Testing and Remediation Flashcards
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Questions and Answers

Which of the following is a manifestation of borderline personality disorder?

  • Lack of empathy
  • Stable relationships
  • Unstable interpersonal relationships (correct)
  • Overly trusting
  • Which of the following sites should be included in the teaching regarding health care associated infections? (Select all that apply)

  • Urinary tract (correct)
  • Surgical wound (correct)
  • Blood stream (correct)
  • Respiratory tract (correct)
  • What finding indicates a possible anastomotic leak after gastric bypass?

    Oliguria

    In which role is the nurse functioning to enhance the quality of prenatal care?

    <p>Advocate</p> Signup and view all the answers

    What lab result should be immediately reported when a client is prescribed digoxin and furosemide?

    <p>A client with a potassium of 3.1 mEq/L</p> Signup and view all the answers

    What action is most important for providing culturally competent care?

    <p>Identify one's own beliefs and values</p> Signup and view all the answers

    What food containing complete protein should be included in teaching?

    <p>Soybeans</p> Signup and view all the answers

    What clinical finding should be reported for a client prescribed lithium?

    <p>Slurred speech</p> Signup and view all the answers

    What finding should be reported for a client with acute alcohol withdrawal?

    <p>Tachycardia</p> Signup and view all the answers

    Which medication can reduce the antihypertensive effect of captopril?

    <p>Aspirin</p> Signup and view all the answers

    What manifestations should the nurse monitor for when a TPN infusion is interrupted?

    <p>Shakiness and diaphoresis</p> Signup and view all the answers

    What statement indicates a need for further teaching about managing nausea during chemotherapy?

    <p>I should eat low carbohydrate foods.</p> Signup and view all the answers

    Which findings are associated with bacterial epiglottitis? (Select all that apply)

    <p>Drooling</p> Signup and view all the answers

    Where should the nurse palpate for tenderness in appendicitis?

    <p>McBurney's point</p> Signup and view all the answers

    What is the priority action when the umbilical cord is protruding after spontaneous rupture of membranes?

    <p>Place client in knee-chest position</p> Signup and view all the answers

    What statement by a parent indicates a need for further teaching regarding rheumatic fever?

    <p>This illness will not recur because my child has now had it</p> Signup and view all the answers

    What should the nurse tell a parent about the care of a recently circumcised newborn?

    <p>Do not attempt to remove it.</p> Signup and view all the answers

    Which image exhibits variable decelerations in fetal heart rate tracing?

    Signup and view all the answers

    What finding should be reported after a cerebrovascular accident?

    <p>Temperature 37.6º C (99.8º F)</p> Signup and view all the answers

    Study Notes

    Borderline Personality Disorder

    • Characterized by unstable interpersonal relationships.

    Health Care Associated Infections

    • Common sites include:
      • Bloodstream
      • Urinary tract
      • Surgical wound
      • Respiratory tract

    Postoperative Complications

    • Oliguria may indicate an anastomotic leak after gastric bypass surgery.

    Nursing Roles in Prenatal Care

    • Nurses act as advocates to enhance quality of care during the prenatal period.

    Critical Laboratory Findings

    • A potassium level of 3.1 mEq/L in a client taking digoxin and furosemide should be reported immediately.

    Culturally Competent Care

    • Identifying one's own beliefs and values is crucial when providing care to clients from different cultures.

    Nutrition Education

    • Soybeans are examples of foods containing complete proteins.

    Lithium Treatment Monitoring

    • Slurred speech in a client on lithium should be reported to the provider at once.

    Acute Alcohol Withdrawal Symptoms

    • Tachycardia is a significant finding that should be reported.

    Medication Interactions

    • Aspirin can reduce the antihypertensive effect of captopril in clients with hypertension.

    Monitoring TPN Clients

    • Shakiness and diaphoresis may indicate complications if TPN infusion is interrupted.

    Nausea Management for Chemotherapy

    • Client misunderstanding is indicated if they say, "I should eat low carbohydrate foods."

    Bacterial Epiglottitis Clinical Findings

    • Symptoms include:
      • Drooling
      • Stridor
      • Difficulty swallowing
      • High-grade fever

    McBurney's Point

    • Location: Lower right quadrant, halfway between the anterior iliac crest and umbilicus; tenderness suggests appendicitis.

    Labor and Prolapsed Umbilical Cord

    • Priority action after umbilical cord protrusion: Place the client in the knee-chest position.

    Rheumatic Fever Education

    • Misconception indicated if a parent states the illness won't recur after one episode.

    Ceftriaxone Dosage Calculation

    • For an infant weighing 17.6 lb, administer 0.8 mL of ceftriaxone IM.

    Post-Circumcision Care

    • Advise parents not to remove any scabs from the circumcision site.

    Electronic Fetal Heart Rate Monitoring

    • Variable decelerations can be detected by specific patterns on the fetal heart rate tracing.

    Stroke Patient Monitoring

    • A temperature of 37.6º C (99.8º F) in a stroke patient should be reported immediately.

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    Explore essential concepts related to borderline personality disorder and health care-associated infections through these advanced flashcards. Perfect for nursing students and professionals looking to solidify their knowledge and improve patient care.

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