Adult Health Nursing
  إظهار بيانات الطالب   إظهار التعليمات   تغيير اتجاه الصفحة

رقم السؤال: 1           درجة السؤال: 1
 Sodium
 Potassium
 Magnesium
 Calcium
رقم السؤال: 2           درجة السؤال: 1
 Sensory
 Affective
 Sociocultural
 Behavioral
رقم السؤال: 3           درجة السؤال: 1
 Utilize an infusion pump.
 Check the blood glucose level.
 Place the client in Trendelenburg position.
 Cover the solution with foil.
رقم السؤال: 4           درجة السؤال: 1
 Make a note in the nurse’s file and continue to observe clinical performance.
 Refer the new nurse to the in-service education department.
 Quiz the nurse about knowledge of pain management.
 Give praise for the correct dose and time and discuss the deficits in charting.
رقم السؤال: 5           درجة السؤال: 1
 Administer Kayexalate 15 g orally.
 Administer spironolactone 25 mg orally.
 Assess WCG strip for tall T waves.
 Administer potassium 10 mEq orally.
رقم السؤال: 6           درجة السؤال: 1
 Encourage oral feeding as soon as possible
 Develop an alternative communication method
 Keep the tracheostomy cuff fully inflated
 Keep the patient flat in bed
رقم السؤال: 7           درجة السؤال: 1
 Treatment is based on client goals.
 A multidisciplinary approach is needed.
 The client must be believed about perceptions of own pain.
 Drug side effects must be prevented and managed.
رقم السؤال: 8           درجة السؤال: 1
 Bilateral inspiratory and expiratory crackles
 Absence of breaths sound in the right thorax
 Inspiratory wheezes in the right thorax
 Bilateral pleural friction rub
رقم السؤال: 9           درجة السؤال: 1
 Assess level of consciousness
 Verify patient identification and informed consent
 Assess vital signs
 Check for jewelry, gown, manicure and dentures
رقم السؤال: 10           درجة السؤال: 1
 check for presence underwear
 check for presence dentures
 check patient’s blood studies
 check baseline vital signs
رقم السؤال: 11           درجة السؤال: 1
 I will call my doctor if I experience muscle twitching or seizures.
 I will make sure to take my vitamin D with my calcium each day.
 I will take my calcium pill every morning before breakfast.
 I will avoid dairy products, broccoli, and spinach when I eat.
رقم السؤال: 12           درجة السؤال: 1
 Aspartate aminotransferase
 Lactic acid dehydrogenase
 Hydroxybutyric dehydrogenase
 Creatine phosphokinase
رقم السؤال: 13           درجة السؤال: 1
 The client’s low phosphorus is probably due to malnutrition.
 The client is just worn out form not getting enough rest.
 The client’s skeletal muscles are weak because of the low phosphorus.
 The client will do more for herself when her phosphorus is normal.
رقم السؤال: 14           درجة السؤال: 1
 Check the MARs and nurses’ notes for the past several days.
 Ask the nurse educator to give an in-service about pain management.
 Perform a complete pain assessment and history on the client.
 Have a conference with the nurses responsible for the care of this client.
رقم السؤال: 15           درجة السؤال: 1
 Instruct client to observe strict bed rest
 Check for epidural catheter drainage
 Administer analgesia through epidural catheter as prescribed
 Assess respiratory rate carefully
رقم السؤال: 16           درجة السؤال: 1
 Observe the dressing and type and odor of drainage if any
 Get patient’s consent
 Wash hands
 Request the client to expose the incision wound
رقم السؤال: 17           درجة السؤال: 1
 The client reports pain reduction and decreased activity
 The client denies existence of pain
 The client can distract himself during pain episodes
 The client reports independence from watchers
رقم السؤال: 18           درجة السؤال: 1
 Leg movement
 Finger movement
 Lip movement
 Fighting the ventilator
رقم السؤال: 19           درجة السؤال: 1
 the surgeon greets his client before induction of anesthesia
 the surgeon and anesthesiologist are in tandem
 strap made of strong non-abrasive material are fastened securely around the joints of the knees and ankles and around the 2 hands around an arm board
 client is monitored throughout the surgery by the assistant anesthesiologist
رقم السؤال: 20           درجة السؤال: 1
 Administer smallest dose that provides relief with the fewest side effects.
 Titrate upward until the client is pain free.
 Titrate downwards to prevent toxicity.
 Ensure that the drug is adequate to meet the client’s subjective needs.
رقم السؤال: 21           درجة السؤال: 1
 Intraspinal
 Patient-controlled analgesia (PCA)
 Intravenous (IV)
 Sublingual
رقم السؤال: 22           درجة السؤال: 1
 Yellow
 Green
 Clear
 Gray
رقم السؤال: 23           درجة السؤال: 1
 Flattened neck veins when client is in supine position
 Full and bounding pedal and post-tibial pulses
 Pitting edema located in feet, ankles, and calves
 Shallow respirations with crackles on auscultation
رقم السؤال: 24           درجة السؤال: 1
 Administer IV fluids as prescribed by the physician.
 Provide straws and offer fluids between meals.
 Develop plan for added fluid intake over 24 hours.
 Teach family members to assist client with fluid intake.
رقم السؤال: 25           درجة السؤال: 1
 Put side rails up and ask client not to get out of bed
 Send the client to ORD with the family
 Allow client to get up to go to the comfort room
 Obtain consent form
رقم السؤال: 26           درجة السؤال: 1
 Explain all the possible interventions that may cause the client to worry.
 Establish trusting relationship by giving his medication on time.
 Stay with the client during pain episodes.
 Promote client’s sense of control and participation in pain control by listening to his concerns.
رقم السؤال: 27           درجة السؤال: 1
 Therapeutic touch
 Use of heat and cold applications
 Meditation
 Transcutaneous electrical nerve stimulation (TENS
رقم السؤال: 28           درجة السؤال: 1
 Report muscle weakness to the physician.
 Allow 6 months for the drug to take effect.
 Take the medication with fruit juice.
 Ask the doctor to perform a complete blood count prior to starting the medication.
رقم السؤال: 29           درجة السؤال: 1
 perioperative anxiety and stress
 delayed coagulation time
 delayed wound healing
 postoperative respiratory dysfunction
رقم السؤال: 30           درجة السؤال: 1
 Draped
 Pulled
 Clipped
 Shampooed
رقم السؤال: 31           درجة السؤال: 1
 Weight client every morning.
 Maintain accurate intake and output.
 Restrict fluid to 1500 mL per day.
 Administer furosemide (Lasix) 40 mg IV push.
رقم السؤال: 32           درجة السؤال: 1
 Assess the readiness of the client prior to surgery
 Ensure that the airway is adequate
 Account for the number of sponges, needles, supplies, Used during the surgical procedure
 Evaluate the type of anesthesia appropriate for the surgical client
رقم السؤال: 33           درجة السؤال: 1
 Activity intolerance related to fatigue
 Anxiety related to actual threat to health status
 Risk for infection related to retained secretions
 Impaired gas exchange related to airflow obstruction
رقم السؤال: 34           درجة السؤال: 1
 Monitor fluctuations in the water-seal chamber
 Clamp the chest tube once every shift
 Encourage coughing and deep breathing
 Milk the chest tube every 2 hours
رقم السؤال: 35           درجة السؤال: 1
 Reassess the client’s blood pressure and heart rate
 Review the client’s morning calcium level
 Request a neurologic consult today
 Check the client’s papillary reaction to light
رقم السؤال: 36           درجة السؤال: 1
 Kinking of the ventilator tubing
 A disconnected ventilator tube
 An endotracheal cuff leak
 A change in the oxygen concentration without resetting the oxygen level alarm
رقم السؤال: 37           درجة السؤال: 1
 Nasal congestion
 Nervousness
 Lethargy
 Hyperkalemia
رقم السؤال: 38           درجة السؤال: 1
 Simple description pain intensity scale
 0-10 numeric pain scale
 Faces pain-rating scale
 McGill-Melzack pain questionnaire
رقم السؤال: 39           درجة السؤال: 1
 Macaroni and cheese
 Shrimp with rice
 Turkey breast
 Spaghetti and meatballs
رقم السؤال: 40           درجة السؤال: 1
 Last case
 In between cases
 According to availability of anesthesiologist
 According to the surgeon’s preference
رقم السؤال: 41           درجة السؤال: 1
 Serum potassium 5.2 mEq/L
 Serum sodium 134 mEq/L
 Serum calcium 10.6 mg/dL
 Serum magnesium 0.8 mEq/L
رقم السؤال: 42           درجة السؤال: 1
 Patients with an acute asthma attack
 Patients with narcolepsy
 Patients under age 6
 Elderly patients
رقم السؤال: 43           درجة السؤال: 1
 Hypokalemia
 Hyperkalemia
 Hyponatremia
 Hypernatremia
رقم السؤال: 44           درجة السؤال: 1
 Contralateral side in a simple pneumothorax
 Affected side in a hemothorax
 Affected side in a tension pneumothorax
 Contralateral side in hemothorax
رقم السؤال: 45           درجة السؤال: 1
 Feet
 Neck
 Hands
 Sacrum
رقم السؤال: 46           درجة السؤال: 1
 Question the order.
 Administer the medications.
 Administer them separately.
 Contact the pharmacy.
رقم السؤال: 47           درجة السؤال: 1
 Amitriptyline (Elavil)
 Corticosteroids
 Methylphenidate (Ritalin)
 Lorazepam (Ativan)
رقم السؤال: 48           درجة السؤال: 1
 Nausea or vomiting
 Abdominal pain or diarrhea
 Hallucinations or tinnitus
 Lightheadedness or paresthesia
رقم السؤال: 49           درجة السؤال: 1
 Dressing is intact but partially soiled
 Left foot is cold to touch and pedal pulse is absent
 Left leg in limited functional anatomic position
 BP 114/78, pulse of 82 beats/minute
رقم السؤال: 50           درجة السؤال: 1
 A client with fibromyalgia
 A client with phantom limb pain
 A client with progressive pancreatic cancer
 A client with trigeminal neuralgia
رقم السؤال: 51           درجة السؤال: 1
 Acid-base balance
 Arterial Blood
 Arterial oxygen saturation
 Alveoli
رقم السؤال: 52           درجة السؤال: 1
 Weighing the client daily
 Measuring the extremity
 Measuring the intake and output
 Checking for pitting
رقم السؤال: 53           درجة السؤال: 1
 Regular insulin
 Glipizide (Glucotrol)
 Repaglinide (Prandin)
 Metformin (Glucophage)
رقم السؤال: 54           درجة السؤال: 1
 Replenish her supply every 3 months.
 Take one every 15 minutes if pain occurs.
 Leave the medication in the brown bottle.
 Crush the medication and take it with water.
رقم السؤال: 55           درجة السؤال: 1
 Provide oral care every 3-4 hours
 Monitor for indications of dehydration
 Administer 0.45% saline by IV line
 Assess daily weights for trends
رقم السؤال: 56           درجة السؤال: 1
 Localized heat and redness
 Serosanguinous exudates and skin blanching
 Separation of the incision
 Blood clots and scar tissue are visible


   



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