GCC 426 - 450

An infant is in need of intravenous access. The nurse makes an observation about scalp veins. Which statement indicates the nurse is knowledgeable about this type of venous access?

• The vein has to be cannulated in a downward fashion toward the neck.
• These veins are good to have, but I can’t give anything very fast through them.
• I remember that you are not supposed to use a tourniquet on these veins.
• Once I see a flash of blood, I need to advance the needle and cannula 1/8 inch.
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The nurse leaves a patient who is elderly and confused to find someone to assist with transferring the patient to bed. While the nurse is gone, the patient falls and hurts herself. The nurse is at fault because she hasn't:

• Properly educated the patient about safety measures.
• Restrained the patient.
• Documented that she left the patient.
• Arranged for continual care of the patient.
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Damage to the VII cranial nerve results in:

• Facial pain
• Absence of ability to smell
• Absence of eye movement
• Tinnitus
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Which patient has the highest risk of developing anemia?

• A patient with a colostomy following colon resection
• A patient with gastroesophageal reflux disease (GERD)
• A patient who has had a gastrectomy
• A patient with frequent bouts of dumping syndrome
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Perineal pain in the absence of any observable cause suggests which condition?

• Endometriosis
• Internal hemorrhoids
• Prostatitis
• Renal calculi
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A client with an above-the-knee amputation is being taught methods to prevent hip-flexion deformities. Which instruction should be given to the client?

• Lie supine with the head elevated on two pillows.
• Lie prone every 4 hours during the day for 30 minutes.
• Lie on your side with your head elevated.
• Lie flat during the day.
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A client who is being discharged home will be giving his own enoxaparin sodium (Lovenox) subcutaneously. Which statement by the client indicates the need for further education?

• I remember that I need to hold the needle at a 45 degree angle.
• I know to pinch the skin up for the injection.
• I will not pull back on the plunger before injecting the medicine.
• I am going to use the right side of my lower abdomen all the time.
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A client with cancer develops xerostomia. The nurse can help alleviate the discomfort associated with xerostomia by:

• Offering hard candy
• Administering analgesic medications
• Splinting swollen joints
• Providing saliva substitute
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Which of the following test should be performed before beginning a prescription of Accutane?

• Check the calcium level
• Perform a pregnancy test
• Monitor apical pulse
• Obtain a creatinine level
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The physician writes the following order: Give 20 mL per kg bolus of normal saline over 60 minutes. The client, a child, weighs 32 pounds. What number of drops should be delivered per minute? The tubing has a drip factor of 10.

• 30 drops.
• 50 drops.
• 110 drops.
• 150 drops.
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