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The nurse receives a report from the previous shift. Which of the following patients should the nurse see FIRST? 1)A patient who had a lobectomy 24 hours ago and has a chest tube. 2)A patient who had a laryngectomy 12 hours ago. 3)A patient complaining of a headache. 4)A patient in Buck''s traction for a fracture of the R femur.
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2
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Epigiotomy ? care (M) ? pain ???? ?? warm or cold water? bath ? daily soap and water? clean ? ??? ?? ?? muscle? relax??. ? ice pack apply ? perineal area? ~~~??.(?????)
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1,3
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??? ???, ?? ?? ?? ? ?? ? 3yrs barking sound ? 4mon fever 38.6
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1
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?????? ?? ??? ??? ?? ?? ?? ? ?? log rolling? side rail ~~~ ? ?? ???? ?? care ? Knee bending~~
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1,3
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???? ?? ?? ??? ?? ?? ????. ??. ?standing? ?? ??? ??? ??? ???? ???? ? ?? ? ???? ???? ???~~ ? ??? ?? ? ?? ~~ ?? ? ~~
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1,2
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mechanical body ?? ??? ???????...~ ??????? ????..~ ?11.3????? ???? ?????????.
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1,2
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Metformine? ?? ?? ???? ? ?? ??, ??? ????. ? dye ???? ???? ???? ??? stop??. ? urine Keton????.
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2
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Alcohol abuse patient, effective? ?I told my friends I won't drink when I go to bar ? I Attended all alcohol support group meeting for 2 weeks ? My spouse attends support group every week ? I would stay sober if my spouse agrees to divorce me
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1
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Migraine H/A ?? ~riptan ?? ????. ?? ???(??) ? ????? ???? ???. ? wine, cheese ? ?? ?? ????. ? ?? ?? ?? ??? ???? ?? 2 ?? ?? ??? ??. ? ???? ??? ? ??.
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1,2
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Kideny Bx ? ?? ??? ???? ? voiding? burning sense ? shouler ; back pain
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1
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TPN? ?? ?? ? ? change catheter tubing q24hr ? change IV cath q24hr ? change cath dressing q24hr ? check BST q8hr ? semi folwer's position
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4
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condom catheter?? ??? ??? ??? ???? ? penis ?? tube ?? ?? ?? ??. ? ??? ??? ???? ??? ????. ? ?? ???? bag? ??? ?? ????.
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1
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condom cath ?? ?? ?condom ?? ?????? ??? ?? ?tip ?? ??? ??
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???
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Hypertropic cardiomyopathy? ?? ??? ????? ? hypertention? ????. ? degenerative change? ?? ?.. ? ??(??????..)? ??????.
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???
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Bipolar pt. took medicine and undergoing treatment. proper improvement? ?having good relation ship with other clients ? decrease of manipulation ? well sociailised
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1
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Scarlet fever client care? ?? ?? ? ? Take off gloves after leaving client's room ? Wear surgical mask when taking client's blood pressure ? Wear gown when ? ? ?.... (contact precaution) ? ??? negative pressure ?? ??
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2
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CAD patient serum homocystein ? MI???? ? ??? ??? 60mmhg??..???
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1
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?? ?? 7?? ??? ???? 'I'm bad mother. ??? ??? ?? ?? ?? ?? ??.' ???? ??? response? ? ?? ??? ?????. ? child abuse ?? ?? ?? ??? ?????. ? I suggest ?? ???? ????? ???.
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3
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Cancer ?? conference. Multi ? ??? fruit ; vegetable at least 5 serving ?????. ? ?? ??? ?????. ? avoid alcohol and red meat ?
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1,2,3
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primi ?? ????? ????? ?????????????. require follow? ???? ?? ???? ? soft, umbilical level ? firm, umbilical level ? soft, above umbilical2finger level ? firm, above umbilical2finger level
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2
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PPE ?? ?? ? Remove glove ? Untie gown's strip ? ? ?? ?? ????? ? ? ?? ???? ???? ??? ? ? ???
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1-2-3-4-5
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24hr ?? vaginal delivery ? ?? perineal care ?? ???(multi) ? swelling ???? ?? ????. ? pad ??? ??? ?? ???. ? Tub bath ??? ? spray ???? cleansing ???.
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1,3
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BP.P, R??.anorexia. cyanosis. incontinance.U/O??. coughing. swallowing difficult.
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MG ; myasthenial crisis
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apprehension. restlessness. dyspnea. disphagia.increased lacrimation. increased slivation. diaphoresis
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mixed crisis(MG+cholinergic)
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n/v. diarrhea. abd cramping, blurred vision. pallor.
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cholinergic crisis
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The inability to speak or understand phrases
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Aphrasia:
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.The nurse surveys patients midway through the evening shift. It is MOST important for the nurse to intervene in which of the following situations? 1)A patient diagnosed with emphysema and a smoker''s cough is watching television with a visitor who is wearing a mask and gloves. 2)A patient diagnosed with gastroesophageal reflux disease (GERD) is sitting in a chair sipping a can of ginger ale after eating dinner. 3)A patient diagnosed with peripheral arterial disease (PAD) is sitting on the side of the bed with legs crossed. 4)A patient diagnosed with myasthenia gravis is being assisted with dinner by the nursing assistant, who is cutting the food into small pieces.
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3
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The middle of the evening shift on the inpatient psychiatric unit is unusually hectic,(??) with a large census, high acuity level, three admissions in two hours, and a fourth admission on the way. The unit secretary goes down to the emergency department to get some needed paperwork for one patient. When she gets back to the unit, she angrily and repeatedly exclaims about the ongoing rudeness of the emergency department staff, including their not providing the necessary documents. She states, "I am going home!" and starts to go toward the coatroom. What is the BEST response by the charge nurse? 1)"Take a deep breath. Give it some thought and let me know what you decide." 2)"You must stay here and do your job. If you leave, that will be insubordination."(???) 3)"Calm down. Overreacting does not do you or anyone else any good." 4)"We are not the ones who were rude to you. Do not leave us, because we need you."
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4
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???? ???? ????? ??. ??? ???? ???(multi) ? ??? ID band ? ????. ????? ??? ????? ??. ???? ????? ????. ???? ???? ????. ??? ?? ????? ??????.
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1,2
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??error??? ?? conference multi ? ?? ? minimum 3? check ? ??? ?? ? ?? ??. ? ????? 2?? ???? double check??.
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?? error ???? .?? ?? ??? select all ?spell ? ??? ??? ?? ?? ??. ??? ??? repeat ??. ???? ??? ??? ?? ???. ???? ??? ?? ??? ??? ensure ??.
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1,2,3,4
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ACE inhibitor indication? multi ? HTN ? Heart failure ? DM ? infective endocarditis ?
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1,2,3
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Stich out ?? ??? ?? ? suture remove set ???? ?glove wear and aseptic technique ? forcep and curved scissor hoding ?scissor level -??? ??? ?????????? ???. beneath the suture ? partial suture remove 6. povidone dressing 7. sterile gauze
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1,2,3,4,5,6,7,
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Somogyi effect (DM?? 2-3AM? hypoglycemia????,??? ?? ??, insulin usual dose 7A,19PM sq..) ? ?? ??? ??? ???? ??? ??? ? SMBG 4?????? ??? ??? ?protein,???? ???? ? ?????
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3
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Clarify with Dr. the medication order. ? Glargine 30unit in the evening for type 1 DM patient. - ?? ??, 100unit
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1
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Increased anxiety ? ???? sx ? declining meal ? frequent urination ? write several page of journal ? increase sexual desire ? pacing decrease ; perception ability , learning skill, solving problem,
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1,2,5
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?? ??? ?? more confuse and anxiety(?) yelling to nurse station correct documentation? or ?? ??, multi ? anxiety related to new environment ? more confuse,,yelling
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1,2
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.fat embolism(multi)? ?Restlessness(anxiety) ? P 68 ? hypotension ? rales(crackle) sound Sx : BP?,PR?,BT?, Gum bleeding, chest pain, irritable, JVD, dyspnea, SOB, hematuria Tx:HFP, ROM exercise, EB, O2, heparin
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1,3,4
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colon ca ? fluorouracil-5FU ?? ??? ???? ? ??? ? mouth soreness ? ? ? ?? notify to HCP alopecia -???,ES *chemo:cytoxan,cisplatine- cistitis *5Fu,6MP,methotrexate - dermatitis ; psoriasis avoid *Adriamycin : ototoxicity, nephroxicity, neuromusclar blockage *vincristine ; nerve/necrosis
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1
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????? ?Heart failure ??, ? CRF ??? 5?? ?? urine ??? ? ??? pruritis ??, ?5?? head injury ? ?? ?? decelebrate position ??
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halovest traction ?? ?? multi? ? vest ???? skin assess ? pin ????? drainage ?? ?? (???? ??? ??? ??) ? headache ??? pin? loose ?? ? ???. ? muscle function ,skin sensation assess
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1,2,4
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Halo vest traction ??? ?? ??? (multi) ? 2???? position change ??? ? ??? ?? ?? ? halo ring ???? ??? ? ? ? ?? ???.. ? ?????.
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1,2
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disaster ?? ????? ??? ? ? ???? ???? MI ?? ? ? ? cholecystectomy 8??? ???? 4????? tolerate liquid diet ? asthma axacerbation?? 24???? ?????? ????? ????? ??? ??? ?? ??? ??? ??
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3
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Four patients arrive in the emergency department within minutes of one another. Which patient should the nurse see FIRST? 1)A patient, pale and diaphoretic, who is complaining of sudden and severe pain radiating from the flank to the scrotum. 2)A patient with right lower quadrant (RLQ) abdominal pain of 24 hours'' duration and which is relieved by drawing the legs up and remaining still. 3)A patient, jaundiced and nauseated, who is complaining of pain in the right shoulder and has a temperature of 100°F (37.8°C). 4)A patient with sudden epigastric pain and nausea who reports vomiting blood and has an odor of alcohol on the breath
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4
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.The nurse cares for clients in the outpatient surgical center. Four clients scheduled for surgery present to the surgical center at the same time. Which of the following clients should the nurse see FIRST? 1)A 19-year-old scheduled for a tonsillectomy. 2)A 25-year-old scheduled for an inguinal hernia repair. 3)A 32-year-old scheduled for a mastoidectomy. 4)A 39-year-old scheduled for removal of nasal polyps.
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3
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The nurse cares for clients on an acute pulmonary unit. The nurse prepares a written report for the next shift. It is critical to communicate which of the following to the next shift? 1)Laboratory work drawn on the client, arterial blood gas reports, nutritional intake, and vital signs for the shift. 2)Any respiratory difficulty client has experienced, activity tolerance, sputum production, and significant variances in vital signs during the shift. 3)Name of client''s physician, date client was admitted, dietary intake, and client''s general condition. 4)Urinary output, fluid intake, visits by the attending physician, vital signs, any respiratory problems encountered.
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2
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The nursing team consists of an RN, an LPN, and two nursing assistants. The RN should care for which of the following clients? 1)A child recovering from surgical repair of a hypospadias. 2)A client recovering from excision of a malignant melanoma. 3)A client diagnosed with a myocardial infarction requiring assistance to the bathroom. 4)A client diagnosed with urolithiasis recovering from lithotripsy.
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2
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low molecular weight heparin therapy ??? ??? ??? ???? ? ? ? SC? ???? ???? ???. ?gum bleeding ? ??? vit K ?? vegetable ??? ?? ???. ? check partial thromboplastin time weekly Heparin : PT/PTT, OB, Hwt/Wt check
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3
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OA multi ?Wt bearing ?? ?rest ?NASAID ? ? ??? ??? ??? OTC?? ???? ?CAL? OTC?? ???? ? ice massage ???..???? ?? ?? ???
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1,2,5
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Osteo malacia discharge education, ?? ? ????.(multi) ? will do weight bearing exercise ? will do swimming ?.will take prescribed pain med ?will get calcium supplements from OTC ? will use cane (?) ?????; ca?, vit?, fat?, vit D?? sun expose- morning, evening 5-15? ??? ??? ,strengthen exercise, device, splint??
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1,2,5
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multi) Laparscopy cholecystitis op ??? ??? ??? post op complication risk ?? pt?? ? Enoxaparin ?? ?? ?? ??? ? ???? asthma hx ? ?? ??? Bumex ??? ? Hb 14 ? Bun 17
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1,2
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ventilator malfunction ?? ???? ??? ? water in tube ? tube pressure 20mmHg ? high pressure alarm when client HFP position ? low pressure alarm when suctioning
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??? op? ???? ?? ?? ??? (??? ??? ??x)—????? ? MSO4 ??. Pt complains pain 4 in 0-10 scale ? OS eyepatch apply ? 240ml pale yellow urine voiding *Accurately document : OS ; Lt eye, OD: Rt eye, OU : both eye ????affected eye shining?unaffected shining
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1
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priority ? HCV pt dark urine ? Rt Mastectomy pt Rt arm edema
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1
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ECT ????, ??? incident report ? ???? ?? ??? ????? ??? ? ???. ?Nurse found a patient on the floor and side rail was upright. ?A patient is out of bed and cover off other patient's linen who is crying on the bed. ??? ?? ??? ?? ???? ????? ?? ??? ?????. ?Nurse found out that a consent form was not signed. ?A patient complains of a headache and asked a medication ?ECT ???? seizure? ???? 2??? ????.
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32? perg ?? ??? heavy bleeding fluid lekage ???. first? ????? ?? ???? ???? ????. ?extra fetal monitoring??. gush fluid ; litnos paper test, asses PH ; green color - alkaline
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1
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Living will ?? ? (multi) ? 2??? ??? ?? ? ?? ? ??? ?? ? ??? ?? ? ?? ? ???? ??? ??? ? ?? ? ???? must be review ?? ?? ? ???? ??? ?? ? ??
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2,3,4,5
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living will multi. ?terminal care??? ??? wish ???? ??? ??? alter? ? ?? ???? 2??? ??? update?? ?Attorney? ??? review???? ???? ????? ?? ??? family member? ????
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1,2,4,5
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Advance directive refuse giving antibiotic to pt. MD ordered antibiotic for 7days. Nurse action? ? notify nurse manger. ? incident report. ? ask pt if he is aware of the antibiotic.
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3
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?? ? haldol ?? bath ??. ? prozac ?? ??? ????. ? prolixine se ?? ??. ? lithium ? ????. *manic; tegretol, lamotigen, lithium
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4
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Consent form ? ???? ??? multi. ? Altenative treatment ? diagnosis ? procedure ? ??? ????? ????? ??? ??? ???????? ?? ? all heathcare provider's name
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2,3,4
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The patient will have a surgery after 4 hrs. What should the nurse prepare?(M) ? V/S ? Informed consent. ? Oriented the surgery room ? Health assess history.
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1,2,3,4
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barium enema ??, occult boold ??? ? ? M ? ?? 3??? ???? ??? ? ??? ????? ???. ? red meat ? ???. ? barium ????? ?? ??.
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1,2,3,4
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Cardiac catheterization ? ?? (multi) ? bed rest and compression ? peripheral pulse check affected site ? hematoma bleeding check
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1,2,3
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?? ?? ?? ? 34? ?? ?? ???? brawn color ? 36? PROM ??? ?? ?? ???. ? ??? ??
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1
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ADHD ?? ~~?? ??? ??? ???? ??? ???? ?? ???? ??????? ? ??, Wt loss ?? ? social ,physical development ?? ???? ????? ??? ? ???
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1
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Fentanyl patch ???? ? bath ?? ? heat pad ??. ?pt chest? hand palm?? firmly ?? ???.
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3
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spiroaldacton ? K????. ? ??? ???? ? green leaf ???
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23
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Adenovirus precaution? ? droplet ? airborne ? contact ? neutrogenic?
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3
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????16? veitnamese? assess?? ??? ?? ???? ??? ???? ?? ?? ????? ????? ???? ?? ???? ?????? ????? ???? ???? ???? ????? ?? ?? ???? ????? ????
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3
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?? ? ???? ??? ?? ? ???? ?? ?? ?? ???. ????? ?? 4? ??? ?? ????. ???? ???? ?? ??? ??? ???. ????? ??? ??? ??? ?? ?? ????? ???. ??????,????? ??? ??? ??? ???.
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1
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background? ?? ???? pt care ? ?? ? ???? focus on ?? ? religion? ?? information? ???
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2
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Anorexia nervosa priority? ? ??????? ?? ?????? ?? ??? ?? ? It's not my fault my parents arguing ? ??? ??? ????? ? ?? ??? ? ???? ?? ??? ?? ??? ???? ????
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2
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Lactulose malabsorption conference multi ? constipation, N/V ? ? ????. ? pancreatitis pt ?? ??? ? ??. ?
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1,2
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client with Radiation therapy , suddenly decrease urine output and~ (electrolyte imbalance? ?? ??? ??? ??? urine output ??? ?? ?? ????????) ??????? ? SIADH ? Tumolysis syndrome ?
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2
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macular degeneration pt. ?? life, hobby ? ?? ?? ???. Miserable. ?? ??? ? nurse? ? tell pt ???? ??? ??? ?? ???. ? ???? group ? ?? ??. ? ??? OTx ? ?? ????. ? ?? unit? ?? ?? ???? ??? ???? ? ?? ??.
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4
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Lt tympanoplasty ?? ??? ?? ????? ???? ? ??? ? expected pain for first day ? notify to HCP if you hear left ear popping sound ? Lt side lying for drainage ? when you sneezing ,close your mouth
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2
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grief? loss? ?? ??? ????? grief? ??? ?? ? complicated grief? long term care ??? ?? ?? cancer ?? ? distorted grief? denial ? schooler child ?? ????? ? delayed grief ? ?? ???? ???? ???? ? grief ? ??? ?? ?? *complicated grief???? : delayed, chronic,pathologic-Ca?? disorder, abnormal grief *disorted grief ??? ??: converted?? grief, chronic grief, extremely supression, irriational expression???? ??
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3
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inhalation anthrax ? ???? ?? ?lamivudine ? ciprofloxacin ? cefazolin ? penicilline
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2
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Nephrotic syndrome ?? ?? ???? steroid tapering ???. ?????? ?? ??? ? Urine albumin check ? Diet ? Activity ?? ? ???? *Glomurulonephritis : Streptococcal infection, ??hematuria, protein uria, fever, U/O?, BP?, headache, orbital edema Tx : rest, IV, 1000cc?, Diet : water?, Na?, K?, P?, Mg?, protein? *Chr. Renal failure : M.acidosis, Cr?, puritis ?: azotemia sign * Nephrotic syndrome : immune?, proteinuria, Low albumin, ?? edema Life long steroid, SE: 4S? : sugar?, sodium?, protein?,k?diet ??
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2
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*patients management priority Rheumatoid Arthritis / PVC5? Pharyngitis / K? or K? ; electro unbalance Pakinson's /CABG, MI ?? Sickel cell anemia / Encephalopathy, mental? Burn /Cholecystectomy after some op Bone marrow / Transplantation, rejection sign ##pharyngitis symptom-Sore throat Red throat .Lump in throat feeling .Fever .Headache Swollen glands .Swollen neck lymph glands Tender neck lymph glands .Difficulty swallowing Pain swallowing .Breathing difficulty
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priority1
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-meningitis neck stiffness # -thyroidectomy respiration difficult # -??? diaper 4?/24hr # -cisplantin ???? ?? N/V # -MS drooling #
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priority2
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.It is MOST important for the nurse to consider which of the following concepts when planning nursing care for a client from a culture other than the United States? 1)The distance from the United States and the duration of time the client has been in the United States. 2)The climate and topography of the client''s native country. 3)The concept of time and the organization of society in the client''s native country. 4)The client''s financial status and physical characteristics.
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3
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The nurse returns to the desk in the prenatal clinic and finds four phone messages. Which of the following messages should the nurse return FIRST? 1)A multigravida at 12 weeks'' gestation experiencing heavy white vaginal discharge. 2)A primigravida at 17 weeks'' gestation states that she has not felt the baby move. 3)A primigravida at 22 weeks'' gestation complains of feeling dizzy and clammy when lying on her back. 4)A multigravida at 32 weeks'' gestation experiencing malaise and bilateral dependent and facial edema.
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4
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The nurse manager of the psychiatric unit plans the biweekly unit-wide multidisciplinary team case conference focused on one particular patient. Which of the following patients is MOST important for the manager to select for discussion? 1)A patient who was admitted after a second serious suicide attempt and refuses to talk. 2)A patient toward whom the staff have sharply conflicting attitudes and actions. 3)A patient who talks to invisible beings, takes possessions from other patients, and paces continually. 4)A patient, well known and well liked by staff, whose diagnostic testing reveals a brain tumor.
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2
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The nurse on the medical/surgical unit prepares several clients for discharge today. Which of the following statements, if said by one of the clients to the nurse, indicates the need for further teaching? 1)"Because my colostomy is pink and moist, I can take a relaxing bath." 2)"Now that I''ve had this old hip replaced, I can get back on the tennis court." 3)"In about a week, I''ll need to have the stitches removed from my head. Perhaps I should wear a hat while I''m outdoors." 4)"I can''t wait to go for a walk in the park. My knee feels so much better with the new joint in place." *??:hip replacement, immobilization, abduction,extension
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2
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multidiscipline ? 12yr SCA + neutropenia ? 14yr 18week ??, GDM ? 19yr homeless, active TB + anemia
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2
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hital hernia ? ??? ? ??? binder ?? ? ?? ???? *hital hernia??: obese, heavy lifter, GERD, - samll freq.?? ; Wt loss, avoid - lifting, binder?
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1
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???? ?? ?? ?? ??? ??? ? ????? ?? ?? ?? ? self urination ?? ??
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2
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smoking? ???? ??? ???? ???? ?? ?? ??? ? "???? ???? ???" ? "support group? ????" ? "psychotheraphy? ???" ? "?? ??? ????."
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2
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thyroxin crisis ? beta bloker ??. ? EKG 12 lead ?? ???. ? Tylenol ? ASA
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1,2,3
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Thyroxin crisis ???? ????? ????. ? ASA ? Cool blanket ? Beta adrenergic blocker ? (Acetaminophen) Tyrenol ? O2
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2,3,4,5
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HIV Pt ???? ??? ????? ? ???? ?? ?? ??? ???? ?? ?? ?~
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2
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34? preterm labor ?? clarify ? MgSo4 2mg 1?? ?? ??? ?? ? MgSo4 10mg 20? ?? ??? ?? ? Ca channel bloker nifedipine po. ? ????? IM *PIH toxicity??? R12?,U/O 30cc/hr?, DTR +2?+1
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1
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streptococcus B vaginal 32? ?? ? ?? ??????. ? ??? ?? ??? ??????. ? ???? ?? ?? ??? ??????. seqently pregnancy ?? ???? ???.. ?? ???..
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3
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Hepatitis A ? ? Concern ? ? Wear off glove after get out of the room ? share the room Hepatitis A and Hepatitis B * Hepa A, E(contact p) ; Oral, fecal secretion, ??? ??, ???(daycare center,restaurent), water -bottle water=Evian water, utensil- disposable, worker's : Havix #1, hand -washing, oral excretion feces : contact precaution,private, harrivix vaccine (hepatabrixB, racombi)1#, cured, ??? donner??, acute cure *Hepa B,C,D,G(standard p) ;Unknoen of virus, Blood, drug, utensil, hemodialysis,sex ,Liver cirrhosis, cancer ,??? donner???, Not cure
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2
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Tb ?? ????? ????? ?? ?? ? night sweat ? ??? ???? ????. ? blood-tinged suputum ???. ? ??? ??? ?? ??. ? 1??? ??? ?plastic bag? ??? ???? ?? ??.
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1,2,3
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abuse ??? ??? ?? ?? ? ?? ?(multi) ? ??? ????? ? ? ? ??? safe house, shelter? ??? ? ??? ??? ?? ? ?? ? ?? ????? ? ??? ??? ?? ? ?? ??? ??? ??? ?? ????? ? ???? ??? ?? ?? ????? ? ??? abuse ??? ? ??? ?? ???? ? ?? ??? ??? ?? safe house ?? ?? ???? ?? ????? ????
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1,3,5,6
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partner abuse ?? ??(multi) ? postpartum, pregnancy ? ? decrease ?? ? ????? ??? ??? ???? ?? ???? ?? ???? ? urban? low socioeconomic ???? ?? ????
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???
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indiffernciated schizophrenia goal? ? express felling ? ???? ????.
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1
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anhedomia???, alogia???, avolition???, asocialization, blunted affected
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Schizo. Negative Sx
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Hallucination-jumping sound, high way walk, delusion, bizzare behavior- poor hygiene
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Schizo. Positive Sx
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-MED : ~zine, Haldol, Zyprexa, -Clozaril(agranocytosis, WBC check), -Olanzepine(SE : blurred vision, neck stiff, wt gain, constipation), Serogueal, prolixine *ES : photosensitivity, orthostatic hypotension, dizziness, constipation, blurred vision, breast milk, Wt gain *Sx: Anticholinergic -Dry symptoms(sugarless gum, silps of water), dry eyes, blurred vision, constipation, urinary retention. *TE: Increase fluids, increase fiber, increase exercise. Can cause blood dyscrasia????-sore throat, fever, malaise, bleeding. *AE:Photosensitivity, GI disturbance, dizziness, dry mouth, Wt gain(low calories, high fiber), blurred vision, Galactorrhea( breast milk) i. clozarile ; agranulaytosis??????, WBC? ii. prolxine : BP?, saliva? iii, Serogueal : Photosensitivity?- ??, ?? iv. haloperidol - EPS sign?
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Schizo Tx
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PIH? ?? ??? correct? ? ????, ????? ?? ? ? ??. ? ??? unknown ? mild ????? urine protein ? edema? ?? ? ????? ?? ? 24wks?? ??? ???. ? multiple ??? ?????.
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1,
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HBV ???? ?atralgias ?confusion ? headache ?ESR ?? *Sx : atrexis, encephalopathy,hand tremor,Mental? ???? : 12hr , 1,1,5
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2
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DKA (multi)? ? pH 3.0 ? ketonuria ? diaphoresis ? slurred speech ; dizziness ? BP 98/54 ? PH ?? *DKA(diabetic ketoacidosis 350?,polyuria??, polydipsia??, polyphagia??),Keton urin(+) - maintain dose :100-220?IV, N/S replaced, RI, SMBG, ??; ?? 60?, control - self care ; alone
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1,2,5,6
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CVA apasia (M) ?speech ~~ ?express apasia ?receptive apasia
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1,2,3
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receptive aphasia ? ??? ? face ?? speak slowly ? yes no ?? ? ?? ?? ??? ??? ?writing
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1
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receptive aphasia pt?? ????? ???? ? loud ?? ??? ?? ? repeat?? ??? ?? ?gesture? ????
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3
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Hemisphare, pyramidal???? : agnosia-name X, apraxia, disphraxia -spoon, release cloth, aphagia-????,soft thicken food, aphasia - ????, anopsia-???, aphrasia-?????, asthria? normal tone, low tone. Man's voice Small frequently soft, thicken food, avoid liquid-juice, milk ?? : NSAIDS, ASA, Heparine, coumadine
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CVA + dysphasia???
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*Expressive disorder -???? : speaking,writing,intelligent Broca's aphasia : behavior change X X O Picture or communication board?? *Receptive disorder -???? : Werniker's X X X gesture Tx : Normal tone, low tone, men's tone, facing with lip reading, light, shining, yes, no reply *Global aphgia : ??, Yes, NO simple closed *aphasia : less or impaired of the power to use or comprehend words
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CVA + dysphasia
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hypophysectomy ??? ??? ??? ??? ???? rhinorrhea? otomosis? ??? ???? ?? ???? ? ?Trendelenburg Position ???. ? ??? ??? drainge? pressure dressing ??. ? ecchymosis??? cool compression ??
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???
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???? ?? 2? 30?? ER? ??. ??? ????? ?? ???? DATA? ???? ?? ??? ?? 2????. ???? ~?? ???. ??? ~attack(crisis) ?? ?? ??. ??? liver cirrhosis? ??.
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4
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abuse ??? hx ? ?? ?? ??? ??.
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1
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The nurse manager of the oncology unit is planning an inservice to address confidentiality issues. Which of the following measures should the nurse manager stress as being BEST to prevent confidentiality violations? 1)Keep ambulatory patients and visitors away from the nursing station as much as possible. 2)Call patients and one another by first names only. 3)Answer the telephone by saying the type of unit, but not the floor number. 4)Accompany the physicians doing walking rounds at the bedside.
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1
question
.The nurse cares for clients on a medical/surgical unit in a large metropolitan hospital. The family of a client diagnosed with end stage liver disease has been consistently dissatisfied with the nursing care. Early one morning, the nurse discovers the client has died. The charge nurse notifies the family, who come to the hospital. Prior to the family arriving, the staff expresses concern about having to interact with the client''s family. Which of the following responses by the charge nurse is MOST appropriate? 1)""The nursing supervisor will be here when the family arrives."" 2)""I will notify the legal department about the family''s complaints."" 3)""Please wash the client and place pads under the client''s perineum."" 4)""The chaplain will greet the family.""
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3
question
The clinic nurse anticipates the arrival of a Navajo Native American patient for follow-up care regarding type 2 diabetes. When planning care for the client, the nurse should expect which of the following behaviors? 1)The patient will not arrive at the appointed time. 2)The patient will be noncompliant with medication. 3)The patient will complain much about dietary restrictions. 4)The patient will offer a firm handshake.
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1
question
??? ???? ????? ?concern ?? ? ??? ? concent ?? ? ?? check list ?? ??
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1
question
chicken pox ?? ? ?surgical mask patient wear when transfer ?keep open the door when pt check V/S
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2
question
?? ?? ? ?? ? multi ???? ?? ?get out of bath tube ? towel bar? hold?? =?? ?? ????? ????.. ?shower water 120F(48.9?) ; 45.6F???? ?rug ?? ?my spouse installed low-watt fre...(??? ??) in the kicken
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1,4
question
NIDDM ??? ?? ?? ??? ? alcohol? hypoglycemia? ????. ? milk ??? scrambled eggs ???. ? CHO? 50% ?? ???. Alcohol/drug abuse ; hypoglyemia
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1
question
allopurinol? ?? ?? ???? ? gout? acute stage? ??. ? inhibit product uric acid Gout Tx ; uric acid?, metabolic acidosis?
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2
question
ileostomy ???? ????? appliance ?? ?applience 3~4??? ??? ?6?? ??? high fiber, vegitable ?? ????
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3
question
atenolol ?? ? concern ? ?? ?BP ?BUN ?newly reported ankle edema
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3
question
contact ??? ?HIV ?parvious B19 ?MRSA ?parainfluenza virus
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3,4
question
HIV (+) ?? ????? ???? ? i know must use it but my girl friend latex allergy so i will use natral membrane ?? ? ?? ?? Air? ? ? ??? ???. ? ??? ??? ?? ??????.
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1
question
cobena..??(??????? ?? ?? ????? BPH?:proscar,zoladex, oxybutine) ????? ?? ???? requsest??? ?? ?small angle glaucoma (Med:pilocapine,zolathine,piamox,timobone, tetolot)
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???
question
3?? ?? thoracostomy? ?? ???? ??? chest tube? lying?? ???. ???? ?? ?? ?? ? ??? ? PRN O2? ??. ? ??? ??? SFP?? ????. ? tube? ?? ??? petrollium gauze? ????. ? coughing ; deep breathing? ?? ??.
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3
question
CATARACT ???? ? ??? ???? ? ? ???? ????? ?? ? ???? ????.
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1
question
EKG ?? ??? ???? ? QRS? ventricular depolization. ? P? atrial depolization ? S? ventricul depolization ? T? ventricul repolization
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1,2,3,4
question
6M otitis media ?? ??? ??? teaching ?? ? ??? ? ?? ??? ???? ??? ?? ? ??? ?~~~?? ??? ?lemon piece ? shampoo? ear plug??
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4
question
K?? Pt?? KCL ?? ?? ? ????. ?U/O ??? ? ?K iv push ?k electric device? ??(electric device ; slowly infusion pump) ?dilute????(????)
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1,4,5
question
burn ?? ???? ??: ? hyperkalemia ? hypokalemia U/O?, IV electro imbalance check ; *Acute (Oliguria stage); 24~48hr : U/O?, USG?, K?, Na?, Ca? ? IV??, LSX 1~2?/?, dehydration Diuretic stage ; 48hr ? U/O?, USG?, K?, Na?, Ca??U/O???? ???
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2
question
??? enema? ?, ??? ?? ??? ??? ? ~inch? inser ???. (12.x~13.x? ????) ? Rt. lateral position ? ??? ? enema tip? insertion? ?, ??? gently breath out ? ???. Cathter ; 4inch(2.2cm;8-9cm), Lt side lying,open mouth, waiting 30-60cm
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4
question
.prostate Ca pt seald chemo f/u ? ?? ???? ??? ??? ??? therapy ?? ? ?? ?? ??? ??? ???
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2
question
herb ???? ???? ?? ??? kavakava ?? ??. ? ??? ?? ? ??? ???? ?? ??? ?panic ???? ?? ?? ? ????? ???? ?? *liver toxicity? 8wks ? ??
answer
4
