weight gain fever Roth’s spots murmur anemia
All of the following are parts of the middle ear EXCEPT the
pinna. incus. stapes. malleus.
A nurse is assessing a 33-year-old patient who underwent a cholecystectomy 18 hours prior. The nurse notes 500 mL of greenish-brown fluid has drained from the T-tube postoperatively. The nurse should
chart these findings and reassess on the next rounding. call the physician and report the drainage. flush and irrigate the tube. chart these findings and indicate an infection is suspected.
A nurse receives an order to dilute ceftriaxone sodium powder in a vial prior to administration. The nurse should ensure the powder is fully diluted by
shaking the vial for at least 60 seconds. rolling the vial between the palms of the hands. allowing vial to sit for at least 10 minutes before administering. asking the pharmacy to dilute the mixture.
An 82-year-old woman is being admitted to a long-term care facility. Her assigned nurse completes a full assessment, including calculating the risk for skin breakdown based on the Braden Scale. To determine a Braden Scale score, the nurse evaluates all of the following EXCEPT
nutritional status. sensory perception. past history of skin breakdown. activity level.
A client taking furosemide (Lasix) comes into the clinic for routine bloodwork. Which of the following findings indicates an adverse effect of Lasix?
chloride 102 mg/dL ammonia 36 µmol/L uric acid 13.5 mg/dL ferritin 176 ng/mL
Which of the following are true statements regarding peripherally inserted central catheter (PICC) lines?
requires sterile technique during insertion can be inserted by any LPN or RN lower risk of infection compared to other central lines increased risk of pneumothorax can be inserted at the patient bedside
A 32-year-old woman comes into the clinic for a well-woman exam and asks for information on an intrauterine device (IUD) for contraception. The nurse should explain that all of the following are potential risks EXCEPT
stroke. pelvic infections. abnormal menstrual bleeding. ectopic pregnancy.
Place the steps for an abdominal assessment in the correct order.
__ auscultation __ palpation __ inspection __ percussion
A patient is rushed to the emergency room after being found unconscious at home. His blood pressure is 70/35. The nurse anticipates an order for what medication?
atropine sulfate (Atropine) amiodarone (Cordarone) magnesium sulfate adenosine (Adenoscan)