UAP: never gave bath; hip replacement patient Correct Answer: Review and help when necessary Patient has acetamenophen poisoning, what lab values should the nurse monitor? Correct Answer: Check AST ... ALT Patient is getting agitation and behavior is escalating. What is the nurses responsibility? Correct Answer: Don't send them back to their room Allergian desensitization Correct Answer: Stay for 30minutes after test The mother of a baby is HIV positive. At what age would the physician test to look for HIV antibodies for the newborn? Correct Answer: 12-16 months Allergic Rhinitis Correct Answer: Drapes instead of curtains taken down to reduce side effects The nurse intervenes when observing the patient when self-administering albuterol? Correct Answer: Patient is not compressing the canister. Always compress the canister before inhaling Side Effects of Antipsychotics Correct Answer: Pseudoparkinsonianism Side Effects: Antipsychotic Clozapine Correct Answer: Weight gain, orthostatic hypotension, hyperglycemia Nurse notices that a patient is having an allergic reaction? What is the nurses priority response? Correct Answer: Give epi-pen Anxiety Correct Answer: Decrease environmental stress/clutter, brief orientation; Goal: establish coping, increase self esteem Autonomic dysreflexia Correct Answer: Palpate the bladder: s&s: pounding headache, profuse sweating esp on the forehead, nasal congestion. Pileric erection, HTN. Place in fowlers position and adm Hydralazine-antihypertensive and smooth muscle relaxant. Bipolar defense mechanism Correct Answer: "I am having test done today" Bursitis Pain Correct Answer: upon extension and flexion Cardioversion: Pre-Op Correct Answer: Digoxin level is the issue, should be held 48hrs pre-op A nurse is assessing a newborn whose Apgar score of 3. What is the nurses priority action? Correct Answer: Begin CPR [Show More]
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