Procedures and Care - NCLEX-PN
Card 1 of 1644
A nurse takes a patient's blood pressure and records it at 146/92 mmHg. This is the patient's first visit to the clinic and they have no past medical records available. Would this patient be diagnosed with hypertension?
A nurse takes a patient's blood pressure and records it at 146/92 mmHg. This is the patient's first visit to the clinic and they have no past medical records available. Would this patient be diagnosed with hypertension?
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A patient with a one-time high blood pressure reading can not be diagnosed as hypertensive. A diagnosis of hypertension requires at least three measurements of blood pressure over 140/90 mmHg on at least two separate visits to health care provider.
A patient with a one-time high blood pressure reading can not be diagnosed as hypertensive. A diagnosis of hypertension requires at least three measurements of blood pressure over 140/90 mmHg on at least two separate visits to health care provider.
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A patient with a blood pressure reading of 168/102 mmHg on three or more occasions would be diagnosed with what stage of hypertension?
A patient with a blood pressure reading of 168/102 mmHg on three or more occasions would be diagnosed with what stage of hypertension?
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Stage II hypertension is defined as a blood pressure equal to or greater than 160 mmHg systolic over 100 mmHg diastolic, taken at three different times on at least two separate occasions. Stage I hypertension is systolic blood pressure of 140-160 mmHg or diastolic blood pressure of 90-100 mmHg, while prehypertension is defined as a systolic blood pressure of 120-140 mmHg or diastolic blood pressure of 80-90 mmHg.
Stage II hypertension is defined as a blood pressure equal to or greater than 160 mmHg systolic over 100 mmHg diastolic, taken at three different times on at least two separate occasions. Stage I hypertension is systolic blood pressure of 140-160 mmHg or diastolic blood pressure of 90-100 mmHg, while prehypertension is defined as a systolic blood pressure of 120-140 mmHg or diastolic blood pressure of 80-90 mmHg.
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Which of the following is not a normal part of taking a patient's vitals?
Which of the following is not a normal part of taking a patient's vitals?
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While most examiners remember to take the pulse, temperature, and blood pressure while assessing their patient's vitals, overall visual appearance is also an important part of an individuals vitals. Does the patient appear ill? Anxious? Are there any noticeable issues with hygiene or bizarre dress or movements? Are there any signs of pallor, jaundice, or cyanosis? All of these observations can be quickly noted in a patient's chart when taking vitals.
While most examiners remember to take the pulse, temperature, and blood pressure while assessing their patient's vitals, overall visual appearance is also an important part of an individuals vitals. Does the patient appear ill? Anxious? Are there any noticeable issues with hygiene or bizarre dress or movements? Are there any signs of pallor, jaundice, or cyanosis? All of these observations can be quickly noted in a patient's chart when taking vitals.
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The pulse of your patient is 120 beats per minute. What is the appropriate term for this finding?
The pulse of your patient is 120 beats per minute. What is the appropriate term for this finding?
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Tachycardia is the term used to describe a faster than normal heart rate. A heart rate of more than 100 beats per minute is considered tachycardic. Bradycardia is used to describe a slower than normal heart rate. Less than 60 beats per minute is considered bradycardia.
Tachycardia is the term used to describe a faster than normal heart rate. A heart rate of more than 100 beats per minute is considered tachycardic. Bradycardia is used to describe a slower than normal heart rate. Less than 60 beats per minute is considered bradycardia.
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The physician on call pages you to ask if the patient you are taking care of is afebrile. Which of the following vital signs would you find in an afebrile patient?
The physician on call pages you to ask if the patient you are taking care of is afebrile. Which of the following vital signs would you find in an afebrile patient?
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Afebrile is a term used to describe a patient who does not have a fever. Clinically, a fever is defined as a temperature greater than 100.4 Fahrenheit. Blood pressure, heart rate, and respiratory rate do not tell you if the patient has a fever.
Afebrile is a term used to describe a patient who does not have a fever. Clinically, a fever is defined as a temperature greater than 100.4 Fahrenheit. Blood pressure, heart rate, and respiratory rate do not tell you if the patient has a fever.
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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?
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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:
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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?
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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?
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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?
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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 homeopathic remedy is most commonly indicated for post-streptococcal glomerulonephritis?
Which of the following homeopathic remedy is most commonly indicated for post-streptococcal glomerulonephritis?
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Apis is the most common remedy given for post-streptococcal glomerulonephritis. The patient may be restless and heat intolerant. Other common symptoms are back pain worse in the area of the left kidney and pain or pressure on stooping. Berberine may be used for heart failure, skin burns, and some bacterial infections. Natrum sulphuricum is used to treat liver and gastrointestinal problems. Also, it may be used for headaches, and asthma. Palladium may be used for headaches too.
Apis is the most common remedy given for post-streptococcal glomerulonephritis. The patient may be restless and heat intolerant. Other common symptoms are back pain worse in the area of the left kidney and pain or pressure on stooping. Berberine may be used for heart failure, skin burns, and some bacterial infections. Natrum sulphuricum is used to treat liver and gastrointestinal problems. Also, it may be used for headaches, and asthma. Palladium may be used for headaches too.
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What are three good food sources of copper?
What are three good food sources of copper?
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Sesame seeds, cashews, and green leafy vegetables have among the highest levels of copper per serving. Other foods high in copper include crimini mushrooms, organ meats, shellfish, and beans. All of the other foods listed are low-copper foods, often recommended for patients with disorders of copper metabolism, such as Wilson's disease.
Sesame seeds, cashews, and green leafy vegetables have among the highest levels of copper per serving. Other foods high in copper include crimini mushrooms, organ meats, shellfish, and beans. All of the other foods listed are low-copper foods, often recommended for patients with disorders of copper metabolism, such as Wilson's disease.
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The nurse is caring for a patient with severe agoraphobia. What area of the hospital should the nurse avoid with the patient?
The nurse is caring for a patient with severe agoraphobia. What area of the hospital should the nurse avoid with the patient?
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A patient with agoraphobia has a fear of wide-open spaces.
A patient with agoraphobia has a fear of wide-open spaces.
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A 4-year-old child is admitted to the hospital after his family was in a car crash, where his parents died. The child keeps asking you to bring his parents back to life. The nurse knows that:
A 4-year-old child is admitted to the hospital after his family was in a car crash, where his parents died. The child keeps asking you to bring his parents back to life. The nurse knows that:
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This is a normal reaction for a young child, who may not fully understand death. These requests are not necessarily indicative of delusion or depression.
This is a normal reaction for a young child, who may not fully understand death. These requests are not necessarily indicative of delusion or depression.
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When reviewing a client's chart, the nurse sees that the doctor identified that the client is experiencing a situational crisis. An event that could cause this is:
When reviewing a client's chart, the nurse sees that the doctor identified that the client is experiencing a situational crisis. An event that could cause this is:
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Abortion is a common cause of a situational crisis. Retirement may cause a maturation crisis, and child abuse and rape may cause an adventitious crisis.
Abortion is a common cause of a situational crisis. Retirement may cause a maturation crisis, and child abuse and rape may cause an adventitious crisis.
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The nurse is caring for a patient with severe acrophobia. What area of the hospital should the nurse avoid with the patient?
The nurse is caring for a patient with severe acrophobia. What area of the hospital should the nurse avoid with the patient?
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A patient with acrophobia has a fear of heights, thus exposure to exposed levels or other significant drop-offs will scare the patient.
A patient with acrophobia has a fear of heights, thus exposure to exposed levels or other significant drop-offs will scare the patient.
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The client in the termination phase of the nurse-client relationship is being very confrontational. How should the nurse interpret this behavior?
The client in the termination phase of the nurse-client relationship is being very confrontational. How should the nurse interpret this behavior?
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Confrontational behavior is very common for a client in the termination phase. The nurse should not assume that she offended the client, and further action in terms of therapy should not be addressed until completing the termination phase.
Confrontational behavior is very common for a client in the termination phase. The nurse should not assume that she offended the client, and further action in terms of therapy should not be addressed until completing the termination phase.
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The nurse is in the orientation phase of the nurse-client relationship where the client has been sexually assaulted. During this phase, the nurse should:
The nurse is in the orientation phase of the nurse-client relationship where the client has been sexually assaulted. During this phase, the nurse should:
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During the orientation phase the nurse should establish acceptance, trust, and boundaries with the client, which will be built upon in later phases.
During the orientation phase the nurse should establish acceptance, trust, and boundaries with the client, which will be built upon in later phases.
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Acceptance, trust and boundaries are established during which phase of the therapeutic nurse-client relationship?
Acceptance, trust and boundaries are established during which phase of the therapeutic nurse-client relationship?
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Acceptance, trust, and boundaries are established in the orientation phase of therapy.
Acceptance, trust, and boundaries are established in the orientation phase of therapy.
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A nurse administers one unit of packed red blood cells. 4-6 hours later, what change can be expected in the patient's hemoglobin levels?
A nurse administers one unit of packed red blood cells. 4-6 hours later, what change can be expected in the patient's hemoglobin levels?
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A nurse should expect to see an approximately 3% increase in the recipient's hemoglobin 4-6 hours after the administration of one unit of packed red blood cells.
A nurse should expect to see an approximately 3% increase in the recipient's hemoglobin 4-6 hours after the administration of one unit of packed red blood cells.
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