Care - NCLEX-PN
Card 0 of 1032
Identify the disorder that presents the following signs and symptoms: numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause.
Identify the disorder that presents the following signs and symptoms: numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause.
Conversion disorder is typified by numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause. Schizophrenia, bipolar disorder, and stiff person syndrome all have medically identifiable causes.
Conversion disorder is typified by numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause. Schizophrenia, bipolar disorder, and stiff person syndrome all have medically identifiable causes.
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What is the best approach towards dealing with a delirious patient?
What is the best approach towards dealing with a delirious patient?
Delirium is an organic dysfunction of the brain usually seen in sick patients post-op. These patients need frequent reorientation to name, time, and place until the delirium resolves. Agitation, confusion, and difficult to control behavior is typically controlled with antipsychotics, however, they are not first line treatment. Restraints should be avoided at all costs.
Delirium is an organic dysfunction of the brain usually seen in sick patients post-op. These patients need frequent reorientation to name, time, and place until the delirium resolves. Agitation, confusion, and difficult to control behavior is typically controlled with antipsychotics, however, they are not first line treatment. Restraints should be avoided at all costs.
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A client calls the clinic and tells the nurse that her daughter has just been stung by a bee on the arm. She is worried that her daughter will have a severe reaction. What should the nurse do?
A client calls the clinic and tells the nurse that her daughter has just been stung by a bee on the arm. She is worried that her daughter will have a severe reaction. What should the nurse do?
The nurse does not have reason to suspect that the child will have an allergic reaction before symptoms are present. Thus, the patient should call back or come to the emergency room if symptoms present.
The nurse does not have reason to suspect that the child will have an allergic reaction before symptoms are present. Thus, the patient should call back or come to the emergency room if symptoms present.
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The nurse is caring for a two year old child with chicken-pox. While bathing the patient, the nurse's N-95 (surgical respirator) mask becomes saturated. The nurse should .
The nurse is caring for a two year old child with chicken-pox. While bathing the patient, the nurse's N-95 (surgical respirator) mask becomes saturated. The nurse should .
Varicella (chicken-pox) is a condition requiring airborne precautions. An N-95 mask is considered ineffective when wet and needs to be replaced immediately.
Varicella (chicken-pox) is a condition requiring airborne precautions. An N-95 mask is considered ineffective when wet and needs to be replaced immediately.
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The nurse is preparing to enter a contact-isolation room where she will preform a bed bath. It is reasonable to expect her gloves to become soiled at some point during the administration of care. While preparing to enter, the nurse .
The nurse is preparing to enter a contact-isolation room where she will preform a bed bath. It is reasonable to expect her gloves to become soiled at some point during the administration of care. While preparing to enter, the nurse .
In the interest of infection control, it is best to only wear one pair of gloves at a time. While giving a bed bath, it is not necessary to wear sterile gloves. If the gloves become saturated, remove the gloves, perform hand hygiene, and wear a new pair.
In the interest of infection control, it is best to only wear one pair of gloves at a time. While giving a bed bath, it is not necessary to wear sterile gloves. If the gloves become saturated, remove the gloves, perform hand hygiene, and wear a new pair.
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The nurse cares for an immobilized patient on the surgical floor. Which of the following nursing considerations is essential for preventing ulcerations?
The nurse cares for an immobilized patient on the surgical floor. Which of the following nursing considerations is essential for preventing ulcerations?
There are many possible complications from immobilization. Decubitus ulcers are one of these complications. It is essential to turn and reposition the patient at least every 2 hours while also maintaining skin integrity with skin care. Many other complications may result from immobilization and each have specific, related nursing considerations. Immobilization can result in desensitization and disorientation, so it is important to orient the client frequently. A well-balanced diet can promote better nutrition to prevent osteoporosis, negative nitrogen balances, and hypercalcemia from being bed-bound. Compression stockings and TED hose are essential to prevent thrombus formation from stagnant blood flow in the lower extremities, which may lead to pulmonary emboli. Coughing and deep breathing is important to prevent the stasis of respiratory secretions, which could lead to hypostatic pneumonia.
There are many possible complications from immobilization. Decubitus ulcers are one of these complications. It is essential to turn and reposition the patient at least every 2 hours while also maintaining skin integrity with skin care. Many other complications may result from immobilization and each have specific, related nursing considerations. Immobilization can result in desensitization and disorientation, so it is important to orient the client frequently. A well-balanced diet can promote better nutrition to prevent osteoporosis, negative nitrogen balances, and hypercalcemia from being bed-bound. Compression stockings and TED hose are essential to prevent thrombus formation from stagnant blood flow in the lower extremities, which may lead to pulmonary emboli. Coughing and deep breathing is important to prevent the stasis of respiratory secretions, which could lead to hypostatic pneumonia.
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The nurse cares for a patient receiving an intravenous transfusion of gentamicin through an IV catheter in the patient’s left hand. Upon assessment, the nurse notices blanching and swelling at the site of the IV catheter, and the patient states he is feeling 8 out of 10 pain and it is “burning." In what order should the nurse perform the following tasks?
The nurse cares for a patient receiving an intravenous transfusion of gentamicin through an IV catheter in the patient’s left hand. Upon assessment, the nurse notices blanching and swelling at the site of the IV catheter, and the patient states he is feeling 8 out of 10 pain and it is “burning." In what order should the nurse perform the following tasks?
The nurse must recognize these signs and symptoms as potential extravasation, where a vesicant medication such as gentamicin, penicillin, dilantin, or chemotherapy has been given. It is essential to first stop the infusion and remove the insult. The nurse must then aspirate the remaining medication in the catheter to reduce the amount of exposure to the vesicant. The nurse can then remove and discontinue the catheter and notify the primary care provider.
The nurse must recognize these signs and symptoms as potential extravasation, where a vesicant medication such as gentamicin, penicillin, dilantin, or chemotherapy has been given. It is essential to first stop the infusion and remove the insult. The nurse must then aspirate the remaining medication in the catheter to reduce the amount of exposure to the vesicant. The nurse can then remove and discontinue the catheter and notify the primary care provider.
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The emergency room nurse cares for a patient reporting pain in the lower back. The client tells the nurse, “I have taken three 500-milligram tablets of acetaminophen every three hours since last night, but the pain hasn’t gone away.” Which of the following clinical manifestations in the patient most concerns the nurse?
The emergency room nurse cares for a patient reporting pain in the lower back. The client tells the nurse, “I have taken three 500-milligram tablets of acetaminophen every three hours since last night, but the pain hasn’t gone away.” Which of the following clinical manifestations in the patient most concerns the nurse?
The nurse should be concerned about acetaminophen toxicity, as the recommended daily dose of acetaminophen is 4 grams for adults, and this patient has exceeded this amount. (Three 500-milligram tablets every three hours is equal to 12 grams in a 24-hour period.) Acetaminophen toxicity may manifest with nausea and vomiting in the first 24 hours and right upper quadrant abdominal pain afterwards due to liver damage. Tinnitus, high blood pressure, and diarrhea are not symptoms of acetaminophen poisoning. An international normalized ratio (INR) of 1.1 is within normal limits, but may be trending upwards, as the liver is responsible for producing clotting factors. Liver function tests should always be done when acetaminophen poisoning is suspected; aspartate transaminase (AST) and alanine transaminase (ALT) values above 
suggest hepatic damage.
The nurse should be concerned about acetaminophen toxicity, as the recommended daily dose of acetaminophen is 4 grams for adults, and this patient has exceeded this amount. (Three 500-milligram tablets every three hours is equal to 12 grams in a 24-hour period.) Acetaminophen toxicity may manifest with nausea and vomiting in the first 24 hours and right upper quadrant abdominal pain afterwards due to liver damage. Tinnitus, high blood pressure, and diarrhea are not symptoms of acetaminophen poisoning. An international normalized ratio (INR) of 1.1 is within normal limits, but may be trending upwards, as the liver is responsible for producing clotting factors. Liver function tests should always be done when acetaminophen poisoning is suspected; aspartate transaminase (AST) and alanine transaminase (ALT) values above
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The oncology nurse cares for a patient receiving morphine sulfate 
IV push q4h for pain. Which of the following most concerns the nurse?
The oncology nurse cares for a patient receiving morphine sulfate
The nurse should be aware of potential complications of morphine sulfate, which can cause respiratory depression. Therefore, a respiratory rate of 8 breaths per minute should most concern the nurse (the normal limits are 12-18). The heart rate, blood pressure, and oxygen saturation are within normal limits. A patient on morphine sulfate should complain of pain, and although a pain level of 7 out of 10 requires attention, the respiratory depression takes priority.
The nurse should be aware of potential complications of morphine sulfate, which can cause respiratory depression. Therefore, a respiratory rate of 8 breaths per minute should most concern the nurse (the normal limits are 12-18). The heart rate, blood pressure, and oxygen saturation are within normal limits. A patient on morphine sulfate should complain of pain, and although a pain level of 7 out of 10 requires attention, the respiratory depression takes priority.
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The nurse counsels patients at a community health fair about the importance of immunizations. Which of the following statements is most accurate concerning immunizations?
The nurse counsels patients at a community health fair about the importance of immunizations. Which of the following statements is most accurate concerning immunizations?
The nurse should understand the mechanism of action, indications, and risks of immunizations as they do for all medications administered. Immunizations work by passively providing acquired immunity to specific diseases (such as influenza, hepatitis B, and varicella). They imitate a specific pathogen, influencing the patient’s body to produce antibodies that are capable of defending the body if it is exposed to the disease-causing element. The nurse should know that immunizations are specifically made for some diseases, and do not work for all diseases. Immunizations also come with minimal risks, and although they are widely given, are not universally prescribed. Patients should be educated with potential risks; some patients may experience fevers or rashes. Immunizations do not provide natural immunity to diseases; natural immunity is acquired by the patient when they contract a disease via exposure and the body produces its own antibodies. Immunizations do not provide antibodies to each disease.
The nurse should understand the mechanism of action, indications, and risks of immunizations as they do for all medications administered. Immunizations work by passively providing acquired immunity to specific diseases (such as influenza, hepatitis B, and varicella). They imitate a specific pathogen, influencing the patient’s body to produce antibodies that are capable of defending the body if it is exposed to the disease-causing element. The nurse should know that immunizations are specifically made for some diseases, and do not work for all diseases. Immunizations also come with minimal risks, and although they are widely given, are not universally prescribed. Patients should be educated with potential risks; some patients may experience fevers or rashes. Immunizations do not provide natural immunity to diseases; natural immunity is acquired by the patient when they contract a disease via exposure and the body produces its own antibodies. Immunizations do not provide antibodies to each disease.
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The community health nurse provides education about infectious diseases to college students in a dorm. Which of the following statements by the nurse would be appropriate?
The community health nurse provides education about infectious diseases to college students in a dorm. Which of the following statements by the nurse would be appropriate?
Different types of viral hepatitis are transmitted through various routes. Hepatitis A is the only form that is transmitted through the fecal-oral route (contaminated food and water). Hepatitis B and D are transmitted through infected blood/needles as well as sex, and from infected mothers to newborns. Hepatitis C is transmitted through contaminated blood and needles. Recall that hepatitis D is an opportunistic infection, which requires hepatitis B infection.
Different types of viral hepatitis are transmitted through various routes. Hepatitis A is the only form that is transmitted through the fecal-oral route (contaminated food and water). Hepatitis B and D are transmitted through infected blood/needles as well as sex, and from infected mothers to newborns. Hepatitis C is transmitted through contaminated blood and needles. Recall that hepatitis D is an opportunistic infection, which requires hepatitis B infection.
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A patient is seeking an herbal solution that produces an effect similar to estrogen. What herb should the nurse suggest the patient investigate?
A patient is seeking an herbal solution that produces an effect similar to estrogen. What herb should the nurse suggest the patient investigate?
Black cohosh produces effects similar to those of estrogen.
Black cohosh produces effects similar to those of estrogen.
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The patient is curious about behavior therapy, and asks the nurse. The nurse would best describe behavior therapy as:
The patient is curious about behavior therapy, and asks the nurse. The nurse would best describe behavior therapy as:
Behavior therapy is a therapy that achieves results through conditioning. The therapy aims to reinforce desired behaviors and eliminated undesired behaviors.
Behavior therapy is a therapy that achieves results through conditioning. The therapy aims to reinforce desired behaviors and eliminated undesired behaviors.
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A patient is seeking an herbal solution that improves microcirculation in the eyes. What herb should the nurse suggest the patient investigate?
A patient is seeking an herbal solution that improves microcirculation in the eyes. What herb should the nurse suggest the patient investigate?
Bilberry improves microcirculation in the eyes.
Bilberry improves microcirculation in the eyes.
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Which is the most common homeopathic remedy for any kind of blunt trauma followed by a state of dullness and shock?
Which is the most common homeopathic remedy for any kind of blunt trauma followed by a state of dullness and shock?
Arnica, a herbaceous plant, is the remedy most often used for states of shock after an injury, during which the injured person may refuse medical help due to fear of further injury. Pulsatilla is a plant that may be used for pain in the reproductive organs, restlessness, and other ailments. Nux vomica seeds may be used for gastrointestinal discomfort, anemia and erectile dysfunction. Cimicifuga is a plant that may be used to alleviate neurological disorders.
Arnica, a herbaceous plant, is the remedy most often used for states of shock after an injury, during which the injured person may refuse medical help due to fear of further injury. Pulsatilla is a plant that may be used for pain in the reproductive organs, restlessness, and other ailments. Nux vomica seeds may be used for gastrointestinal discomfort, anemia and erectile dysfunction. Cimicifuga is a plant that may be used to alleviate neurological disorders.
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Which of the following herbs aids in wound healing when applied topically?
Which of the following herbs aids in wound healing when applied topically?
Calendula flower contains faradiol and the faradiol monoester, powerful anti-inflammatory and antiedematous triterpenoids, which have shown effects comparable to indomethacin. Yellow dock is as a laxative. Red raspberry leaf is a vasodilator, and may exacerbate inflammation. Hawthorne berry can be used to ameliorate symptoms of congestive heart failure.
Calendula flower contains faradiol and the faradiol monoester, powerful anti-inflammatory and antiedematous triterpenoids, which have shown effects comparable to indomethacin. Yellow dock is as a laxative. Red raspberry leaf is a vasodilator, and may exacerbate inflammation. Hawthorne berry can be used to ameliorate symptoms of congestive heart failure.
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Which of the following herb has been used effectively to decrease both candida overgrowth (thrush, vaginitis, and dysbiosis) and Epstein-Barr virus infection?
Which of the following herb has been used effectively to decrease both candida overgrowth (thrush, vaginitis, and dysbiosis) and Epstein-Barr virus infection?
Berberine has been used alone and in conjunction with fluconazole to successfully treat fluconazole-resistant candida infections. It has also been shown to have an inhibitory effect on Epstein-Barr DNA replication. Red yeast rice may be used to lower cholesterol. G_lycyrrhiza glabra_ can be used to decrease inflammation, and cough, and to promote ulcer-healing. Milk thistle is used as a remedy for hepatic disorders.
Berberine has been used alone and in conjunction with fluconazole to successfully treat fluconazole-resistant candida infections. It has also been shown to have an inhibitory effect on Epstein-Barr DNA replication. Red yeast rice may be used to lower cholesterol. G_lycyrrhiza glabra_ can be used to decrease inflammation, and cough, and to promote ulcer-healing. Milk thistle is used as a remedy for hepatic disorders.
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Which is the most common homeopathic remedy for acute gastroenteritis (food poisoning)?
Which is the most common homeopathic remedy for acute gastroenteritis (food poisoning)?
Arsenicum album is the most common remedy given for acute gastroenteritis with vomiting and diarrhea, especially when diarrhea and vomiting happen simultaneously, diarrhea is in small amounts constantly throughout the day, and the affected person is experiencing chilliness and marked tenderness in the abdomen. Graphites are most commonly used to treat skin disorders. Platinum is used to treat a range of psychological and physiological aspects of women's health. Belladonna may be used as a pain reliever, and and anti-inflammatory remedy.
Arsenicum album is the most common remedy given for acute gastroenteritis with vomiting and diarrhea, especially when diarrhea and vomiting happen simultaneously, diarrhea is in small amounts constantly throughout the day, and the affected person is experiencing chilliness and marked tenderness in the abdomen. Graphites are most commonly used to treat skin disorders. Platinum is used to treat a range of psychological and physiological aspects of women's health. Belladonna may be used as a pain reliever, and and anti-inflammatory remedy.
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Which is the most common homeopathic remedy for acute otitis media which starts suddenly, where the tympanic membrane is hot and bright red and the child is restless and anxious?
Which is the most common homeopathic remedy for acute otitis media which starts suddenly, where the tympanic membrane is hot and bright red and the child is restless and anxious?
Belladonna is the most frequently given remedy when otitis media is sudden onset, bright red and hot, and the child is restless and may be confused, anxious, or frightened. Pulsatilla is used to treat reproductive pain in both men and women, and for migraines. Natrum muriaticum is more effective as a remedy for chronic, not acute, disorders. Sulphur is most effectively used on the skin and eyes to treat irritation.
Belladonna is the most frequently given remedy when otitis media is sudden onset, bright red and hot, and the child is restless and may be confused, anxious, or frightened. Pulsatilla is used to treat reproductive pain in both men and women, and for migraines. Natrum muriaticum is more effective as a remedy for chronic, not acute, disorders. Sulphur is most effectively used on the skin and eyes to treat irritation.
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Which of the following herbs contains a compound similar to lovastatin?
Which of the following herbs contains a compound similar to lovastatin?
Red yeast rice contains monacolins, which block the production of cholesterol. Monacolin K has the same structure as lovastatin and functions similarly to reduce cholesterol. Nettle is best used as a painkiller, and to treat disorders of the excretory system. Kava is a sedative and anesthetic, and may also be used to treat social anxiety. Lavender has a calming effect, and is effective in inducing sleep.
Red yeast rice contains monacolins, which block the production of cholesterol. Monacolin K has the same structure as lovastatin and functions similarly to reduce cholesterol. Nettle is best used as a painkiller, and to treat disorders of the excretory system. Kava is a sedative and anesthetic, and may also be used to treat social anxiety. Lavender has a calming effect, and is effective in inducing sleep.
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