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lasting, no peak rhogam correct ans - given @ 28 weeks & 72 hours post delivery when mom is negative & baby positive indication of baby dehydration improving correct ans - smooth fontannel pt w/orthostatic hypotensioncorrect ans - put near nursing station cleaning a wound correct ans - clean to dirty use bulb syringe peripheral arterial disease correct ans - cramp in leg while walking intermitment claudication seizure precautions correct ans - supine position 20 weeks gestation, having urinary frequency correct ans - u/a & c/s report to new nurse @ shift change correct ans - pt @ xray s/s of hemolytic blood transfusion correct ans - flank pain ER rape victim priority correct ans - acess anxiety nutrition correct ans - carbs 45%, protein 10-15% latex allergy correct ans - tape up cords first ingredient on a food label correct ans - most content thoracentesis, & painful w/breathing correct ans - put pt on UNAFFECTED side for 1 hour or longer pt w/IV sedation correct ans - check LOC if not responsive help older brother get used to baby correct ans - get a gift for big brother early decelerations correct ans - head compressions methergine contraindication correct ans - HTN delegate to APcorrect ans - I & O HF monitoring correct ans - weights location for peripheral line correct ans - radial prioritizing care for multiple pt's correct ans - low flank pain ativancorrect ans - for seizures med for diabetes insipidus correct ans - desmopressin radiation tatoo correct ans - use mild soap & water uric acid stones correct ans - eat low fat yogurt antigout med decreases uric acid level correct ans - allopurinol non-pharm relation technique for pain management in labor correct ans - hypnosis psychotic disorder assessment finding correct ans - flat affect newborn withdrawal from heroin (opioids) correct ans - hypertonicity mitral valve location correct ans - 5th intercostal amniocentesis correct ans - go pee before procedure total gastrectomy correct ans - lack b 12 takes 30-60 meal to eat a meal stoma color correct ans - pink or red is normal MAOI's diet correct ans - no pepperoni, no tyramine, COTTAGE CHEESE OKJ give iron w/? correct ans - OJ statins contraindication correct ans - Grapefruit juice Haldol correct ans - lip smacking mag sulfate correct ans - decreased urine output decreased respirations decreased pulmonary edema antidote for mag sulfate correct ans - calcium gluconate clozaril interventions correct ans - monitor WBC valproic acid correct ans - liver function thyroid med effectiveness correct ans - weight loss diuretics correct ans - don't skip doses DIG adverse effects correct ans - N/V & HA prednisone correct ans - take with milk hemo/peritoneal dialysis pt teaching correct ans - medical asepsis cranial nerve 11 correct ans - shoulder peripheral catheter insertion correct ans - advance catheter when you see flash back of blood return dispose of insulin needles @ home correct ans - in coffee container confirmation of ng placement correct ans - x ray swallowing difficulty referral correct ans - speech therapy acarbose correct ans - skip a meal, skip dose, give w/1st bite of food sprains & strains correct ans - RICE pt DNR-CC & family asking questions related to. therapeutic communication: THERAPEUTIC RESPONSE correct ans - What did the dr tell you? delegating to AP about skeletal traction: NEEDS MORE TEACHING correct ans - AP places weight on bed daughter feeling guilty about admitting parent into long-term facility: THERAPEUTIC RESPONSE correct ans - rephrase what daughter is feeling how good nurse plans her day correct ans - rechecks her priorities half way through her shift good nurse sets these when she works correct ans - GOALS pt gets bad dx, & asks you not to tell her spouse:YOUR RESPONSE correct ans - you have a right to privacy delegate to APcorrect ans - CPR baby in contact precautions in a private room, what would you do to save hospital $? correct ans - bring formula prn how does a nurse properly manage her time mid-shift? correct ans - reevaluates goals which psych pt would you see first? correct ans - hallucinations dementia pt @ ER, w/marks on coccyx & wrist, suspected abuse. what do you do? correct ans - ask pt. INTERVIEW HIM psych pt yelling in front of group. very agitated, what do you do? correct ans - isolate pt charge nurse scheduling resolution between nurses correct ans - nurse listens to both sides respite care correct ans - gives family a break pt in seclusion documentation correct ans - what happened prior to seclusion that caused for seclusion parkinson's : pt teaching correct ans - nutrition- thicken liquids pt receiving radiation, what should you wear? correct ans - lead apron pt suffering from hyperthermia correct ans - seizure precautions Download to view full exam
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