Topexcelgrades

You obtain all of these assessment data about your client with continuous bladder irrigation (CBI) after a transurethral resection of the prostate (TURP). Which information indicates the most immediate need for nursing interventions? A. The client states he feels a continuous urge to void. B. The catheter drainage is light pink with occasional clots. C. The catheter is pulled semi-taut and taped to the client's thigh. D. The client complains of painful bladder spasms ️️ D. The client ...

Venous irritation associated with the injection of diazepam and lorazepam is secondary to: 1. the high degree of water solubility of these agents 2. the presence of propylene glycol as a solvent 3. the presence of metabisulfite as a preservative 4. the low pH of these agents Venous irritation associated with the injection of diazepam and lorazepam is secondary to: the presence of propylene glycol as a solvent The insolubility of diazepam and lorazepam in water requires that parenteral prep...

Symptoms of diastolic heart failure ️️ Decreased stroke volume, normal ejection fraction, S4, normal heart size DIC labs ️️ Decreased platelets Increased PT/INR Increased aPTT Decreased fibrinogen Increased FSP Increased D-Dimer Kehr's sign ️️ Acute pain in the tip of the shoulder when a person is lying down and the legs are elevated - splenic rupture Tension pneumo ️️ Tracheal deviation and PMI move away from affected side High peak inspiratory pressure (if vente...

How many states do not have physician "supervision or direction" requirement for CRNAs? ️️ 33: do not have a physician "supervision", or "direction" requirement for CRNAs in nursing, medical laws or regulations Taking into account state hospital licensing laws or regulations, how many states don't require physician supervision or direction of CRNA? ️️ 23 Neither ______________ or _______________ require anesthesiologist supervision of CRNAs. ️️ JCAHO, nor Medicare Des...

Blow-out orbital fracture ️️ Painful or restricted extraocular muscle movements, esp upward or lateral. Subcutaneous emphysema, infraorbital anesthesia, palpable bony tenderness and deformity, and enophthalmos. Laryngeal injuries ️️ Most are caused by blunt force trauma, often involves other serious injuries. Classic s/s in addition to hoarseness, dysphagia, stridor, and hemoptysis include dyspnea, cough, and difficulty speaking. Pneumomediastinum ️️ Free air in the mediastinal...

The emergency nurse is participating in the care of an obtunded patient presumed to have taken an overdose of a tricyclic antidepressant. patient has a palpable pulse, and an electrocardiogram (ECG) is obtained. nurse would anticipate the presence of which ECG finding? A. Sinus bradycardia with normal QRS and QT intervals B. Ventricular fibrillation C. Narrow complex supraventricular tachycardia D. Sinus tachycardia with both a widened QRS interval and prolonged QT interval D. Sinus tachyca...

Parents may refuse life, limb or organ saving treatment on behalf of their children for religious reasons. a. True b. False ️️ B. According to a 1944 ruling by the US Supreme Court, a parent is not free to refuse life, limb or organ saving treatment for their child for religious reasons. Studies about the effects of family presence during treatment and resuscitation have found that: a. More than 50% of all providers support family presence. b. Nurses are less like to support famil...

Cerebrospinal fluid found in the ears indicates A. pharyngeal trauma. B. a subarachnoid hemorrhage. C. injury to the cervical spine. D. a basilar skull fracture. ️️ D. a basilar skull fracture. A pediatric patient is diagnosed and treated for conjunctivitis. What statement made by the caregivers indicates understanding of discharge instructions? A. "My child cannot return to school until the infection has resolved." B. "My child can return to school immediately because this is a ...

Right Upper Quadrant organs ️️ Liver, Gallbladder, Pylorus, Duodenum, Head of Panacreas, (R) kidney and adrenal gland, Hepatic flexure of the colon, Section of the ascending and transverse colon Left Upper Quadrant Organs ️️ (L) lobe of liver, Stomach, Spleen, Body of pancreas, portion of (L) kidney and adrenal gland, Section of the transverse and descending colon Right Lower Quadrant Organs ️️ Appendix, cecum, lower pole of kidney, (R) ureter, (R) ovary, (R) spermatic cord ...

Which of the following is an early sign/symptom of left ventricular heart failure? ️️ Paroxysmal nocturnal dyspnea & dyspnea [crackles, JVD, ascites, hepatomegaly, peripheral edema = right heart failure] Morphine is contraindicated in a right ventricular MI (RV MI) because of what drug action? ️️ Morphine reduces preload [preload reducing agents like morphine Lasix [venodilator], and NTG are contraindicated in RV MI b/c they decrease preload] Which of the following signs/symptoms i...