ATI NURSING- Test Mark Klimek Blue Book (Q & A) 100%

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ATI NURSING- Test Mark Klimek Blue Book (Q & A) 100% Quiz:> Pulmonary embolus is an obstruction of the pulmonary ______ bed by a dislodged _____ or foreign substance {{{Answer}}} (Capillary, thr... ombus) Quiz:> Where do the emboli that cause pulmonary embolus usually come from? {{{Answer}}} (the leg) Quiz:> Besides a thrombus what else can cause an embolus in the lung? {{{Answer}}} (Air, fat, tumor cells) Quiz:> What treatment modality can lead to pulmonary embolus? {{{Answer}}} (Bed rest) Quiz:> What class of drugs can lead to pulmonary embolus? {{{Answer}}} (Oral contraceptives) Quiz:> What heart problem can lead to pulmonary embolus? {{{Answer}}} (Atrial fibrillation ( RIGHT A-fib causes pulmonary embolus; LEFT A-fib causes cerebral embolus)) Quiz:> What genetic disorder can lead to pulmonary embolus? {{{Answer}}} (Sickle cell anemia) Quiz:> What is the first sign of pulmonary embolus? {{{Answer}}} (Dyspnea) Quiz:> The dyspnea of pulmonary embolus is accompanied by _____ ______. {{{Answer}}} (pleuritic pain) Quiz:> Does the HR increase or decrease in pulmonary embolism? {{{Answer}}} (Increase) Quiz:> With severe pulmonary embolus the client will look as though they are in _______. {{{Answer}}} (shock) Quiz:> What are the two major treatments of pulmonary embolism? {{{Answer}}} (02, anticoagulants) Quiz:> Name the anti-coagulant given for immediate anticoagulation by IV or SQ route. {{{Answer}}} (Heparin) Quiz:> A drug for long term anticoagulation in any disorder would be? {{{Answer}}} (Coumadin) Quiz:> What two lab tests monitor Coumadin therapy? {{{Answer}}} (Prothrombin time and the INR) Quiz:> When Coumadin is therapeutic, the INR should be between ____ - _____. {{{Answer}}} (2.0-3.0) Quiz:> What is lovenox? {{{Answer}}} (Low dose heparin used for anticoagulation in POST OP THROMBOPHLEBITIS PREVENTION; NOTTTT used for PULMONARY EMBOLUS) Quiz:> Heparin therapy is monitored by daily measurement of the ______. {{{Answer}}} (PTT) Quiz:> Effective heparin therapy raises the PTT to approximately _____ times normal. {{{Answer}}} (2 1/2) Quiz:> Clients on Heparin should use an electric razor a safety razor? {{{Answer}}} (electric) Quiz:> What is the best way to prevent pulmonary embolus in post op patients? {{{Answer}}} (early ambulation) Quiz:> Is it appropriate to massage the legs of the client to prevent pulmonary embolus? {{{Answer}}} (No, never) Quiz:> Heparin is used in the acute phase of pulmonary embolus. What drug is used for 6 months after PE? {{{Answer}}} (Coumadin) Quiz:> Coumadin therapy is monitored by what daily test? {{{Answer}}} (PT (prothrombin time)) Quiz:> What is the #1 difference between sealed and unsealed radiation? {{{Answer}}} (Both are internal forms of radiotherapy however, in sealed, a solid object is placed in a body cavity; in unsealed a radioactive substance is injected in liquid form into a vein) Quiz:> what are the three principles the nurse uses to protect self when caring for a client with a sealed radioactive implant {{{Answer}}} (Time, distance, shielding) Quiz:> What is another name for external radiation therapy? {{{Answer}}} (Beam or x-rays) Quiz:> What is the difference between external radiation treatment and internal radiation treatment? {{{Answer}}} (In external the tumor is bombarded with x rays and nothing is placed in the body; in internal there is some radioactive substance introduced into the body) Quiz:> Of sealed internal, unsealed internal, and external radiation treatment, which is MOST dangerous for the nurse? {{{Answer}}} (Sealed internal then unsealed internal, external radiation treatment is of no danger to the nurse unless the nurse is in the radiation treatment room during the treatment) Quiz:> Should pregnant nurses care for a patient receiving sealed internal radiotherapy? {{{Answer}}} (Never) Quiz:> Should pregnant nurses provide care for a patient receiving unsealed internal radiotherapy? {{{Answer}}} (Maybe, as long as they don't contact body secretions) Quiz:> What skin products should the patient receiving external radiotherapy AVOID? {{{Answer}}} (No ointments with metals like zinc oxide, no talcum powder) Quiz:> Describe the hygiene measures that you teach the patient receiving external radiotherapy? {{{Answer}}} (Use plain water only, no soaps, pat dry, can use cornstarch for itch) Quiz:> What are the major side effects of radiotherapy? {{{Answer}}} (Pruritis, erythema, burning, sloughing of skin, anorexia, nausea and vomiting, diarrhea, bone marrow depression) Quiz:> When the patient is receiving radioactive iodine what precautions is/are most important? {{{Answer}}} (Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.) Quiz:> Rape is a crime of passion (t/f) {{{Answer}}} (false, its a violent act) Quiz:> Most rapes occur involving two people of different races (t/f) {{{Answer}}} (false, usually the same race) Quiz:> When must psychological care of the rape victim begin? {{{Answer}}} (In the ER) Quiz:> Name the two phases of Rape Trauma Syndrome {{{Answer}}} (Disorganization phase, re-organization phase) Quiz:> Immediately after rape, a woman who is calm and composed is adjusting well (t/f) {{{Answer}}} (False, calmness and a composed attitude are signs of rape trauma syndrome, (calm person is just as disorganized as the crying and upset lady)) Quiz:> Name the 3 phyiscal symptoms of rape trauma syndrome {{{Answer}}} (GI irritability, itching or burning on urination, skeletal muscle tension, PAIN) Quiz:> Victims of rape often blame_______ {{{Answer}}} (themselves) Quiz:> In the long term reorganization phase the woman is likely to change ________. {{{Answer}}} (residence or/and telephone number) Quiz:> In the long-term re-organization phase the woman is likely to experience _____ during sleep. {{{Answer}}} (nightmares) Quiz:> In the long term re-organization phase the woman has four common fears. Name them .... {{{Answer}}} (1) indoors or outdoors (depending where rape occurred) 2) Being alone or in crowds 3) People being behind them 4) Sexual fears) Quiz:> Before evidence from the woman's body can be gathered for rape, ______ ______ much be completed {{{Answer}}} (consent forms) Quiz:> Should a female staff member be present when the rape victim is being examined? {{{Answer}}} (Always) Quiz:> The rape victim requires only a pelvic exam and a head to toe exam is not done, so the client is not stressed (t/f) {{{Answer}}} (false, the exam is a very long, invasive head to toe exam) Quiz:> During exam the vaginal speculum is lubricated before it is placed in the vagina (t/f) {{{Answer}}} (false, lubrication could alter the evidence) [Show More]

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