Nurses Notes

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Nurses Notes This page will give you more infos...sample test,notes and other info regarding nursing and health..

Be patient with patients who are not patient...

10. A client with chronic obstructive pulmonary disease (COPD) is being evaluated for a lung transplant. Which initial assessment data would the nurse anticipate? Select all that apply.
A. Decreased respiratory rate
B. Dyspnea on exertion
C. Barrel chest
D. Shortened expiratory phase
E. Clubbed fingers and toes
F. Fever

Answer: ________

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9. A client with suspected pulmonary embolus is brought to the emergency department stating shortness of breath and chest pain. Which additional signs and symptoms are anticipated?Select all that apply.
A. Anxiety
B. Thick green sputum
C. Bradycardia
D. Frothy sputum
E. Tachycardia
F. Blood-tinged sputum

Answer: ________

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8. A nurse is caring for a client with chest tube connected to a three-chamber drainage system without suction. On the illustration below,identify which chamber the nurse will mark to record the current drainage level.
Right or left?
Answer: ________

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7. The registered nurse(RN) is assisting the licensed practical nurse (LPN) in performing a purified protein dervative (PPD) test on a nursing home resident. Which statements about this test are correct? Select all that apply.
A. A PPD test is done to test allergies
B. Always aspirate before injecting the PPD solution
C. The PPD test is an intradermal test
D. Hold the syringe at 45 degree angle to the skin
E. The preferred injection site is the ventral surface of the forearm
F. No wheal should appear at the site following injection

Answer: _______

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6. A nurse is caring for a client diagnosed with pneumonia, a urinary tract infection, dehydration, and temperature of 101.4 F (38.6 C) . The health care provider orders 1,000 ml of D5W to infuse over 8 hours. The available drop factor is 20 gtt/ml. The nurse would regulate the intravenous flow rate to deliver how many drops per minute? Round off your answer to the nearest whole number.
Answer: ________ gtt/min.

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5.A staff is preparing a staff education program on innovative devices in pulmonary circulation. Beginning with basic concepts,place the following structures in chronological order to trace the pathway of normal pulmonary circulation. All options must be used.
A. Pulmonary vein
B. Right ventricle
C. Pulmonary artery
D. Arterioles
E. Alveoli
F. Left atrium

Answer: ___________

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4. A client comes to the emergency department with status asthmaticus. Based on the documentation noted below, the nurse suspects that the client has what abnormality?

Progress Notes:
2/1/16 - Client wheezing.RR 44,BP 140/90,
1830 P 104, T 98.4 F (36.9 C).
ABG results show pH 7.52, PaCO2
30 mmHg (4.0 kPa), HCO3
-26 mEq/L ( 26 mmol/L), and
PO2 77mm Hg (10.2 kPa)
------------- C. Wynn,RN

A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis

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2. The nurse is caring for a client who states an increase in dyspnea. Which intervention would the nurse perform first?

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3. A nurse is caring for a client with pneumonia who was prescribed ceftriaxone oral suspension 600 mg once daily. The medication label indicates that the strength is 125 mg / 5 ml. How many milliliters of medication would the nurse pour to administer the correct dose?Record your answer as a whole number.

Answer: ________ ml

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Topic:RESPIRATORY DISORDERS

1. The nurse is caring for a client following a segmental resection of the lung because of the presence of a malignant mass. The nurse explains to the family the difference between various types of lung excisions. Which picture best documents a segmental resection?

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10. The nurse is caring for a client who is diagnosed with terminal disease. The nurse should plan which appropriate interventions in the care of the client?Select all that apply.
A. Offer to contact the clergy to support the client's spiritual needs
B. Make referral to other disciplines based on the client's stated needs
C. Plan to balance the client's need for assistance with that for independence
D. Provide extremely thorough answers to each question asked by the client or family
E.Ask the client about goals for the treatment plan and how he or she can best be assisted in achieving these goals

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9. Oxygen by nasal cannula at 4L/ minute is prescribed for a hospitalized client. The nurse should perform which actions in the care of the client?Select all that apply.
A. Humidify the oxygen
B. Apply water-soluble lubricant to the nares
C. Instruct the client to breathe through the nose only
D. Instruct the client and family about the purpose of the oxygen
E. Increase the oxygen flow if the client complains of dryness in the nares

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8. A clear liquid diet has been prescribed for a client. The nurse should offer which item to the client?
A. Apple juice
B. Orange juice
C. Tomato juice
D. Ice cream without nuts

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7. The nurse instructs a client taking a potassium-retaining diuretic about foods high in potassium that need to be avoided. The nurse determines that the client needs further instruction if the client states that which food is high in potassium?
A. Kiwi
B. Celery
C. Oranges
D. Dried fruit

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6. A client ask the nurse about the use of a complementary or alternative measure that will assist in promoting sleep.The nurse should make which suggestion?
A. Herbal therapy
B. Acupuncture sessions
C. Muscle relaxation techniques
D. Traditional Chinese medicine sessions

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Answers and rationale will be posted here after a week...
10 items of question will be posted for each topics...
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Sources: Saunders,Lippincott,Kaplan and other Review materials from the exam taken last 2016...

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5. The nurse provides dietary instructions to a cliemt diagnosed with iron deficiency anwmia. The nurse should tell the cliemt to increase the intake of which food item?
A. Plums
B. Red apples
C. Egg whites
D. Kidney beans

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4. The nurse provides instructions to a female client regarding the procedure for collecting a midstream urine sample.
The nurse should tell the client to perform which action?
A. Do**he before collecting the specimen
B. Cleanse the perineum from front to back
C. Collect the urine in the cup as soon as the urine flow begins
D. Collect the specimen before bedtime, and bring it to the laboratory the next morning

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3. The nurse is caring for a client who has a fever and is diaphoretic. The nurse monitors the client's intake and output and expects which finding?
A. The client's urine is diluted
B. The cliemt's output is decreased
C. The cliemt's urine production is increased
D. The majority of the client's fluid is excreted through the skin

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2. The nurse notes documentation in a client's medical record that the client is experiencing anuria. Based on this notation,what determination should the nurse make?
A. The client is unable to produce urine
B. The client has a diminished capacity to form urine
C. The client has difficulty having a bowel movement
D. The client has episodes of alternating costipation and diarrhea

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Topic: FUNDAMENTAL SKILLS QUESTIONS

1. The nurse develops a plan of care for a newly hospitalized client who reports difficulty of sleeping. The nurse plans to implement which BEST intervention?
A. Offer the client a sleeping pill at night
B. Provide the client with a snack at bedtime
C. Ask the cliemt what the client does to prepare for sleep
D. Leave the television on in the client's room at very low volume.

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Blood Types...