week one exam Flashcards


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1

A short-term pain that comes on suddenly generally lasts for fewer than six months and goes away once the underlying
cause is treated is called
____ pain.

- Acute

2

Specialized hospital rooms designed to prevent the spread of airborne infections or diseases, where air flows into the room when the door is opened rather than out
of the room, are called ___ pressure rooms.

negative

3

Which is a known adverse effect of morphine sulfate?

Respiratory depression

4

An assistive personal staff member reports that a Client has the following vital signs. Which vital sign should the nurse check again?
Temperature 100 °F, pulse 90 beats per minute, respiratory rate 19 breaths per minute, and blood pressure 86 over 56 millimeters of mercury (mmHg).

blood pressure

5

Fill in the blank: In healthcare settings, the infection control measures taken to prevent the direct or indirect transmission of infectious agents between a patient and their environment, which are commonly used for patients with Methicillin-resistant
Staphylococcus aureus (M.R.S.A.), Vancomycin-resistant Enterococci (V.R.E.), and C. difficile, are known as ___precautions.

contact

6

A condition where there is a decrease in white blood cells is called

neutropenia

7

What is the most accurate type of blood pressure measurement for effective individuals win inconsisten readings ling digital devices?

manual

8

In using the Nursing Process to prioritize care, the acronym to remember is A.A.P.I.E where the first A stand for ___ , the second A stands for “ analysis” , P stands for ___ I stands for Implement, and E stands for Evaluate.

assess, plan

9

Client symptoms such as persistent cough, fever, night sweats, fatigue, weight loss, chest pain, and pink tinged sputum, are collectively known as the hallmarks of___ . For these clients keeping the door closed helps to prevent the spread of the disease.

tuberculosis

10

A clients ___ - ____ of pain is the most reliable way of determining the severity of their pain

self - report

11

Pain that persists for more than 3 to 6 months or beyond the normal healing time of an injury and can have a significant impact on a person's physical and emotional well-being is called __ pain.

chronic

12

Cheyne-Stokes respiration is a type of abnormal breathing pattern
characterized gradual ___ and then gradual decrease in depth of respirations followed by periods of no breathing called ____.

increase, apnea

13

Oxygen ____ is a measure of the percentage of oxygen that is bound to hemoglobin in the blood.

saturation

14

____-_____ infections are infections that occur in clients while they are receiving healthcare services in a hospital or other healthcare facility.

Healthcare-associated

15

An abnormally rapid breathing rate, usually defined as a respiratory rate greater than 20 breaths per minute in adults, can be a symptom of several medical conditions, which is known as ____ . One intervention that Can be helpful is to encourage the client to breathe into a paper ____

Tachypnea, bag

16

Staphylococcus is transmitted through ___
contact. Staph is not spread by coughing or ___ secretions.

direct, oral

17

The nurse should stop applying an aquathermia pad at the first sign a redness of the skin caused by an increase in blood flow to the affected area which is called

Erythematous

18

A 55 year old male client is receiving antihypertensive medication as prescribed. The nurse took the blood pressure before administering the medication and noticed the blood pressure is 89 over 65. The nurses priority action is to ___ the medication and notify the provider.

hold

19

When caring for a client with Clostridium difficile infection, you should not use __ based hand-rubs when exiting the room.

alcohol

20

Nurses should educate clients prescribed with antibiotics to take it at the right time and for the full duration of the course, because overuse or misuse of antibiotics can lead to the development of antibiotics ____.

resistance

21

A chinese client indicates that his back pain is not being relieved despite of frequent acupuncture sessions and chiropractor visits. X-ray reveals that the client has spinal cord impingement and would need spinal surgery to correct the pain. The client though hesitates and does not show interest of pursuing the procedure. The nurse understands that this hesitation is due to ____ norms about pain relief.

cultural

22

A client with chronic obstructive pulmonary disease (COPD) has been admitted to the hospital with worsening shortness of breath and a respiratory rate of 28 breaths per minute. The client is started on oxygen therapy via a non-rebreather mask at 12 liters per minute. After 30 minutes of therapy, the client’s respiratory rate has decreased to 22 breaths per minute. This reflects a ____ outcome of the oxygen therapy.

positive

23

A client with a fever of 102 °F arrived at the clinic requesting an antibiotic prescription. What is the nurse's best response?

“Fevers are not always caused by bacteria."

24

___ medications are drugs used in combination with the primary treatment to improve the therapeutic outcome or manage side effects.

adjuvant

25

What is the name of the Protective isolation precautions used for a client who is at a high risk of infection because they are immunocompromised, for example the precautions used for a patient undergoing chemotherapy?

Neutropenic

26

For the F.L.A.C.C. pain scale method used for infants. The F stands for ___ expressions , the L stands for leg movements, the A stands for activity, the first C for ____, and the second C for consolability.

facial, cry

27

A client with cholecystitis complains of pain rating of 6 over 10. The nurse dims the lights, turns off the T.V., and suggests distractions like listening to relaxing music. What type of nursing interventions do these actions fall under?

environmental interventions

28

The nurse accidentally punctured her skin while attempting to dispose of a used needle in a sharps container. The nurse should ____ the area of the puncture thoroughly with soap and water.

wash

29

A 26-year-old female client's vital signs are the following: temperature of 97.7 F, blood pressure of 120 over 80 millimeters of mercury ( mmHg), respiratory rate or 19 pers minute, heart rate of 110 beats per minute, pain rating of 3 out of 10, and oxygen saturation of 98%. The nurse should further assess _____and pain.

Heart rate

30

Which part of P.Q.R.S.T. assessment is represented by burning, aching, stabbing, and throbbing?

quality

31

When taking the blood pressure, using a cuff that is too narrow leads to falsely ____ blood pressure readings.

high

32

A school nurse had just completed giving health teaching to a group of parents regarding pediculosis capitis. Which statement indicates an understanding of the teaching?

“I will isolate some non-washable items in plastic bags”

33

A nurse is preparing to take the oral temperature. The nurse should come back after ____ minutes to take the temperature when the client has consumed hot or cold liquids.

30

34

SMART goals are a framework for setting goals that are ____, measurable, attainable, realistic, and time bound

specific

35

The nurse is about to leave the respiratory isolation unit and is removing the PPE. Which action would cause his charge nurse to intervene?

removing the mask before any other PPE

36

What is the best way to prevent hospital acquired pathogens from spreading?

Handwashing on multiple critical times in handling the client.

37

How would a nurse assess the timing of a client's chest pain?

By asking the client about when the pain first started

38

How should the nurse best obtain the client's body temperature if a client with suspected COVID-19 came to the emergency department complaining of difficulty breathing?

using the temporal thermometer

39

o prevent the introduction of harmful pathogens to the urinary tract of clients, it is crucial to use strict ______ technique or surgical asepsis while inserting indwelling catheters.

sterile

40

The apical pulse is located on the ___ side, mid-clavicular line, fifth intercostal space.

left

41

When providing basic life support, which pulse is best to effectively evaluate circulation of an unconscious client?

carotid

42

What is the most effective statement a nurse can use to educate a client who says "Why would I need to be alone in this room, I could isolate myself at home"?

“ isolation measures are important to prevent the spread of infections to other people “

43

An infection that affects the entire body rather than being localized to one particular area or organ is called ____ infection.

systemic

44

lients in isolation may develop a sense of loneliness or anger. Therefore the nurse should educate the client about reasons for isolation and provide meaningful _____.

stimulations

45

What is the next step in post-exposure prophylaxis after washing the exposed area with soap and water following a needle stick injury?

report the injury immediately to a supervisor or occupational health service.

46

In discussing pain felt by elderly clients, the nurse is correct if she states the following:

“ stimulus toward pain is impaired due to the deterioration of nerve ending in the aging skin causing diminished sensation”

47

What is the medical term used to describe liver damage or injury caused by exposure to medications, chemicals, or other substances?

Hepatotoxicity

48

A client complains of severe pain despite being on regular pain medication. What is the appropriate nursing action?

Use an appropriate pain scale to assess the clients pain level.

49

What is an example of an open-ended question a nurse could use to facilitate therapeutic communication with a client experiencing pain?

“ how has the pain been affecting your daily activities?”

50

Which statement indicates a need for clients under pain medication to be educated further on the effect of analgesics?

“ I’ll take 2 pills instead of 1 to get faster relief”.

51

What is the antidote for opiate analgesic?

naloxone

52

Which scenario demonstrates an example of preventing infection?

a nurse wearing gloves while assisting a client with a wound dressing change.

53

A client tested positive for human immunodeficiency virus (H.I.V.). What type of precautions should the nurse observe to prevent the transmission of this disease?

standard precautions

54

A client has a wound on the left arm that is positive for Methicillin-resistant Staphylococcus aureus (MRSA) on the culture.
The appropriate precautions for this client are __ precautions and wearing a shield or ___ with eyewear if there is a possibility of splashing during wound care.

contact, mask

55

A type of pain that is felt in an area of the body that is not the actual source of the pain, is known as __ pain.

referred

56

PQRST is an acronym used in nursing to assess pain where P stands for precipitating cause, Q stands for quality, R stands for____, S stands for ____, and T stands for timing.

region , severity

57

in the ABC framework for prioritizing clients, the A stands for____, the B stands for ____ and the C stands for circulation.

airway, breathing

58

Temperature is one of the vital signs that should be documented, and it is important to note the ____ used to take the temperature because temperatures can vary depending on the method used.

route

59

When we assess the client for pain, using the P.Q.R.S.T. mnemonic the P. stands for precipitating cause. Q. stands for ____ , R stands for _____ , S stands for ______, T stands for timing.

quality, region, severity