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Physiological Integrity

(3453 questions)

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  1. Which statement by an 8-year-old girl who has asthma indicates that she understands the use of a peak expiratory flow meter?
    1. "My peak flow meter can tell me if an asthma episode might be coming, even though I might still be feeling okay."
    2. "When I do my peak flow, it works best if I do three breaths without pausing in between breaths."
    3. "I always start with the meter reading about halfway up. That way, I don t waste any breath."
    4. "If I use my peak flow meter every day, I will not have an asthma attack."


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  2. A young boy is brought to the trauma unit with a chemical burn to the face. Priority assessment would include which of the following?
    1. Skin integrity
    2. Blood pressure and pulse
    3. Patency of airway
    4. Amount of pain


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  3. During the beginning-of-shift assessments, which client would the nurse see first?
    1. Client with chronic pain requesting pain meds
    2. Client with diarrhea who needs to be cleaned
    3. Client who is due for a dressing change
    4. Client who requires suctioning


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  4. The nurse has emptied a Jackson Pratt wound-drainage device and needs to reestablish suction to the tube. Which of the following actions should the nurse take to accomplish this objective?
    1. Ensure the tubing has no kinks.
    2. Squeeze the collection chamber.
    3. Wipe the port with alcohol.
    4. Close the cap on the device.


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  5. A client has a continuously running peripheral infusion. The physician orders the addition of a antibiotic as a piggyback infusion four times per day. In order to administer the antibiotic, the nurse should do which of the following?
    1. Start a new IV access to administer the antibiotic so that there will not be compatibility issues.
    2. Start a new IV access to eliminate the problem of too much volume for one site.
    3. Increase the flow rate of the continuous infusion to facilitate the administration of the antibiotic.
    4. Check to see if the antibiotic is compatible with the continuous infusion.


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  6. The client in the coronary care unit, status post-anterior myocardial infarction (MI), has been diagnosed with heart failure. A pulmonary artery (PA) catheter has been placed. The PA pressure is 30/15 mmHg and the client has mild crackles. The nurse knows from this reading that the client is experiencing:
    1. Right heart failure.
    2. Left heart failure.
    3. Both right and left failure.
    4. Pulmonary edema.


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  7. Which of the following actions of pancreatic enzymes can cause pancreatic damage?
    1. Utilization by the intestine
    2. Autodigestion of the pancreas
    3. Reflux into the pancreas
    4. Clogging of the pancreatic duct


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  8. The nurse would conclude that hypomagnesemia has not resolved if which of the following neuromuscular signs is still present after treatment?
    1. Paralysis
    2. Tetany
    3. Flaccidity
    4. Decreased reflexes


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  9. The nurse is preparing an IM injection of hydroxyzine (Vistaril) that is especially irritating to subcutaneous tissue. To prevent "tracking" of the medication and irritation to the tissues, it is best to take which of the following actions?
    1. Use a small-gauge needle
    2. Administer at a 45-degree angle
    3. Apply ice to the injection site
    4. Use the z-track technique


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  10. The nurse would assess for hypermagnesemia when magnesium sulfate is repeatedly used to control which of the following symptoms?
    1. Constipation
    2. Vomiting
    3. Anorexia
    4. Fever


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