As a part of the treatment given to a child with leukemia the child is placed on reverse barrier isolation to:
A. Protect the child from injury
B. Protect the child from infectious agents
C. Provide the child with a quiet environment
D. Keep the child away from other children
A deficiency of which of the following vitamins can affect the absorption of calcium?
A. Vitamin C
B. Vitamin B6
C. Vitamin D
D. Vitamin B12
When checking the capillary refill time of a patient's extremity, the color returns in 7 seconds. The nurse recognizes this finding as indicative of:
A. A normal response
B. Thrombus formation in the veins
C. Lymphatic obstruction of venous return
D. Impaired arterial flow to the extremities
When caring for a patient with acute pancreatitis, the patient is most likely to complain of pain which is:
A. Severe and located in the left lower quadrant and radiating to the groin
B. Burning and located in the epigastric area and radiating to the groin
C. Severe and located in the epigastric area and radiating to the back
D. Burning and located in the left lower quadrant and radiating to the back
The purpose of a cardiac pacemaker is to:
A. Initiate and maintain the heart rate when SA node is unable to do so
B. Stabilize the heart rate when it is above 100 beats per minute
C. Stabilize the heart when the patient has had a heart attack
D. Regulate the heart when the patient is going for open heart surgery
Which of the following interventions should the nurse implement if a patient complains of cramps while irrigating the colostomy?
A. Reduce the flow of solution
B. Have the patient sit up in bed
C. Remove the irrigation tube
D. Insert the tube further into the colon
A patient with allergic rhinitis reports severe nasal congestion, sneezing, and watery eyes at various times of the year. To teach the patient to control these symptoms the nurse advises the patient to:
A. Avoid all over the counter intranasal sprays
B. Limit the use of nasal decongestant sprays to 10 days
C. Use oral decongestants at bedtime to prevent symptoms during the night
D. Keep a diary of when an allergic reaction occurs and what precipitates it
The physician orders heparin 40 000 U in 1 liter of D5W IV to infuse at 1000 U/hr. What is the flow rate in milliliters per hour?
A. 250 mls/hr
B. 25 mls/hr
C. 2.5 mls/hr
D. 0.25 mls/hr
Which of the following correctly describes wound packing in a wet to dry dressing?
A. Pack gauze into the wound tightly
B. Overlap the wound edges with wet packing
C. Pack the wound with slightly moistened gauze
D. Use gauze well saturated with saline for packing the wound
The nurse is caring for a patient who is receiving dialysis. The patient has an arteriovenous (AV) fistula. Appropriate care for this patient would include which one of the following options?
A. Infusing medications through the AV fistula
B. Drawing blood samples from the AV fistula
C. Massaging the AV fistula
D. Palpating the AV fistula for a thrill
Which of the following indicates the nurse is engaging in a therapeutic nurse-patient relationship?
A. The nurse establishes a relationship that is mutually beneficial
B. The nurse demonstrates sympathetic feelings toward the patient
C. The nurse commits to helping the patient find ways to help self
D. The nurse utilizes therapeutic touch to convey acceptance of the patient
A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine (Apresoline) 20mg IV stat for blood pressure greater than 190/100 mmHg. The best response of the nurse to this order is to:
A. Give the dose immediately and once
B. Give medication if patient's blood pressure is > 190/100 mmHg
C. Call the physician because the order is not clear
D. Administer the dose and repeat as necessary
Which of the following interventions is most significant in the prevention of pressure sores?
A. Increasing fluid intake
B. Changing soiled linen
C. Regular changing of position
D. Use of a water mattress
The patient is to receive 100 ml/hr of D5W through a micro drip. How many drops per minute should the patient receive?
A. 25 gtts/min
B. 30 gtts/min
C. 100 gtts/min
D. 200 gtts/min
The priority nursing diagnosis for a hospitalized patient with a Stage IV pressure ulcer on the hip would be:
A. Altered body image
B. Acute pain
C. Risk for infection
D. Altered nutrition