14186380
Descripción
Test por Riana Davis, actualizado hace más de 1 año
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Creado por Riana Davis
hace más de 6 años
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Pregunta 1
Pregunta
Most correct statement describing Primary Survey?
Respuesta
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ABCDE; Vital Signs; Clients status
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Health History; Systematic examination
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Clients Status; ABCDE; Health History
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ABCDE; Vitals
Pregunta 2
Pregunta
Which Accronym represents the nursing process
Respuesta
-
A D P I E : Assess . Diagnosis . Plan . Implement . Evaluate
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A S P A R : Assess . Survey . Plan . Action . Reflect
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A D P I D : Assess . Diagnosis . Prepare . Implement . Document
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A S P A E : Assess . Survey . Plan . Action . Evaluate
Pregunta 3
Pregunta
Which type of data collection is the following;
The patient expressed feelings of being dizzy, confused of surroundings, and unable to follow direction
Respuesta
-
Objective
-
Subjective
Pregunta 4
Pregunta
Which of the following are NOT involved in Post Op Assessments
Respuesta
-
General Appearance and status
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Allergy Status
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Other Medications
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Specific Obs for procedure
Pregunta 5
Pregunta
Which of the following is expected to be seen in the intermediate post-op period between 24 - 72 hours?
Respuesta
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shock
-
Acute Confusion State
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Nausea/vommiting
Pregunta 6
Pregunta
Which of the following is not a general vital sign included in routine observations
Respuesta
-
BP
-
SpO2
-
Pulse Rate
-
Respiratory Rate
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Pain
-
LOC
Pregunta 7
Pregunta
Which type of fluids are Isotonic, Hypotonic, and Hypertonic solutions?
Respuesta
-
Colloid
-
Crystalloid
Pregunta 8
Pregunta
Normal Saline like Hartmans and Rigers lactate are which of the following crystalloid fuids?
Respuesta
-
Isotonic
-
Hypotonic
-
Hypertonic
Pregunta 9
Pregunta
Which CVADS are inserted into the jugular or sub-clavian and have a 1-2 week life?
Respuesta
-
Large Bore Catheters (eg. Vascath, Gamcath, Permacath, Hickmans)
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Smaller Bore Central Lines (eg. Groschung, Arrow)
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Implantable devices (eg. Powerpoint, passport, port-a-acath, Infuse-a-port, medi-port)
Pregunta 10
Pregunta
PQRST is used for which of the following
Respuesta
-
Pain assessment tool
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Segments on an ECG
-
Both are correct but used differently
Pregunta 11
Pregunta
How is the Wong - Baker face pain assessment tool not used
Respuesta
-
Observing patients expressions
-
Getting patients to rate their pain 1 - 10
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Using general survey techniques to assess pain across the body
Pregunta 12
Pregunta
Which is not the most correct statement in relation to neurovascular assessments
Respuesta
-
Peripheral circulation and general colour
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Pulse rate, rhythm and volume
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Peripheral pulses
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DVT
Pregunta 13
Pregunta
A diagnostic tool using ultrasound that creates pictures of heart chambers and vessels to test their functioning is which of the following
Respuesta
-
Electrocradiogram
-
Echocardiogram
Pregunta 14
Pregunta
Acute Coronary Syndrome involves all of the following except
Respuesta
-
Chronic Stable Angina
-
Unstable Angina
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Non-STEMI
-
STEMI
Pregunta 15
Pregunta
Coronary Heart Disease is caused by all except which of the following
Respuesta
-
impaired blood flow to myocardium
-
atherosclerotic plague
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thrombus or vessel spasm
-
reduced systemic circulation
Pregunta 16
Pregunta
Which is incorrect about Angina
Respuesta
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Usually Chronic
-
Cause of sudden death
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occurs by increase in physical exertion
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pain can occur unpredictably
Pregunta 17
Pregunta
Which of the following are the types of Angina?
Respuesta
-
Stable, Variant & Unstable
-
Stable & Variant
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Stable & Prinzmetals
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Stable & Unstable
Pregunta 18
Pregunta
Which of the following is the incorrect statement about Acute Cardiac Ischaemia
Respuesta
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Non-STEMI > no elevated markers of myocardial necrosis > unstable angina
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Non-STEMI > elevated markers of myocardial necrosis > MI
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STEMI > elevated markers of mycardial necrosis > MI
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STEMI > no elevated markers of myocardial necrosis > Unstable angina
Pregunta 19
Pregunta
Which of the following is not a sign or symptom of an MI?
Respuesta
-
Nausea/vomitting
-
sense of impending doom
-
Diaphoresis
-
All are correct
Pregunta 20
Pregunta
An angio-cath is iserted into an artery in the arm, groin or neck and threaded into the coronary arteries. The client is given IV radio-opaque medium. X-rays are taken while the medium flows through the coronary arteries. What am I?
Respuesta
-
Coronary Angiogram
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Echocardiogram
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Electrocardiogram
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Angioplasty and Stenting
Pregunta 21
Pregunta
What is the purpose of a Coronary Angioggram?
Respuesta
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Allows pictures of the heart chambers and vessels to be captured, and any thrombus locations identified or where stents may be required
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Provides direct vision inside coronary vessels and allows for removal of thrombus of placement of stents
Pregunta 22
Pregunta
which assessments are not used in a client with chest pain?
Respuesta
-
vital signs and manual BP
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PQRST pain assessment
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Rapid top-to-toe assessment (appearance, colour etc)
-
Sit in high fowlers to increase lung capacity
Pregunta 23
Pregunta
Priorities for care with client with chest pain is
Respuesta
-
reduce 02 demand and increase perfusion of the myocardium
-
reduce the pain using GTN
Pregunta 24
Pregunta
Goals of care for the client with MI
Respuesta
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Reduce pain
-
minimise damage
-
maintain cardiovascular stability
-
decrease cardiac workload
-
All are correct
Pregunta 25
Pregunta
MI requires rapid assessment and early intervention. Which of the following assessments would you routinely undertake in an acute MI patient?
Respuesta
-
vital signs, O2 sats, pain assessment
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ECG and continuous monitoring
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Diet, nutrition and exercise education
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Blood tests / cardiac enzymes
Pregunta 26
Pregunta
From aspirated objects, tumour/growths or spasm, excessive local inflammation or a fractured thyroid or cricoid cartilage from trauma.
What am I?
Respuesta
-
Laryngeal obstruction
-
Nasal obstruction
-
Epistaxis
Pregunta 27
Pregunta
An obstructed larynx or upper airway can result in asphyxiation and is a medical emergency
Respuesta
-
True
-
False
Pregunta 28
Pregunta
Which of the following is not an example of acute upper respiratory infections
Respuesta
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Rhinitis, sinusitis
-
Respiratory Syncytial Virus (common in kids and affect lower resp tract in infants)
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Pertussis
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Tonsillitis and Laryngitis (incl, epiglottis)
-
Bronchitis
-
Influenza A, B & C (A most common)
Pregunta 29
Pregunta
A client would have a permanent tracheostomy following a partial or complete laryngectomy
Respuesta
- True
- False
Pregunta 30
Pregunta
In a respiratory assessment which of the following is incorrect?
Respuesta
-
Obtain specimen
-
Note cough, cough effectiveness and if productive
-
peak flow/spirometry
-
sense of impending doom
-
vitals and physical assessment
Pregunta 31
Pregunta
Which of the following is not a diagnostic test for respiratory conditions
Respuesta
-
Pulse oximetry; Aminocentesis
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Arterial blood gasses; FBC; Electrolytes; Co-ag studies
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sputum specimen; throat swab (if upper tract)
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Chest X-ray; Pulmonary angiogram
-
Bronchoscopy; Lung biopsy
Pregunta 32
Pregunta
What would the following medications be used for;
Heparin, Clexane, Warfarin
Respuesta
-
Anticoagulant therapy for PE
-
Anti fungal agents for fungal infections
-
Antibiotics
-
corticosteroids and bronchodilators
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decongestants and mild analgesics
-
antihistamines
Pregunta 33
Pregunta
What are other treatments used in respiratory conditions?
Respuesta
-
Oxygen therapy
-
Chemotherapy and/or radiation
-
Thoracotomy
-
Plerodesis
-
Peak-flow rate
Pregunta 34
Pregunta
What is not involved in nursing care of a respiratory patient
Respuesta
-
Respiratory/droplet precautions
-
Oral and skin care
-
spacer education
-
showing them the smokers section of the hospital
Pregunta 35
Pregunta
Effective coughing exercises; client positioning - high fowlers/semi; and support and resources for lifestyle choices are which of the following?
Respuesta
-
Providing education on activities to support respiratory function
-
Expected routine assessments carried out daily
Pregunta 36
Pregunta
Which COPD is the following;
inflamed lungs , windpipe ad passageways from severe irritation or infection?
Respuesta
-
Bronchitis
-
Emphysema
Pregunta 37
Pregunta
Which COPD is this?
gradual destruction of the alveoli resulting in shortness of breath, and difficulty to breathe
Respuesta
-
Bronchitis
-
Emphysema
Pregunta 38
Pregunta
which of the following does not effect ventilation
Respuesta
-
pleura disorders
-
infections and inflammation
-
pnumothorax
-
emphysema
Pregunta 39
Pregunta
which is true regarding gas exchange?
Respuesta
-
reactive airway disease and obstructive disorders
-
pulmonary vascular disorders
-
Acute Respiratory distress
-
broken nose
Pregunta 40
Pregunta
What am I;
> commonly caused by bacteria
> most common in females, elderly, diabetes patients, and those who are immunosuppresed
> Can lead to kidney damage and renal failure
Respuesta
-
UTI
-
Dehydration
-
electrolyte imbalance
-
Hyperglycaemia
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