Foundations of Clinical Practice Exam
Questions
Course Introduction
Foundations of Clinical Practice is designed to introduce students to the essential concepts, skills, and ethical principles fundamental to patient care in a clinical setting. The course emphasizes the development of effective communication, physical examination techniques, clinical reasoning, and professional behavior necessary for working within diverse healthcare teams. Through a combination of lectures, simulations, and hands-on experiences, students will learn to integrate foundational scientific knowledge with practical skills, preparing them for subsequent patient interactions and advanced clinical training.
Recommended Textbook
Clinical Nursing Skills and Techniques 6th Edition by Anne Griffin Perry
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63 Chapters
1925 Verified Questions
1925 Flashcards
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Chapter 1: The Importance of Nursing
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which nursing diagnosis statement is written correctly?
A) Altered tissue perfusion related to heart failure
B) Risk for impaired tissue integrity related to sacral redness
C) Ineffective coping related to response to biopsy test results
D) Altered urinary elimination related to urinary tract infection
Answer: C
Q2) The nurse teaches a student nurse about how to apply the nursing process when providing patient care.Which statement,if made by the student nurse,indicates that teaching was successful?
A) "The nursing process is a scientific-based method of diagnosing the patient's health care problems."
B) "The nursing process is a problem-solving tool used to identify and treat patients' health care needs."
C) "The nursing process is based on nursing theory that incorporates the biopsychosocial nature of humans."
D) "The nursing process is used primarily to explain nursing interventions to other health care professionals."
Answer: B
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Chapter 3: Health Disparities and Cultural Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) When doing an admission assessment for a patient,the nurse notices that the patient pauses before answering questions about the health history.Which action by the nurse is most appropriate?
A) Interview a family member instead.
B) Wait for the patient to answer the questions.
C) Remind the patient that you have other patients who need care.
D) Give the patient an assessment form listing the questions and a pen.
Answer: B
Q2) A Hispanic patient complains of abdominal cramping caused by empacho.Which action should the nurse take first?
A) Ask the patient what treatments are likely to help.
B) Massage the patient's abdomen until the pain is gone.
C) Administer prescribed medications to decrease the cramping.
D) Offer to contact a curandero(a) to make a visit to the patient.
Answer: A
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4
Chapter 4: Pain Management
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25 Flashcards
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Sample Questions
Q1) A patient with chronic back pain has learned to control the pain with the use of imagery and hypnosis.The patient's spouse asks the nurse how these techniques work.Which response by the nurse is best?
A) "The strategies work by affecting the perception of pain."
B) "These techniques block the pain pathways of the nerves."
C) "Both strategies prevent transmission of painful stimuli to the brain."
D) "The therapies slow the release of chemicals in the spinal cord that cause pain."
Q2) A patient with chronic neck pain is seen in the pain clinic for follow-up.In order to evaluate whether the pain management is effective,which question is best for the nurse to ask?
A) "Can you describe the quality of your pain?"
B) "Has there been a change in the pain location?"
C) "How would you rate your pain on a 0 to 10 scale?"
D) "Does the pain keep you from doing things you enjoy?"
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Chapter 5: Palliative Care
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Sample Questions
Q1) The son of a dying patient tells the nurse,"Mother doesn't really respond any more when I visit.I don't think she knows that I am here." Which response by the nurse is appropriate?
A) "You may need to cut back your visits for now to avoid overtiring your mother."
B) "Withdrawal may sometimes be a normal response when preparing to leave life."
C) "It will be important for you to stimulate your mother as she gets closer to dying."
D) "Many patients don't really know what is going on around them at the end of life."
Q2) The nurse cares for a terminally ill patient who is experiencing pain that is continuous and severe.How should the nurse schedule the administration of opioid pain medications?
A) Give around-the-clock routine administration of analgesics.
B) Provide PRN doses of medication whenever the patient requests.
C) Offer enough pain medication to keep the patient sedated and unaware of stimuli.
D) Suggest analgesic doses that provide pain control without decreasing respiratory rate.
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Chapter 6: Substance Use and Dependency
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25 Flashcards
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Sample Questions
Q1) A patient is admitted to the emergency department for treatment of a possible opioid overdose.Rank the nursing activities in the correct order from first activity to last activity.(Put a comma and a space between each answer choice [A,B,C,D,E]).
A) Initiate IV access.
B) Take a health history.
C) Obtain a toxicology screen.
D) Administer naloxone (Narcan).
E) Provide respiratory support with a bag-valve mask.
Q2) A newly admitted patient complains of waking frequently during the night.The nurse observes the patient wearing a nicotine patch (Nicoderm CQ)on the right upper arm.Which action is best for the nurse to take?
A) Question the patient about use of the patch at night.
B) Suggest that the patient go to bed earlier in the evening.
C) Ask the health care provider about prescribing a sedative drug for nighttime use.
D) Remind the patient that the benefits of the patch outweigh the short-term insomnia.
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Chapter 8: Nursing Management: Inflammation and Wound Healing
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) After receiving a change-of-shift report,which patient should the nurse assess first?
A) The patient who has multiple black wounds on the feet and ankles
B) The newly admitted patient with a stage IV pressure ulcer on the coccyx
C) The patient who has been receiving chemotherapy and has a temperature of 102° F
D) The patient who needs to be medicated with multiple analgesics before a scheduled dressing change
Q2) The nurse could delegate care of which patient to a licensed practical/vocational nurse (LPN/LVN)?
A) The patient who has increased tenderness and swelling around a leg wound
B) The patient who was just admitted after suturing of a full-thickness arm wound
C) The patient who needs teaching about home care for a draining abdominal wound
D) The patient who requires a hydrocolloid dressing change for a stage III sacral ulcer
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Chapter 9: Genetics and Genomics
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7 Flashcards
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Sample Questions
Q1) When caring for a young adult patient who has abnormalities in the cytochrome P450 (CYP 450)gene,which action will the nurse include in the patient's plan of care?
A) Teach that some medications may not work as effectively.
B) Teach about genetic risk for cystic fibrosis in any children.
C) Suggest that the patient make heart healthy lifestyle choices.
D) Discuss the need for screening mammograms starting at age 30.
Q2) When counseling a couple in which the man has an autosomal recessive disorder and the woman has no gene for the disorder,the nurse uses Punnett squares to show the couple the probability of their having a child with the disorder.Which statement by the nurse is most appropriate?
A) "You should consider adoption."
B) "Your children will be carriers of the disorder."
C) "Your female children will display characteristics of the disorder."
D) "Your first-born child will likely display characteristics of the disorder."
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Chapter 10: Altered Immune Responses and Transplantation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A patient who is anxious and has difficulty breathing seeks treatment after being stung by a wasp.What is the nurse's priority action?
A) Have the patient lie down.
B) Assess the patient's airway.
C) Administer high-flow oxygen.
D) Remove the stinger from the site.
Q2) A new mother expresses concern about her baby developing allergies and asks what the health care provider meant by "passive immunity." Which example should the nurse use to explain this type of immunity?
A) Early immunization
B) Bone marrow donation
C) Breastfeeding her infant
D) Exposure to communicable diseases
Q3) A patient is being evaluated for possible atopic dermatitis.The nurse expects elevation of which laboratory value?
A) IgE
B) IgA
C) Basophils
D) Neutrophils
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Chapter 11: Nursing Management: Infection and Human
Immunodeficiency Virus Infection
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which information would be most important to help the nurse determine if the patient needs human immunodeficiency virus (HIV)testing?
A) Patient age
B) Patient lifestyle
C) Patient symptoms
D) Patient sexual orientation
Q2) A patient treated for human immunodeficiency virus (HIV)infection for 6 years has developed fat redistribution to the trunk,with wasting of the arms,legs,and face.What instructions will the nurse give to the patient?
A) Review foods that are higher in protein.
B) Teach about the benefits of daily exercise.
C) Discuss a change in antiretroviral therapy.
D) Talk about treatment with antifungal agents.
Q3) Which of these patients being seen at the human immunodeficiency virus (HIV)clinic should the nurse assess first?
A) Patient whose latest CD4<sup>+</sup> count is 250/µL
B) Patient whose rapid HIV-antibody test is positive
C) Patient who has had 10 liquid stools in the last 24 hours
D) Patient who has nausea from prescribed antiretroviral drugs
Page 11
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Chapter 12: Cancer
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer.Which information about the patient alerts the nurse to discuss a possible change in therapy with the health care provider?
A) Poor oral intake
B) Frequent loose stools
C) Complaints of nausea and vomiting
D) Increase in carcinoembryonic antigen (CEA)
Q2) After change-of-shift report on the oncology unit,which patient should the nurse assess first?
A) Patient who has a platelet count of 82,000/µL after chemotherapy
B) Patient who has xerostomia after receiving head and neck radiation
C) Patient who is neutropenic and has a temperature of 100.5° F (38.1° C)
D) Patient who is worried about getting the prescribed long-acting opioid on time
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Chapter 13: Nursing Management: Fluid,electrolyte and Acidbase Imbalances
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Spironolactone (Aldactone),an aldosterone antagonist,is prescribed for a patient.Which statement by the patient indicates that the teaching about this medication has been effective?
A) "I will try to drink at least 8 glasses of water every day."
B) "I will use a salt substitute to decrease my sodium intake."
C) "I will increase my intake of potassium-containing foods."
D) "I will drink apple juice instead of orange juice for breakfast."
Q2) After receiving change-of-shift report,which patient should the nurse assess first?
A) Patient with serum potassium level of 5.0 mEq/L who is complaining of abdominal cramping
B) Patient with serum sodium level of 145 mEq/L who has a dry mouth and is asking for a glass of water
C) Patient with serum magnesium level of 1.1 mEq/L who has tremors and hyperactive deep tendon reflexes
D) Patient with serum phosphorus level of 4.5 mg/dL who has multiple soft tissue calcium-phosphate precipitates
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Chapter 14: Nursing Management: Preoperative Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) As the nurse prepares a patient the morning of surgery,the patient refuses to remove a wedding ring,saying,"I have never taken it off since the day I was married." Which response by the nurse is best?
A) Have the patient sign a release and leave the ring on.
B) Tape the wedding ring securely to the patient's finger.
C) Tell the patient that the hospital is not liable for loss of the ring.
D) Suggest that the patient give the ring to a family member to keep.
Q2) A patient who takes a diuretic and a â-blocker to control blood pressure is scheduled for breast reconstruction surgery.Which patient information is most important to communicate to the health care provider before surgery?
A) Hematocrit 36%
B) Blood pressure 144/82
C) Pulse rate 58 beats/minute
D) Serum potassium 3.2 mEq/L
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Chapter 15: Nursing Management: Intraoperative Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which action best describes how the scrub nurse maintains aseptic technique during surgery?
A) Uses waterproof shoe covers
B) Wears personal protective equipment
C) Insists that all operating room (OR) staff perform a surgical scrub
D) Changes gloves after touching the upper arm of the surgeon's gown
Q2) A patient received inhalation anesthesia during surgery.Postoperatively the nurse should monitor the patient for which complication?
A) Tachypnea
B) Myoclonus
C) Hypertension
D) Laryngospasm
Q3) Monitored anesthesia care (MAC)is going to be used for a closed,manual reduction of a dislocated shoulder.What action does the nurse anticipate?
A) Securing an airtight fit for the inhalation mask
B) Starting a 20-gauge IV in the patient's unaffected arm
C) Obtaining a nonocclusive dressing to place over the administration site
D) Teaching the patient about epidural patient-controlled anesthesia (PCA) use
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Chapter 16: Nursing Management: Postoperative Care
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago.Which information about the patient is most important to communicate to the health care provider?
A) The right calf is swollen, warm, and painful.
B) The patient's temperature is 100.3° F (37.9° C).
C) The 24-hour oral intake is 600 mL greater than the total output.
D) The patient complains of abdominal pain at level 6 (0 to 10 scale) when ambulating.
Q2) The nurse reviews the laboratory results for a patient on the first postoperative day after a hiatal hernia repair.Which finding would indicate to the nurse that the patient is at increased risk for poor wound healing?
A) Potassium 3.5 mEq/L
B) Albumin level 2.2 g/dL
C) Hemoglobin 11.2 g/dL
D) White blood cells 11,900/µL
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16
Chapter 17: Nursing Assessment: Visual and Auditory Systems
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse recording health histories in the outpatient clinic would plan a focused hearing assessment for adult patients taking which medication?
A) Atenolol (Tenormin) taken to prevent angina
B) Acetaminophen (Tylenol) taken frequently for headaches
C) Ibuprofen (Advil) taken for 20 years to treat osteoarthritis
D) Albuterol (Proventil) taken since childhood to treat asthma
Q2) A patient complains of dizziness when bending over and of nausea and dizziness associated with physical activities.The nurse will plan to teach the patient about A) tympanometry.
B) rotary chair testing.
C) pure-tone audiometry.
D) bone-conduction testing.
Q3) The nurse is performing an eye examination on a 76-year-old patient.The nurse should refer the patient for a more extensive assessment based on which finding?
A) The patient's sclerae are light yellow.
B) The patient reports persistent photophobia.
C) The pupil recovers slowly after responding to a bright light.
D) There is a whitish gray ring encircling the periphery of the iris.
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Chapter 18: Nursing Management: Visual and Auditory
Problems
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) The occupational health nurse is caring for an employee who is complaining of bilateral eye pain after a cleaning solution splashed into the employee's eyes.Which action will the nurse take first?
A) Apply ice packs to both eyes.
B) Flush the eyes with sterile saline.
C) Apply antiseptic ophthalmic ointment to the eyes.
D) Cover the eyes with dry sterile patches and shields.
Q2) When teaching a patient about the treatment of acoustic neuroma,the nurse will include information about
A) a low sodium diet.
B) ways to avoid falls.
C) how to apply sunscreen.
D) the chemotherapy side effects.
Q3) Which prescribed medication should the nurse give first to a patient who has just been admitted to a hospital with acute angle-closure glaucoma?
A) Morphine sulfate 4 mg IV
B) Mannitol (Osmitrol) 100 mg IV
C) Betaxolol (Betoptic) 1 drop in each eye
D) Acetazolamide (Diamox) 250 mg orally
Page 18
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Chapter 19: Nursing Assessment: Integumentary System
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back.The nurse should prepare the patient for which type of biopsy?
A) Shave biopsy
B) Punch biopsy
C) Incisional biopsy
D) Excisional biopsy
Q2) A 38-year-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face.Which additional assessment information will be most important for the nurse to obtain?
A) History of sun exposure by the patient
B) Method of birth control used by the patient
C) Length of time the patient has used fluorouracil
D) Appearance of the treated areas on the patient's face
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19
Chapter 20: Nursing Management: Integumentary
Problems
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A patient with an enlarging,irregular mole that is 7 mm in diameter is scheduled for outpatient treatment.The nurse should plan to prepare the patient for which procedure?
A) Curettage
B) Cryosurgery
C) Punch biopsy
D) Surgical excision
Q2) A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks.The nurse should assess for which adverse effect?
A) Thinning of the affected skin
B) Alopecia of the affected areas
C) Reddish-brown discoloration of the skin
D) Dryness and scaling in the areas of treatment
Q3) Which information will the nurse include when teaching an older patient about skin care?
A) Dry the skin thoroughly before applying lotions.
B) Bathe and wash hair daily with soap and shampoo.
C) Use warm water and a moisturizing soap when bathing.
D) Use antibacterial soaps when bathing to avoid infection.
Page 20
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Chapter 21: Nursing Management: Burns
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) An employee spills industrial acids on both arms and legs at work.What is the priority action that the occupational health nurse at the facility should take?
A) Remove nonadherent clothing and watch.
B) Apply an alkaline solution to the affected area.
C) Place cool compresses on the area of exposure.
D) Cover the affected area with dry, sterile dressings.
Q2) An 80-kg patient with burns over 30% of total body surface area (TBSA)is admitted to the burn unit.Using the Parkland formula of 4 mL/kg/%TBSA,what is the IV infusion rate (mL/hour)for lactated Ringer's solution that the nurse will administer during the first 8 hours?
Q3) While the patient's full-thickness burn wounds to the face are exposed,what is the best nursing action to prevent cross contamination?
A) Use sterile gloves when removing old dressings.
B) Wear gowns, caps, masks, and gloves during all care of the patient.
C) Administer IV antibiotics to prevent bacterial colonization of wounds.
D) Turn the room temperature up to at least 70° F (20° C) during dressing changes.
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21
Chapter 22: Nursing Assessment: Respiratory System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The laboratory has just called with the arterial blood gas (ABG)results on four patients.Which result is most important for the nurse to report immediately to the health care provider?
A) pH 7.34, PaO<sub>2</sub> 82 mm Hg, PaCO<sub>2</sub> 40 mm Hg, and O<sub>2</sub> sat 97%
B) pH 7.35, PaO<sub>2</sub> 85 mm Hg, PaCO<sub>2</sub> 45 mm Hg, and O<sub>2</sub> sat 95%
C) pH 7.46, PaO<sub>2</sub> 90 mm Hg, PaCO<sub>2</sub> 32 mm Hg, and O<sub>2</sub> sat 98%
D) pH 7.31, PaO<sub>2</sub> 91 mm Hg, PaCO<sub>2</sub> 50 mm Hg, and O<sub>2</sub> sat 96%
Q2) While caring for a patient with respiratory disease,the nurse observes that the patient's SpO<sub>2</sub> drops from 93% to 88% while the patient is ambulating in the hallway.What is the priority action of the nurse?
A) Notify the health care provider.
B) Document the response to exercise.
C) Administer the PRN supplemental O<sub>2</sub>.
D) Encourage the patient to pace activity.
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Chapter 23: Nursing Management: Upper Respiratory Problems
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25 Flashcards
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Sample Questions
Q1) The nurse teaches a patient about discharge instructions after a rhinoplasty.Which statement,if made by the patient,indicates that the teaching was successful?
A) "I can take 800 mg ibuprofen for pain control."
B) "I will safely remove and reapply nasal packing daily."
C) "My nose will look normal after 24 hours when the swelling goes away."
D) "I will keep my head elevated for 48 hours to minimize swelling and pain."
Q2) The nurse plans to teach a patient how to manage allergic rhinitis.Which information should the nurse include in the teaching plan?
A) Hand washing is the primary way to prevent spreading the condition to others.
B) Use of oral antihistamines for 2 weeks before the allergy season may prevent reactions.
C) Corticosteroid nasal sprays will reduce inflammation, but systemic effects limit their use.
D) Identification and avoidance of environmental triggers are the best way to avoid symptoms.
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Chapter 24: Nursing Management: Lower Respiratory Problems
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/33825
Sample Questions
Q1) The nurse is performing tuberculosis (TB)skin tests in a clinic that has many patients who have immigrated to the United States.Which question is most important for the nurse to ask before the skin test?
A) "Is there any family history of TB?"
B) "How long have you lived in the United States?"
C) "Do you take any over-the-counter (OTC) medications?"
D) "Have you received the bacille Calmette-Guérin (BCG) vaccine for TB?"
Q2) The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy.Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?
A) Document the amount of drainage every eight hours.
B) Obtain samples of drainage for culture from the system.
C) Assess patient pain level associated with the chest tube.
D) Check the water-seal chamber for the correct fluid level.
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24
Chapter 25: Nursing Management: Obstructive Pulmonary Diseases
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis.Which intervention should the nurse include in the plan of care?
A) Schedule the procedure 1 hour after the patient eats.
B) Maintain the patient in the lateral position for 20 minutes.
C) Perform percussion before assisting the patient to the drainage position.
D) Give the ordered albuterol (Proventil) before the patient receives the therapy.
Q2) A patient newly diagnosed with asthma is being discharged.The nurse anticipates including which topic in the discharge teaching?
A) Use of long-acting â-adrenergic medications
B) Side effects of sustained-release theophylline
C) Self-administration of inhaled corticosteroids
D) Complications associated with oxygen therapy
Q3) A patient with asthma has a personal best peak expiratory flow rate (PEFR)of 400 L/minute.When explaining the asthma action plan,the nurse will teach the patient that a change in therapy is needed when the PEFR is less than ___ L/minute
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Chapter 26: Nursing Assessment: Haematological System
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A patient's complete blood count (CBC)shows a hemoglobin of 19 g/dL and a hematocrit of 54%.Which question should the nurse ask to determine possible causes of this finding?
A) "Have you had a recent weight loss?"
B) "Do you have any history of lung disease?"
C) "Have you noticed any dark or bloody stools?"
D) "What is your dietary intake of meats and protein?"
Q2) When assessing a newly admitted patient,the nurse notes pallor of the skin and nail beds.The nurse should ensure that which laboratory test has been ordered?
A) Platelet count
B) Neutrophil count
C) White blood cell count
D) Hemoglobin (Hgb) level
Q3) The nurse assesses a patient with pernicious anemia.Which assessment finding would the nurse expect?
A) Yellow-tinged sclerae
B) Shiny, smooth tongue
C) Numbness of the extremities
D) Gum bleeding and tenderness
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Page 26
Chapter 27: Nursing Management: Haematological
Problems
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48 Flashcards
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Sample Questions
Q1) A patient who has non-Hodgkin's lymphoma is receiving combination treatment with rituximab (Rituxan)and chemotherapy.Which patient assessment finding requires the most rapid action by the nurse?
A) Anorexia
B) Vomiting
C) Oral ulcers
D) Lip swelling
Q2) Which instruction will the nurse plan to include in discharge teaching for the patient admitted with a sickle cell crisis?
A) Take a daily multivitamin with iron.
B) Limit fluids to 2 to 3 quarts per day.
C) Avoid exposure to crowds when possible.
D) Drink only two caffeinated beverages daily.
Q3) It is important for the nurse providing care for a patient with sickle cell crisis to
A) limit the patient's intake of oral and IV fluids.
B) evaluate the effectiveness of opioid analgesics.
C) encourage the patient to ambulate as much as tolerated.
D) teach the patient about high-protein, high-calorie foods.
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Chapter 28: Nursing Assessment: Cardiovascular System
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33829
Sample Questions
Q1) To determine the effects of therapy for a patient who is being treated for heart failure,which laboratory result will the nurse plan to review?
A) Troponin
B) Homocysteine (Hcy)
C) Low-density lipoprotein (LDL)
D) B-type natriuretic peptide (BNP)
Q2) The nurse teaches the patient being evaluated for rhythm disturbances with a Holter monitor to
A) connect the recorder to a computer once daily.
B) exercise more than usual while the monitor is in place.
C) remove the electrodes when taking a shower or tub bath.
D) keep a diary of daily activities while the monitor is worn.
Q3) When assessing a newly admitted patient,the nurse notes a murmur along the left sternal border.To document more information about the murmur,which action will the nurse take next?
A) Find the point of maximal impulse.
B) Determine the timing of the murmur.
C) Compare the apical and radial pulse rates.
D) Palpate the quality of the peripheral pulses.
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Page 28
Chapter 29: Nursing Management: Hypertension
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33830
Sample Questions
Q1) Which information should the nurse include when teaching a patient with newly diagnosed hypertension?
A) Increasing physical activity will control blood pressure (BP) for most patients.
B) Most patients are able to control BP through dietary changes.
C) Annual BP checks are needed to monitor treatment effectiveness.
D) Hypertension is usually asymptomatic until target organ damage occurs.
Q2) The nurse obtains a blood pressure of 176/83 mm Hg for a patient.What is the patient's mean arterial pressure (MAP)?
Q3) After the nurse teaches the patient with stage 1 hypertension about diet modifications that should be implemented,which diet choice indicates that the teaching has been effective?
A) The patient avoids eating nuts or nut butters.
B) The patient restricts intake of chicken and fish.
C) The patient has two cups of coffee in the morning.
D) The patient has a glass of low-fat milk with each meal.
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Chapter 30: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/33831
Sample Questions
Q1) Which electrocardiographic (ECG)change is most important for the nurse to report to the health care provider when caring for a patient with chest pain?
A) Inverted P wave
B) Sinus tachycardia
C) ST-segment elevation
D) First-degree atrioventricular block
Q2) The nurse is caring for a patient who was admitted to the coronary care unit following an acute myocardial infarction (AMI)and percutaneous coronary intervention the previous day.Teaching for this patient would include
A) when cardiac rehabilitation will begin.
B) the typical emotional responses to AMI.
C) information regarding discharge medications.
D) the pathophysiology of coronary artery disease.
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Chapter 31: Nursing Management: Heart Failure
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33832
Sample Questions
Q1) An outpatient who has chronic heart failure returns to the clinic after 2 weeks of therapy with metoprolol (Toprol XL).Which assessment finding is most important for the nurse to report to the health care provider?
A) 2+ pedal edema
B) Heart rate of 56 beats/minute
C) Blood pressure (BP) of 88/42 mm Hg
D) Complaints of fatigue
Q2) A patient with a history of chronic heart failure is admitted to the emergency department (ED)with severe dyspnea and a dry,hacking cough.Which action should the nurse do first?
A) Auscultate the abdomen.
B) Check the capillary refill.
C) Auscultate the breath sounds.
D) Assess the level of orientation.
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Chapter 32: Nursing Management: Ecg Monitoring and Arrhythmias
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/33833
Sample Questions
Q1) The nurse needs to quickly estimate the heart rate for a patient with a regular heart rhythm.Which method will be best to use?
A) Count the number of large squares in the R-R interval and divide by 300.
B) Print a 1-minute electrocardiogram (ECG) strip and count the number of QRS complexes.
C) Calculate the number of small squares between one QRS complex and the next and divide into 1500.
D) Use the 3-second markers to count the number of QRS complexes in 6 seconds and multiply by 10.
Q2) A patient's cardiac monitor shows sinus rhythm,rate 64.The P-R interval is 0.18 seconds at 1:00 AM,0.22 seconds at 2:30 PM,and 0.28 seconds at 4:00 PM.Which action should the nurse take next?
A) Place the transcutaneous pacemaker pads on the patient.
B) Administer atropine sulfate 1 mg IV per agency dysrhythmia protocol.
C) Document the patient's rhythm and assess the patient's response to the rhythm.
D) Call the health care provider before giving the next dose of metoprolol (Lopressor).
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Chapter 33: Nursing Management: Inflammatory and Structural
Heart Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/33834
Sample Questions
Q1) Which assessment finding in a patient who is admitted with infective endocarditis (IE)is most important to communicate to the health care provider?
A) Generalized muscle aching
B) Sudden onset right flank pain
C) Janeway's lesions on the palms
D) Temperature 100.7° F (38.1° C)
Q2) To assess the patient with pericarditis for evidence of a pericardial friction rub,the nurse should
A) listen for a rumbling, low-pitched, systolic murmur over the left anterior chest.
B) auscultate by placing the diaphragm of the stethoscope on the lower left sternal border.
C) ask the patient to cough during auscultation to distinguish the sound from a pleural friction rub.
D) feel the precordial area with the palm of the hand to detect vibrations with cardiac contraction.
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Chapter 34: Nursing Management: Vascular Disorders
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/33835
Sample Questions
Q1) A 73-year-old patient with chronic atrial fibrillation develops sudden severe pain,pulselessness,pallor,and coolness in the right leg.The nurse should notify the health care provider and immediately
A) apply a compression stocking to the leg.
B) elevate the leg above the level of the heart.
C) assist the patient in gently exercising the leg.
D) keep the patient in bed in the supine position.
Q2) The health care provider has prescribed bed rest with the feet elevated for a patient admitted to the hospital with venous thromboembolism.Which action by the nurse to elevate the patient's feet is best?
A) The patient is placed in the Trendelenburg position.
B) Two pillows are positioned under the affected leg.
C) The bed is elevated at the knee and pillows are placed under the feet.
D) One pillow is placed under the thighs and two pillows are placed under the lower legs.
Q3) When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial BP of 147/82 and an ankle pressure of 112/74.The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).
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Chapter 35: Nursing Assessment: Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/33836
Sample Questions
Q1) A 58-year-old woman has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD).Which action by unlicensed assistive personnel (UAP)requires that the registered nurse (RN)intervene?
A) Offering the patient a drink of water
B) Positioning the patient on the right side
C) Checking the vital signs every 30 minutes
D) Swabbing the patient's mouth with cold water
Q2) A 54-year-old man has just arrived in the recovery area after an upper endoscopy.Which information collected by the nurse is most important to communicate to the health care provider?
A) The patient is very drowsy.
B) The patient reports a sore throat.
C) The oral temperature is 101.6° F.
D) The apical pulse is 104 beats/minute.
Q3) After assisting with a needle biopsy of the liver at a patient's bedside,the nurse should
A) put pressure on the biopsy site using a sandbag.
B) elevate the head of the bed to facilitate breathing.
C) place the patient on the right side with the bed flat.
D) check the patient's postbiopsy coagulation studies.
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Chapter 36: Nursing Management: Nutritional Problems
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33837
Sample Questions
Q1) Which action should the nurse take first when preparing to teach a frail 79-year-old Hispanic man who lives with an adult daughter about ways to improve nutrition?
A) Ask the daughter about the patient's food preferences.
B) Determine who shops for groceries and prepares the meals.
C) Question the patient about how many meals per day are eaten.
D) Assure the patient that culturally preferred foods will be included.
Q2) Which menu choice indicates that the patient is implementing plans to choose high-calorie,high-protein foods?
A) Baked fish with applesauce
B) Beef noodle soup and canned corn
C) Fresh fruit salad with yogurt topping
D) Fried chicken with potatoes and gravy
Q3) A 76-year-old woman with a body mass index (BMI)of 17 kg/m² and a low serum albumin level is being admitted by the nurse.Which assessment finding will the nurse expect to find?
A) Restlessness
B) Hypertension
C) Pitting edema
D) Food allergies
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Page 36
Chapter 37: Nursing Management: Obesity
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/33838
Sample Questions
Q1) Which statement by the nurse is most likely to help a morbidly obese 22-year-old man in losing weight on a 1000-calorie diet?
A) "It will be necessary to change lifestyle habits permanently to maintain weight loss."
B) "You will decrease your risk for future health problems such as diabetes by losing weight now."
C) "You are likely to notice changes in how you feel with just a few weeks of diet and exercise."
D) "Most of the weight that you lose during the first weeks of dieting is water weight rather than fat."
Q2) The nurse is coaching a community group for individuals who are overweight.Which participant behavior is an example of the best exercise plan for weight loss?
A) Walking for 40 minutes 6 or 7 days/week
B) Lifting weights with friends 3 times/week
C) Playing soccer for an hour on the weekend
D) Running for 10 to 15 minutes 3 times/week
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Chapter 38: Nursing Management: Upper Gastrointestinal
Problems
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33839
Sample Questions
Q1) A 57-year-old man with Escherichia coli O157:H7 food poisoning is admitted to the hospital with bloody diarrhea and dehydration.Which order will the nurse question?
A) Infuse lactated Ringer's solution at 250 mL/hr.
B) Monitor blood urea nitrogen and creatinine daily.
C) Administer loperamide (Imodium) after each stool.
D) Provide a clear liquid diet and progress diet as tolerated.
Q2) Which information will the nurse include for a patient with newly diagnosed gastroesophageal reflux disease (GERD)?
A) "Peppermint tea may reduce your symptoms."
B) "Keep the head of your bed elevated on blocks."
C) "You should avoid eating between meals to reduce acid secretion."
D) "Vigorous physical activities may increase the incidence of reflux."
Q3) Which patient statement indicates that the nurse's teaching following a gastroduodenostomy has been effective?
A) "Vitamin supplements may prevent anemia."
B) "Persistent heartburn is common after surgery."
C) "I will try to drink more liquids with my meals."
D) "I will need to choose high carbohydrate foods."
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Chapter 39: Nursing Management: Lower Gastrointestinal
Problems
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/33840
Sample Questions
Q1) A patient complains of gas pains and abdominal distention two days after a small bowel resection.Which nursing action is best to take?
A) Encourage the patient to ambulate.
B) Instill a mineral oil retention enema.
C) Administer the ordered IV morphine sulfate.
D) Offer the ordered promethazine (Phenergan) suppository.
Q2) Which prescribed intervention for a 61-year-old female patient with chronic short bowel syndrome will the nurse question?
A) Ferrous sulfate (Feosol) 325 mg daily
B) Senna (Senokot) 1 tablet every day
C) Psyllium (Metamucil) 2.1 grams 3 times daily
D) Diphenoxylate with atropine (Lomotil) prn loose stools
Q3) A 58-year-old man with blunt abdominal trauma from a motor vehicle crash undergoes peritoneal lavage.If the lavage returns brown fecal drainage,which action will the nurse plan to take next?
A) Auscultate the bowel sounds.
B) Prepare the patient for surgery.
C) Check the patient's oral temperature.
D) Obtain information about the accident.
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Chapter 40: Nursing Management: Liver,pancreas and Biliary Tract Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/33841
Sample Questions
Q1) The nurse is caring for a 36-year-old patient with pancreatic cancer.Which nursing action is the highest priority?
A) Offer psychologic support for depression.
B) Offer high-calorie, high-protein dietary choices.
C) Administer prescribed opioids to relieve pain as needed.
D) Teach about the need to avoid scratching any pruritic areas.
Q2) A 34-year old patient with chronic hepatitis C infection has several medications prescribed.Which medication requires further discussion with the health care provider before administration?
A) Ribavirin (Rebetol, Copegus) 600 mg PO bid
B) Pegylated á-interferon (PEG-Intron, Pegasys) SQ daily
C) Diphenhydramine (Benadryl) 25 mg PO every 4 hours PRN itching
D) Dimenhydrinate (Dramamine) 50 mg PO every 6 hours PRN nausea
Q3) A 53-year-old patient is being treated for bleeding esophageal varices with balloon tamponade.Which nursing action will be included in the plan of care?
A) Instruct the patient to cough every hour.
B) Monitor the patient for shortness of breath.
C) Verify the position of the balloon every 4 hours.
D) Deflate the gastric balloon if the patient reports nausea.
Page 40
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Chapter 41: Nursing Assessment: Urinary System
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33842
Sample Questions
Q1) A female patient with a suspected urinary tract infection (UTI)is to provide a clean-catch urine specimen for culture and sensitivity testing.To obtain the specimen,the nurse will
A) have the patient empty the bladder completely, then obtain the next urine specimen that the patient is able to void.
B) teach the patient to clean the urethral area, void a small amount into the toilet, and then void into a sterile specimen cup.
C) insert a short sterile "mini" catheter attached to a collecting container into the urethra and bladder to obtain the specimen.
D) clean the area around the meatus with a povidone-iodine (Betadine) swab, and then have the patient void into a sterile container.
Q2) When a patient's urine dipstick test indicates a small amount of protein,the nurse's next action should be to
A) send a urine specimen to the laboratory to test for ketones.
B) obtain a clean-catch urine for culture and sensitivity testing.
C) inquire about which medications the patient is currently taking.
D) ask the patient about any family history of chronic renal failure.
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Chapter 42: Nursing Management: Renal and Urological Problems
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/33843
Sample Questions
Q1) It is most important that the nurse ask a patient admitted with acute glomerulonephritis about
A) history of kidney stones.
B) recent sore throat and fever.
C) history of high blood pressure.
D) frequency of bladder infections.
Q2) Which action will the nurse anticipate taking for an otherwise healthy 50-year-old who has just been diagnosed with Stage 1 renal cell carcinoma?
A) Prepare patient for a renal biopsy.
B) Provide preoperative teaching about nephrectomy.
C) Teach the patient about chemotherapy medications.
D) Schedule for a follow-up appointment in 3 months.
Q3) The nurse determines that instruction regarding prevention of future urinary tract infections (UTIs)has been effective for a 22-year-old female patient with cystitis when the patient states which of the following?
A) "I can use vaginal antiseptic sprays to reduce bacteria."
B) "I will drink a quart of water or other fluids every day."
C) "I will wash with soap and water before sexual intercourse."
D) "I will empty my bladder every 3 to 4 hours during the day."
Page 42
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Chapter 43: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/33844
Sample Questions
Q1) A 55-year-old patient with end-stage kidney disease (ESKD)is scheduled to receive a prescribed dose of epoetin alfa (Procrit).Which information should the nurse report to the health care provider before giving the medication?
A) Creatinine 1.6 mg/dL
B) Oxygen saturation 89%
C) Hemoglobin level 13 g/dL
D) Blood pressure 98/56 mm Hg
Q2) During routine hemodialysis,the 68-year-old patient complains of nausea and dizziness.Which action should the nurse take first?
A) Slow down the rate of dialysis.
B) Check patient's blood pressure (BP).
C) Review the hematocrit (Hct) level.
D) Give prescribed PRN antiemetic drugs.
Q3) A patient in the oliguric phase after an acute kidney injury has had a 250 mL urine output and an emesis of 100 mL in the past 24 hours.What is the patient's fluid restriction for the next 24 hours?
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Page 43
Chapter 44: Nursing Assessment: Endocrine System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/33845
Sample Questions
Q1) Which statements will the nurse include when teaching a patient who is scheduled for oral glucose tolerance testing in the outpatient clinic (select all that apply)?
A) "You will need to avoid smoking before the test."
B) "Exercise should be avoided until the testing is complete."
C) "Several blood samples will be obtained during the testing."
D) "You should follow a low-calorie diet the day before the test."
E) "The test requires that you fast for at least 8 hours before testing."
Q2) A 22-year-old patient is being seen in the clinic with increased secretion of the anterior pituitary hormones.The nurse would expect the laboratory results to show
A) increased urinary cortisol.
B) decreased serum thyroxine.
C) elevated serum aldosterone levels.
D) low urinary catecholamines excretion.
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Chapter 45: Nursing Management: Diabetes Mellitus
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/33846
Sample Questions
Q1) An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS).The nurse will anticipate the need to
A) give a bolus of 50% dextrose.
B) insert a large-bore IV catheter.
C) initiate oxygen by nasal cannula.
D) administer glargine (Lantus) insulin.
Q2) Which patient action indicates a good understanding of the nurse's teaching about the use of an insulin pump?
A) The patient programs the pump for an insulin bolus after eating.
B) The patient changes the location of the insertion site every week.
C) The patient takes the pump off at bedtime and starts it again each morning.
D) The patient plans for a diet that is less flexible when using the insulin pump.
Q3) The nurse identifies a need for additional teaching when the patient who is self-monitoring blood glucose
A) washes the puncture site using warm water and soap.
B) chooses a puncture site in the center of the finger pad.
C) hangs the arm down for a minute before puncturing the site.
D) says the result of 120 mg indicates good blood sugar control.
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Page 45
Chapter 46: Nursing Management: Endocrine Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/33847
Sample Questions
Q1) Which information will the nurse teach a 48-year-old patient who has been newly diagnosed with Graves' disease?
A) Exercise is contraindicated to avoid increasing metabolic rate.
B) Restriction of iodine intake is needed to reduce thyroid activity.
C) Antithyroid medications may take several months for full effect.
D) Surgery will eventually be required to remove the thyroid gland.
Q2) A patient develops carpopedal spasms and tingling of the lips following a parathyroidectomy.Which action should the nurse take first?
A) Administer the ordered muscle relaxant.
B) Give the ordered oral calcium supplement.
C) Have the patient rebreathe from a paper bag.
D) Start the PRN oxygen at 2 L/min per cannula.
Q3) Which question will the nurse in the endocrine clinic ask to help determine a patient's risk factors for goiter?
A) "How much milk do you drink?"
B) "What medications are you taking?"
C) "Are your immunizations up to date?"
D) "Have you had any recent neck injuries?"
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46
Chapter 47: Nursing Assessment: Reproductive System
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/33848
Sample Questions
Q1) The nurse explains to a 37-year-old patient being prepared for colposcopy with a cervical biopsy that the procedure
A) involves dilation of the cervix and biopsy of the tissue lining the uterus.
B) will take place in a same-day surgery center so that local anesthesia can be used.
C) requires that the patient have nothing to eat or drink for 6 hours before the procedure.
D) is similar to a speculum examination of the cervix and should result in little discomfort.
Q2) Which question should the nurse ask when assessing a 60-year-old patient who has a history of benign prostatic hyperplasia (BPH)?
A) "Have you noticed any unusual discharge from your penis?"
B) "Has there been any change in your sex life in the last year?"
C) "Has there been a decrease in the force of your urinary stream?"
D) "Have you been experiencing any difficulty in achieving an erection?"
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Chapter 48: Nursing Management: Breast Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/33849
Sample Questions
Q1) The nurse provides discharge teaching for a 61-year-old patient who has had a left modified radical mastectomy and lymph node dissection.Which statement by the patient indicates that teaching has been successful?
A) "I will need to use my right arm and to rest the left one."
B) "I will avoid reaching over the stove with my left hand."
C) "I will keep my left arm in a sling until the incision is healed."
D) "I will stop the left arm exercises if moving the arm is painful."
Q2) A student nurse prepares a list of teaching topics for a patient with a new diagnosis of breast cancer.Which item should the charge nurse suggest that the student nurse omit from the teaching topic list about breast cancer diagnostic testing?
A) CA 15-3 level testing
B) HER-2 receptor testing
C) Estrogen receptor testing
D) Oncotype DX assay testing
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Chapter 49: Nursing Management: Sexually Transmitted
Infections
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/33850
Sample Questions
Q1) A 32-year-old woman who is diagnosed with Chlamydia tells the nurse that she is very angry because her husband is her only sexual partner.Which response should the nurse make first?
A) "You may need professional counseling to help resolve your anger."
B) "It is understandable that you are angry with your husband right now."
C) "Your feelings are justified and you should share them with your husband."
D) "It is important that both you and your husband be treated for the infection."
Q2) Which infection,reported in the health history of a woman who is having difficulty conceiving,will the nurse identify as a risk factor for infertility?
A) N. gonorrhoeae
B) Treponema pallidum
C) Condyloma acuminatum
D) Herpes simplex virus type 2
Q3) Which patient will the nurse plan on teaching about the Gardasil vaccine?
A) A 24-year-old female who has not been sexually active
B) A 34-year-old woman who has multiple sexual partners
C) A 19-year-old woman who is pregnant for the first time
D) A 29-year-old woman who is in a monogamous relationship
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Chapter 50: Nursing Management: Female Reproductive Problems
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/33851
Sample Questions
Q1) An 18-year-old requests a prescription for birth control pills to control severe abdominal cramping and headaches during her menstrual periods.Which should the nurse take first?
A) Determine whether the patient is sexually active.
B) Teach about the side effects of oral contraceptives.
C) Take a personal and family health history from the patient.
D) Suggest nonsteroidal antiinflammatory drugs (NSAIDs) for relief.
Q2) A 47-year-old woman asks whether she is going into menopause if she has not had a menstrual period for 3 months.The best response by the nurse is which of the following?
A) "Have you thought about using hormone replacement therapy?"
B) "Most women feel a little depressed about entering menopause."
C) "What was your menstrual pattern before your periods stopped?"
D) "Since you are in your mid-40s, it is likely that you are menopausal."
Q3) The nurse will plan to teach the female patient with genital warts about the A) importance of regular Pap tests.
B) increased risk for endometrial cancer.
C) appropriate use of oral contraceptives.
D) symptoms of pelvic inflammatory disease (PID).
Page 50
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Chapter 51: Nursing Management: Male Reproductive Problems
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/33852
Sample Questions
Q1) The nurse will plan to teach the patient scheduled for photovaporization of the prostate (PVP)
A) that urine will appear bloody for several days.
B) how to care for an indwelling urinary catheter.
C) that symptom improvement takes 2 to 3 weeks.
D) about complications associated with urethral stenting.
Q2) A 76-year-old patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance.The nurse will plan to
A) vaccinate the patient with sipuleucel-T ( Provenge).
B) provide the patient with information about cryotherapy.
C) teach the patient about placement of intraurethral stents.
D) schedule the patient for annual prostate-specific antigen testing.
Q3) To determine the severity of the symptoms for a 68-year-old patient with benign prostatic hyperplasia (BPH)the nurse will ask the patient about
A) blood in the urine.
B) lower back or hip pain.
C) erectile dysfunction (ED).
D) force of the urinary stream.
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Chapter 52: Nursing Assessment: Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33853
Sample Questions
Q1) A 45-year-old patient has a dysfunction of the cerebellum.The nurse will plan interventions to
A) prevent falls.
B) stabilize mood.
C) avoid aspiration.
D) improve memory.
Q2) Which assessments will the nurse make to monitor a patient's cerebellar function (select all that apply)?
A) Assess for graphesthesia.
B) Observe arm swing with gait.
C) Perform the finger-to-nose test.
D) Check ability to push against resistance.
E) Determine ability to sense heat and cold.
Q3) During the neurologic assessment,the patient is unable to respond verbally to the nurse but cooperates with the nurse's directions to move his hands and feet.The nurse will suspect
A) cerebellar injury.
B) a brainstem lesion.
C) frontal lobe damage.
D) a temporal lobe lesion.
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Chapter 53: Nursing Management: Acute Intracranial Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/33854
Sample Questions
Q1) After having a craniectomy and left anterior fossae incision,a 64-year-old patient has a nursing diagnosis of impaired physical mobility related to decreased level of consciousness and weakness.An appropriate nursing intervention is to
A) cluster nursing activities to allow longer rest periods.
B) turn and reposition the patient side to side every 2 hours.
C) position the bed flat and log roll to reposition the patient.
D) perform range-of-motion (ROM) exercises every 4 hours.
Q2) Family members of a patient who has a traumatic brain injury ask the nurse about the purpose of the ventriculostomy system being used for intracranial pressure monitoring.Which response by the nurse is best?
A) "This type of monitoring system is complex and it is managed by skilled staff."
B) "The monitoring system helps show whether blood flow to the brain is adequate."
C) "The ventriculostomy monitoring system helps check for alterations in cerebral perfusion pressure."
D) "This monitoring system has multiple benefits including facilitation of cerebrospinal fluid drainage."
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Chapter 54: Nursing Management: the Patient With a Stroke
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/33855
Sample Questions
Q1) After a patient experienced a brief episode of tinnitus,diplopia,and dysarthria with no residual effects,the nurse anticipates teaching the patient about
A) cerebral aneurysm clipping.
B) heparin intravenous infusion.
C) oral low-dose aspirin therapy.
D) tissue plasminogen activator (tPA).
Q2) A patient with carotid atherosclerosis asks the nurse to describe a carotid endarterectomy.Which response by the nurse is accurate?
A) "The obstructing plaque is surgically removed from an artery in the neck."
B) "The diseased portion of the artery in the brain is replaced with a synthetic graft."
C) "A wire is threaded through an artery in the leg to the clots in the carotid artery and the clots are removed."
D) "A catheter with a deflated balloon is positioned at the narrow area, and the balloon is inflated to flatten the plaque."
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54
Chapter 55: Nursing Management: Chronic Neurological Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/33856
Sample Questions
Q1) The home health registered nurse (RN)is planning care for a patient with a seizure disorder related to a recent head injury.Which nursing action can be delegated to a licensed practical/vocational nurse (LPN/LVN)?
A) Make referrals to appropriate community agencies.
B) Place medications in the home medication organizer.
C) Teach the patient and family how to manage seizures.
D) Assess for use of medications that may precipitate seizures.
Q2) Which prescribed intervention will the nurse implement first for a patient in the emergency department who is experiencing continuous tonic-clonic seizures?
A) Give phenytoin (Dilantin) 100 mg IV.
B) Monitor level of consciousness (LOC).
C) Obtain computed tomography (CT) scan.
D) Administer lorazepam (Ativan) 4 mg IV.
Q3) The nurse advises a patient with myasthenia gravis (MG)to
A) perform physically demanding activities early in the day.
B) anticipate the need for weekly plasmapheresis treatments.
C) do frequent weight-bearing exercise to prevent muscle atrophy.
D) protect the extremities from injury due to poor sensory perception.
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Chapter 56: Nursing Management: Delirium,depression and Dementia
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33857
Sample Questions
Q1) The nurse is concerned about a postoperative patient's risk for injury during an episode of delirium.The most appropriate action by the nurse is to
A) secure the patient in bed using a soft chest restraint.
B) ask the health care provider to order an antipsychotic drug.
C) instruct family members to remain with the patient and prevent injury.
D) assign unlicensed assistive personnel (UAP) to stay with the patient and offer reorientation.
Q2) The spouse of a 67-year-old male patient with early stage Alzheimer's disease (AD)tells the nurse,"I am exhausted from worrying all the time.I don't know what to do." Which actions are best for the nurse to take next (select all that apply)?
A) Suggest that a long-term care facility be considered.
B) Offer ideas for ways to distract or redirect the patient.
C) Teach the spouse about adult day care as a possible respite.
D) Suggest that the spouse consult with the physician for antianxiety drugs.
E) Ask the spouse what she knows and has considered about dementia care options.
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Page 56
Chapter 57: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/33858
Sample Questions
Q1) Which nursing action will the home health nurse include in the plan of care for a patient with paraplegia at the T4 level in order to prevent autonomic dysreflexia?
A) Support selection of a high-protein diet.
B) Discuss options for sexuality and fertility.
C) Assist in planning a prescribed bowel program.
D) Use quad coughing to strengthen cough efforts.
Q2) Which assessment data for a patient who has Guillain-Barré syndrome will require the nurse's most immediate action?
A) The patient's triceps reflexes are absent.
B) The patient is continuously drooling saliva.
C) The patient complains of severe pain in the feet.
D) The patient's blood pressure (BP) is 150/82 mm Hg.
Q3) A 27-year-old patient is hospitalized with new onset of Guillain-Barré syndrome.The most essential assessment for the nurse to carry out is
A) determining level of consciousness.
B) checking strength of the extremities.
C) observing respiratory rate and effort.
D) monitoring the cardiac rate and rhythm.
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Chapter 58: Nursing Assessment: Musculoskeletal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/33859
Sample Questions
Q1) A 72-year-old patient with kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA)testing.The nurse will plan to
A) explain the procedure.
B) start an IV line for contrast medium injection.
C) give an oral sedative 60 to 90 minutes before the procedure.
D) screen the patient for allergies to shellfish or iodine products.
Q2) The nurse finds that a patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance.The nurse should document the patient's muscle strength as level
A) 0.
B) 1.
C) 2.
D) 3.
Q3) The nurse who notes that a 59-year-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about
A) discography studies.
B) myelographic testing.
C) magnetic resonance imaging (MRI).
D) dual-energy x-ray absorptiometry (DXA).
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Page 58
Chapter 59: Nursing Management: Musculoskeletal
Trauma and Orthopaedic Surgery
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33860
Sample Questions
Q1) Which nursing action for a patient who has had right hip replacement surgery can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
A) Reposition the patient every 1 to 2 hours.
B) Assess for skin irritation on the patient's back.
C) Teach the patient quadriceps-setting exercises.
D) Determine the patient's pain level and tolerance.
Q2) A high school teacher with ulnar drift caused by rheumatoid arthritis (RA)is scheduled for a left hand arthroplasty.Which patient statement to the nurse indicates a realistic expectation for the surgery?
A) "This procedure will correct the deformities in my fingers."
B) "I will not have to do as many hand exercises after the surgery."
C) "I will be able to use my fingers with more flexibility to grasp things."
D) "My fingers will appear more normal in size and shape after this surgery."
Q3) Which discharge instruction will the emergency department nurse include for a patient with a sprained ankle?
A) Keep the ankle loosely wrapped with gauze.
B) Apply a heating pad to reduce muscle spasms.
C) Use pillows to elevate the ankle above the heart.
D) Gently move the ankle through the range of motion.
Page 59
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Chapter 60: Nursing Management: Musculoskeletal
Problems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33861
Sample Questions
Q1) Which action will the nurse take when caring for a patient with osteomalacia?
A) Teach about the use of vitamin D supplements.
B) Educate about the need for weight-bearing exercise.
C) Discuss the use of medications such as bisphosphonates.
D) Emphasize the importance of sunscreen use when outside.
Q2) Following laminectomy with a spinal fusion to treat a herniated disc,a patient reports numbness and tingling of the right lower leg.The first action that the nurse should take is to
A) report the patient's complaint to the surgeon.
B) check the chart for preoperative assessment data.
C) check the vital signs for indications of hemorrhage.
D) turn the patient to the side to relieve pressure on the right leg.
Q3) Which action will the nurse take first when a patient is seen in the outpatient clinic with neck pain?
A) Provide information about therapeutic neck exercises.
B) Ask about numbness or tingling of the hands and arms.
C) Suggest that the patient alternate the use of heat and cold to the neck to treat the pain.
D) Teach about the use of nonsteroidal antiinflammatory drugs such as ibuprofen (Advil).
Page 60
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Chapter 61: Nursing Management: Arthritis and Connective
Tissue Diseases
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33862
Sample Questions
Q1) After the nurse assesses a 78-year-old who uses naproxen (Aleve)daily for hand and knee osteoarthritis management,which information is most important to report to the health care provider?
A) Knee crepitation is noted with normal knee range of motion.
B) Patient reports embarrassment about having Heberden's nodes.
C) Patient's knee pain while golfing has increased over the last year.
D) Laboratory results indicate blood urea nitrogen (BUN) is elevated.
Q2) After the nurse has finished teaching a 68-year-old patient with osteoarthritis (OA)of the right hip about how to manage the OA,which patient statement indicates a need for more teaching?
A) "I can take glucosamine to help decrease my knee pain."
B) "I will take 1 g of acetaminophen (Tylenol) every 4 hours."
C) "I will take a shower in the morning to help relieve stiffness."
D) "I can use a cane to decrease the pressure and pain in my hip."
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Chapter 62: Nursing Management: Critical Care Environment
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/33863
Sample Questions
Q1) When caring for the patient with a pulmonary artery (PA)pressure catheter,the nurse observes that the PA waveform indicates that the catheter is in the wedged position.Which action should the nurse take next?
A) Zero balance the transducer.
B) Activate the fast flush system.
C) Notify the health care provider.
D) Deflate and reinflate the PA balloon.
Q2) A 68-year-old patient has been in the intensive care unit for 4 days and has a nursing diagnosis of disturbed sensory perception related to sleep deprivation.Which action should the nurse include in the plan of care?
A) Administer prescribed sedatives or opioids at bedtime to promote sleep.
B) Cluster nursing activities so that the patient has uninterrupted rest periods.
C) Silence the alarms on the cardiac monitors to allow 30- to 40-minute naps.
D) Eliminate assessments between 0100 and 0600 to allow uninterrupted sleep.
Q3) A patient's vital signs are pulse 87,respirations 24,and BP of 128/64 mm Hg and cardiac output is 4.7 L/min.The patient's stroke volume is _____ mL.(Round to the nearest whole number.)
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Page 62
Chapter 63: Nursing Management: Shock,systemic
Inflammatory Response Syndrome and Multiple Organ
Dysfunction Syndrome
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/33864
Sample Questions
Q1) Which intervention will the nurse include in the plan of care for a patient who has cardiogenic shock?
A) Check temperature every 2 hours.
B) Monitor breath sounds frequently.
C) Maintain patient in supine position.
D) Assess skin for flushing and itching.
Q2) A patient with septic shock has a BP of 70/46 mm Hg,pulse 136,respirations 32,temperature 104° F,and blood glucose 246 mg/dL.Which intervention ordered by the health care provider should the nurse implement first?
A) Give normal saline IV at 500 mL/hr.
B) Give acetaminophen (Tylenol) 650 mg rectally.
C) Start insulin drip to maintain blood glucose at 110 to 150 mg/dL.
D) Start norepinephrine (Levophed) to keep systolic blood pressure >90 mm Hg.
Q3) Which assessment information is most important for the nurse to obtain to evaluate whether treatment of a patient with anaphylactic shock has been effective?
A) Heart rate
B) Orientation
C) Blood pressure
D) Oxygen saturation
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Chapter 64: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/33865
Sample Questions
Q1) A patient with acute respiratory distress syndrome (ARDS)and acute kidney injury has the following medications ordered.Which medication should the nurse discuss with the health care provider before giving?
A) Pantoprazole (Protonix) 40 mg IV
B) Gentamicin (Garamycin) 60 mg IV
C) Sucralfate (Carafate) 1 g per nasogastric tube
D) Methylprednisolone (Solu-Medrol) 60 mg IV
Q2) A patient develops increasing dyspnea and hypoxemia 2 days after heart surgery.To determine whether the patient has acute respiratory distress syndrome (ARDS)or pulmonary edema caused by heart failure,the nurse will plan to assist with
A) obtaining a ventilation-perfusion scan.
B) drawing blood for arterial blood gases.
C) insertion of a pulmonary artery catheter.
D) positioning the patient for a chest x-ray.
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64
Chapter 65: Nursing Management: Emergency Care Situations
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33866
Sample Questions
Q1) When preparing to cool a patient who is to begin therapeutic hypothermia,which intervention will the nurse plan to do (select all that apply)?
A) Assist with endotracheal intubation.
B) Insert an indwelling urinary catheter.
C) Begin continuous cardiac monitoring.
D) Obtain an order to restrain the patient.
E) Prepare to give sympathomimetic drugs.
Q2) After the return of spontaneous circulation following the resuscitation of a patient who had a cardiac arrest,therapeutic hypothermia is ordered.Which action will the nurse include in the plan of care?
A) Apply external cooling device.
B) Check mental status every 15 minutes.
C) Avoid the use of sedative medications.
D) Rewarm if temperature is <91° F (32.8° C).
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