Questions and Answers
Which of the following is a manifestation of borderline personality disorder?
Which of the following sites should be included in the teaching regarding health care associated infections? (Select all that apply)
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?
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What lab result should be immediately reported when a client is prescribed digoxin and furosemide?
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What action is most important for providing culturally competent care?
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What food containing complete protein should be included in teaching?
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What clinical finding should be reported for a client prescribed lithium?
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What finding should be reported for a client with acute alcohol withdrawal?
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Which medication can reduce the antihypertensive effect of captopril?
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What manifestations should the nurse monitor for when a TPN infusion is interrupted?
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What statement indicates a need for further teaching about managing nausea during chemotherapy?
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Which findings are associated with bacterial epiglottitis? (Select all that apply)
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Where should the nurse palpate for tenderness in appendicitis?
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What is the priority action when the umbilical cord is protruding after spontaneous rupture of membranes?
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What statement by a parent indicates a need for further teaching regarding rheumatic fever?
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What should the nurse tell a parent about the care of a recently circumcised newborn?
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Which image exhibits variable decelerations in fetal heart rate tracing?
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What finding should be reported after a cerebrovascular accident?
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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.
