A patient is prescribed a full liquid diet. Which of the following reflects an understanding of diet requirements? ginger ale, vegetable juice strained potatoes, milk, cottage cheese broth, chicken soup, apple juice dark green leafy vegetables, citrus fruits, tea

strained potatoes, milk, cottage cheese

Comprehensive Nursing and Medical Knowledge Assessment Flashcards

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Medicine - Surgery

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Cards in this deck(99)

Which of the following dressings would you expect to use for a dry wound bed with some eschar?

Which risk for skin integrity is most pertinent in a patient with urinary incontinence?

A patient presents with nonblanchable erythema on the left lower heel. What is the most appropriate nursing diagnosis?

Bleeding gums, loose teeth, and impaired wound healing are evidence of which vitamin deficiency?

Flushing and itching of the face and skin indicate an excess of which vitamin?

What is the purpose of maintaining a moist wound bed?

A patient is prescribed a full liquid diet. Which of the following reflects an understanding of diet requirements?

A renal diet should restrict all of the following EXCEPT?

Which condition might you expect to see with negative nitrogen balance?

A nurse assesses a pressure ulcer to find yellow exudate in the wound bed. What is the appropriate intervention?

A 40-year-old male presents to the office and says he has not had a physical exam in 20 years. What screenings should the nurse recommend?

Which of the following findings in a patient's health history might prompt a nurse to question an order for 10 mg PO of zolpidem tartrate (Ambien) at night?

What is an expected finding of immobility?

Which of the following should the nurse monitor for pressure ulcers if a patient is placed in the left lateral position?

Which of the following findings would a nurse expect for a 40-year-old female presenting in the hospital?

A patient presents with concerns over a friend who recently passed from lung cancer. The patient does not smoke now but quit 14 years ago. Is screening appropriate for this patient?

Which of the following should be limited for patients on warfarin (Coumadin)?

Which of the following findings in a patient's health history would make the nurse question an order for 1 mg alprazolam?

Which of the following is catabolized into energy via gluconeogenesis?

What is the definition of a wound in relation to that and this?

Which of the following are normal findings in male patients' lab values?

Crepitus is indicative of?

A patient complains of pain in one area; how should you proceed with the assessment?

Suspected kidney infection would result from pain upon palpation over which area?

Suspected liver infection would result from possibly painful palpation over which area?

What is the appropriate initial nursing action upon auscultation of borborygmi?

You are taking a patient's blood pressure manually. As you pump up the cuff above the systolic pressure for a few minutes, you notice that the patient develops a carpal spasm. Which of the following is the best option to treat the underlying cause of this?

Naloxone is administered to a patient experiencing opioid overdose. The pharmacologic classification of naloxone in this instance is what?

Which of the following might the nurse expect to be deficient in a patient who claims he is a vegan?

Which of the following should the nurse assess for in a patient prescribed heparin?

Which patient is most at risk for hypomagnesemia?

Which of the following IVs can be used to treat hypovolemia?

What electrolyte imbalance might a nurse most be on alert for in a patient that has experienced a crushing injury?

Which of the following findings might cause a nurse to question an order to give heparin subQ?

Which of the following findings observed by the nurse would indicate the need to administer calcium gluconate intravenously?

Which of the following would NOT fall under the category of droplet precautions?

Which of the following does NOT fall under the category of needing airborne precautions?

Which of the following does NOT fall under contact precautions?

_______ solutions cause cell dehydration and help increase fluid in the extracellular space.

When administering a hypertonic solution, the nurse should closely watch for?

The nurse makes a notation that insensible fluid loss occurs through which type of excretion?

What type of fluid would a patient with severe hyponatremia most likely be started on?

_______ fluids remove water from the extracellular space into the intracellular space.

A patient is being admitted with dehydration due to nausea and vomiting. Which fluid would you expect the patient to be started on?

The nurse determines that which client is most likely at risk for a fluid volume deficit?

Which assessment finding would the nurse note in a client with a fluid volume deficit?

Which signs and symptoms could indicate fluid overload in a client with heart failure?

The nurse is performing an assessment on a client admitted to the hospital with a diagnosis of dehydration. Which assessment finding should the nurse expect to note?

Upon auscultation of a bruit over the carotid artery, what should the nurse then palpate for?

What might a nurse expect to find in a patient with jaundice?

Asking a patient to say '99' while palpating the chest assesses for what?

What is located at the 2nd intercostal space, right sternal border?

What is located at the 2nd intercostal space, left sternal border?

What is located at the 4th intercostal space, left sternal border?

What is located at the 5th intercostal space midclavicular line?

Pulsation of the heart may be seen at which location as a normal finding?

The 'lub' sound is associated with which cardiac event?

The 'dub' sound is associated with which cardiac event?

Wheezing can be auscultated during _____ while stridor would be auscultated during _____

What is the technique of controlled ventilation for patients with COPD and dyspnea?

What does a diminished, weak pulse amplitude indicate?

What does a brisk (normal) pulse amplitude indicate?

What does a bounding pulse indicate?

An extremity affected feels cooler than the unaffected extremity; what is this indicative of?

Which finding might prompt the nurse to hold prescribed digoxin?

Which finding might prompt the nurse to hold morphine sulfate 2 units prn?

The nurse monitors fluid balance using which as the best indicator?

The nurse notes that the magnesium level is 5 mEq/L (2.5 mmol/L). What should the nurse expect to note in the client?

What should the RN instruct the UAP to do after three enemas have been administered and the client is still passing brown, liquid stool?

How does fiber work in the digestive system?

Which priorities of care should the nurse include for a client with new onset of hypokalemia?

Which finding initially will be noted in the client if hyperkalemia is present?

The nurse determines that the client is less than adequately hydrated if which information is noted during assessment?

Which conditions cause the release of antidiuretic hormone (ADH)?

Which would be the most appropriate nursing action for a client with heart failure and a serum magnesium level of 1.0 mEq/L (0.5 mmol/L)?

Which serum potassium level should be reported before administering the dose of furosemide to a client with a history of cardiac disease?

Which medications are contraindicated for use with ibuprofen?

Which assessment findings are consistent with infiltration?

Which intravenous (IV) solution will most likely be prescribed for a client with severe internal bleeding and hypotension?

Before explaining the procedure to the client, what initial question should the nurse ask when transfusing a client with a unit of packed red blood cells?

The client receiving a transfusion of packed red blood cells begins to vomit and has a blood pressure of 90/50 mm Hg. What complication might the client be experiencing?

Following infusion of a unit of packed red blood cells, the client has developed new onset of tachycardia, bounding pulses, crackles, and wheezes. Which action should the nurse implement first?

The nurse notes documentation that a client is exhibiting Cheyne-Stokes respirations. On assessment of the client, the nurse should expect to note which finding?

A client diagnosed with conductive hearing loss asks the nurse to explain the cause of the hearing problem. What is the cause of this condition?

While performing a cardiac assessment on a client with an incompetent heart valve, the nurse auscultates a murmur. How should the nurse document the sound?

The nurse is testing the extraocular movements in a client to assess for muscle weakness in the eyes. Which assessment technique should be implemented?

Which should the nurse include for a focused assessment on a client complaining of symptoms of a cold, a cough, and lung congestion?

Which test can detect unilateral conductive hearing loss and unilateral sensorineural hearing loss?

Which test compares perception of sounds transmitted by air conduction to those transmitted by bone conduction through the mastoid?

At the 4th intercostal space, you will be assessing the?

Which of the following is NOT a normal part of aging?

Midaxillary at the 6th intercostal space, you will be assessing the?

PQRSTU is a mnemonic that helps the clinician to remember to address characteristics specific to:

The general survey consists of four distinct areas. These areas include:

Which muscles move little during breathing/lung assessment?

The most appropriate determination of a client's pain should include which assessment?

Which finding indicates the presence of a pneumothorax in a client with a blunt injury to the chest wall?

The primary purpose of pursed-lip breathing is to promote which outcome?

Which client should the nurse assess first?

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Comprehensive Nursing and Medical Knowledge Assessment Flashcards

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