BoardVitals test 1

BoardVitals test 1 ScienceMedicineNursing anna_corrine_carollo Save IM5 Growth and Development/Asse...55 terms SamanthaReeves22 Preview ATI comprehensive predictor STUDY...198 terms h_trtPreview BoardVitals NCLEX Prep RN 40 terms Chelsea_Brown361 Preview Board V 111 terms Sha A pregnant client in the 3rd trimester calls OB and reports to the RN that she has a severe headache for the past 2 days. What is most appropriate?A- ask if the client is having cold/flu symptoms B- Advice the client to eliminate coffee and other sources of caffeine C- Instruct the client to take 2 aspirin and lie down for a hour D- Request that the client come to the office immediately D- The client needs to be seen promptly. A persistent headache may be due to PIH Rn mistakenly administered a 1-mg tab of lorazepam to a client 1 hour ago instead of a 2-mg. After assessing the client noting no adverse effects.the nurse decided to not complete an incident report. What ethic is she violating?A- Autonomy B- Advocacy C- Veracity D- Confidentiality C- Veracity Duty to tell the truth It is the RN responsibility to immediately report a incident report Client that is perimenopause. Which of the following is a long term change?A- Recurrent kidney infection B- moist skin C- Thicken hair D- Loss of bone tissue D- Loss of bone tissue This leads to a increase risk of fractures and osteoporosis. The provider should encourage calcium early on in the life

Client comes into ED with epigastric pain, N/V. Lab shows increased serum amylase and lipase. Which is the following sign most likely to be found upon exam?A- Chvostek's B- Murphys C- Cullen's D- Koplik spots C- Cullen's sign Bluish discoloration and superficial edema around the umbilicus

Clinical manifestations: pain that radiates to the back, N/V, fevers and tachy

TX- NPO, giving IV fluid and analgesics. NG tube to prevent vomiting Cholecystectomy will be performed Educating a adolescent and guardian about atomoxetine. This can cause what adverse effects: SATA A- Loose stools B- Nausea C- Weight gain D- Insomnia E- Mood changes B- Nausea GI upset. Take with food D- Insomnia Take the med in the morning no later than 6 pm E- Mood changes Reports significant mood changes or suicidal ideations *Used for the treatment of ADHD *Notify MD if darkening of urine, yellowing of the skin, pain in the RUQ A client experiences initial indications of excitation after having an IV infusion of lidocaine. Report which of the following?A- Palpations B- Tinnitus C- Urinary frequency D- Hypertension B- Tinnitus Common side effects of lidocaine- dizziness, tinnitus, blurred vison, tremors, numbness and tingling, excessive perspiration, hypotension, seizures, Coma

• Anti-arrhythmic when used IV to treat ventricular arrhythmias.

Client who has been taking lithium for 1 year and requires a prescription refill. Which lab test should the nurse review prior?A- Thyroid hormone assay B- Liver function C- H&H

D- BNP

A- Thyroid hormone assay

• long term use of lithium can lead to thyroid dysfunction, causing goiter.
• Should be monitored yearly along with: Renal, Thyroid, WBC, electrolytes and glucose

Client taking haloperidol daily. Which should the nurse see as tardive dyskinesia (TD)? SATA A- Feeling of inner restlessness B- Writhing motion of the tongue C- Fine tremors of the hands D- Jerking movements of the shoulders E- Involuntary pelvic rocking B- Writhing motion of the tongue D- Jerking movements of the shoulders E- Involuntary pelvic rocking Early manifestations: repetive and uncontrollable movements of the face and mouth Ex- Lip smacking, facial grimace, repetive eye blinking.

• TD can effect the clients ability to eat and swallow

** The AIMS scale is specific test to screen for TD (scale 0-4 none to severe) performed at least every 3 months Med-surg unit client with Cushing's syndrome. What does the nurse expect of assessment? SATA A- Truncal obesity B- Hyperactivity C- Weight loss D- Acne E- Hypotension A- Truncal obesity D- Acne ** Cushing's is caused by a excess of corticosteroid hormone.-Clinical signs: truncal obesity, proximal muscle weakness, weight gain, "moon facies" (a round face), hirsutism, hypertension, abnormal glucose, depression, lethargy, Purple-red striae may occur, in addition to acne.Child who has Legg-Calve-Perthes disease. Which of the following manifestations? SATA A- Swelling of the knee B- Hip stiffness C- Muscular rash D- Limited ROM E- Limp when walking B- Hip stiffness

• due to necrosis of the femoral head

can be worse in the morning or following activity D- Limited ROM -interruption of blood supply to the femoral epiphysis. Can develop hip adductor contracture as a result of limited ROM E- Limp when walking -@ R/F- development of degenerative arthritis

• Very important to diagnosis early to prevent significant damage to bone

When calculating a child's dosing of a med using a normal adult dose. What should the nurse do using the adult dose?A- X by weight of the child/weight of average adult B- Multiply by the child's body surface area/1.7m2 C- Divide by 1.7m2 D- Multiply by 1.7m2/child's BSA B- Multiply by the child's body surface area/1.7m2 *use standard nomograms to determine a child's body surface for a given height and weight.

• Multiply by the standard adult dose by the ratio of the child's body surface area to the average adult body surface area (BSA) which is 1.7m2

Client taking lithium for bipolar. Asks if he can take ibuprofen for headaches. What is the best response?A- Ibuprofen does not interact with lithium, so you can take it B- Aspirin is a better use than ibuprofen C- Lithium and ibuprofen taken together could upset your stomach D- The ibuprofen will make your lithium level fall to low B- Aspirin is better to use than ibuprofen

• Aspirin is recommended as a analgesic. Use of ibuprofen can increase the clients risk for lithium toxicity

When teaching, it is important for the nurse to provide alternate methods to solve a problem instead of simply telling the client what he should do A nurse is caring for a client with chronic hep C who has returned to unit after liver biopsy. What is the priority?A- Educate the client about cirrhosis and its progression B- Review pre-procedure coag studies C- Turn the client on the right side to provide pressure at the site D- Perform a detailed assessment

C- TURN THE CLIENT ON THE RIGHT SIDE TO PROVIDE PRESSURE AT THE SITE

• Provide pressure to prevent bleeding, patients with circulation issues and liver disease are at higher risk of significant bleeding as a result of

DEC production of clotting factors

• determining priority, tasks that are a threat to clients immediate survival or safety should take precedence

Client treated for dyspareunia. What is expected outcome?A- Dec menstrual bleeding B- Dec breakthrough bleeding C- Little to no pain during intercourse D- Denies abdominal pain before or during menses

C- LITTLE TO NO PAIN DURING INTERCOURSE

*Dyspareunia refers to painful intercourse.Causes- cancer, PID, history of sexual abuse, depression, anxiety OB trauma and hormonal imbalance