Download Remar nursing set 3 Questions and Answers 2025 and more Exams Nursing in PDF only on Docsity!
Remar nursing set 3 Questions and Answers
pleural effusion is the collection of ... in the pleural space - Correct answer fluid what are the signs? - Correct answer Sharp pain on inspiration SOB Tachycardia Decreased breath sounds X-ray needed to confirm what is the treatment? - Correct answer - find the cause
- monitor breath sounds
- high Fowler's position
- thoracentesis After a throracentesis is performed what may be needed temporarily? - Correct answer chest tube what medication do you give if the fluid is not a large enough amount to perform a thoracentesis - Correct answer diuretic what is polycythemia vera? - Correct answer Disorder that results in increased number of erythrocytes, leukocytes and platelets. Result= thick blood what will the client complain of - Correct answer Headache, SOB, weakness on assessment, what will you find? - Correct answer purple/red complexion, enlarged spleen, increased hemoglobin With polycythemia will clot time be increased or decreased - Correct answer increased what is the main treatment - Correct answer Phlebotomy ( blood draws several times a year)
what causes PTSD - Correct answer Any traumatic event can cause PTSD what are the signs associated with PTSD - Correct answer nightmare, anxiety attacks, sleep disturbances, memory loss, or hyper vigilance These clients will often seem detached. True or false? - Correct answer true; patients will isolate themselves what is the treatment for PTSD - Correct answer Therapy to discuss feelings and anxiety/depression meds and support groups RhoGam is given to pregnant clients who are rH ... but whose baby is rH ...
- Correct answer negative, positive (RhoGam prevents the mom from developing antibodies against future Rh-positive babies) when is RhoGam given - Correct answer 28 weeks and within 72 hours of delivery (given twice) Do you give RhoGam if the client has a miscarriage - Correct answer Yes if pregnancy is > 13weeks do you give Rhogam to the infant - Correct answer No, never or to the father what are tocolytics - Correct answer Drugs given to stop preterm labor what is the mnemonic used to remember the four drugs that can be used for preterm labor? - Correct answer It's Not My Time what drugs do the letters stand for? (It's Not My Time) - Correct answer 1. Indomethacin (NSAID)
- Nifedipine (C.C.B)
- Magnesium Sulfate
- Terbulatine When giving these medications, what must you monitor continuously? - Correct answer fetal heart rate/maternal vital signs
what are the types of therapy? - Correct answer External (outside the body) Beam and sealed Internal (inside the body) what are the side effects? - Correct answer Alopecia, fatigue, skin irritation clients receiving beam radiation therapy should wash area with? - Correct answer unscented soap, water, pat dry clients receiving radiation therapy need private .... and ... - Correct answer room and bathroom no .... or ... may come to visit - Correct answer pregnant women or small children can a women with a removed cervical implant have sexual intercourse? - Correct answer yes, 7-10 days after removal what is raynauds disease - Correct answer Vasospasms of arteries of the upper/ lower extremities what body parts are most affected - Correct answer Fingers, toes, and cheeks what does the client feel - Correct answer Numbness, tingling, and swelling; area may feel cold what are the treatments - Correct answer Monitor pulses, vasodilators, avoid cold and stress, quit smoking, wear warm clothes will clients experience pain if the retina detaches - Correct answer no, this is painless is this a serious condition - Correct answer yes. this is an emergency what are the signs of a detached retina? - Correct answer Blurred vision Floaters
flashes of light black spots what is the treatment for a detached retina - Correct answer Surgery to reattach retina what are the nursing interventions - Correct answer cover both eyes with patches, no coughing, sneezing, strict bed rest, keep head of bed elevated what is reye syndrome - Correct answer acute encephalopathy what other organs are involved - Correct answer liver and kidneys what is the cause - Correct answer Usually a viral infection; There is a link that aspirin to treat the virus may be the cause true or false? rheumatoid arthritis is a chronic systemic inflammatory disease that affects the joints - Correct answer true what are other clinical symptoms associated with rheumatoid arthritis? - Correct answer fatigue, weight loss, low-grade fever is there a particular age group that affected? - Correct answer no, it can occur at any age What factor will be found in the blood of a client with rheumatoid arthritis? - Correct answer rheumatoid factor ... will also be elevated in the blood - Correct answer erythrocyte sedimentation rate which joints are mostly affected? - Correct answer Joints in the hands, wrists, feet, elbows, shoulders Will these joints be affected unilaterally or bilaterally Rheumatoid arthritis - Correct answer bilaterally - both hands, feet, knees, and etc due to inflammatory of the synovial membranes, which damage cartilage, joint .... are seen - Correct answer deformities
what are the signs of herpes zoster? - Correct answer Itching vesicles grouped together on top of a red rash, painful to touch, low grade fever, malaise how are shingles spread? - Correct answer The vesicles contain fluid that transmits the virus where is the rash usually located - Correct answer Along a dermatome what is a dermatome? - Correct answer an area of skin that gets all of its innervations by a single spinal nerve what are some areas of dermatomes? - Correct answer Face, trunk, back will the rash and vesicles be unilateral or bilateral? - Correct answer unilateral what are the isolation precautions for herpes zoster? - Correct answer respiratory isolation what is the treatment for shingles? - Correct answer Analgesics Supportive care Cool compresses try to keep vesicles intact what may be seen after vesicles have healed? - Correct answer scarring Is this autosomal trait recessive or dominant (Sickle cell anemia) - Correct answer recessive; most commonly seen in african americans how is this condition inherited? - Correct answer A child receives the gene from both parents How long do sickled RBCs live compared to normal RBCs? - Correct answer 6-20 days; normal is 120 what does this put the client at risk for? - Correct answer anemia the acute exacerbation of sickle cell anemia is called ... - Correct answer sickle cell crisis or vaso occlusive crisis
what test determines sickle cell anemia? - Correct answer Hemoglobin - shows anemia sickle testing of blood the most common cause is ... - Correct answer dehydration this causes the sickled blood to do what? - Correct answer clot how do you treat a sickle cell crisis? - Correct answer Hydrate with oral and IV fluids, give O2 to increase tissue perfusion A blood transfusion may be needed Give pain meds - very painful during a sickle cell crisis, which intervention is done first - give 02 or hydrate with IV fluids? - Correct answer hydrate with IV fluids; remember, during a crisis the blood is clumped together, so the goal is to decrease the viscosity of the blood, O2 will not reverse the cause, it will only prevent more clumping ... can never be considered sterile, only clean - Correct answer skin never turn your ... on a sterile field - Correct answer back If a nurse has on a face mask and sterile gloves is it okay to adjust the face mask with a gloved hand - Correct answer no, because once the gloves touch the mask they are no longer sterile a sterile gown is only sterile from the .... to the ... - Correct answer waist, shoulders if a sterile wrapper becomes ... the entire package is no longer sterile - Correct answer wet This is a side effect of what medication (Tardive Dyskinesia) - Correct answer antipsychotics what will you see? - Correct answer Chewing motion w/ mouth, tongue sticking in and out, involuntary movement of arm/ leg
what are the indications for a tracheostomy - Correct answer Upper Airway obstructions (Increased mucous) what is the created opening called? - Correct answer stoma what must the nurse always have at the bedside? - Correct answer An obturator, a stiff plastic device used for inserting the inner cannula Is suctioning a client with a trach a clean or sterile procedure (tracheostomy) - Correct answer sterile what should the nurse always do before suctioning a client with a trach? - Correct answer hyperoxygenate with 100% O Should suction be applied during insertion of the catheter (tracheostomy) - Correct answer no, this can cause damage to the client what should the nurse always do after suctioning a client with a trach? - Correct answer reoxygenate with 100% O2 2-3 during inhalation If a client coughs strongly and the trach becomes dislodged, what is the initial nursing action? - Correct answer keep airway open by reinserting obturator or grabbing retention sutures. give O2 if airway lost if if a client is NOT on a ventilator but has a trach, should the inner cuff be inflated? - Correct answer no, it should be deflated so as not to bock airway what is this medication used for? (Trimethoprim-sulfamethoxazole) - Correct answer to treat bacterial infections, most commonly UTI's what are the contraindications for taking bactrim? - Correct answer kidney or liver failure the severe inflammatory skin disorder caused by bactrim is called? - Correct answer steven - johnson syndrome during this allergic reaction what will you see? - Correct answer Severe skin lesions; blisters; swelling of throat, lips, tongue; fever; headache; rash "lesions can be internally on organs as well!
what organism is the cause of TB? - Correct answer Mycobacterium tuberculosis what are the signs of active TB - Correct answer Productive cough, chills, weight loss, low-grade fever, night sweats the ... test is administered by injecting a small amount of tuberculin intradermally - Correct answer mantoux, also called PPD the mantoux test is considered positive if the induration (raised skin) is greater than ... mm - Correct answer 10 what are the appropriate isolation precautions? - Correct answer airborne the clients negative pressure room should have ... fresh air exchanged per hour - Correct answer 6 S.T.R.I.P.E. is the mnemonic for TB antibiotics. What are those medications? - Correct answer ST - reptomycin R - ifampin I - soniazid P - yrizinamide E - thambutol what is the most common side effect of TB antibiotics? - Correct answer peripheral neuritis what are the other side effects? - Correct answer muscle aches, GI disturbances, dizziness what color will rifampin turn urine, sweat, and tears? - Correct answer red or orange when taking TB antibiotics, what vitamin will be depleted? - Correct answer B teach the client to avoid ... to reduce the risk of hepatotoxicity - Correct answer alcohol
this vitamin is important in monitoring eyesight - Correct answer vitamin A what are important food sources of vitamin A - Correct answer Oranges and dark green leafy vegetables in pernicious anemia, the missing intrinsic factor inhibits absorption of what vitamin? - Correct answer vitamin B12 (will see parathesis in hands and feet with this deficiency) iron supplements should be taken with what vitamin to promote absorption.
- Correct answer vitamin C von gierke's disease is also known as? - Correct answer Liver glycogen disease which age group normally gets this disease? - Correct answer children what are the common clinical signs? - Correct answer Hepatomegaly, acidosis, fasting Hypoglycemia, & delayed growth. what are the diagnostic test? - Correct answer urine and blood test, CT how will the liver appear? - Correct answer fatty what is the treatment plan? - Correct answer frequent meals, allopurinol for gout, and liver transplant what is wilson's disease? - Correct answer It is a genetic defect that causes copper buildup in the body. The body is unable to remove extra copper. what two organs are affected the most? - Correct answer liver and brain what is the diet for this client? - Correct answer low copper what foods are high in copper and should be avoided? - Correct answer lamb, shellfish, vegetable juice, nectarines, dried beans, chocolate, multi- vitamins
