COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/, Exams of Nursing

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COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ Delegation to Assistive Personal - CORRECT ANSWERS - ADLs - Bathing - Grooming - Dressing - Tioleting - Ambulating - Feeding (without swallowing precautions) - Positioning - Rountine Tasks - Bed making - Specimen collection - I&O - Vital Signs ( for stable clients ) Planning Care for a Client Who Has Hypothyroidism - CORRECT ANSWERS - Monitor for low Bp & bradycardia - Monitor for chest pain & peripheral edema - Monitor clients weight - reorient the client if confusion occurs - provide frequent rest periods to avoid fatigue & decrease myocardial oxygen demands - Monitor respiratory status COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - encourage client to cough and breathe deeply to prevent pulmonary complications - low calorie, high fiber diet , & encourage fluids to prevent constipation and promote weight loss - Administer cathartics and stool softeners as needed. (Avoid fiber laxatives, interfere with absorption of levothyroxine) - Provide extra clothing and blankets for clients who have decreased cold intolerance - caution use of electric blankets - Encourage verbalization of feelings and fears about body changes - Reassure client that most physical manifestations are reversible - use caution with CNS depressants (barbiturates or sedatives) Signs of hypothyroidism - CORRECT ANSWERS - Fatigue/ lethargy - irritability - intolerance to cold - constipation - weight gain - pallor - think brittle fingernails - depression & apathy - joint or muscle pain COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - bloodshot appearance of eyes - Goiter - Tachycardia, palpitations, dysthymia - Elevated blood pressure - dyspnea Nursing care for hyperthyroidism - CORRECT ANSWERS - minimize clients energy - promote calm environment - monitor mental status - monitor nutritional status - monitor I&O / weight - provide eye protection (patches, eye lubricant, tape to close eyelids) - monitor vital signs and hemodynamic parameters - reduce room temp - provide cool shower/ sponge bath - Report a increased temp of 1*F immediately - Avoid excessive palpation of the thyroid Medication for hyperthyroidism - CORRECT ANSWERS - Methimazole COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ Reinforcing Teaching About Ostomy Care - CORRECT ANSWERS stoma should be moist , shinny, and pink. The peristomal area should be intact - use mild soap and water to cleanse the skin, then dry it gently and completely ( moisturizing soaps interfere with adherence of the pouch) - Apply paste if necessary - measure and mark the desired size for the skin barrier - cut the opening 0.15 cm to 0.3 cm ( 1/18 to 1/8) in larger, allowing the stoma to appear through the opening - apply barrier paste to creases Developing a Improvement Plan for Assistive Personnel - CORRECT ANSWERS - performance should reflect the staff member's job and description - various sources of data should be collected - data should be collected over time and not just represent isolated incidents - actual observed behavior should be documented - peers can be a valuable source of data - the employee should be given the opportunity to provide input - the unit manager to host a private meeting with the staff member Monitoring the Performance of Assistive Personnel - CORRECT ANSWERS - have ap demonstrate the tasks before doing it COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ Reinforcing Teaching About Client Privacy - CORRECT ANSWERS - only health care team members directly responsible for a clients care can access that client record. Nurses cannot share info with other clients or staff not caring for the client - Client have the right to read and obtain a copy of their medical record - Nurses cannot photocopy any part of a medical record - staff must keep medical records in a secure area. - staff cannot use public display boards toots clients names and diagnostics - Electronic records are at password protected - Nurses must not disclose clients info to unauthorized individuals or family members who request it by telephone or email unless person is able to give the code - communication regarding clients status should take place in private areas Obtaining Telephone Prescriptions - CORRECT ANSWERS - have a second nurse listen - repeat it back, making sure to include the medication's name ( spell it out) , dosage, time, and route - Question any prescription that seems inappropriate for the client - Make sure the provider signs the prescription in person within a 24hr time frame Evaluating Client Understanding of Nitroglycerin Storage - CORRECT ANSWERS - store tablets in original bottles COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - widen your base of support - face the direction of movement when moving the client. - if pushing, move your front foot forward and, if pulling, move your rear leg back to promote stability - avoid bending your back or twisting your spine - have another staff member help Decreasing Electrical Hazards - CORRECT ANSWERS - place electric cords against wall behind furniture - unplug equipment before cleaning it - grasp plugs at plug in when removing out the wall - avoid using extension cords Caring for a child who has Neutropenia - CORRECT ANSWERS - Monitor for signs of infection - use pharmacological and non-pharmacological around the clock interventions - avoiding public places, including schools - avoiding sick people - wearing a face mask if they must go out - washing hands well and often - brushing and flossing teeth every day - not using a rectal thermometer COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - cleaning cuts right after injury, then covering with a bandage - not using razors - avoiding certain foods, including: - unpasteurized dairy foods - raw fruits, vegetables, and nuts - do not give live vaccines - do not give fresh flowers Performing an Abdominal Exam - CORRECT ANSWERS - exam includes observing the shape of abdomen, palpating for masses, and auscultation for vascular masses - have client urinate before exam - have client lie supine with knees slightly bent - note any guarding or splinting of the abdomen - listen and inspect all 4 quadrants - inspect the umbilicus for position, shape, color, inflammation, discharge, and masses - palpate tender areas last - gurgles and tympany are expected sounds Reinforcing Teaching About Newborn Bathing - CORRECT ANSWERS - Bathing can began once newborn's temperature has stabilized to at least 36.5 *C (97.7*F) COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - a compete sponge bath should be postponed until thermoregulation occurs stabilizes - gloves should be worn until the newborn's first bath to avoid exposure to body secretions - avoid full bathing baby until cord falls off Reportable Findings for a 6 month old - CORRECT ANSWERS - average weight of a 6 month old is 16 pounds - head circumference increases 1cm(0.4 inches) per month - infant should be able to roll from back to front and hold their bottle - posterior fontanel closes 6-8 weeks - heart rate should be between 100-160 bpm - blood pressure should be: systolic 75-100 Diastolic 50-70 Postpartum Adjustments - CORRECT ANSWERS - allow verbalization of feelings - check emotional status - observe bonding with infant - Monitor for manifestations of postpartum blues or depression ( decreased appetite, difficulty sleeping, decreased interactions with others, lack of communication) COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - smoker - over the age of 35 Preventing Dental Caries - CORRECT ANSWERS - established dental provider by 1 year of age - flossing and brushing should be done to remove plaque - brushing should occur after meals and at bedtime - nothing to eat or drink except water after teeth have been brushed - avoid putting kids to sleep with a bottle filled with juice or milk - consumption of cariogenic foods should be eliminated Clients at greatest risk for suicide - CORRECT ANSWERS - untreated depression - loss of employment/ finances - feelings of isolation/ powerlessness - prior attempts of suicide - change in functional ability - alcohol or substance use disorder - loss or loved ones - family history - Chronic illness or physical disorders - history of trauma /abuse COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - white race Identifying Potential Maltreatment - CORRECT ANSWERS - physical evidence - vague explanation of injury - other injuries discovered that are not related to the original client concern - delay in seeking care - inconsistencies between the caregiver report and the child injures - inconsistency between the nature of the history and the developmental level of the child - repeated injuries requiring emergency treatment - inappropriate response from the parents of child Identifying Risk Factors for Child Maltreatment - CORRECT ANSWERS - younger parents - having a partner unrelated to the child - child 1 year old or younger - infants and children who are unwanted or hyperactive - mental disabilities - premature COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ Treatment for Adverse Effects of Hydromorphone - CORRECT ANSWERS - Stop medication if respiratory rate is less than 12/min and notify provider - have naloxone and resuscitation equipment available - increase fluid & fiber intake - increase physical activity - administer bisacodyl to counteract decreased bowel mobility - administer docusate sodium to prevent constipation - lie down if lightheaded or dizziness occurs - change positions slowly - cough at regular intervals to prevent accumulation of secretions in the airway Identifying Complicated Grief - CORRECT ANSWERS - difficult progression through expected stages of grief - work of grief is prolonged - manifestations are more severe and can result in depression or exacerbate a preexisting disorder - suicidal ideation, intense feeling of guilt, and lowered self esteem - somatic complaints persist for an extended period of time Identifying Defense Mechanisms - CORRECT ANSWERS Projection: Attributing one's unacceptable feelings or desires to someone else. COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - when the earring aid is not in use for an extended period of time, turn it off and remove the battery to conserve battery power and avoid corrosion of the ear - keep replacement batteries on hand Providing Ear Irrigation - CORRECT ANSWERS - ear irrigation is used to remove buildup ear wax - Sit upright with a towel on the shoulder to capture water that drains from the ear. Some people may also place a basin underneath the ear to catch the water. - Gently pull the ear upward and backward to allow the water to enter the ear more easily. Place the syringe in the ear, inserting it up and toward the back of the ear. This position will help the earwax separate from the ear and drain out of it. - Gently press on the syringe to allow water to enter the ear. If a person feels pain or pressure, they should stop irrigating. - Dry the ear using a towel or by inserting a few drops of rubbing alcohol into the ear. Teaching About Range of Motion Exericses - CORRECT ANSWERS - Hourly while awake Patient should perform * Ankle pump: point the toes toward the head and then away from the head * Foot circles: Rotate the feet in circles at the ankles * Knee Flexion: Flex and extend the legs and the knees COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ Buck's Traction - CORRECT ANSWERS - traction use pulling force to promote and maintain alignment of the injuries area - Neuro checks should be performed every hour for the first 24hr then every 4hr after that - maintain body alignment and realign client if the clients seems uncomfortable or reports pain - avoid lifting or removing weights - ensure that weights hang freely and are not resting on the floor - if weight accidentally becomes displaced replace the weights - ensure that pulley ropes are free of knots, fraying, loosening, and improper positioning at least every 8 to 12 hours - notify the provider if the client experiences severe pain from muscle spasms unrelieved with medications or repositioning Reinforcing Teaching about Effleurage - CORRECT ANSWERS Light, gentle circular stroking of the clients abdomen with the fingertips in rhythm with breathing during contractions Evaluating Client Understanding about Sleep Promotion - CORRECT ANSWERS - exercise regularly at least 2hrs before bedtime - establish a bedtime routine and regular sleep pattern - arrange the sleep environment for comfort COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - limit alcohol, caffeine, and nicotine at least 4hr before bedtime - limit fluids 2 to 4 hr before bedtime Caring for a Client with Dysphagia - CORRECT ANSWERS - monitor clients during means and have suction equipment immediately available - thicken fluids - tuck their chin when swallowing. Arching the tongue in the back of the throat can help close off trachea Diet for cholecystitis - CORRECT ANSWERS - low fat diet - reduce dairy products - avoid gas forming foods - avoid chocolate, nuts, gravies, and fried foods Caring for a client with diarrhea - CORRECT ANSWERS - provide patient with clear liquids every 2hrs while asleep - keep track of number of bowel movements - monitor for dehydration - give fluid replacement through IV if needed Medications for postpartum hemorrhage - CORRECT ANSWERS - Oxytocin (monitor vital signs) COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ Discharge teaching for Vein Stripping - CORRECT ANSWERS - maintain elastic bandages on the leg - monitor groin and leg for bleeding through elastic bandages - monitor extremity for edema, warmth, color, and pulses - evaluate the legs about the level of the heart rate Increased Intracranial pressure signs - CORRECT ANSWERS - Headache - Blurred vision - Confusion - hypertension - Shallow breathing - Vomiting - Changes in your behavior - Weakness or problems with moving or talking - Lack of energy or sleepiness Locating Dorsalis Pedis Pulse - CORRECT ANSWERS Applying Sequential Compression Devices - CORRECT ANSWERS - access skin and circulating prior to application - measure around the largest part of the thigh to determine the stocking size COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - apply the sleeves to each leg - position the opening at the clients knees - attach the sleeves to the inflactor - turn on the device - remove every 8hr for assessment of calves Findings of IV Infiltration - CORRECT ANSWERS - pallor - local swelling at the site - decreased skin temperature around the site - damp dressing - slower rate of infusion Catheterization for Residual Urine - CORRECT ANSWERS - urine can be measured by draining the bladder with a thin flexible tube (catheter) or by using ultrasound. - The catheter method has a slight risk of causing infection or injury to the tube leading from the bladder (urethra). - pee right before the test. - Then they'll give you medicine to numb the area. They'll slide the catheter through your urethra, take out the urine in your bladder, and measure how much was taken out. There are a few things to think about with the catheter method: COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ It may feel uncomfortable. It might make you more likely to get an infection. Providing Tracheostomy Care - CORRECT ANSWERS - keep tracheostomy kit at bed side - have suction equipment immediately available - provide adequate humification and hydration to thin secretions - give oral care every 2hrs - suction only as needed - use Cotton tip applicators and gauze pads to clean exposed outer cannula surfaces. Clean in a circular motion from the stoma site outward - use surgical asepsis to remove and clean the inner cannula - replace tracheostomy ties if they are wet or soiled Adverse effects of Cyclosporine - CORRECT ANSWERS - Nephrotoxicity - Hepatotoxicity (Jaundice) - Hirsutism (excessive hair growth) - gingival hyperplasia signs of hypoglycemia - CORRECT ANSWERS - sweating COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - wound infections - skin infections - eye infections. - contact with contaminated objects - rubella Newborn safety - CORRECT ANSWERS - place newborns on their back when sleeping - never lay newborns on pillows or soft blankets - the space between the mattress and side of the crib should be less than 2 fingerbreadths - the slats on the crib should be no more than 5.7 cm (2.25 inches) apart - newborn playpen should be away from windows and drapers cord Applying Restrains - CORRECT ANSWERS - explain the need for restraints to the client and family - ask the client guardian to sign a consent form - asses skin every 2hr - offer fluids and food - provide a means for hygiene and elimination - monitor vital signs - offer range of motion exercises of extremities COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - pad bony prominences - secure restricts to the moveable part of the bed frame - make restraints loose enough for 2 fingers to fit between - regularly determine the need to continue using restraint Precautions for Vancomycin Resistant Enterococcus - CORRECT ANSWERS Standard/ Contact Precautions Responding to Escalating Aggression - CORRECT ANSWERS - remaining calm and in control - setting limits for the client - approach with a nonaggression stance - discuss ways to keep aggression under control - encourage the client to talk about the incident and what triggered it - document the entire incident Intervenes for Edema - CORRECT ANSWERS - rest with legs and hips elevated - avoid constricting clothing - wear support hose - avoid sitting or standing in one position for a extended amount of time - no sitting with legs crossed at the knees COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - sleep in a left lateral position Performing a Heel stick for Glucose Monitoring - CORRECT ANSWERS - administer oral sucrose and offer a pacifier for pain management - warm the newborns heels first to increase circulation - allow for skin to dry after cleaning antiseptic wipe - a spring activated lancer is used so that the skin incision is made quickly and painlessly - the outer aspect of the heel should be used, and the lancet should go no deeper 2.4 mm - apply pressure with dry gauze Plan of Care for a client with new lleostomy - CORRECT ANSWERS - the stoma should appear pink and moist - apply skin barriers and creams and allow to dry before applying a new appliance - output should be more liquid - employ the bag when it is 1/4 to 1/2 full - check for fluid and electrolyte imbalance - provide opportunities for the client to discuss feelings about the ostomy and any concerns - inform about ostomy support groups COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - Sign all documentation with name and title - No personal opinions or criticism Controlling the spread of infections - CORRECT ANSWERS - perform hand hygiene frequently - use PPE as indicated - do not place items on the floor of clients room - do not shake linens - clean least soiled area first - place most items in plastic bags - educate the client and caregivers Infections Disease that require Reporting - CORRECT ANSWERS - HIV/AIDS - Hep A , B , C , D - herpes - cystomegalovirus - chlamydia - syphilis - gonorrhea Oxygen Safety in Home - CORRECT ANSWERS - place a no smoking sign up COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - keep flammable items away from oxygen (heating oil and nail polish remover) - ensure that electrical equipment is good repair and well grounded - replace bedding that can generate static electricity (wool, nylon, synthetics) - having a fire extinguisher readily available and an established exit route if a fire occurs Discomforts During 1st Trimester - CORRECT ANSWERS - nausea and vomiting - breast tenderness - urinary frequency - fatigue Immunizations for Infants - CORRECT ANSWERS - Hep B : birth, 1 , & 6 months - RV : 2 & 4 months - DTaP : 2,4,6 months - Hib : 2 & 4 months - PCV : 2,4,6 months - IPV: 2,4,6 months COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ Client teaching for eating disorders - CORRECT ANSWERS - contribute to the development and implementation of a client maintenance plan related to weight management - encourage follow up treating in an outpatient setting - encourage client participation in a support group - encourage the client to continue individual and family therapy as indicated Findings to report - CORRECT ANSWERS - any suspected abuse - communicable diseases Expected Findings in a client experiencing Mania - CORRECT ANSWERS - liable mood with euphoria - agitation & irritability - restlessness - increasing in talking and activity - grandiose - flight of ideas - insomnia - neglect of ADLS - flat , blunted affect - difficulty concentrating COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - avoids touching the body but might touch the head and stand nearby praying - use cremation Hinduism Culture - CORRECT ANSWERS - illness can be a cause of present sins - decisions are made by the community, especially senior family - females defer to spouse or family to make decisions - decline porcine- deprived medications - vegetarian diet Death Wishes: - want to lie on the floor while dying - want body placed on the floor flowing death with the head facing north - prepare for death with prayer and medications - care of the body should be by those of the same gender - cremation is used as a way to purify the body Judaism Belief - CORRECT ANSWERS - refuse treatment on the Sabbath - feel obligated to visit the ill - euthanasia is not permitted - life support measure are discouraged - Kosher Diet (no meat & dairy together , no pork ) COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - someone stays with the body after death - burial occurs within 24hr - cremation is not permitted Providing Denture Care - CORRECT ANSWERS - Remove dentures with a gloved hand, pulling down and out at the front of the upper denture, and lifting up and out at the front of the lower denture - Place the dentures in a denture cup, emesis basin, or on a washcloth in the sink - Brush in a horizontal back and forth motion with a soft brush and denture cleaner - Rinse dentures in tepid water - Store the dentures in a denture cup. Label the cup with the clients names - Place the dentures in the cup with water to keep them moist, or to help the clients reinsert the dentures Vitamin K Administration - CORRECT ANSWERS - administer to be prevent hemorrhagic disorders - administer 0.5 to 1 mg intramuscularly into the vastus lateralis within 1 hr after birth Expected Findings After Administration of Oxytocin - CORRECT ANSWERS - improve the quality of the uterine contractions - a fast, slow, or uneven heart rate; COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - uterine cramping - excessive bleeding long after childbirth; severe headache, blurred vision, pounding in your neck or ears; - confusion, severe weakness, feeling unsteady. Vital signs for a newborn - CORRECT ANSWERS -Temperature: 97.7-99.5 -Pulse: 110-160 bpm -Respirations: 30-60 - bp systolic 60 to 80 mm Hg Diastolic 40 to 50 mm Hg Teaching for Ciprofloxacin - CORRECT ANSWERS - take with food - observe and report pain, swelling, and redness at the Achilles tendon site - if Achilles tendon happen stop taking and avoid from exercise until the inflammation subsides - observe and report any signs of yeast infection - avoid sun exposure and wear protective clothing outdoors in sunlight - stop taking medication if phototoxicity occurs Priority Action When Mixing Insulins - CORRECT ANSWERS - When mixing short acting insulin with longer acting insulin, draw the short acting insulin into the syringe first COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ Postoperative care following a Total Knee Arthoplasty - CORRECT ANSWERS - use a continuous passive motion machine to promote circulation and prevent scar tissue - avoid position in the bed in a way that the knees are flexed or placing pillows behind the knee - place one pillow under the lower calf and foot to cause a slight extension of the knee joint and to prevent flexible contractures. The knee can also rest flat on the bed - to prevent pressure ulcers from developing on the heels place a small blanket or pillow slightly above the ankle area to keep heels off the bed - provide medications to promote comfort and participation in early ambulation - apply ice or cold therapy to the incisional area to reduce post op swelling - Monitor frequently for bleeding and manifestations of hypovolemia (hypotension, tachycardia) - Monitor the compression bandage and wound suction wall for excessive drainage - Monitor neurovascular status every 2 to 4 hours - Monitor the auto transfusion drainage system Teaching for a Client with Hyperemesis Gravidarum - CORRECT ANSWERS - advance diet to clear liquid and bland foods once the vomiting has stopped COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - Advance the clients diet as tolerated with frequent small meals, start with toast, dry toast, crackers, or cereal: then move to a soft diet; and finally to a normal diet as tolerated - in severe cases, enteral nutrition per feeding tube or total parental nutrition can be considered Manifestations of Hypokalemia - CORRECT ANSWERS - weak irregular pulse - hypotension - orthostatic hypotension - respiratory distress - muscle weakness or cramping - decreased muscle tone - confusion - hypoactive reflexes - bradycardia - hypoactive bowel sounds - abdominal distention - constipation - ileus - nausea & vomiting - anorexia - anxiety & lethargy COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ Actions to take for a Wound Evisceration - CORRECT ANSWERS - Call for help - stay with the client - cover the wound with a sterile towel or dressing that is moistened with sterile saline - place patient supine with hips and knees bent - monitor for shock - notify the provider immediately - do not attempt to reinsert the organs BUN - CORRECT ANSWERS 10-20 mg/dL WBC count - CORRECT ANSWERS 5,000-10,000/mm3 Platelet - CORRECT ANSWERS 150,000-400,000/mm3 aPTT range - CORRECT ANSWERS 30-40 seconds PT range - CORRECT ANSWERS 11-12.5 seconds COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ - ensure that the clients hands are always visible, even when sleeping - Do not assign the clients to a private room. Keep door open at all times - Ensure that the client swallows all medications - identify where the clients current medications can be lethal with overdose, if so, collaborate with the provider to have less dangerous medications substituted if possible - restrict visitors from bringing possibly harmful items to the client Priority action for a client who is experiencing respiratory distress - CORRECT ANSWERS Maintain clear airway Identifying Xanthelamsa - CORRECT ANSWERS Monitoring for pitting edema - CORRECT ANSWERS - assess the swelling for discoloration, location, and tenderness - in the extremities, measure the circumferences of the swollen body and compare both sides - evaluate pitting by compressing the skin at least 5 seconds over bony prominence (behind the medial malleolus, the dorsum of foot, or over the shin) and then assess - the depth of pitting reflects the degree of the edema Scoring System COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ 1+ = Trace, 2 mm, rapid skin response 2+ = Mild, 4 mm, 10 to 15 second response 3+ = Moderate, 6 mm, prolonged skin response 4+ = Severe, 8mm, prolonged skin response Dietary recommendations for a client who has alcohol use disorder - CORRECT ANSWERS - Fruits and vegetables - whole grains - carbohydrates - foods containing vitamin B (eggs, salmon, beef, oysters, lettuce, broccoli, asparagus, papayas , & cantaloupe) - proteins low in fat - cayenne pepper Avoiding False- positive fecal occult blood test results - CORRECT ANSWERS - Red meat - citrus fruit - raw vegetables Can cause false positive results & some medications COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ Adverse Reactions of Electroconvulsive Therapy - CORRECT ANSWERS - memory loss & confusion - reactions to anesthesia - cardiovascular changes - relapse of depression Comfort Measures for lower back pain during pregnancy - CORRECT ANSWERS - exercise regularly - perform pelvic tilt exercises (alternately arching and straightening the back) - use proper mechanics by using the legs to lift rather than the back - use the side lying position Client Teaching About Phenytoin - CORRECT ANSWERS - can cause oral gum overgrowth - have rountine oral hygiene and dental visits can minimize this adverse effect - avoidance of oral contraceptives, it decreases their effectiveness - do not give warfarin - can decrease absorption and increased metabolism of oral anticoagulants Administering Otic Drops - CORRECT ANSWERS - Place the child in a prone or supine position with the affected ear upward - Children younger than 3 years: pull the pinna downward and straight back COMPREHENSIVE PREDICTOR RETAKE REVIEW EXAM 151QUESTIONS AND ANSWERS WITH 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+