Podcast
Questions and Answers
What additional diagnostic tests should the nurse begin teaching the client after a positive skin test for tuberculosis? (Select all that apply)
What additional diagnostic tests should the nurse begin teaching the client after a positive skin test for tuberculosis? (Select all that apply)
- A repeat multiple-puncture skin test
- Drug susceptibility testing (correct)
- Complete blood count
- A chest radiograph (correct)
- Complete history and physical examination (correct)
What would the PACU nurse be responsible for reporting to the nurse on the floor after a patient has been deemed ready post-surgery? (Select all that apply)
What would the PACU nurse be responsible for reporting to the nurse on the floor after a patient has been deemed ready post-surgery? (Select all that apply)
- The client's full name (correct)
- The identities of the staff in the OR
- The client's preoperative level of consciousness (correct)
- The names of the anesthetics that were used
- The presence of family and/or significant others (correct)
What signs and symptoms of myocardial infarction (MI) are particularly common in female clients? (Select all that apply)
What signs and symptoms of myocardial infarction (MI) are particularly common in female clients? (Select all that apply)
- Anxiety
- Chest pain
- Nausea (correct)
- Shortness of breath
- Indigestion (correct)
What should the nurse instruct a patient on self-administering nitroglycerin? (Select all that apply)
What should the nurse instruct a patient on self-administering nitroglycerin? (Select all that apply)
Which of the following are causes of secondary brain injury? (Select all that apply)
Which of the following are causes of secondary brain injury? (Select all that apply)
What actions should the nurse take first for a client experiencing severe anaphylactic shock? (Select all that apply)
What actions should the nurse take first for a client experiencing severe anaphylactic shock? (Select all that apply)
What is a nurse's primary responsibility? (Select one)
What is a nurse's primary responsibility? (Select one)
Which therapies are used to treat cancer? Select all that apply.
Which therapies are used to treat cancer? Select all that apply.
What teaching should the nurse include in the client's plan of care regarding cancer screening tests? Select all that apply.
What teaching should the nurse include in the client's plan of care regarding cancer screening tests? Select all that apply.
Why will the axillary nodes be removed during a modified radical mastectomy?
Why will the axillary nodes be removed during a modified radical mastectomy?
Which risk factors should be included in a workshop on laryngeal cancer? Select all that apply.
Which risk factors should be included in a workshop on laryngeal cancer? Select all that apply.
What goal should the nurse prioritize for a client with HIV during discharge planning?
What goal should the nurse prioritize for a client with HIV during discharge planning?
What functions should the nurse include in teaching about the larynx? Select all that apply.
What functions should the nurse include in teaching about the larynx? Select all that apply.
Using the rule of nines, what is the total body surface area percentage for burns to the abdomen and front of the left leg?
Using the rule of nines, what is the total body surface area percentage for burns to the abdomen and front of the left leg?
Which possible adverse drug effects should the nurse monitor for in a client receiving foscarnet? Select all that apply.
Which possible adverse drug effects should the nurse monitor for in a client receiving foscarnet? Select all that apply.
What are the functions of the eyelids? Select all that apply.
What are the functions of the eyelids? Select all that apply.
What important instructions should the nurse give to a client with a burn wound on the leg? Select all that apply.
What important instructions should the nurse give to a client with a burn wound on the leg? Select all that apply.
How should the nurse categorize an elderly client’s difficulty ambulating due to chronic osteoarthritis?
How should the nurse categorize an elderly client’s difficulty ambulating due to chronic osteoarthritis?
What preexisting medical conditions may increase afterload? Select all that apply.
What preexisting medical conditions may increase afterload? Select all that apply.
Which physiologic reasons explain why exercise lowers blood glucose levels? Select all that apply.
Which physiologic reasons explain why exercise lowers blood glucose levels? Select all that apply.
Which factors increase the risk for breast cancer? (Select all that apply)
Which factors increase the risk for breast cancer? (Select all that apply)
Which local complications should the nurse assess for in intravenous therapy? Select all that apply.
Which local complications should the nurse assess for in intravenous therapy? Select all that apply.
What causes of hematuria should the nurse relate to the client? Select all that apply.
What causes of hematuria should the nurse relate to the client? Select all that apply.
What bronchodilator actions relieve bronchospasm? (Select all that apply)
What bronchodilator actions relieve bronchospasm? (Select all that apply)
What occurrence makes it difficult to assess internal burn damage in electrical burns?
What occurrence makes it difficult to assess internal burn damage in electrical burns?
How should the nurse best inquire about the bruising observed on a client?
How should the nurse best inquire about the bruising observed on a client?
What actions should the nurse take in response to an acute hemolytic reaction? (Select all that apply)
What actions should the nurse take in response to an acute hemolytic reaction? (Select all that apply)
What nursing care interventions are required when caring for a client recovering from spinal anesthesia? (Select all that apply)
What nursing care interventions are required when caring for a client recovering from spinal anesthesia? (Select all that apply)
How should the nurse best evaluate the teaching-learning process for a teenage boy with asthma?
How should the nurse best evaluate the teaching-learning process for a teenage boy with asthma?
When appraising a health promotion campaign, what will the nurse consider most participants depend on for success?
When appraising a health promotion campaign, what will the nurse consider most participants depend on for success?
What actions are included in a PEP protocol after exposure to HIV? (Select all that apply)
What actions are included in a PEP protocol after exposure to HIV? (Select all that apply)
What causes of acquired seizures should the nurse recognize? (Select all that apply)
What causes of acquired seizures should the nurse recognize? (Select all that apply)
What is the most likely factor causing a client not to adhere to her therapeutic regimen?
What is the most likely factor causing a client not to adhere to her therapeutic regimen?
Which clients have the greatest risk for complications during surgery? (Select all that apply)
Which clients have the greatest risk for complications during surgery? (Select all that apply)
What normal change due to aging does the nurse expect in the heart of an older client?
What normal change due to aging does the nurse expect in the heart of an older client?
Which client statements about anaphylaxis symptoms indicate no further teaching is needed? (Select all that apply)
Which client statements about anaphylaxis symptoms indicate no further teaching is needed? (Select all that apply)
Which questions should the nurse ask to learn about the client's interpersonal environment? (Select all that apply)
Which questions should the nurse ask to learn about the client's interpersonal environment? (Select all that apply)
What tone of teaching should the nurse implement when teaching a 12-year-old client?
What tone of teaching should the nurse implement when teaching a 12-year-old client?
The act requires appropriate safeguards to protect the privacy of ___________ health information.
The act requires appropriate safeguards to protect the privacy of ___________ health information.
Sharing client information with the client's children is permitted according to privacy regulations.
Sharing client information with the client's children is permitted according to privacy regulations.
What is a key factor that enhances a 75-year-old client's ability to learn about her antiplatelet medication?
What is a key factor that enhances a 75-year-old client's ability to learn about her antiplatelet medication?
Which hormone has low production during ovulation?
Which hormone has low production during ovulation?
When is the best time for a nurse to assess a client's readiness to learn about diabetes health promotion?
When is the best time for a nurse to assess a client's readiness to learn about diabetes health promotion?
Which statements are correct regarding managing chronic conditions? (Select all that apply)
Which statements are correct regarding managing chronic conditions? (Select all that apply)
Which project demonstrates the principles of health promotion teaching?
Which project demonstrates the principles of health promotion teaching?
What self-care topics should a nurse address for a client diagnosed with pelvic inflammatory disease (PID)? (Select all that apply)
What self-care topics should a nurse address for a client diagnosed with pelvic inflammatory disease (PID)? (Select all that apply)
How might a client's culture impact their readiness to learn? (Select all that apply)
How might a client's culture impact their readiness to learn? (Select all that apply)
Which interventions should be included in the care for a client exposed to the botulinum toxin? (Select all that apply)
Which interventions should be included in the care for a client exposed to the botulinum toxin? (Select all that apply)
What are signs and symptoms of obstructive sleep apnea (OSA)? (Select all that apply)
What are signs and symptoms of obstructive sleep apnea (OSA)? (Select all that apply)
Which of the following are immediate complications of spinal cord injury? (Select all that apply)
Which of the following are immediate complications of spinal cord injury? (Select all that apply)
Who is ultimately responsible for maintaining and promoting a client's health?
Who is ultimately responsible for maintaining and promoting a client's health?
What are the priority nursing concerns for a client with a new tracheostomy? (Select all that apply)
What are the priority nursing concerns for a client with a new tracheostomy? (Select all that apply)
What factors might contribute to erectile dysfunction in a 66-year-old man? (Select all that apply)
What factors might contribute to erectile dysfunction in a 66-year-old man? (Select all that apply)
Which behavior best demonstrates a client's willingness to learn about managing his diabetes post-hospitalization?
Which behavior best demonstrates a client's willingness to learn about managing his diabetes post-hospitalization?
What teaching points should be included for a patient on a renal diet for hemodialysis? (Select all that apply)
What teaching points should be included for a patient on a renal diet for hemodialysis? (Select all that apply)
What symptoms indicative of malignant hyperthermia should a nurse monitor for?
What symptoms indicative of malignant hyperthermia should a nurse monitor for?
What pin site assessments would a nurse report for a client in the surgical unit with skeletal tongs stabilizing a cervical fracture?
What pin site assessments would a nurse report for a client in the surgical unit with skeletal tongs stabilizing a cervical fracture?
Which responses indicate correct reasons for the use of endotracheal tubes in clients?
Which responses indicate correct reasons for the use of endotracheal tubes in clients?
What statements by a client indicate effective teaching about digoxin for heart failure?
What statements by a client indicate effective teaching about digoxin for heart failure?
What nursing diagnosis is most relevant to a client not adhering to prescribed antiplatelet medication?
What nursing diagnosis is most relevant to a client not adhering to prescribed antiplatelet medication?
What client statements indicate no further teaching is required about allergy management at home?
What client statements indicate no further teaching is required about allergy management at home?
What are the best responses by the nurse when a client questions the difference between consuming fruit and fruit juice?
What are the best responses by the nurse when a client questions the difference between consuming fruit and fruit juice?
Which diagnostic procedures might be included in a client's admission orders for removal of an intracranial mass?
Which diagnostic procedures might be included in a client's admission orders for removal of an intracranial mass?
What would be a therapeutic effect of a new bronchodilator for a client with COPD?
What would be a therapeutic effect of a new bronchodilator for a client with COPD?
What strategy should a nurse adopt to assist an older adult in adhering to a therapeutic regimen involving wound care?
What strategy should a nurse adopt to assist an older adult in adhering to a therapeutic regimen involving wound care?
What medications are commonly prescribed to treat pericarditis?
What medications are commonly prescribed to treat pericarditis?
What signs and symptoms would the nurse expect to see in a client with acute irritant contact dermatitis?
What signs and symptoms would the nurse expect to see in a client with acute irritant contact dermatitis?
Which actions demonstrate an understanding of HIPAA?
Which actions demonstrate an understanding of HIPAA?
In the prevention of occupational lung diseases, the nurse would direct preventive teaching to which high-risk occupations? (Select all that apply)
In the prevention of occupational lung diseases, the nurse would direct preventive teaching to which high-risk occupations? (Select all that apply)
What conditions cause elevated prostate-specific antigen (PSA) levels in the absence of prostate cancer? (Select all that apply)
What conditions cause elevated prostate-specific antigen (PSA) levels in the absence of prostate cancer? (Select all that apply)
For what complications should the nurse monitor the client post PTCA? (Select all that apply)
For what complications should the nurse monitor the client post PTCA? (Select all that apply)
What teaching should the nurse include for a client diagnosed with prostatitis? (Select all that apply)
What teaching should the nurse include for a client diagnosed with prostatitis? (Select all that apply)
Which relationship between stress and health outcomes should inform the nurse's teaching plan?
Which relationship between stress and health outcomes should inform the nurse's teaching plan?
How should the nurse respond to a client feeling nervous before a pelvic examination? (Select all that apply)
How should the nurse respond to a client feeling nervous before a pelvic examination? (Select all that apply)
Which factors may contribute to the increased chronic illness rates in the community? (Select all that apply)
Which factors may contribute to the increased chronic illness rates in the community? (Select all that apply)
Which immediate interventions should the nurse include for a client with an opioid overdose? (Select all that apply)
Which immediate interventions should the nurse include for a client with an opioid overdose? (Select all that apply)
Which parameters would the nurse evaluate to determine if a client with extensive burn injuries is receiving adequate fluid resuscitation? (Select all that apply)
Which parameters would the nurse evaluate to determine if a client with extensive burn injuries is receiving adequate fluid resuscitation? (Select all that apply)
What assessment should be the nurse's immediate priority before performing health education for a client receiving outpatient intravenous antibiotic therapy for endocarditis?
What assessment should be the nurse's immediate priority before performing health education for a client receiving outpatient intravenous antibiotic therapy for endocarditis?
Which of the following factors could be a possible trigger for a migraine headache? (Select all that apply)
Which of the following factors could be a possible trigger for a migraine headache? (Select all that apply)
What findings are consistent with acute glomerulonephritis? (Select all that apply)
What findings are consistent with acute glomerulonephritis? (Select all that apply)
To immediately promote oxygenation and relieve dyspnea in a client with acute pulmonary edema, which actions should the nurse perform? (Select all that apply)
To immediately promote oxygenation and relieve dyspnea in a client with acute pulmonary edema, which actions should the nurse perform? (Select all that apply)
Study Notes
Cancer Treatment
- Cancer management often combines therapies, including surgery, chemotherapy, radiation therapy, and hyperthermia.
- Electroconvulsive therapy is not a treatment for cancer; it's intended for mental health issues.
Cancer Screening in Older Clients
- Nutritional intake supports immune response and can lower cancer incidence; a healthy diet is crucial.
- Tumor cells may develop blocking factors that evade immune detection, highlighting the importance of early screening to detect cancers.
- Autoimmune disease prevalence increases with age, suggesting a correlation with cancer risk due to the body's recognition failure of abnormal cells.
Mastectomy and Axillary Node Removal
- Axillary nodes are removed during mastectomy primarily for prognostic information related to chemotherapy needs.
- This procedure does not guarantee the prevention of metastasis nor does it enhance breast reconstruction.
Risk Factors for Laryngeal Cancer
- Key risk factors for laryngeal cancer include tobacco use, exposure to industrial pollutants, older age, and alcohol consumption.
- Geographic location is not considered a specific risk factor for this type of cancer.
HIV and Client Education
- Emphasis on medication adherence is crucial for clients with HIV to ensure optimal health outcomes; other lifestyle areas are secondary.
- Achieving a disease-free state is unattainable; focus should be on managing the disease.
Functions of the Larynx
- The larynx produces sound and protects the lower airway from foreign objects.
- It also facilitates coughing but does not directly prevent infection, a function more associated with tonsils.
Burn Assessment using Rule of Nines
- The rule of nines estimates body surface area burn: the abdomen accounts for 9%, and each leg front for 9%.
- Total burns of abdomen and front of one leg equate to an 18% body surface area burn.
Adverse Effects of Foscarnet in CMV Retinitis
- Monitor for hyperphosphatemia, seizures, and hypomagnesemia as possible adverse effects of foscarnet treatment.
- Neutropenia is more commonly linked with ganciclovir, not foscarnet.
Eye Structures and Eyelid Function
- Eyelids spread tears and control the light entering the eye but do not produce tears or eliminate dust particles.
Discharge Teaching for Burn Wound Care
- Clients should wash the wound with soap and water and report any signs of increased redness or drainage to their healthcare provider.
- Physical therapy exercises are important; lubricants are not recommended for open wounds.
Classification of Disabilities
- Chronic conditions like osteoarthritis that develop over time classify as acquired disabilities.
- Developmental disabilities occur before age 22, while age-related disabilities stem from aging alone.
Factors Increasing Afterload
- Afterload can increase due to aging, aortic valve stenosis, and hypertension, which result in higher vascular resistance.
- Conditions like diabetes mellitus and mitral stenosis do not significantly influence afterload levels.
Exercise and Blood Glucose Levels
- Exercise positively influences blood glucose by promoting lean muscle mass, increasing metabolic rate, and enhancing glucose uptake.
- Exercise correlates with decreased total cholesterol levels, which is beneficial for overall health.
Local Complications of IV Therapy
- Local complications from intravenous therapy include extravasation, hematoma, phlebitis, and potential infections.
- Systemic complications are rarer but more serious and not classified as local.
Causes of Hematuria
- Possible causes of hematuria include renal stones, acute glomerulonephritis, and extreme exercise.
- Lithium toxicity and hypertension are not associated with this symptom.
Breast Cancer Risk Factors
- Risk factors for breast cancer include nulliparity, advanced age, daily alcohol use, and obesity.
- Silicone breast implants do not increase breast cancer risk.
Bronchodilator Actions
- Bronchodilators relieve bronchospasm by altering smooth muscle tone, reducing airway obstruction, and enhancing oxygen distribution in the lungs.
- Corticosteroids are typically required to reduce inflammation within the airways.### Electrical Burns and Assessment Challenges
- Significant electrical burns can lead to internal damage assessment difficulties due to deep tissue cooling, as deep tissues cool slower than surface areas.
Assessing Bruising in Potential Abuse Cases
- Direct inquiry about physical harm is essential when assessing clients for potential abuse; indirect questions may not lead to disclosure.
Acute Hemolytic Reaction Management
- Checking for low back pain, notifying the healthcare provider, and assessing mental status changes are crucial actions in suspected acute hemolytic reactions.
Post-Spinal Anesthesia Care
- Important nursing interventions include monitoring vital signs every 2 hours, turning the patient if permitted, and ensuring the patient remains in bed until sensation returns.
Health Promotion and Self-Responsibility
- For effective health promotion programs, participants must take responsibility for their health rather than just expanding their knowledge or improving self-awareness.
Post-Exposure Prophylaxis (PEP) after HIV Exposure
- Key PEP actions include completing testing at 6 months, starting medications within hours of exposure, and maintaining HIV medication for 4 weeks.
Causes of Acquired Seizures
- Acquired seizures can be triggered by various factors, including hyponatremia, cerebrovascular disease, metabolic toxicities, brain tumors, and drug/alcohol withdrawal.
Factors Affecting Therapeutic Regimen Adherence
- Cost of medications is a significant factor impacting adherence to therapeutic plans, overshadowing provider ethnicity or personality.
Risk Evaluation in Surgical Clients
- Older clients and those with diabetes have higher complication risks during surgery; smoking cessation does not mitigate certain risks associated with past substance use.
Aging and Cardiac Changes
- Aging results in significant cardiac changes such as a widening aorta, decreased elasticity, and altered left ventricular ejection time.
Recognizing Anaphylaxis Symptoms
- Peripheral tingling and breathing difficulties are key symptoms of anaphylaxis; sneezing or a feeling of fullness in the mouth may not be directly indicative.
Interpersonal Environment Assessment
- Assessing a client's health practices and language used at home provides insights into their interpersonal environment and thereby influences care strategies.
Teaching Strategies for Adolescents
- A relevant and engaging teaching approach is most effective when addressing adolescent clients.
Monitoring for Malignant Hyperthermia Symptoms
- Key symptoms include irregular heart rate, diaphoresis, cyanosis, and muscle rigidity; these indicators necessitate immediate assessment and action.
Skeletal Tongs and Pin Site Care
- Yellow drainage, pain post-medication, and redness around pin sites are clinically significant and should be promptly reported.
Endotracheal Tube Indications
- Endotracheal intubation is indicated for facilitating secretion removal, connecting to mechanical ventilation, bypassing upper airway obstructions, and supporting ventilation in trauma cases.### Facial Trauma and Nasopharyngeal Airway
- Nasopharyngeal airway is contraindicated in potential facial trauma or basal skull fracture due to risk of brain injury.
Digoxin Education for Heart Failure
- Monitoring urine output is essential to assess kidney function during digoxin therapy.
- Digoxin helps reduce episodes of shortness of breath by improving ventricular output.
- Monthly digoxin levels may be needed based on toxicity symptoms or renal function changes.
- Digoxin does not increase appetite; in fact, toxicity can lead to anorexia.
- The medication slows heart rate and AV conduction, rather than increasing blood pressure or heart rate.
Medication Non-Adherence in Coronary Artery Disease
- Ineffective health maintenance is suggested by improper antiplatelet medication use, with medications taken only during symptoms.
Allergy Management Education
- Buying wooden furniture and using pull shades help reduce exposure to allergens.
- Frequent vacuuming should ideally be daily, not weekly, to manage allergens effectively.
- Regular close contact with pets should be limited as they may introduce allergens.
Benefits of Whole Fruits over Fruit Juice for Diabetics
- Whole fruits lower glycemic index and slow absorption due to fiber, unlike fruit juices.
- Juices contain higher sugar levels compared to whole fruits.
- Whole fruits are generally more satisfying and nutrient-rich compared to juices.
Diagnostic Procedures for Intracranial Mass
- MRI, cerebral angiography, and transcranial Doppler flow studies are relevant diagnostic tests prior to surgery for an intracranial mass.
- CT scans may also be utilized to assess lesions and brain structures.
Therapeutic Effects of Bronchodilators in COPD
- Relief of dyspnea and increased respiratory rate indicate effective action of bronchodilators.
- Increased viscosity or respiratory rate could suggest worsening respiratory function.
First Aid for Snake Bites
- Initial response includes laying the patient down, removing constrictive clothing, keeping the wound warm, and immobilizing the injury below heart level.
- Cleaning and dressing the wound should follow immobilization.
Wound Care Education for Older Adults
- Direct demonstration of dressing changes enhances older adult learning, supporting independence in self-care.
Medications for Pericarditis
- Common medications include colchicine, ibuprofen, and prednisone for pain management.
- Indomethacin is contraindicated as it may decrease coronary blood flow.
Signs of Acute Irritant Contact Dermatitis
- Expect to see edema and redness; blisters are associated with allergic dermatitis, and cracked skin is a chronic symptom.
Health Insurance Portability and Accountability Act (HIPAA) Compliance
- Clients have the right to request corrections and access their medical records.
- Sharing information with family or peers without permission violates HIPAA.
Enhancing Learning for Older Adults with Chronic Conditions
- Information should be directly relevant to the client's condition to optimize learning efficacy.
Characteristics of Chronic Conditions
- Management of chronic conditions is individual-focused, and the healthcare team aims to prevent complications.
- Ethical dilemmas often arise in the care of individuals with chronic conditions.
- Effective management involves consistent adherence to treatment regimens.
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Description
This quiz focuses on identifying various therapies used to treat cancer, relevant for nursing students in NRSG 3420. It covers methods such as hyperthermia, surgery, chemotherapy, and radiation therapy. Test your knowledge on cancer treatment protocols and their applications.
