Podcast
Questions and Answers
For a hypotensive and septic client, the first step in treatment is to initiate ______.
For a hypotensive and septic client, the first step in treatment is to initiate ______.
fluids
Before administering antibiotics, it is essential to take ______ cultures.
Before administering antibiotics, it is essential to take ______ cultures.
blood
To assess a client for intracranial pressure after treatment, a ______ CT scan is performed once blood pressure is stable.
To assess a client for intracranial pressure after treatment, a ______ CT scan is performed once blood pressure is stable.
head
The West Nile Virus is primarily transmitted through an infected ______ bite.
The West Nile Virus is primarily transmitted through an infected ______ bite.
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Ringworm is a superficial fungal infection that often affects the scalp or ______.
Ringworm is a superficial fungal infection that often affects the scalp or ______.
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For urine testing, a clear catch or midstream urine sample is collected for urinalysis or urine ______.
For urine testing, a clear catch or midstream urine sample is collected for urinalysis or urine ______.
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All urine must be collected over a 24-hour period for a ______ clearance test.
All urine must be collected over a 24-hour period for a ______ clearance test.
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Preventive measures against West Nile Virus include wearing long ______ and avoiding outdoor activities at dusk.
Preventive measures against West Nile Virus include wearing long ______ and avoiding outdoor activities at dusk.
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The primary cause of bladder cancer is cigarette ______ or other tobacco use.
The primary cause of bladder cancer is cigarette ______ or other tobacco use.
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Transmitted through inhaling airborne droplets, influenza requires wearing a ______ if contact with an infected person is unavoidable.
Transmitted through inhaling airborne droplets, influenza requires wearing a ______ if contact with an infected person is unavoidable.
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Low-grade fever, night sweats, and anorexia are common ______ of tuberculosis (TB).
Low-grade fever, night sweats, and anorexia are common ______ of tuberculosis (TB).
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In TB, ______ precautions and wearing high-efficacy particulate masks are necessary for prevention.
In TB, ______ precautions and wearing high-efficacy particulate masks are necessary for prevention.
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Direct contact is also a method of transmission for ______, along with airborne droplets.
Direct contact is also a method of transmission for ______, along with airborne droplets.
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Other risk factors for bladder cancer include a high fat diet and artificial ______.
Other risk factors for bladder cancer include a high fat diet and artificial ______.
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Classic signs of TB can be absent in immunocompromised clients and the ______.
Classic signs of TB can be absent in immunocompromised clients and the ______.
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Night sweats and ______ loss are key constitutional symptoms found in individuals with TB.
Night sweats and ______ loss are key constitutional symptoms found in individuals with TB.
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Live vaccines such as varicella and MMR should be delayed for ______ months after IVIG administration.
Live vaccines such as varicella and MMR should be delayed for ______ months after IVIG administration.
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______ is not a live vaccine, and its final dose is recommended between ages 12-15 months.
______ is not a live vaccine, and its final dose is recommended between ages 12-15 months.
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The third dose of Hep B should be given between ages ______ months.
The third dose of Hep B should be given between ages ______ months.
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To assess heart and lung sounds efficiently, it is best to ______ first during an infant assessment.
To assess heart and lung sounds efficiently, it is best to ______ first during an infant assessment.
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Pain and inflammation in joints caused by uric acid deposits is known as ______.
Pain and inflammation in joints caused by uric acid deposits is known as ______.
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Allopurinol helps to prevent uric acid deposits and the formation of uric acid ______ stones.
Allopurinol helps to prevent uric acid deposits and the formation of uric acid ______ stones.
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It is important to take Allopurinol with a full glass of ______ to help prevent renal stone formation.
It is important to take Allopurinol with a full glass of ______ to help prevent renal stone formation.
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Anti-gout medications are excreted via the ______, requiring assessment of its function.
Anti-gout medications are excreted via the ______, requiring assessment of its function.
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Study Notes
UWORLD REVIEW-TB and Airborne Precautions
- Use a surgical mask, not an N95, for clients
- This protects healthcare workers and clients from respiratory secretions
- Healthcare workers transporting clients from negative pressure rooms to other locations need an N95 mask to protect themselves
Cirrhosis of the Liver
- Lab results will show elevated ammonia, bilirubin, and prothrombin time
- Elevated bilirubin (jaundice) is due to the liver's decreased ability to conjugate and excrete bilirubin
- Most coagulation factors are produced in the liver. A cirrhotic liver cannot produce these factors, resulting in elevated PT, aPTT, and INR levels
Total Knee Replacement
- Recent/current infection is a contraindication to total knee replacement surgery
- Wound infection is more likely in clients with pre-existing infections
- Investigate burning on urination as it may indicate a UTI
- Stop NSAIDs (including selective COX-2 inhibitors) 7 days prior to surgery to decrease the risk of intra/post-op bleeding
Transfusion Reaction
- Stop transfusion immediately
- Maintain an IV line with normal saline
- Monitor vital signs
- Notify healthcare provider and blood bank
- Recheck client's blood type and tags
- Return bag to blood bank for further testing
- Collect blood and urine samples to evaluate hemolysis
- Complete facility paperwork
Chronic Kidney Disease with Large Pleural Effusion
- Decreased fremitus
- Diminished lung sounds
- A pleural effusion is an abnormal collection of fluid (>15-20 ml) in the pleural space, preventing full lung expansion
- Results in decreased lung volume, atelectasis, and ineffective gas exchange
- Other symptoms: dyspnea, nonproductive cough, diminished breath sounds, dullness to percussion, decreased tactile fremitus, and trachea deviation to the opposite side in large effusions
- Sounds travel faster in solids (consolidation) than in an aerated lung, resulting in increased fremitus in pneumonia
- Fluid or air outside of the lung interrupts sound transmission, leading to decreased fremitus in pleural effusion and pneumothorax
Cancer
- Unintentional weight loss of >10% of usual weight (in nonobese clients) requires evaluation and could indicate underlying cancer. Anorexia, and altered taste sensations are also clinical features of cancer and contribute to weight loss.
- Clients with cancer should be evaluated using the CAUTION acronym: Change in bowel or bladder habits A sore throat that does not heal Unusual bleeding or discharge from body orifice Undetectable thickening or lump Undetectable change in a wart or mole Undetectable nagging cough or hoarseness Change in appearance of a mole or breast tissue
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Description
This quiz covers essential nursing principles related to the treatment of hypotensive and septic patients, as well as key knowledge about infections such as West Nile Virus and influenza. It tests understanding of diagnostic procedures, preventive measures, and common health conditions. Prepare to demonstrate your expertise in patient care and infectious disease management.
