BS-Nursing General Flashcards
7 cards from real BSN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 BS-Nursing General flashcards as text
A nurse is teaching a patient with type 2 diabetes about the 'Sick Day Rules.' Which instruction is most important?
Answer: Increase fluid intake and continue monitoring blood glucose
Illness raises blood glucose due to stress hormones; patients must stay hydrated, monitor glucose frequently, and not stop medications without guidance.
A patient is prescribed metformin and is scheduled for a contrast CT scan. Which nursing action is most appropriate?
Answer: Hold metformin 48 hours before and after the contrast procedure
Contrast media can impair renal function, causing metformin accumulation and lactic acidosis; it must be withheld around the procedure.
When implementing the SBAR communication tool, what information is conveyed in the 'Assessment' component?
Answer: The nurse's clinical judgment about what is happening with the patient
The 'A' in SBAR is the nurse's clinical interpretation or assessment of the patient's current problem.
A nurse is caring for a patient with increased intracranial pressure (ICP). Which position is contraindicated?
Answer: Trendelenburg (head-down) position
Trendelenburg increases venous pressure in the cerebral vasculature, further elevating intracranial pressure.
Which finding is an early sign of increased intracranial pressure in an adult?
Answer: Altered level of consciousness and headache
Altered LOC and headache are early manifestations; Cushing's triad (bradycardia, hypertension, irregular respirations) and fixed pupils are late, ominous signs.
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. What is the recommended flow rate to avoid suppressing the hypoxic drive?
Answer: 1–2 L/min via nasal cannula
COPD patients may rely on hypoxic drive; low-flow O2 at 1–2 L/min raises SpO2 to ~88–92% without eliminating the ventilatory stimulus.
A nurse is administering heparin subcutaneously. Which technique is correct?
Answer: Do not aspirate; inject into abdominal fatty tissue and do not massage afterward
Subcutaneous heparin should not be aspirated or massaged; aspiration can cause trauma, and massage increases bruising and risk of hematoma.