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45. Position of client with air embolism auscultation over the right
Left side with the feet higher than ventricle may reveal a “churning”
the head. windmill type of sound
46. Client with TPN to receive antibiotic 58. Serum sodium level is lower than
Ensure a separate IV access for 125mEq/L
the antibiotic IV hypertonic saline
47. Priority management of sickle cell 59. Impaired Oral Mucus Membranes
crisis Avoid lemon-glycerin swabs
Hydration therapy and pain relief
60. Vastus Lateralis muscle
48. Before teaching cane-assisted Best injection site for all age group
ambulation especially ages >3
Assess clients balance, strength
and confidence 61. Assessing post-hysterectomy client
Roll the client to one side after
49. Normal serum osmolality checking the perineal pad and the
285-295mOsm/kg of water abdominal dressing
50. Normal Oxygen saturation 62. Least reliable method for determining
>95% accurate placement of the NG tube
Placing the end of the tube in
51. Hypoxemia water to observe for bubbling
Oxygen saturation ≤ 88%
63. Position for thoracentesis
52. Normal CSF Protein Sitting at the edge of the bed
15-45mg/dL leaning over the bedside table with
the feet supported on a stool; or
53. Function of progesterone Left side-lying with the head of
Maintains uterine lining for the bed elevated 30 to 45 degrees
implantation and relaxes all
smooth muscle including the 64. Tracheostomy tube suctioning
uterus Goggles, mask, sterile gloves
54. Hormones produced by the ovaries 65. Correct use of walker
Estrogen and progesterone Put all four points of the walker 2
feet forward flat on the floor, puts
55. Prior to intralipid infusion weight on the hand pieces, and
checked solution for separation or then walks into it
an oily appearance
66. Post-radical vulvectomy
56. Continuous tube feeding Avoid using warm tap water
Check the residual every 4 hours
67. Hydraulic lift
57. Air Embolism in client with TPN Position client in the center of the
chest pain sling
decreased level of consciousness
68. Confused client with stable gait
tachycardia
Alarm-activating bracelet or
dyspnea
“wandering bracelet.”
anxiety
feelings of impending doom 69. Glass thermometer breakage
cyanosis Notify the Environmental Services
hypotension Department of the spill
hypoxia
70. Client with internal radiation implant 82. Client with body or leg casts
Long-handled forceps and a lead Use fracture pan
container (pig)
83. Isotonic solution
71. Incident reports 0.9% normal saline
Analysis of adverse client events 5% dextrose in water
by reviewing the quality of care
and determine any potential risks 84. Hypotonic solution
for injury to the client 0.45% normal saline
72. In corneal donor’s death 85. Hypertonic solution
Eyes are closed and gauze pads 10% dextrose in water
wet with saline are placed over 5% dextrose in 0.9% normal saline
them with a small ice pack
Elevate head 86. Thrombophlebitis
Elevate the affected leg
73. Keeping the living will
Medical record at the hospital 87. Severely anemic persons
Physician’s office Hemoglobin >8 g/dL
Client’s home pale
Lawyer’s office. exhausted
(+) palpitations
74. Appropriate test for asterexis
sensitivity to cold
Ask the client to extend an arm,
loss of appetite
dorsiflex the wrist, and extend the
fingers dizziness
headaches
75. Primary prevention
measures that keep illness, injury, 88. Site for bone marrow aspiration
or potential problems from Iliac crest and the sternum
occurring
89. Sickle cell anemia
76. Secondary prevention (+)hemoglobin S
Measures that seek to detect
existing health problems or trends 90. Malnutrition
(case finding, screening) Low serum transferrin and total
iron-binding capacity (TIBC)
77. Tertiary prevention
Measures that prevent occurrence 91. Iron-Deficiency anemia
of additional injury Decreased iron-binding capacity
but increased transferrin levels
78. Thiamine rich foods
Pork products, nuts, whole-grain 92. Schilling test
cereals, and legumes Pernicious anemia
95. Sclerotherapy
injection of a sclerosing agent into
a varicosity to damage the vein
and close it off