be


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gprtected !hen ding research

using human subects. /arthaidentifes these rights as

#ll!s 6O*6P:La. =ight # sel#,determinatinb. =ight t cmpensatin

c. =ight nt t be harmedd. =ight # privacy

cystic fbrsis as" !hat determines


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the prgnsis # the disease. :he

nurse "n!s that the greatestdeterminant # the prgnsis isLA.:he ability t maintain an ideal

!eightG.:he secretin # lipase by thepancreas*.:he regulatin # sdium andchlride e>cretin

:he degree # pulmnary +2. :he mther # a E,year,ld !ith asthmah b h l i * l # h


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has brught an electric * player #r hersn t listen t !hile he is receiving >ygen

therapy. :he nurse shuldLA.6>plain that he des nt need the addedstimulatin

G. As" the mther t bring a battery,perated * instead*.All! the player but as" him t !ear

earphnes.:ell the mther that he cannt haveitems #rm hme


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.respiratry in#ectins has an


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respiratry in#ectins has anrder #r a s!eat test t bedne. -hich fnding !uld bepsitive #r cystic fbrsis$

A. A serum sdium #13+meF@

G. A ptassium # .+meF@*. A calcium # mgd@. A s!eat analysis # 8E

++. :he nurse is caring #r a E,


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year,ld child admitted !ith

asthma. pn the mrning rundsthe nurse fnds an &2 sat # 74.-hich # the #ll!ing actins

shuld the nurse ta"e frst$A. Nti#y the physicianG. Apply >ygen*. nthingK this is nrmal &2sat #r a E year ld

Assess the child)s pulse . e c en ! !u e a g es

ris" #r chrnic venus disease is


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ris" #r chrnic venus disease isa.an +,year,ld under!eight client

!h is a retired schlteacher.b.a 7+,year,ld client !h has hadparaplegia #r 2+ years.

c.a 82,year,ld ver!eight client !hstands n an assembly line hurs aday.

d.a +,year,ld client !ith clncancer !h !r"s hurs daily as atypist

. a c en sc e u e rangigraphy the nurse !uld state


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angigraphy the nurse !uld statethat

a.C:he general hspital cnsent yusigned !ill permit this prcedure.Db.C:he prcedure !ill ta"e place in the

perating rm.Dc.CA lcal anesthetic !ill be used tnumb the area be#re catheter

insertin.Dd.CTu can eat and drin" until the timeyu leave the unit #r the prcedure.D

+. As part # rutine care #r a client !h t d t i h i th i ht


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ust under!ent angigraphy using the right#emral artery as the catheter insertin

site the nurse !ulda. maintain bed rest #r 8 t hurs !iththe leg straight.

b. limit Buid inta"e #r the ne>t hurs.c. measure vital signs and peripheral pulsesevery hurs.

d. e>plain that the client can eat !ithin 8hurs.

+E. :he nurse !uld e>plain t a


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client that anticagulant therapy is

used in the treatment #thrmbemblic disease becauseanticagulants can

a. disslve the thrmbi.b. inhibit the synthesis # cltting#actrs.c.prevent absrptin # vitamin '.d. decrease bld viscsity.

80. %r a client !ith deep vein


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thrmbsis 95:


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81. :he mst apprpriate means #rehydratin # a 7,mnth,ld !ith

diarrhea and mild dehydratin isLA.Administering intravenus e>trse+4 U nrmal saline

G.=eplacing mil",based #rmula !ith alactse,#ree #rmula*.&ral rehydratin therapy !ith an

electrlyte slutin.&?ering bananas rice andapplesauce alng !ith ral Buids

82. :he nurse is caring #r an in#ant


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82. :he nurse is caring #r an in#antreceiving intravenus Buid. (igns #

Buid verlad in an in#ant includeLA.ncreased heart rate and increasedbld pressure

G.(!elling # the hands and increasedtemperature*.(!elling # the #eet and increased

temperature.ecreased heart rate and decreasedbld pressure

83 A pririty nursing diagnsis


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83. A pririty nursing diagnsis#r a child being admitted #rmsurgery #ll!ing atnsillectmy isL

a. Gdy image disturbanceb. mpaired verbal

cmmunicatinc. Paind. =is" #r aspiratin

8. :he physician has


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rdered crtisprin ear drps

#r a 2,year,ld. :administer the ear drps the

nurse shuldLA.Pull the ear straight ut

G.Pull the ear d!n and bac"*.Pull the ear up and bac".@eave the ear undisturbed

.#rm the mther # a child !ith


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#rm the mther # a child !ithcerebral palsy crrelates t the

diagnsis$a. (he !as brn at 0 !ee"s

gestatin.b. (he has #reFuent sre thrats.c. (he had physilgic aundice

a#ter delivery.d. (he had meningitis !hen she!as 8 mnths ld.

88. A#ter a psterir nasal pac" is insertedby the physician the client is very an>ius


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by the physician the client is very an>iusand states C dn)t #eel li"e )m breathing

right.D :he immediate interventin thenurse !uld initiate isa. mnitr arterial bld gases 9AG;s


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department 96iety.d.bradycardia.

.brnchdilatr and supplemental >ygen!hen entering the 6 #r treatment #


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!hen entering the 6 #r treatment #asthma but the client)s cnditin remains

unchanged. :he nurse !uld anticipatethat the clienta. !ill be cached immediately in

bi#eedbac" techniFues.b. !ill increase the amunt # ral Buidsta"en.c. !ill underg CstatD pulmnary #unctintests.d. !ill receive intravenus 95< sterids

3 %r a client admitted t


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3. %r a client admitted t

the hspital !ith chrnicvenus disease the nurse)sassessment # the client)slegs !uld mst li"ely reveala. erythema.

b. reduced muscle mass.c. vergr!th # hair.

d decreased ulses

8E :he nurse caring #r a


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8E. :he nurse caring #r a

client !ith asthma !uldplace the client in thea. supine psitin.b. side,lying psitin.c. %!ler)s psitin.

d. lithtmy psitin

70. :he nurse is caring #r a yung!man !ith a pulmnary embli !h


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!man !ith a pulmnary embli !his receiving heparin and must have anarterial bld gas 9AG;< sampledra!n. :he nurse !uld arrange tremain in the rm t be available thld pressure n the puncture site #rat least

a.1 minute.b.2 minutes.c.+ minutes.

d minutes V 10 /N:6( :A: NL A nurs ng pr essr ass gns a

grup # students t d data gathering by


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intervie!ing their classmates as the

subects.71. (he instructed the intervie!ers nt ttell the intervie!ees that the data gatheredare #r her !n research prect #r

publicatin. :his teacher has vilated thestudent)s right tLa. isclsure

b. Nt t be harmedc. Privacyd. (el#,determinatin

many c en s are e ng rea m e nthe !ard #r pst,perative


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p pin#ectins. (he suggests t the

students that they d a research nthis tpic. -hat research activity isthis$

a. (haring research results !ithclleaguesb. ata cllectinc. evelping guidelines #r patientcare

d denti#ying clinical prblem .numerical data. -hich # the #ll!ing isbased n Fuantitative research$


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based n Fuantitative research$a. :he e?ects # regular nurse visits t

client)s bedside n the number # client)scalls t the nurseb. A study n the e?ects # the !hite

uni#rm # hspital persnnel n pediatricpatientsc. A study n benefts # pre,perativehealth instructins t client)s #eeling #an>ietyd. A study n the e?ects # tuch n theclient)s #eelings # islatin

7. Ge#re the nurse researcherstarts her study she analyJes h!


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starts her study she analyJes h!

much time mney materials andpeple she !ill need t cmpletethe research prect. :his analysis

prir t beginning the study iscalledLa. 5alidityb. =esearchabilityc. %easibility

d =eliability 7+. ata analysis is t be dneand the nurse researcher !ants t


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and the nurse researcher !ants t

include measures # variability.:hese include the #ll!ing6O*6P:L

a. =angeb. 5ariancec. /eand. (tandards # eviatin

78. :he nurse is caring #r a client !ithcerebral palsy :he nurse shuld


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cerebral palsy. :he nurse shuldprvide #reFuent rest perids becauseLA. (tretch reBe>es are increased !ithrest.G. Hypactive deep tendn reBe>esbecme mre active !ith rest.*. ;rimacing and !rithing mvements

decrease !ith rela>atin and rest.. %ine mtr mvements areimprved by rest.

77. A 8,year,ld !ith cerebral


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ypalsy #unctins at the level # an

1,mnth,ld. -hich fnding !uldsupprt that assessment$

a. (he pulls a ty behind her.b. (he dresses hersel#.c. (he can build a t!er # eight

blc"s.d. (he can cpy a hriJntal rvertical line.

.!ith a large meningmylcele is


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g g ya!are that the pririty care #r this

client is tLA. %eed the in#ant sl!lyG. Place the in#ant in a supinepsitin*.*ver the de#ect !ith a mist

sterile saline gauJe. /easure the inta"e and utput

7E. A client has been receivingcyancbalamine 9G12< inectins


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cyancbalamine 9G12< inectins

#r the past si> !ee"s. -hichlabratry fnding indicates thatthe medicatin is having the

desired e?ect$A. Neutrphil cunt # 804G. =eticulcyte cunt # 14*. /ncyte cunt # 24. Gasphil cunt # 0.+4

.%e(&liFuid. -hich methd #


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administratin !uld be best$

a. Administer the medicatin !ithrange uice

b. Administer the medicatin !itha mealc. Administer the medicatin !ith

mil"d. Administer the medicatinundiluted

1. A patient !ith asthma isprducing thic" !hite secretins


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prducing thic" !hite secretins.

-hich # the #ll!ing nursingmeasures !uld be mstapprpriate #r the nurse t

include in her plan # care$a. ncrease Buid inta"eb. Prmte e>ercisec. Administer >ygend. 6ncurage cughing

2. A patient !ith asthma isprducing thic" !hite secretins


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prducing thic" !hite secretins.

-hich # the #ll!ing nursingmeasures !uld be mstapprpriate #r the nurse t

include in her plan # care$a. ncrease Buid inta"eb. Prmte e>ercisec. Administer >ygend. 6ncurage cughing

3. A ne,mnth ld in#ant inrespiratry distress is brught t


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respiratry distress is brught t

the emergency department. :henurse shuld bserve the in#ant #r!hich # the #ll!ing signs$

a. *lubbing # fngers and tesb. ugular venus distensinc. Nasal Baring and chestretractinsd. *l clammy mist s"in

. -hen assessing the patientthe nurse ntes pallr and


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the nurse ntes pallr and

mttling # the s"in dyspnea !ithperids # apnea and a decline inbld pressure. :hese

mani#estatin are indicative #a. mminent deathb. A transient ischemic attac"c. (eiJure nsetd. A cerebrvascular accident

+. :hirty minutes a#ter the nurse remves anasgastric tube that has been in place #r seven


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days the patient e>periences epista>is

9nsebleed


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administered t the ne!brnshrtly a#ter birth #r !hich# the #ll!ing reasns$a. : #acilitate clttingb. : treat in#ectin

c. : replace electrlytesd. : stp hemrrhage

7. A client !ith acute leu"emia isd i d h l i hi h


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admitted t the nclgy unit. -hich

# the #ll!ing !uld be mstimprtant #r the nurse t inFuire$a. WHave yu nticed a change in

sleeping habits recently$Wb. WHave yu lst !eight recently$Dc. WHave yu had a respiratry

in#ectin in the last 8 mnths$Dd. WHave yu nticed changes in yuralertness$W

. -hich # the #ll!ing !uld bethe pririty nursing diagnsis #r the


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the pririty nursing diagnsis #r theadult client !ith acute leu"emia$a. &ral mucus membrane alteredrelated t chemtherapyb. %atigue related t disease prcessc. =is" #r inury related tthrmbcytpeniad. nterrupted #amily prcesses relatedt li#e,threatening illness # a #amilymember

E. :he mther # a 8,year,ld !ithautistic disrder tells the nurse that


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autistic disrder tells the nurse thather sn has been much mre diRcultt care #r since the birth # his sister.:he best e>planatin #r changes inthe child)s behavir isLA.:he child)s daily rutine has beenupset by the birth # his sisterG.:he child !as nt adeFuatelyprepared #r the baby)s arrival.*.:he child did nt !ant a sibling

:he child is ust trying t get the .ritualistic behavirs and are easily upset bychanges in daily rutine. *hanges in the


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g y genvirnment are usually met !ith behavirs

that are diRcult t cntrl. Ans!ers G * and are incrrect because they d nt #cus nautistic disrder.A.=ed papular rash desFuamatin !hite

stra!berry tngueG.6picanthal #lds l!,seat ears prtrudingtngue

*.=ed edematus chee"s maculpapular rashn the trun" and e>tremities.=hinitis maculpapular rashhepatsplenmegaly

E1. A patient has returned tthe unit #ll!ing a


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the unit #ll!ing a

brnchscpy. t is mstimprtant that the nursemnitr the patient #ra. Gladder distentinb. =eturn # gag reBe>

c. &ral Buid inta"ed. Ability t spea"

E2. : !hich # the #ll!ingi di ld


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nursing diagnses !uld a nurse

give pririty #r a patient !h hasan elevated serum carbn di>ide9*&

2

< level #ll!ing surgery$

a. rinary retentinb. mpaired s"in integrity

c. ne?ective air!ay clearanced. mpaired physical mbility

E3. A patient !hseventilatin is inadeFuate


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ventilatin is inadeFuate

shuld be bserved #r earlysymptms # hyp>ia !hich

includea. Pallr

b. =estlessnessc. /ttling # e>tremitiesd. isrientatin

cerebral palsy a trachestmy and is>ygen 9&2< dependent. uring an


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yg 9 2< p g

initial visit t the hme the nurse!uld include !hich # the #ll!ingFuestins in an envirnmental sa#etyassessment$a. CAre there dra#ts r air lea"s in thehme$D

b. CAre there ther children in thehme$Dc. Ces anyne sm"e in the hme$D

d CAre there pets in the hme$D

E+. -hich bservatin in thene!brn # a diabetic


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ne!brn # a diabetic

mther !uld reFuireimmediate nursing

interventin$a. itterness

b. -a"e#ulnessc. *ryingd. Ta!ning

(:A:&NL Tu are actively practicingnurse !h ust fnished yur ;raduate


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(tudies. Tu learned the value # =esearch

and !uld li"e t utiliJe the "n!ledge ands"ills gained in the applicatin # researcht Nursing (ervice. :he #ll!ing Fuestins

apply t research.E8. -hich type # research inFuiryinvestigates the issue # human cmple>ity9e.g. understanding the human e>pertise pst #actb. Naturalistic inFuiryc. Quantitative research

E7. -hich # the #ll!ing studies isbased n Fuantitative research$


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Fa. A study e>amining the bereavementprcess in spuses # clients !ithterminal cancer.b. A study e>amining client)s #eelingsbe#re during and a#ter a bnemarr! aspiratin.c. A study e>plring #actrs inBuencing!eight cntrl behavir.d. A study measuring the e?ects #

sleep deprivatin n !und healing

E. -hich # the #ll!ing studies isbased n Fualitative research$


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Fa. A study measuring di?erences in

bld pressure be#re during anda#ter a prcedureb. A study e>amining clients reactinst stress a#ter pen heart surgery.c. A study measuring nutritin and!eight lssgain in clients !ith cancer.d. A study e>amining >ygen levelsa#ter endtracheal suctining.

EE. An + year ld client in a nursinghme tells a nurse C signed the


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gpapers #r that research study

because the dctr !as s insistentand !ant him t cntinue ta"ing care# meD. -hich client right is beingvilated$a. =ight # sel# determinatinb. =ight t eFualityc. =ight t privacy and cnfdentialityd. =ight nt t be harmed.

100. CA suppsitin rsystem # ideas that is


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system # ideas that is

prpsed t e>plain a givenphenmennD best defnesL

a. A cnceptb. A cnceptual #rame!r"

c. A theryd. A paradigm


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:HAN' T& X

ms nursing

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