1. A child, age 8, is immobilized with a hip spica cast. The nurse enters the room and notices the
child is withdrawn and avoiding eye contact. The child's mother states, "He's just bored. He's
tired of watching television." The nur
The nurse should assess the client with severe diarrhea for which acid-base imbalance?
A client with severe diarrhea loses large amounts of bicarbonate, resulting in metabolic acidosis.
Metabolic alkalosis does not result in this situat
POSSIBLE INDICATORS OF ELDER ABUSE
PHYSICAL ABUSE INDICATORS
Frequent, unexplained injuries accompanied by a habit of seeking medical assistance from
Reluctance to seek medical treatment for injuries or denial of their existence
1. A preadolescent girl comes to the clinic for a sports physical exam. The nurse notes
beginning breast development and documents which of the following?
2. When assessing adolescent girls, the nurs
1. A nurse is preparing a presentation for a local community group on family violence and
child abuse. Which of the following would be most appropriate for the nurse to research
when defining child abuse in legal terms?
A) The Prevent Child Abuse America
1. When examining a newborn male infant, the nurse notes that neither testicle is
descended. The nurse documents this finding as which of the following?
2. During the health history, a young male
1. A nurse is working with a client who has received a terminal diagnosis. To help the
nurse identify the client's possible coping responses, which of the following would be
most important for the nurse to understand about spirituality?
A) It varies in di
1. The nurse is planning a community assessment using the Community as a Partner
model. The nurse will prioritize which of the following when utilizing this model?
A) People of the community
B) History of the community
C) Demographics of the community
1. A nurse is performing an assessment within the legal parameters of assessment and
diagnosis. These legal guidelines would be specified in which of the following?
A) The state's Nurse Practice Act
B) The client's informed consent documents
C) The nurse'
1. The nurse is assessing a client's breasts. When assessing the area of the breast most
vulnerable to breast cancer, where should the nurse to assess?
A) Upper inner quadrant
B) Lower inner quadrant
C) Upper outer quadrant
D) Lower outer quadrant
1. To examine the Bartholin's glands of a female client, the nurse would palpate at which
A) On both sides of the clitoris
B) Just inside the urethral orifice
C) Between the vaginal opening and labia minora
D) Inside the vaginal orifice
1. A nurse is preparing to assess a client who is new to the clinic. When beginning the
collection of the client database, which of the following actions should the nurse
A) Establishing a trusting relationship
B) Determining the client's stre
1. The nurse is preparing to palpate a client's temporal artery. The nurse would place the
hands at which location?
A) On each side of the client's face, anterior and inferior to the ears
B) On each side between the top of the ear and the eye
1. Assessment of a client reveals a history of insulin-dependent diabetes mellitus, weight
loss, polyuria, poor skin turgor, nausea, loss of appetite, and a blood glucose level
measured by finger stick of 348 mg/dL. Which of the following nursing diagnose
1. A nurse is preparing to assess a family. The nurse best adopts the view of the family unit
as being a system by using which approach?
A) Focusing on each individual member's health problems
B) Identifying strengths and problem areas within the family s
1. A client at 22 weeks' gestation comes to the clinic complaining of earache and
decreased hearing. Otoscopic examination of the ear is normal. The nurse explains to
the client that her symptoms are pregnancy-induced as a result of what physiologic
Peripheral Vascular Disorders
Two phenomena which alter the blood flow in veins:
o Arteriosclerosis & Atherosclerosis
o Defective valves resulting in venous insufficiency and varicose veins
Peripheral Vascular Disease
Thickening, loss o
effectively (impaired myocardial contractionthe ventricles to fill and pump blood
Leads to drop in cardiac output
Body responds with compensatory mechanisms
due to coronary
Antiepileptic Drugs (AEDs)
Also known as anticonvulsants
Goals of therapy
To control or prevent seizures while maintaining a reasonable quality of life
To minimize adverse effects and drug-induced toxicity
AED therapy i
Study Guide: Respiratory and GI
This is only a guide for studying. Test questions may not be covered by this study guide, but were
covered in lecture or on the Power Point
1. What should be included in the assessment for a patient with dysphagia?
Neurologic Health Problems
Hogan, 3rd edition
Assessment of cerebral function
Glasgow coma scale
Clinical Manifestations of Increased ICP in Infants
Irritability, poor feeding
High-pitched cry, difficult to soothe
o Brain Stem
Relay sensory information
Regulatory system for arousal and consciousness
Respiratory, vasomotor, cardiac function
Sneezing, coughing, hiccupping, vomiting, sucking, swallowing
Cardiomyopathy group of disorders that affect systolic and diastolic functions
Idiopathic; genetic, unknown
Ischemia, infectious disease, exposure to toxins, connective tissue disorders,
Functions of the neurologic system
Regulates, integrates all body functions
Collects sensory input
Processes and interprets
The response is motor or sensory output
Not much bigger than a fist.
Pumps 1000 gallons of blood everyday
It beats 100,000 times a day
Transport blood 60,000 miles through a network of blood
The heart is a hollow organ composed of muscle tissues
with series of one way valves
Running head: INFORMED CONSENT
It can be easy for a nurse to become confused as to what their role is when obtaining
informed consent for treatment. Informed consent is essential