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Comprehensive NUR 323 Q&A Bundle 2024/2025
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[Show more]Warfarin -Levothyroxine accelerates the degradation of vitamin k dependent clotting factors *Vitamin K is needed to clot when you're on a blood thinner you don't have to worry about bleeding out because of the vitamin k 
-increases effects of warfarin 
Catecholamines -thyroid hormones increase the...
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Add to cartWarfarin -Levothyroxine accelerates the degradation of vitamin k dependent clotting factors *Vitamin K is needed to clot when you're on a blood thinner you don't have to worry about bleeding out because of the vitamin k 
-increases effects of warfarin 
Catecholamines -thyroid hormones increase the...
What is the most preventable type of heart disease? coronary artery disease - cad occurs when the coronary arteries become narrowed and hardened 
What is the most common cause for coronary artery disease? atherosclerosis 
Atherosclerosis is the abnormal accumulation of lipid and fatty substances and...
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Add to cartWhat is the most preventable type of heart disease? coronary artery disease - cad occurs when the coronary arteries become narrowed and hardened 
What is the most common cause for coronary artery disease? atherosclerosis 
Atherosclerosis is the abnormal accumulation of lipid and fatty substances and...
Local anesthesia -reversibly block all nerve impulses -suppress impulse conduction: blocked only in neurons near the site of admin. (non selective - to increase selectivity, limit the area of admin) -sensation blocked rates: 1st (first) cold -> warmth -> touch -> deep pressure (last) -not l...
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Add to cartLocal anesthesia -reversibly block all nerve impulses -suppress impulse conduction: blocked only in neurons near the site of admin. (non selective - to increase selectivity, limit the area of admin) -sensation blocked rates: 1st (first) cold -> warmth -> touch -> deep pressure (last) -not l...
What are the two most common types of information systems used by nurses? 1. Management info systems 2. Hospital info systems 
List 6 examples of the use of bedside data entry 1. medication administration 2. progress notes 3. assessment data 4. careplan updates 5. activity 6. changes 
Describe the c...
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Add to cartWhat are the two most common types of information systems used by nurses? 1. Management info systems 2. Hospital info systems 
List 6 examples of the use of bedside data entry 1. medication administration 2. progress notes 3. assessment data 4. careplan updates 5. activity 6. changes 
Describe the c...
A 60 year old female patient has a long history of hypothyroidism. What education topic needs to be emphasized for this patient? A. Cardiovascular health and decreasing risk factors. B. Consistent use of birth control C. Continue medications until symptoms are completely gone D. Use of anti-diarrhea...
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Add to cartA 60 year old female patient has a long history of hypothyroidism. What education topic needs to be emphasized for this patient? A. Cardiovascular health and decreasing risk factors. B. Consistent use of birth control C. Continue medications until symptoms are completely gone D. Use of anti-diarrhea...
What is coronary artery disease? heart disease caused by impaired coronary blood flow 
Where is the left main artery? main vessel that comes off left ventricle - supplies whole left side of heart "widow maker" 
What happens if left main artery is occluded? left side loses ability to contract 
Wher...
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Add to cartWhat is coronary artery disease? heart disease caused by impaired coronary blood flow 
Where is the left main artery? main vessel that comes off left ventricle - supplies whole left side of heart "widow maker" 
What happens if left main artery is occluded? left side loses ability to contract 
Wher...
A client with diabetes insipidus has been administered desmopressin and is now reporting drowsiness, light-headedness, and headache. What intervention will best address this client's symptoms? reduction in the client's dose of desmopressin 
For what purposes might the nurse administer a hypothalam...
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Add to cartA client with diabetes insipidus has been administered desmopressin and is now reporting drowsiness, light-headedness, and headache. What intervention will best address this client's symptoms? reduction in the client's dose of desmopressin 
For what purposes might the nurse administer a hypothalam...
A) what is acute pancreatitis? B) during pancreatitis, pancreatic enzymes in the pancreas cause what 2 things? a) inflammation of the pancreas B) 1) autodigestion 2) severe pain 
*causes (etiology) of acute pancreatitis* 
A) what are the 4 causes of acute pancreatitis? a) 1) gallbladder disease (for...
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Add to cartA) what is acute pancreatitis? B) during pancreatitis, pancreatic enzymes in the pancreas cause what 2 things? a) inflammation of the pancreas B) 1) autodigestion 2) severe pain 
*causes (etiology) of acute pancreatitis* 
A) what are the 4 causes of acute pancreatitis? a) 1) gallbladder disease (for...
Comprehensive pain assessment OPQRST: onset, provokes, quality, radiates, severity, timing -what might alter pain perception: medication, coping mechanisms -what makes pain worse or better 
Different pain scales Numerical Rating Scale (NRS): 0-10 scale Visual Analog Scale (VAS): pictures of faces 0-...
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Add to cartComprehensive pain assessment OPQRST: onset, provokes, quality, radiates, severity, timing -what might alter pain perception: medication, coping mechanisms -what makes pain worse or better 
Different pain scales Numerical Rating Scale (NRS): 0-10 scale Visual Analog Scale (VAS): pictures of faces 0-...
What is the role of the nurse in caring for children? Interact effectively with children and family. Modify physical assessment techniques to age. Identify strategies to reduce pain and stress. Calculate accurate medication dosages. Provide safety for child's developmental status. Adapt procedures ...
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Add to cartWhat is the role of the nurse in caring for children? Interact effectively with children and family. Modify physical assessment techniques to age. Identify strategies to reduce pain and stress. Calculate accurate medication dosages. Provide safety for child's developmental status. Adapt procedures ...
Changes in pregnancy Increased plasma volume →dilution Increased hormones bind to plasma-protein binding sites 
Decreased albumin Drugs widely distributed Fat-soluble drugs stored longer and slow release 
When is the maternal-fetal circulation established Maternal-placental-fetal circulation is co...
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Add to cartChanges in pregnancy Increased plasma volume →dilution Increased hormones bind to plasma-protein binding sites 
Decreased albumin Drugs widely distributed Fat-soluble drugs stored longer and slow release 
When is the maternal-fetal circulation established Maternal-placental-fetal circulation is co...
MSK Bone Formation, Maintenance, and Healing Process -Formation: osteogenesis (new bone formed by calcium and phosphorus binding to collagen); osteoblast cells: build new -Maintenance: bone turnover or the balance between resorption and formation (osteoclasts: chewers) -Healing: 4 stages; hematoma (...
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Add to cartMSK Bone Formation, Maintenance, and Healing Process -Formation: osteogenesis (new bone formed by calcium and phosphorus binding to collagen); osteoblast cells: build new -Maintenance: bone turnover or the balance between resorption and formation (osteoclasts: chewers) -Healing: 4 stages; hematoma (...
Non-experimental studies provide what type of evidence? 
1Level II 2Level III 3.Level IV 4Level V 3. Level IV (4) 
A study was designed to assess whether motion had an effect on the mood of elderly residents in a nursing home. The researcher examined whether residents who ambulated for an hour every...
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Add to cartNon-experimental studies provide what type of evidence? 
1Level II 2Level III 3.Level IV 4Level V 3. Level IV (4) 
A study was designed to assess whether motion had an effect on the mood of elderly residents in a nursing home. The researcher examined whether residents who ambulated for an hour every...
Thyroid Vascular, two lobed, surrounds trachea 
What does the thyroid produce & secrete? T3= triiodothyronine T4=thyroxine --Converts in the body to T3 
What regulates the thyroid? TSH & TRH --T3 and T4 are stimulated by TSH 
Thyroid hormone Regulates metabolism -energy -heart stimulation (increased...
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Add to cartThyroid Vascular, two lobed, surrounds trachea 
What does the thyroid produce & secrete? T3= triiodothyronine T4=thyroxine --Converts in the body to T3 
What regulates the thyroid? TSH & TRH --T3 and T4 are stimulated by TSH 
Thyroid hormone Regulates metabolism -energy -heart stimulation (increased...
Describe how communication affects team processes and outcomes -Communication (a lifeline of the team) affects team processes and team outcomes by influencing how the team functions and as well as the flow of the mechanism of teamwork resulting in an impact on patient safety by increasing the risk o...
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Add to cartDescribe how communication affects team processes and outcomes -Communication (a lifeline of the team) affects team processes and team outcomes by influencing how the team functions and as well as the flow of the mechanism of teamwork resulting in an impact on patient safety by increasing the risk o...
When a client who has been taking opiods becomes less sensitive to the drug's analgesic properties, that client is said to have developed a : tolerance 
Prosaglandins are chemical substances with what property? increase the sensitivity of pain receptors 
The nurse needs to carefully monitor a clein...
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Add to cartWhen a client who has been taking opiods becomes less sensitive to the drug's analgesic properties, that client is said to have developed a : tolerance 
Prosaglandins are chemical substances with what property? increase the sensitivity of pain receptors 
The nurse needs to carefully monitor a clein...
The nurse knows that TSH levels in patients with primary hypothyroidism who are not on thyroid replacement therapy will be elevated 
The nurse will teach patients on levothyroxine (T4) to take the medication ________________ when they ask about whether the medication should be taken with or without ...
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Add to cartThe nurse knows that TSH levels in patients with primary hypothyroidism who are not on thyroid replacement therapy will be elevated 
The nurse will teach patients on levothyroxine (T4) to take the medication ________________ when they ask about whether the medication should be taken with or without ...
Hemophilia *Bleeding disorder resulting in deficits of coagulation factors 
*Typically inherited by sons of mothers who carry the trait 
Hemophilia A *Classic hemophilia *Factor VIII deficiency *X-linked recessive disorder *Most common form 
Hemophilia B *Christmas disease *Factor IX disorder 
Aplas...
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Add to cartHemophilia *Bleeding disorder resulting in deficits of coagulation factors 
*Typically inherited by sons of mothers who carry the trait 
Hemophilia A *Classic hemophilia *Factor VIII deficiency *X-linked recessive disorder *Most common form 
Hemophilia B *Christmas disease *Factor IX disorder 
Aplas...
What makes an initial different from a focused assessed? initial: establish a complete database for problem identification and care planning. Focused: when the nurse gather data about a specific problem that has alr been identified. 
Which of the assessments provides the nurse comprehensive baseline...
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Add to cartWhat makes an initial different from a focused assessed? initial: establish a complete database for problem identification and care planning. Focused: when the nurse gather data about a specific problem that has alr been identified. 
Which of the assessments provides the nurse comprehensive baseline...
What are the components with example questions assessed when collecting subjective data regarding mobility? ask questions about: Daily activity level Endurance Exercise/ fitness goals Mobility problems Physical and mental health alterations 
What are the components of a physical assessment specifica...
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Add to cartWhat are the components with example questions assessed when collecting subjective data regarding mobility? ask questions about: Daily activity level Endurance Exercise/ fitness goals Mobility problems Physical and mental health alterations 
What are the components of a physical assessment specifica...
What are the 3 perioperative phases of care? preoperative, intraoperative, and postoperative 
How are surgical procedures classified? urgency: elective, urgent and emergency risk: major or minor purpose: diagnostic (confirm a diagnosis), preventative (removal of body part that is at high risk of can...
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Add to cartWhat are the 3 perioperative phases of care? preoperative, intraoperative, and postoperative 
How are surgical procedures classified? urgency: elective, urgent and emergency risk: major or minor purpose: diagnostic (confirm a diagnosis), preventative (removal of body part that is at high risk of can...
1. What types of pain are categorized by "duration" 2. What types of pain are categorized by "location" 3. What types of pain are categorized by "etiology (cause)" 1. acute, chronic 2. cutaneous, somatic, visceral 3. nociceptive, neuropathic(intractable, phantom, psychogenic) 
Transduction and...
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Add to cart1. What types of pain are categorized by "duration" 2. What types of pain are categorized by "location" 3. What types of pain are categorized by "etiology (cause)" 1. acute, chronic 2. cutaneous, somatic, visceral 3. nociceptive, neuropathic(intractable, phantom, psychogenic) 
Transduction and...
The nurse is reviewing a client's electronic health record before assessing her mouth. Which of the following diagnoses would the nurse recognize as an indication for immediate medical follow-up? A) Thrush B) Leukoplakia C) Gingivitis D) Canker sore B) Leukoplakia 
In the course of the nurse's hea...
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Add to cartThe nurse is reviewing a client's electronic health record before assessing her mouth. Which of the following diagnoses would the nurse recognize as an indication for immediate medical follow-up? A) Thrush B) Leukoplakia C) Gingivitis D) Canker sore B) Leukoplakia 
In the course of the nurse's hea...
Anaphylactic reactions - what physical assessment findings will be present? 1. SOB 2. Blood pressure changes (may be high initially, then low) 3. Rash 4. Itch 5. Tachycardia 6. severe anxiousness 7. happens immediately 8. Treatment: epinephrine 
5 rights of drug administration? right drug right dose...
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Add to cartAnaphylactic reactions - what physical assessment findings will be present? 1. SOB 2. Blood pressure changes (may be high initially, then low) 3. Rash 4. Itch 5. Tachycardia 6. severe anxiousness 7. happens immediately 8. Treatment: epinephrine 
5 rights of drug administration? right drug right dose...
How might a person present or feel if experiencing hypoglycemia or hyperglycemia? -Hypoglycemia → Clammy skin, sweating, nervousness, weakness, tiredness, dizziness, confusion, blurred vision; Late symptoms include confusion, slurred speech, and lightheadedness, -To confirm hypoglycemia measure bl...
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Add to cartHow might a person present or feel if experiencing hypoglycemia or hyperglycemia? -Hypoglycemia → Clammy skin, sweating, nervousness, weakness, tiredness, dizziness, confusion, blurred vision; Late symptoms include confusion, slurred speech, and lightheadedness, -To confirm hypoglycemia measure bl...
1. Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of the following side effects indicates an overdosage of the medication? A. Flushing. B. Dizziness. C. Joint pain. D. Metallic taste. 1. Answer: D. Metallic taste. D: Gold sodium thiomalate toxicity signs are prurit...
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Add to cart1. Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of the following side effects indicates an overdosage of the medication? A. Flushing. B. Dizziness. C. Joint pain. D. Metallic taste. 1. Answer: D. Metallic taste. D: Gold sodium thiomalate toxicity signs are prurit...
1. Nurse Kaye is carrying out her operative teachings for an older client who will have cataract surgery on the right eye. The nurse concludes that the client needs further understanding about the teachings if he says: 
A. "I will sleep on my left side after surgery." B. "I will wipe my nose gent...
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Add to cart1. Nurse Kaye is carrying out her operative teachings for an older client who will have cataract surgery on the right eye. The nurse concludes that the client needs further understanding about the teachings if he says: 
A. "I will sleep on my left side after surgery." B. "I will wipe my nose gent...
A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective? 
a. "I will rotate the sites in my left leg when I give my insulin." b. "Once I start feeling better, I will stop taking my antibiotic." c. "If I am 30 minutes late taking my medic...
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Add to cartA nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective? 
a. "I will rotate the sites in my left leg when I give my insulin." b. "Once I start feeling better, I will stop taking my antibiotic." c. "If I am 30 minutes late taking my medic...
A client is scheduled to have an ileostomy placed. How does the nurse document this type of surgery? 
A. Diagnostic B. Cosmetic C. Curative D. Palliative D. Palliative 
The nurse is providing preoperative care for a client who will have an arthroscopy of the left knee. As part of The Joint Commissio...
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Add to cartA client is scheduled to have an ileostomy placed. How does the nurse document this type of surgery? 
A. Diagnostic B. Cosmetic C. Curative D. Palliative D. Palliative 
The nurse is providing preoperative care for a client who will have an arthroscopy of the left knee. As part of The Joint Commissio...
Rheumatic fever Systemic inflammatory disease that occurs 2-4 weeks after untreated strep A 
Symptoms of rheumatic fever Fever, joint pain, small painless bumps, chest pain, heart murmur, fatigue, jerky uncontrollable body movements, outburst of unusual behaviors 
Interventions for rheumatic fever C...
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Add to cartRheumatic fever Systemic inflammatory disease that occurs 2-4 weeks after untreated strep A 
Symptoms of rheumatic fever Fever, joint pain, small painless bumps, chest pain, heart murmur, fatigue, jerky uncontrollable body movements, outburst of unusual behaviors 
Interventions for rheumatic fever C...
1. Lanoxin (digoxin) - administration precautions, MOA, important lab values/electrolytes. increases force/contraction of the heart to improve heart failure 
take apical pulse and BP before giving, tell provider if HR<60, monitor digoxin levels due to narrow therapeutic range, obtain frequent ECG...
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Add to cart1. Lanoxin (digoxin) - administration precautions, MOA, important lab values/electrolytes. increases force/contraction of the heart to improve heart failure 
take apical pulse and BP before giving, tell provider if HR<60, monitor digoxin levels due to narrow therapeutic range, obtain frequent ECG...
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