AP English Literature and Composition End of Unit 4 Exam with Answer Key/ AP English Literature and Composition End of Unit 4 Assessment
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OXFORD AQA INTERNATIONAL AS BIOLOGY (9610) UNIT 1 THE DVERSITY OF LIVING ORGANISMS JANUARY 2020 QP Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 3. The nurse is caring for four clients on a medical–surgical unit. The secretary gives the nurse the morning labs. Which of the following labs would require that the nurse call the physician and inform the healthcare provider about the client’s abnormalities? 1. WBC 14,600 mm3 2. Serum protein 6.9 g/dL 3. I & D (incision and drainage) showing no growth for the last 24 hours 4. Albumin 4.2 g/dL Answer: 1 Rationale: When the nurse is caring for several clients, all of the labs should be checked frequently throughout the shift to assess for any abnormalities. The WBC in option 1 is abnormal. (Normal WBC 4,000–10,000 mm3 .) All of the other lab results are within acceptable range; therefore, the results should not be called in to the physician. Cognitive Level: Application Client Needs: Physiologic Integrity Nursing Process: Assessment 4. The nurse is orienting a new graduate. The nurse is reinforcing the importance of standard precautions. Which of the following observations by the nurse would require further education regarding standard precautions? 1. The graduate nurse understands to wash hands when entering and exiting the client’s room. 2. The graduate nurse wears gloves when serving breakfast trays to various clients. 3. The graduate nurse wears a gown, gloves, and goggles when suctioning a client. 4. The graduate nurse leaves all supplies in the room of a client who is in contact isolation. Answer: 2 Rationale: The nurse must have an understanding of standard precautions. Prevention is the most important measure to prevent nosocomial infections. Standard precautions were published in 1996 that provide guidelines for the handling of download full file at http://testbankinstant.com blood and other body fluids. These guidelines are used with all clients, regardless of whether they have a known infectious disease. Standard precautions are used by all healthcare workers who have direct contact with clients or with their body fluids. It is not necessary for the nurse to wear gloves while delivering food trays to the client, because there is not contact with the client. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Evaluation 5. The admitting department alerts the nurse on a medical–surgical unit that a client with active tuberculosis (TB) is being admitted to the unit. Which type of isolation is appropriate based on the client’s diagnosis? 1. Standard precautions 2. Airborne precautions 3. Droplet precautions 4. Contact precautions Answer: 2 In addition to handwashing and standard precautions, the nature and spread of some infectious diseases require that special techniques be used to protect uninfected clients and workers. The client with pulmonary tuberculosis will be placed in airborne precautions. The client should be placed in a private room with special ventilation that does not allow air to circulate to general hospital ventilation; a mask or special filter respirators will be used for everyone entering the room. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 6. A client is receiving IV vancomycin for the treatment of Clostridium difficile. The nurse understands that the client who develops flushing, tachycardia, and hypotension during the infusion of vancomycin indicates: 1. Ototoxicity effect. 2. Superinfection. 3. Red man syndrome. 4. Hives. Answer: 3 download full file at http://testbankinstant.com Rationale: Vancomycin inhibits cell wall synthesis, and is used for serious infections. It is only effective against gram-positive bacteria, especially Staphylococcus aureus and Staphylococcus epidermidis. The nurse should infuse this medication slowly over 60 minutes or more to avoid “red man” syndrome. The syndrome is characterized by erythematous rash, flushing, tachycardia, and hypotension. Clients can become dizzy and agitated. Cognitive Level: Application Client Needs: Physiological Integrity Nursing Process: Evaluation 7. The physician has ordered for the client to receive a trough blood level to evaluate the therapeutic effect of an antibiotic. The nurse understands that the trough should be ordered: 1. A few minutes before the next scheduled dose of medication. 2. 1–2 hours after the oral administration of the medication. 3. 30 minutes after the IV administration. 4. During the infusion of the antibiotic. Answer: 1 Rationale: Antibiotic peak and trough levels monitor therapeutic blood levels of the prescribed medication. The therapeutic range—the minimum and maximum blood levels at which the drug is effective—is known for a given drug. By measuring blood levels at the predicted peak (1–2 hours after oral administration, 1 hour after intramuscular administration, and 30 minutes after IV administration) and trough (usually a few minutes before the next scheduled dose), it is also possible to determine whether the drug is reaching a toxic or harmful level during therapy, increasing the likelihood of adverse effects. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 8. The nurse needs to change a dressing on the client’s abdomen. Which of the following techniques should be implemented? 1. Contact precautions 2. Standard precautions 3. Droplet p IT Cloud Computing: Cloud Basics & Technologies ( Summary of the whole unit course) THE ASTRONOMICAL UNIT & THE SPEED OF LIGHT Worksheet Lab Portage Learning BIOD 171 Microbiology Lecture Exam Key 1-6 ALL ANSWERS 100% CORRECT SOLUTION AID GRADE A Course Portage Learning BIOD 171 Microbiology Lecture Exam Key 1-6. (BIOD171) Institution Portage Learning True or False: A virus is considered a microorganism. False. Viruses are not living and as such are not considered microorganisms. Viruses can, however, be classified as microbes, a more general term that includes microorganisms and viruses. 2. What is the smallest biological unit of life? A cell. 3. At a generalized level, all cells are comprised of what? Macromolecules* *A student may also answer: Proteins, Lipids, Nucleic acids and Polysaccharides but they must answer with all four to be fully correct. 1. How many different types of amino acids are available from which to make proteins? 20 2. Define an essential amino acid. An essential amino acid cannot be produced by the human body and as such must be take in from the environment through alternative sources (i.e) food.Portage Learning BIOD 171 Microbiology Lecture Exam Key 1-6 ALL ANSWERS 100% CORRECT SOLUTION AID GRADE A 1. The plasma membrane (select all that are true): A. Restricts movement of materials in and out of the cell B. Is often a triple layer comprised of lipids C. Prevents essential nutrients from escaping D. Contains hydrophobic tails pointing outward A and C 2. How many carbon atoms are present in the monosaccharide glucose? A. 1 B. 3 C. 6 D. 12 The nurse cares for a client diagnosed with superficial partial thickness burn. The nurse should assign the client to a room with which client? - ANSWER A client diagnosed with Cushing's Syndrome. The nurse observes client care on a geriatric unit. The nurse should intervene in which situation? - ANSWER A student nurse assists the client to stand from a sitting position by grasping the client's elbows. The nurse evaluates the results of the client's purified protein derivative (PPD) 2 1⁄2 days after the injection. The nurse noted the induration is 4 mm. which action by the nurse is most appropriate? - ANSWER Inform the client the results are negative The nurse cores for the client with a history of schizophrenia. The nurse expects to note which speech pattern? - ANSWER Repetition of the words used by the nurse. The nurse cares for a 6-month-old infant. The parents report that the infant had severe diarrhea for twelve hours. The nurse anticipates which finding? - ANSWER Depresses anterior fontanel. The nurse cares for a client receiving hydrocodone every 6 hours prn for pain. The client reports pain at 1600. The nurse notes that the hydrocodone was last administered at 1200, and the nurse proceeds to administer hydromorphone at 1615. After discovering the error, how should the nurse record the occurrence? - ANSWER Hydromorphone given at 1615; health care provider notified. B/P 122/80, RR 16." The male client asks the nurse, "Why am I experiencing erectile dysfunction (ED)?" The nurse reviews the client's medications. The nurse recognizes that which classification increases the risk for ED? - ANSWER Antihypertensive medications. The nurse in the hospital cafeteria overhears two nursing assistive personnel (NAP) discuss the client's condition. What is the PRIORITY action for the nurse to take? - ANSWER Inform the employees about patient confidentiality and the client's right to privacy. The nurse cares for a client diagnosed with dehydration. The plan of care indicates the client is to drink two ounces of fluid every hour. The nurse determines the goal is met if which is recorded on the intake and output (I&O) sheet for an eight-hour shift? - ANSWER 480 ml The nurse and LPN/LVN care for clients on a medical-surgical unit. The RN should delegate which activity to the LPN/LVN? - ANSWER Take the blood pressure and heart rate before administration of enalapril. The nurses care for the client diagnosed with tuberculosis. Before discontinuing airborne precautions, the nurse must confirm which? - ANSWER No acid-fast bacteria are in the sputum. The nurse cares for the client at 28 weeks gestation diagnosed with a complete placenta previa. The nurse determines discharge teaching is effective if the client makes which statement to her husband? - ANSWER I'm sorry to tell you we can't have sexual relations The nurse prepares the client diagnosed with myxedema for discharge. Which action should the nurse teach related to body temperature? - ANSWER "Put on multiple layers of clothes until you fell comfortably warm." The nurse cares for clients in the labor and delivery unit. The nurse anticipates which client is a candidate for induction of labor? - ANSWER The client diagnosed with preeclampsia. The nurse cares for the client diagnosed with HIV. The nurse determines which goal is MOST important? - ANSWER Prevent infections. The nurse educator presents an in-service on acyanotic heart disease. Which is the most common symptom of this disorder that the nurse educator should include? - ANSWER Presence of an audible heart murmur. The nurse provides care for the client diagnosed with pneumonia who has postural drainage twice a day. Which client response indicates to the nurse that treatment is effective? - ANSWER "I am coughing up more sputum." The risk management department plans a program to reduce errors. Which is the most common cause of errors in medication administration? - ANSWER Failure to follow routine policy and procedures. The nurse cares for the school-aged child newly diagnosed with type 1 diabetes. The nurse instructs the family that the child's insulin needs will decrease during which situation? - ANSWER Active exercise The nurse cares for the client receiving lactulose. The nurse determines the medication is effective if which is observed? - ANSWER The client is alert and oriented to person, place and time. The nurse cares for the three-year-old prior to a surgical procedure. Which behavior indicates that the child is coping with preoperative preparation? - ANSWER The child talks about the picture of a nurse and client while coloring the picture using a number of bright colored crayons. The nurse instructs the client after a total hip arthroplasty. The client will utilize which assistive devices in the home? - ANSWER SATA: A long-handled shoehorn. A reaching device. A raised toilet seat. A shower bench. The client reports vomiting and diarrhea for three days. Which assessment finding does the nurse anticipate? - ANSWER Decreased blood pressure. The nurse cares for the client in active labor. The health care provider orders an oxytocin infusion. Which action should the nurse take FIRST after initiating the infusion? - ANSWER Time and record the length and strength of the contractions. The intensive care nurse cares for the client two hours after a myocardial infarction is diagnosed. The nurse's PRIORITY is to focus on which action? - ANSWER Relieve pain. The home health nurse instructs the family how to "allergy-proof" their preschooler's bedroom. The nurse determines teaching is successful if which of the following is observed? - ANSWER There are no pictures hung on the walls. The nurse cares for infants in the newborn nursery. Which observation requires the nurse to contact the physician? - ANSWER Uneven skin folds are noted on a the upper legs of a Mexican-American female born 6 hours ago. The nurse cares for the client diagnosed with partial thickness burns to the entirety of both arms. Using the Rule-of-Nines, the nurse estimates the injury is which percentage? - ANSWER 18% The home care nurse visits the client diagnosed with late stage Parkinson's disease. The client sits in a wheelchair. Which statement, if made by the caretaker, indicates to the home care nurse teaching is effective? - ANSWER "My Client should push the hips up from the wheelchair for about 10 seconds every hour or so." The home care nurse makes a visit to the client diagnosed with heart failure. The client reports having difficulty sleeping at times. The nurse should take which action FIRST? - ANSWER Obtain a thorough sleep assessment history. The nurse cares for the client admitted to the critical care unit. The nurse observes splinter hemorrhages in the nails, painful nodules on the fingertips and splenomegaly. It is MOST important for the nurse to take which action? - ANSWER Auscultate the precordium for murmurs. (ENDOCARDITIS) The nurse instructs the client about stable angina. The nurse determines teaching is effective if the client makes which statement? - ANSWER My chest pain can occur if I overexert myself. The nurse cares for the client in pain. Which factor is MOST important to determine if the client is a candidate for patient controlled analgesia? - ANSWER The client is mentally alert. The nurse received report from the previous shift. Which client should the nurse see FIRST? - ANSWER The client scheduled for discharge later in the day and is reporting increased shortness of breath. The nurse reviews the arterial blood gas SCH3U 101 - Jarvis Collegiate Institute. Unit 3 – Stiochiometry Lab. Experimentally calculate the mass of product, and calculate the percent yield using stoichiometry in the following double displacement “gas forming” reaction: odium carbonate hydrochloric acid → sodium chloride carbon dioxide gas liquid water LETRS Unit 1 (The Challenge of Learning to Read) Complete Assessment Guide 2024 BUS 5117_ Written Assignment Unit 2_Final.docx The Significance of Vision and Mission D BioBeyond Unit 4: Rise of the Animals: Nilpena, Australia Over 500 million
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