Medical-Surgical Nursing Midterm Exam https://quizplus.com/study-set/999 69 Chapters 2018 Verified Questions
Medical-Surgical Nursing Midterm Exam Course Introduction Medical-Surgical Nursing is a foundational course designed to equip students with essential knowledge and skills for the care of adult patients experiencing a wide range of acute and chronic health conditions. The course covers the pathophysiology, assessment, and evidence-based management of medical and surgical disorders affecting various body systems, including cardiovascular, respiratory, gastrointestinal, renal, musculoskeletal, and neurological systems. Emphasis is placed on critical thinking, clinical reasoning, and the implementation of the nursing process to ensure safe and effective patient care. Additionally, students will explore interdisciplinary collaboration, ethical considerations, patient education, and the use of technology in modern healthcare settings, preparing them for competent practice in diverse clinical environments.
Recommended Textbook
Medical Surgical Nursing Assessment and Management of Clinical Problems 9th Edition by Lew
Available Study Resources on Quizplus 69 Chapters 2018 Verified Questions 2018 Flashcards Source URL: https://quizplus.com/study-set/999
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Chapter 1: Professional Nursing Practice Available Study Resources on Quizplus for this Chatper 21 Verified Questions 21 Flashcards Source URL: https://quizplus.com/quiz/19657
Sample Questions Q1) The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient's input.The patient states,"How is this different from what the doctor does?" Which response would be most appropriate for the nurse to make? A) "The role of the nurse is to administer medications and other treatments prescribed by your doctor." B) "The nurse's job is to help the doctor by collecting information and communicating any problems that occur." C) "Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer time than the doctor." D) "In addition to caring for you while you are sick, the nurses will assist you to develop an individualized plan to maintain your health." Answer: D To view all questions and flashcards with answers, click on the resource link above.
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Chapter 2: Health Disparities and Culturally Competent Care Available Study Resources on Quizplus for this Chatper 18 Verified Questions 18 Flashcards Source URL: https://quizplus.com/quiz/19658
Sample Questions Q1) The nurse working in a clinic in a primarily African American community notes a higher incidence of uncontrolled hypertension in the patients.To correct this health disparity,which action should the nurse take first? A) Initiate a regular home-visit program by nurses working at the clinic. B) Schedule teaching sessions about low-salt diets at community events. C) Assess the perceptions of community members about the care at the clinic. D) Obtain low-cost antihypertensive drugs using funding from government grants. Answer: C Q2) An older Asian American patient tells the nurse that she has lived in the United States for 50 years.The patient speaks English and lives in a predominantly Asian neighborhood.Which action by the nurse is most appropriate? A) Include a shaman when planning the patient's care. B) Avoid direct eye contact with the patient during care. C) Ask the patient about any special cultural beliefs or practices. D) Involve the patient's oldest son to assist with health care decisions. Answer: C To view all questions and flashcards with answers, click on the resource link above.
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Chapter 3: Health History and Physical Examination Available Study Resources on Quizplus for this Chatper 15 Verified Questions 15 Flashcards Source URL: https://quizplus.com/quiz/19659
Sample Questions Q1) The nurse plans to complete a physical examination of an alert,older patient.Which adaptations to the examination technique should the nurse include? A) Avoid the use of touch as much as possible. B) Use slightly more pressure for palpation of the liver. C) Speak softly and slowly when talking with the patient. D) Organize the sequence to minimize the position changes. Answer: D Q2) The nurse who is assessing an older adult with rectal bleeding asks,"Have you ever had a colonoscopy?" The nurse is performing what type of assessment? A) Focused assessment B) Emergency assessment C) Detailed health assessment D) Comprehensive assessment Answer: A To view all questions and flashcards with answers, click on the resource link above.
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Chapter 4: Patient and Caregiver Teaching Available Study Resources on Quizplus for this Chatper 21 Verified Questions 21 Flashcards Source URL: https://quizplus.com/quiz/19660
Sample Questions Q1) A middle-aged patient who has diabetes tells the nurse,"I want to know how to give my own insulin so I don't have to bother my wife all the time." What is the priority action of the nurse? A) Demonstrate how to draw up and administer insulin. B) Discuss the use of exercise to decrease insulin needs. C) Teach about differences between the various types of insulin. D) Provide handouts about therapeutic and adverse effects of insulin. Q2) The nurse prepares written handouts to be used as part of the standardized teaching plan for patients who have been recently diagnosed with diabetes.What statement would be appropriate to include in the handouts? A) Eating the right foods can help in keeping blood glucose at a near-normal level. B) Polyphagia, polydipsia, and polyuria are common symptoms of diabetes mellitus. C) Some diabetics control blood glucose with oral medications, injections, or nutritional interventions. D) Diabetes mellitus is characterized by chronic hyperglycemia and the associated symptoms than can lead to long-term complications. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 5: Chronic Illness and Older Adults Available Study Resources on Quizplus for this Chatper 21 Verified Questions 21 Flashcards Source URL: https://quizplus.com/quiz/19661
Sample Questions Q1) When caring for an older patient with hypertension who has been hospitalized after a transient ischemic (TIA),which topic is the most important for the nurse to include in the discharge teaching? A) Effect of atherosclerosis on blood vessels B) Mechanism of action of anticoagulant drug therapy C) Symptoms indicating that the patient should contact the health care provider D) Impact of the patient's family history on likelihood of developing a serious stroke Q2) Which nursing action will be most helpful in decreasing the risk for drug-drug interactions in an older adult? A) Teach the patient to have all prescriptions filled at the same pharmacy. B) Instruct the patient to avoid taking over-the-counter (OTC) medications. C) Make a schedule for the patient as a reminder of when to take each medication. D) Have the patient bring all medications, supplements, and herbs to each appointment. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 6: Complementary and Alternative Therapies Available Study Resources on Quizplus for this Chatper 13 Verified Questions 13 Flashcards Source URL: https://quizplus.com/quiz/19662
Sample Questions Q1) Which is the most appropriate therapy for the nurse to suggest for a patient with chronic low back pain from osteoarthritis? A) Acupuncture B) Aromatherapy C) St. John's wort D) Magnetic therapy Q2) A patient undergoing chemotherapy complains of nausea and asks the nurse whether there are any complementary and alternative therapies that may help.Which therapy should the nurse recommend to the patient? A) Green tea B) Acupuncture C) Black cohosh D) Chiropractic therapy Q3) Which complementary and alternative therapy should the nurse suggest to a patient who has elevated triglyceride levels? A) Fish oil B) Milk thistle C) Saw palmetto D) Ginkgo biloba To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Stress and Stress Management Available Study Resources on Quizplus for this Chatper 12 Verified Questions 12 Flashcards Source URL: https://quizplus.com/quiz/19663
Sample Questions Q1) An adult patient who is hospitalized following a motorcycle accident when a car ran a red light tells the nurse,"I didn't sleep last night because I worried about missing work at my new job and losing my insurance coverage." Which nursing diagnosis is appropriate to include in the plan of care? A) Anxiety B) Defensive coping C) Ineffective denial D) Risk prone health behavior Q2) A patient is extremely anxious about having a biopsy on a femoral lymph node in the groin area.Which relaxation technique would be best for the nurse to use at this time? A) Meditation B) Yoga stretching C) Guided imagery D) Relaxation breathing To view all questions and flashcards with answers, click on the resource link above.
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Chapter 8: Sleep and Sleep Disorders Available Study Resources on Quizplus for this Chatper 11 Verified Questions 11 Flashcards Source URL: https://quizplus.com/quiz/19664
Sample Questions Q1) A patient with sleep apnea who uses a continuous positive airway pressure (CPAP)device is preparing to have inpatient surgery.Which instructions should the nurse provide to the patient? A) Remind the patient to take the CPAP device to the hospital. B) Plan to schedule a nighttime polysomnography (PSG) study before surgery. C) Discourage the patient from requesting pain medication while hospitalized. D) Call the hospital to ensure that mechanical ventilation will be available for the patient. Q2) A patient with chronic insomnia asks the nurse about ways to improve sleep quality.What is the nurse's best response? A) Avoid aerobic exercise during the day. B) Read in bed for a few minutes each night. C) Keep the bedroom temperature slightly warm. D) Try to go to bed at the same time every evening. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 9: Pain Available Study Resources on Quizplus for this Chatper 26 Verified Questions 26 Flashcards Source URL: https://quizplus.com/quiz/19665
Sample Questions Q1) A nurse assesses a postoperative patient 2 days after chest surgery.What findings indicate that the patient requires better pain management ? A) Confusion B) Hypoglycemia C) Poor cough effort D) Shallow breathing E) Elevated temperature Q2) The health care provider orders a patient-controlled analgesia (PCA)machine to provide pain relief for a patient with acute surgical pain who has never received opioids in the past.Which nursing actions regarding opioid administration are appropriate at this time ? A) Assess for signs that the patient is becoming addicted to the opioid. B) Monitor for therapeutic and adverse effects of opioid administration. C) Emphasize that the risk of some opioid side effects increases over time. D) Teach the patient about how analgesics improve postoperative activity levels. E) Provide instructions on decreasing opioid doses by the second postoperative day. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 10: Palliative Care at End of Life Available Study Resources on Quizplus for this Chatper 16 Verified Questions 16 Flashcards Source URL: https://quizplus.com/quiz/19666
Sample Questions Q1) A hospice nurse who has become close to a terminally ill patient is present in the home when the patient dies and feels saddened and tearful as the family members begin to cry.Which action should the nurse take at this time? A) Contact a grief counselor as soon as possible. B) Cry along with the patient's family members. C) Leave the home as soon as possible to allow the family to grieve privately. D) Consider whether working in hospice is desirable because patient losses are common. Q2) Which nursing actions for the care of a dying patient can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)? A) Provide postmortem care to the patient. B) Encourage the family members to talk with and reassure the patient. C) Determine how frequently physical assessments are needed for the patient. D) Teach family members about commonly occurring signs of approaching death. E) Administer the prescribed morphine sulfate sublingual as necessary for pain control. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 11: Substance Abuse Available Study Resources on Quizplus for this Chatper 25 Verified Questions 25 Flashcards Source URL: https://quizplus.com/quiz/19667
Sample Questions Q1) A patient with alcohol dependence is admitted to the hospital with back pain following a fall.Twenty-four hours after admission,the patient becomes tremulous and anxious.Which action by the nurse is most appropriate? A) Insert an IV line and infuse fluids. B) Promote oral intake to 3000 mL/day. C) Provide a quiet, well-lit environment. D) Administer opioids to provide sedation. Q2) A patient with a history of heavy alcohol use is diagnosed with acute gastritis.Which statement by the patient indicates a willingness to stop alcohol use? A) "I am older and wiser now, and I think I can change my drinking behavior." B) "Alcohol has never bothered my stomach before. I think I likely have the flu." C) "My drinking is affecting my stomach, but some drugs will help me feel better." D) "People say that I drink too much, but I really feel pretty good most of the time." To view all questions and flashcards with answers, click on the resource link above.
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Chapter 12: Inflammation and Wound Healing Available Study Resources on Quizplus for this Chatper 22 Verified Questions 22 Flashcards Source URL: https://quizplus.com/quiz/19668
Sample Questions Q1) The nurse is caring for a patient with diabetes who had abdominal surgery 3 days ago.Which finding is most important for the nurse to report to the health care provider? A) Blood glucose 136 mg/dL B) Oral temperature 101° F (38.3° C) C) Patient complaint of increased incisional pain D) Separation of the proximal wound edges by 1 cm Q2) When admitting a patient with stage III pressure ulcers on both heels,which information obtained by the nurse will have the most impact on wound healing? A) The patient takes insulin daily. B) The patient states that the ulcers are very painful. C) The patient has had the heel ulcers for the last 6 months. D) The patient has several old incisions that have formed keloids. Q3) The nurse should plan to use a wet-to-dry dressing for which patient? A) A patient who has a pressure ulcer with pink granulation tissue B) A patient who has a surgical incision with pink, approximated edges C) A patient who has a full-thickness burn filled with dry, black material D) A patient who has a wound with purulent drainage and dry brown areas To view all questions and flashcards with answers, click on the resource link above.
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Chapter 13: Genetics and Genomics Available Study Resources on Quizplus for this Chatper 7 Verified Questions 7 Flashcards Source URL: https://quizplus.com/quiz/19669
Sample Questions Q1) A patient tells the nurse,"I would like to use a home genetic test to see if I will develop breast cancer." Which response by the nurse is best? A) "Home genetic testing is very expensive." B) "Are you concerned about developing breast cancer?" C) "Won't you be depressed if the testing shows a positive result?" D) "Genetic testing can only determine if you are at higher risk for breast cancer." Q2) A male patient with hemophilia asks the nurse if his children will be hemophiliacs.Which response by the nurse is appropriate? A) "All of your children will be at risk for hemophilia." B) "Hemophilia is a multifactorial inherited condition." C) "Only your male children are at risk for hemophilia." D) "Your female children will be carriers for hemophilia." To view all questions and flashcards with answers, click on the resource link above.
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Chapter 14: Altered Immune Responses, and Transplantation Available Study Resources on Quizplus for this Chatper 26 Verified Questions 26 Flashcards Source URL: https://quizplus.com/quiz/19670
Sample Questions Q1) An older adult patient who is having an annual check-up tells the nurse,"I feel fine,and I don't want to pay for all these unnecessary cancer screening tests!" Which information should the nurse plan to teach this patient? A) Consequences of aging on cell-mediated immunity B) Decrease in antibody production associated with aging C) Impact of poor nutrition on immune function in older people D) Incidence of cancer-stimulating infections in older individuals Q2) An older adult patient has a prescription for cyclosporine following a kidney transplant.Which information in the patient's health history has the most implications for planning patient teaching about the medication at this time? A) The patient restricts salt to treat prehypertension. B) The patient drinks 3 to 4 quarts of fluids every day. C) The patient has many concerns about the effects of cyclosporine. D) The patient has a glass of grapefruit juice every day for breakfast. Q3) Which patient should the nurse assess first? A) Patient with urticaria after receiving an IV antibiotic B) Patient who has graft-versus-host disease and severe diarrhea C) Patient who is sneezing after having subcutaneous immunotherapy D) Patient with multiple chemical sensitivities who has muscle stiffness Page 16 To view all questions and flashcards with answers, click on the resource link above.
Chapter 15: Infection and Human Immunodeficiency Virus Infection Available Study Resources on Quizplus for this Chatper 26 Verified Questions 26 Flashcards Source URL: https://quizplus.com/quiz/19671
Sample Questions Q1) A patient who has vague symptoms of fatigue,headaches,and a positive test for human immunodeficiency virus (HIV)antibodies using an enzyme immunoassay (EIA)test.What instructions should the nurse give to this patient? A) "The EIA test will need to be repeated to verify the results." B) "A viral culture will be done to determine the progression of the disease." C) "It will probably be 10 or more years before you develop acquired immunodeficiency syndrome (AIDS)." D) "The Western blot test will be done to determine whether acquired immunodeficiency syndrome (AIDS) has developed." Q2) Which patient exposure by the nurse is most likely to require postexposure prophylaxis when the patient's human immunodeficiency virus (HIV)status is unknown? A) Needle stick with a needle and syringe used to draw blood B) Splash into the eyes when emptying a bedpan containing stool C) Contamination of open skin lesions with patient vaginal secretions D) Needle stick injury with a suture needle during a surgical procedure To view all questions and flashcards with answers, click on the resource link above.
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Chapter 16: Cancer Available Study Resources on Quizplus for this Chatper 43 Verified Questions 43 Flashcards Source URL: https://quizplus.com/quiz/19672
Sample Questions Q1) A patient who has ovarian cancer is crying and tells the nurse,"My husband rarely visits.He just doesn't care." The husband indicates to the nurse that he never knows what to say to help his wife.Which nursing diagnosis is most appropriate for the nurse to add to the plan of care? A) Compromised family coping related to disruption in lifestyle B) Impaired home maintenance related to perceived role changes C) Risk for caregiver role strain related to burdens of caregiving responsibilities D) Dysfunctional family processes related to effect of illness on family members Q2) The nurse is caring for a patient receiving intravesical bladder chemotherapy.The nurse should monitor for which adverse effect? A) Nausea B) Alopecia C) Mucositis D) Hematuria To view all questions and flashcards with answers, click on the resource link above.
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Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances Available Study Resources on Quizplus for this Chatper 37 Verified Questions 37 Flashcards Source URL: https://quizplus.com/quiz/19673
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) A newly admitted patient is diagnosed with hyponatremia.When making room assignments,the charge nurse should take which action? A) Assign the patient to a room near the nurse's station. B) Place the patient in a room nearest to the water fountain. C) Place the patient on telemetry to monitor for peaked T waves. D) Assign the patient to a semi-private room and place an order for a low-salt diet. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 18: Nursing Management: Preoperative Care Available Study Resources on Quizplus for this Chatper 21 Verified Questions 21 Flashcards Source URL: https://quizplus.com/quiz/19674
Sample Questions Q1) A patient who has diabetes and uses insulin to control blood glucose has been NPO since midnight before having a knee replacement surgery.Which action should the nurse take? A) Withhold the usual scheduled insulin dose because the patient is NPO. B) Obtain a blood glucose measurement before any insulin administration. C) Give the patient the usual insulin dose because stress will increase the blood glucose. D) Administer a lower dose of insulin because there will be no oral intake before surgery. Q2) When caring for a preoperative patient on the day of surgery,which actions included in the plan of care can the nurse delegate to unlicensed assistive personnel (UAP)? (Select all that apply.) A) Teach incentive spirometer use. B) Explain preoperative routine care. C) Obtain and document baseline vital signs. D) Remove nail polish and apply pulse oximeter. E) Transport the patient by stretcher to the operating room. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 19: Nursing Management: Intraoperative Care Available Study Resources on Quizplus for this Chatper 18 Verified Questions 18 Flashcards Source URL: https://quizplus.com/quiz/19675
Sample Questions Q1) Which statement,if made by a new circulating nurse,is appropriate? A) "I will assist in preparing the operating room for the patient." B) "I will remain gloved while performing activities in the sterile field." C) "I will assist with suturing of incisions and maintaining hemostasis as needed." D) "I must don full surgical attire and sterile gloves while obtaining items from the unsterile field." Q2) Which action best describes the role of the certified registered nurse anesthetist (CRNA)on the surgical care team? A) Performs the same responsibilities as the anesthesiologist. B) Releases or discharges patients from the postanesthesia care area. C) Administers intraoperative anesthetics ordered by the anesthesiologist. D) Manages a patient's airway under the direct supervision of the anesthesiologist. Q3) 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 To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 20: Nursing Management: Postoperative Care Available Study Resources on Quizplus for this Chatper 25 Verified Questions 25 Flashcards Source URL: https://quizplus.com/quiz/19676
Sample Questions Q1) A postoperative patient has a nursing diagnosis of ineffective airway clearance.The nurse determines that interventions for this nursing diagnosis have been successful if which is observed? A) Patient drinks 2 to 3 L of fluid in 24 hours. B) Patient uses the spirometer 10 times every hour. C) Patient's breath sounds are clear to auscultation. D) Patient's temperature is less than 100.4° F orally. Q2) The nurse is caring for a patient the first postoperative day following a laparotomy for a small bowel obstruction.The nurse notices new bright-red drainage about 5 cm in diameter on the dressing.Which action should the nurse take first? A) Reinforce the dressing. B) Apply an abdominal binder. C) Take the patient's vital signs. D) Recheck the dressing in 1 hour for increased drainage. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 21: Nursing Assessment: Visual and Auditory Systems Available Study Resources on Quizplus for this Chatper 26 Verified Questions 26 Flashcards Source URL: https://quizplus.com/quiz/19677
Sample Questions Q1) The charge nurse must intervene immediately if observing a nurse who is caring for a patient with vestibular disease A) speaking slowly to the patient. B) facing the patient directly when speaking. C) encouraging the patient to ambulate independently. D) administering Rinne and Weber tests to the patient. 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 should report which assessment finding immediately to the health care provider? A) The tympanum is blue-tinged. B) There is a cone of light visible. C) Cerumen is present in the auditory canal. D) The skin in the ear canal is dry and scaly. To view all questions and flashcards withPage answers, 23 click on the resource link above.
Chapter 22: Nursing Management: Visual and Auditory Problems Available Study Resources on Quizplus for this Chatper 47 Verified Questions 47 Flashcards Source URL: https://quizplus.com/quiz/19678
Sample Questions Q1) The nurse learns that a newly admitted patient has functional blindness and that the spouse has cared for the patient for many years.During the initial assessment of the patient,it is most important for the nurse to A) obtain more information about the cause of the patient's vision loss. B) obtain information from the spouse about the patient's special needs. C) make eye contact with the patient and ask about any need for assistance. D) perform an evaluation of the patient's visual acuity using a Snellen chart. Q2) Which statement by a patient with bacterial conjunctivitis indicates a need for further teaching? A) "I will wash my hands often during the day." B) "I will remove my contact lenses at bedtime." C) "I will not share towels with my friends or family." D) "I will monitor my family for eye redness or drainage." Q3) A 42-year-old woman with Ménière's disease is admitted with vertigo,nausea,and vomiting.Which nursing intervention will be included in the care plan? A) Dim the lights in the patient's room. B) Encourage increased oral fluid intake. C) Change the patient's position every 2 hours. D) Keep the head of the bed elevated 30 degrees. Page 24 To view all questions and flashcards with answers, click on the resource link above.
Chapter 23: Nursing Assessment: Integumentary System Available Study Resources on Quizplus for this Chatper 13 Verified Questions 13 Flashcards Source URL: https://quizplus.com/quiz/19679
Sample Questions Q1) Which activities can the nurse working in the outpatient clinic delegate to a licensed practical/vocational nurse (LPN/LVN)? A) Administer patch testing to a patient with allergic dermatitis. B) Interview a new patient about chronic health problems and allergies. C) Apply a sterile dressing after the health care provider excises a mole. D) Teach a patient about site care after a punch biopsy of an upper arm lesion. E) Explain potassium hydroxide testing to a patient with a superficial skin infection. Q2) Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider? A) Several dry, scaly patches on the face B) Numerous varicosities noted on both legs C) Dilation of small blood vessels on the face D) Petechiae present on the chest and abdomen To view all questions and flashcards with answers, click on the resource link above.
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Chapter 24: Nursing Management: Integumentary Problems Available Study Resources on Quizplus for this Chatper 26 Verified Questions 26 Flashcards Source URL: https://quizplus.com/quiz/19680
Sample Questions Q1) Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro)to treat a urinary tract infection? A) Use a sunscreen with a high SPF when exposed to the sun. B) Sun exposure may decrease the effectiveness of the medication. C) Photosensitivity may result in an artificial-looking tan appearance. D) Wear sunglasses to avoid eye damage while taking this medication. Q2) A patient who has severe refractory psoriasis on the face,neck,and extremities is socially withdrawn because of the appearance of the lesions.Which action should the nurse take first? A) Discuss the possibility of enrolling in a worker-retraining program. B) Encourage the patient to volunteer to work on community projects. C) Suggest that the patient use cosmetics to cover the psoriatic lesions. D) Ask the patient to describe the impact of psoriasis on quality of life. Q3) A patient in the dermatology clinic has a thin,scaly erythematous plaque on the right cheek.Which action should the nurse take? A) Prepare the patient for a biopsy. B) Teach about the use of corticosteroid creams. C) Explain how to apply tretinoin (Retin-A) to the face. D) Discuss the need for topical application of antibiotics. Page 26 To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: Nursing Management: Burns Available Study Resources on Quizplus for this Chatper 31 Verified Questions 31 Flashcards Source URL: https://quizplus.com/quiz/19681
Sample Questions Q1) The charge nurse observes the following actions being taken by a new nurse on the burn unit.Which action by the new nurse would require an intervention by the charge nurse? A) The new nurse uses clean latex gloves when applying antibacterial cream to a burn wound. B) The new nurse obtains burn cultures when the patient has a temperature of 95.2° F (35.1° C). C) The new nurse administers PRN fentanyl (Sublimaze) IV to a patient 5 minutes before a dressing change. D) The new nurse calls the health care provider for a possible insulin order when a nondiabetic patient's serum glucose is elevated. Q2) A patient with extensive electrical burn injuries is admitted to the emergency department.Which prescribed intervention should the nurse implement first? A) Assess oral temperature. B) Check a potassium level. C) Place on cardiac monitor. D) Assess for pain at contact points. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 26: Nursing Assessment: Respiratory System Available Study Resources on Quizplus for this Chatper 24 Verified Questions 24 Flashcards Source URL: https://quizplus.com/quiz/19682
Sample Questions Q1) While listening to the posterior chest of a patient who is experiencing acute shortness of breath,the nurse hears these sounds.How should the nurse document the lung sounds? A) Pleural friction rub B) Low-pitched crackles C) High-pitched wheezes D) Bronchial breath sounds Q2) The nurse observes a student who is listening to a patient's lungs who is having no problems with breathing.Which action by the student indicates a need to review respiratory assessment skills? A) The student starts at the apices of the lungs and moves to the bases. B) The student compares breath sounds from side to side avoiding bony areas. C) The student places the stethoscope over the posterior chest and listens during inspiration. D) The student instructs the patient to breathe slowly and a little more deeply than normal through the mouth. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 27: Nursing Management: Upper Respiratory Problems Available Study Resources on Quizplus for this Chatper 25 Verified Questions 25 Flashcards Source URL: https://quizplus.com/quiz/19683
Sample Questions Q1) Which action should the nurse take first when a patient develops a nosebleed? A) Pinch the lower portion of the nose for 10 minutes. B) Pack the affected nare tightly with an epistaxis balloon. C) Obtain silver nitrate that will be needed for cauterization. D) Apply ice compresses over the patient's nose and cheeks. Q2) The nurse discusses management of upper respiratory infections (URI)with a patient who has acute sinusitis.Which statement by the patient indicates that additional teaching is needed? A) "I can take acetaminophen (Tylenol) to treat my discomfort." B) "I will drink lots of juices and other fluids to stay well hydrated." C) "I can use my nasal decongestant spray until the congestion is all gone." D) "I will watch for changes in nasal secretions or the sputum that I cough up." Q3) The nurse is caring for a hospitalized older patient who has nasal packing in place to treat a nosebleed.Which assessment finding will require the most immediate action by the nurse? A) The oxygen saturation is 89%. B) The nose appears red and swollen. C) The patient's temperature is 100.1° F (37.8° C). D) The patient complains of level 8 (0 to 10 scale) pain. Page 29 To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Nursing Management: Lower Respiratory Problems Available Study Resources on Quizplus for this Chatper 51 Verified Questions 51 Flashcards Source URL: https://quizplus.com/quiz/19684
Sample Questions Q1) The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy for cancer of the lung.Which information should the nurse include about the patient's postoperative care? A) Positioning on the right side B) Bed rest for the first 24 hours C) Frequent use of an incentive spirometer D) Chest tube placement with continuous drainage Q2) Which action by the nurse will be most effective in decreasing the spread of pertussis in a community setting? A) Providing supportive care to patients diagnosed with pertussis B) Teaching family members about the need for careful hand washing C) Teaching patients about the need for adult pertussis immunizations D) Encouraging patients to complete the prescribed course of antibiotics Q3) The health care provider writes an order for bacteriologic testing for a patient who has a positive tuberculosis skin test.Which action should the nurse take? A) Teach about the reason for the blood tests. B) Schedule an appointment for a chest x-ray. C) Teach about the need to get sputum specimens for 2 to 3 consecutive days. D) Instruct the patient to expectorate three specimens as soon as possible. Page 30 To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Nursing Management: Obstructive Pulmonary Diseases Available Study Resources on Quizplus for this Chatper 44 Verified Questions 44 Flashcards Source URL: https://quizplus.com/quiz/19685
Sample Questions Q1) A patient seen in the asthma clinic has recorded daily peak flows that are 75% of the baseline.Which action will the nurse plan to take next? A) Increase the dose of the leukotriene inhibitor. B) Teach the patient about the use of oral corticosteroids. C) Administer a bronchodilator and recheck the peak flow. D) Instruct the patient to keep the next scheduled follow-up appointment. Q2) A young adult patient who denies any history of smoking is seen in the clinic with a new diagnosis of chronic obstructive pulmonary disease (COPD).It is most appropriate for the nurse to teach the patient about A) a1-antitrypsin testing. B) use of the nicotine patch. C) continuous pulse oximetry. D) effects of leukotriene modifiers. Q3) Which information will the nurse include in the asthma teaching plan for a patient being discharged? A) Use the inhaled corticosteroid when shortness of breath occurs. B) Inhale slowly and deeply when using the dry powder inhaler (DPI). C) Hold your breath for 5 seconds after using the bronchodilator inhaler. D) Tremors are an expected side effect of rapidly acting bronchodilators. Page 31 To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Nursing Assessment: Hematologic System Available Study Resources on Quizplus for this Chatper 16 Verified Questions 16 Flashcards Source URL: https://quizplus.com/quiz/19686
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) A patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests.The nurse will provide a consent form to sign for which test? A) ABO blood typing B) Bone marrow biopsy C) Abdominal ultrasound D) Complete blood count (CBC) Q3) The nurse assesses a patient who has numerous petechiae on both arms.Which question should the nurse ask the patient? A) "Do you take salicylates?" B) "Are you taking any oral contraceptives?" C) "Have you been prescribed antiseizure drugs?" D) "How long have you taken antihypertensive drugs?" To view all questions and flashcards with answers, click on the resource link above. Page 32
Chapter 31: Nursing Management: Hematologic Problems Available Study Resources on Quizplus for this Chatper 48 Verified Questions 48 Flashcards Source URL: https://quizplus.com/quiz/19687
Sample Questions Q1) A patient with possible disseminated intravascular coagulation arrives in the emergency department with a blood pressure of 82/40,temperature 102° F (38.9° C),and severe back pain.Which physician order will the nurse implement first? A) Administer morphine sulfate 4 mg IV. B) Give acetaminophen (Tylenol) 650 mg. C) Infuse normal saline 500 mL over 30 minutes. D) Schedule complete blood count and coagulation studies. Q2) The nurse is planning to administer a transfusion of packed red blood cells (PRBCs)to a patient with blood loss from gastrointestinal hemorrhage.Which action can the nurse delegate to unlicensed assistive personnel (UAP)? A) Verify the patient identification (ID) according to hospital policy. B) Obtain the temperature, blood pressure, and pulse before the transfusion. C) Double-check the product numbers on the PRBCs with the patient ID band. D) Monitor the patient for shortness of breath or chest pain during the transfusion. Q3) A patient is to receive an infusion of 250 mL of platelets over 2 hours through tubing that is labeled: 1 mL equals 10 drops.How many drops per minute will the nurse infuse? To view all questions and flashcards with answers, click on the resource link above.
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Chapter 32: Nursing Assessment: Cardiovascular System Available Study Resources on Quizplus for this Chatper 24 Verified Questions 24 Flashcards Source URL: https://quizplus.com/quiz/19688
Sample Questions Q1) While listening at the mitral area,the nurse notes abnormal heart sounds at the patient's fifth intercostal space,midclavicular line.After listening to the audio clip,describe how the nurse will document the assessment finding. A) S<sub>3</sub> gallop heard at the aortic area B) Systolic murmur noted at mitral area C) Diastolic murmur noted at tricuspid area D) Pericardial friction rub heard at the apex Q2) The nurse is reviewing the laboratory results for newly admitted patients on the cardiovascular unit.Which patient laboratory result is most important to communicate as soon as possible to the health care provider? A) Patient whose triglyceride level is high B) Patient who has very low homocysteine level C) Patient with increase in troponin T and troponin I level D) Patient with elevated high-sensitivity C-reactive protein level Q3) To auscultate for S3 or S4 gallops in the mitral area,the nurse listens with the A) bell of the stethoscope with the patient in the left lateral position. B) diaphragm of the stethoscope with the patient in a supine position. C) bell of the stethoscope with the patient sitting and leaning forward. D) diaphragm of the stethoscope with the patient lying flat on the left side. To view all questions and flashcards with answers, click on the resource link above. Page 34
Chapter 33: Nursing Management: Hypertension Available Study Resources on Quizplus for this Chatper 24 Verified Questions 24 Flashcards Source URL: https://quizplus.com/quiz/19689
Sample Questions Q1) Which action will the nurse in the hypertension clinic take in order to obtain an accurate baseline blood pressure (BP)for a new patient? A) Deflate the BP cuff at a rate of 5 to 10 mm Hg per second. B) Have the patient sit in a chair with the feet flat on the floor. C) Assist the patient to the supine position for BP measurements. D) Obtain two BP readings in the dominant arm and average the results. Q2) A patient with hypertension who has just started taking atenolol (Tenormin)returns to the health clinic after 2 weeks for a follow-up visit.The blood pressure (BP)is unchanged from the previous visit.Which action should the nurse take first? A) Inform the patient about the reasons for a possible change in drug dosage. B) Question the patient about whether the medication is actually being taken. C) Inform the patient that multiple drugs are often needed to treat hypertension. D) Question the patient regarding any lifestyle changes made to help control BP. Q3) The nurse obtains a blood pressure of 176/83 mm Hg for a patient.What is the patient's mean arterial pressure (MAP)? To view all questions and flashcards with answers, click on the resource link above.
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Chapter 34: 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/19690
Sample Questions Q1) Diltiazem (Cardizem)is ordered for a patient with newly diagnosed Prinzmetal's (variant)angina.When teaching the patient,the nurse will include the information that diltiazem will A) reduce heart palpitations. B) decrease spasm of the coronary arteries. C) increase the force of the heart contractions. D) help prevent plaque from forming in the coronary arteries. Q2) Which assessment data collected by the nurse who is admitting a patient with chest pain suggest that the pain is caused by an acute myocardial infarction (AMI)? A) The pain increases with deep breathing. B) The pain has lasted longer than 30 minutes. C) The pain is relieved after the patient takes nitroglycerin. D) The pain is reproducible when the patient raises the arms. Q3) The nurse will suspect that the patient with stable angina is experiencing a side effect of the prescribed metoprolol (Lopressor)if the A) patient is restless and agitated. B) blood pressure is 90/54 mm Hg. C) patient complains about feeling anxious. D) cardiac monitor shows a heart rate of 61 beats/minute. Page 36 To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Nursing Management: Heart Failure Available Study Resources on Quizplus for this Chatper 26 Verified Questions 26 Flashcards Source URL: https://quizplus.com/quiz/19691
Sample Questions Q1) The nurse plans discharge teaching for a patient with chronic heart failure who has prescriptions for digoxin (Lanoxin)and hydrochlorothiazide (HydroDIURIL).Appropriate instructions for the patient include A) limit dietary sources of potassium. B) take the hydrochlorothiazide before bedtime. C) notify the health care provider if nausea develops. D) skip the digoxin if the pulse is below 60 beats/minute. Q2) After receiving change-of-shift report on a heart failure unit,which patient should the nurse assess first? A) A patient who is cool and clammy, with new-onset confusion and restlessness B) A patient who has crackles bilaterally in the lung bases and is receiving oxygen. C) A patient who had dizziness after receiving the first dose of captopril (Capoten) D) A patient who is receiving IV nesiritide (Natrecor) and has a blood pressure of 100/62 To view all questions and flashcards with answers, click on the resource link above.
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Chapter 36: Nursing Management: Dysrhythmias Available Study Resources on Quizplus for this Chatper 31 Verified Questions 31 Flashcards Source URL: https://quizplus.com/quiz/19692
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). To view all questions and flashcards with answers, click on the resource link above.
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Chapter 37: Nursing Management: Inflammatory and Structural Heart Disorders Available Study Resources on Quizplus for this Chatper 35 Verified Questions 35 Flashcards Source URL: https://quizplus.com/quiz/19693
Sample Questions Q1) 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. Q2) A patient recovering from heart surgery develops pericarditis and complains of level 6 (0 to 10 scale)chest pain with deep breathing.Which ordered PRN medication will be the most appropriate for the nurse to give? A) Fentanyl 1 mg IV B) IV morphine sulfate 4 mg C) Oral ibuprofen (Motrin) 600 mg D) Oral acetaminophen (Tylenol) 650 mg To view all questions and flashcards with answers, click on the resource link above.
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Chapter 38: Nursing Management: Vascular Disorders Available Study Resources on Quizplus for this Chatper 36 Verified Questions 36 Flashcards Source URL: https://quizplus.com/quiz/19694
Sample Questions Q1) Which actions could the nurse delegate to unlicensed assistive personnel (UAP)who are providing care for a patient who is at risk for venous thromboembolism? A) Monitor for any bleeding after anticoagulation therapy is started. B) Apply sequential compression device whenever the patient is in bed. C) Ask the patient about use of herbal medicines or dietary supplements. D) Instruct the patient to call immediately if any shortness of breath occurs. Q2) Which nursing action should be included in the plan of care after endovascular repair of an abdominal aortic aneurysm? A) Record hourly chest tube drainage. B) Monitor fluid intake and urine output. C) Check the abdominal incision for any redness. D) Teach the reason for a prolonged recovery period. Q3) Which nursing intervention for a patient who had an open repair of an abdominal aortic aneurysm 2 days previously is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)? A) Monitor the quality and presence of the pedal pulses. B) Teach the patient the signs of possible wound infection. C) Check the lower extremities for strength and movement. D) Help the patient to use a pillow to splint while coughing. To view all questions and flashcards with answers, click on the resource link above. Page 40
Chapter 39: Nursing Assessment: Gastrointestinal System Available Study Resources on Quizplus for this Chatper 18 Verified Questions 18 Flashcards Source URL: https://quizplus.com/quiz/19695
Sample Questions Q1) A 42-year-old woman is admitted to the outpatient testing area for an ultrasound of the gallbladder.Which information obtained by the nurse indicates that the ultrasound may need to be rescheduled? A) The patient took a laxative the previous evening. B) The patient had a high-fat meal the previous evening. C) The patient has a permanent gastrostomy tube in place. D) The patient ate a low-fat bagel 4 hours ago for breakfast. Q2) Which statement to the nurse from a patient with jaundice indicates a need for teaching? A) "I used cough syrup several times a day last week." B) "I take a baby aspirin every day to prevent strokes." C) "I use acetaminophen (Tylenol) every 4 hours for back pain." D) "I need to take an antacid for indigestion several times a week" Q3) A patient is being scheduled for endoscopic retrograde cholangiopancreatography (ERCP)as soon as possible.Which actions from the agency policy for ERCP should the nurse take first? A) Place the patient on NPO status. B) Administer sedative medications. C) Ensure the consent form is signed. D) Teach the patient about the procedure. To view all questions and flashcards with answers, click on the resource link above. Page 41
Chapter 40: Nursing Management: Nutritional Problems Available Study Resources on Quizplus for this Chatper 24 Verified Questions 24 Flashcards Source URL: https://quizplus.com/quiz/19696
Sample Questions Q1) A patient's capillary blood glucose level is 120 mg/dL 6 hours after the nurse initiated a parenteral nutrition (PN)infusion.The most appropriate action by the nurse is to A) obtain a venous blood glucose specimen. B) slow the infusion rate of the PN infusion. C) recheck the capillary blood glucose in 4 to 6 hours. D) notify the health care provider of the glucose level. Q2) Which of the nurse's assigned patients should be referred to the dietitian for a complete nutritional assessment ? A) A 23-year-old who has a history of fluctuating weight gains and losses B) A 35-year-old who complains of intermittent nausea for the past 2 days C) A 64-year-old who is admitted for débridement of an infected surgical wound D) A 52-year-old admitted with chest pain and possible myocardial infarction (MI) E) A 48-year-old with rheumatoid arthritis who takes prednisone (Deltasone) daily To view all questions and flashcards with answers, click on the resource link above.
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Chapter 41: Nursing Management: Obesity Available Study Resources on Quizplus for this Chatper 20 Verified Questions 20 Flashcards Source URL: https://quizplus.com/quiz/19697
Sample Questions Q1) What information will the nurse include for an overweight 35-year-old woman who is starting a weight-loss plan? A) Weigh yourself at the same time every morning and evening. B) Stick to a 600- to 800-calorie diet for the most rapid weight loss. C) Low carbohydrate diets lead to rapid weight loss but are difficult to maintain. D) Weighing all foods on a scale is necessary to choose appropriate portion sizes. Q2) After bariatric surgery,a patient who is being discharged tells the nurse,"I prefer to be independent.I am not interested in any support groups." Which response by the nurse is best? A) "I hope you change your mind so that I can suggest a group for you." B) "Tell me what types of resources you think you might use after this surgery." C) "Support groups have been found to lead to more successful weight loss after surgery." D) "Because there are many lifestyle changes after surgery, we recommend support groups." To view all questions and flashcards with answers, click on the resource link above.
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Chapter 42: Nursing Management: Upper Gastrointestinal Problems Available Study Resources on Quizplus for this Chatper 47 Verified Questions 47 Flashcards Source URL: https://quizplus.com/quiz/19698
Sample Questions Q1) A 26-year-old woman has been admitted to the emergency department with nausea and vomiting.Which action could the RN delegate to unlicensed assistive personnel (UAP)? A) Auscultate the bowel sounds. B) Assess for signs of dehydration. C) Assist the patient with oral care. D) Ask the patient about the nausea. Q2) A 44-year-old man admitted with a peptic ulcer has a nasogastric (NG)tube in place.When the patient develops sudden,severe upper abdominal pain,diaphoresis,and a firm abdomen,which action should the nurse take? A) Irrigate the NG tube. B) Check the vital signs. C) Give the ordered antacid. D) Elevate the foot of the bed. Q3) Which assessment should the nurse perform first for a patient who just vomited bright red blood? A) Measuring the quantity of emesis B) Palpating the abdomen for distention C) Auscultating the chest for breath sounds Page 44 D) Taking the blood pressure (BP) and pulse To view all questions and flashcards with answers, click on the resource link above.
Chapter 43: Nursing Management: Lower Gastrointestinal Problems Available Study Resources on Quizplus for this Chatper 56 Verified Questions 56 Flashcards Source URL: https://quizplus.com/quiz/19699
Sample Questions Q1) After a total proctocolectomy and permanent ileostomy,the patient tells the nurse,"I cannot manage all these changes.I don't want to look at the stoma." What is the best action by the nurse? A) Reassure the patient that ileostomy care will become easier. B) Ask the patient about the concerns with stoma management. C) Develop a detailed written list of ostomy care tasks for the patient. D) Postpone any teaching until the patient adjusts to the ileostomy. Q2) A 72-year-old male patient with dehydration caused by an exacerbation of ulcerative colitis is receiving 5% dextrose in normal saline at 125 mL/hour.Which assessment finding by the nurse is most important to report to the health care provider? A) Patient has not voided for the last 4 hours. B) Skin is dry with poor turgor on all extremities. C) Crackles are heard halfway up the posterior chest. D) Patient has had 5 loose stools over the last 6 hours. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 44: Nursing Management: Liver,Pancreas,and Biliary Tract Problems Available Study Resources on Quizplus for this Chatper 46 Verified Questions 46 Flashcards Source URL: https://quizplus.com/quiz/19700
Sample Questions Q1) To prepare a 56-year-old male patient with ascites for paracentesis,the nurse A) places the patient on NPO status. B) assists the patient to lie flat in bed. C) asks the patient to empty the bladder. D) positions the patient on the right side. Q2) The nurse administering a-interferon and ribavirin (Rebetol)to a patient with chronic hepatitis C will plan to monitor for A) leukopenia. B) hypokalemia. C) polycythemia. D) hypoglycemia. Q3) A 49-year-old female patient with cirrhosis and esophageal varices has a new prescription for propranolol (Inderal).Which finding is the best indicator that the medication has been effective? A) The patient reports no chest pain. B) Blood pressure is 140/90 mm Hg. C) Stools test negative for occult blood. D) The apical pulse rate is 68 beats/minute. To view all questions and flashcards withPage answers, 46 click on the resource link above.
Chapter 45: Nursing Assessment: Urinary System Available Study Resources on Quizplus for this Chatper 24 Verified Questions 24 Flashcards Source URL: https://quizplus.com/quiz/19701
Sample Questions Q1) A patient has elevated blood urea nitrogen (BUN)and serum creatinine levels.Which bowel preparation order would the nurse question for this patient who is scheduled for a renal arteriogram? A) Fleet enema B) Tap-water enema C) Senna/docusate (Senokot-S) D) Bisacodyl (Dulcolax) tablets Q2) Which medication taken at home by a 47-year-old patient with decreased renal function will be of most concern to the nurse? A) ibuprofen (Motrin) B) warfarin (Coumadin) C) folic acid (vitamin B9) D) penicillin (Bicillin LA) Q3) What glomerular filtration rate (GFR)would the nurse estimate for a 30-year-old patient with a creatinine clearance result of 60 mL/min? A) 60 mL/min B) 90 mL/min C) 120 mL/min D) 180 mL/min To view all questions and flashcards with answers, click on the resource link above. Page 47
Chapter 46: Nursing Management: Renal and Urologic Problems Available Study Resources on Quizplus for this Chatper 45 Verified Questions 45 Flashcards Source URL: https://quizplus.com/quiz/19702
Sample Questions Q1) Which assessment finding is most important to report to the health care provider regarding a patient who has had left-sided extracorporeal shock wave lithotripsy? A) Blood in urine B) Left flank bruising C) Left flank discomfort D) Decreased urine output Q2) A patient who had surgery for creation of an ileal conduit 3 days ago will not look at the stoma and requests that only the ostomy nurse specialist does the stoma care.The nurse identifies a nursing diagnosis of A) anxiety related to effects of procedure on lifestyle. B) disturbed body image related to change in function. C) readiness for enhanced coping related to need for information. D) self-care deficit, toileting, related to denial of altered body function. Q3) After change-of-shift report,which patient should the nurse assess first? A) Patient with a urethral stricture who has not voided for 12 hours B) Patient who has cloudy urine after orthotopic bladder reconstruction C) Patient with polycystic kidney disease whose blood pressure is 186/98 mm Hg D) Patient who voided bright red urine immediately after returning from lithotripsy To view all questions and flashcards withPage answers, 48 click on the resource link above.
Chapter 47: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease Available Study Resources on Quizplus for this Chatper 39 Verified Questions 39 Flashcards Source URL: https://quizplus.com/quiz/19703
Sample Questions Q1) A patient will need vascular access for hemodialysis.Which statement by the nurse accurately describes an advantage of a fistula over a graft? A) A fistula is much less likely to clot. B) A fistula increases patient mobility. C) A fistula can accommodate larger needles. D) A fistula can be used sooner after surgery. Q2) A 64-year-old male patient who has had progressive chronic kidney disease (CKD)for several years has just begun regular hemodialysis.Which information about diet will the nurse include in patient teaching? A) Increased calories are needed because glucose is lost during hemodialysis. B) Unlimited fluids are allowed because retained fluid is removed during dialysis. C) More protein is allowed because urea and creatinine are removed by dialysis. D) Dietary potassium is not restricted because the level is normalized by dialysis. 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? To view all questions and flashcards with answers, click on the resource link above. Page 49
Chapter 48: Nursing Assessment: Endocrine System Available Study Resources on Quizplus for this Chatper 22 Verified Questions 22 Flashcards Source URL: https://quizplus.com/quiz/19704
Sample Questions Q1) Which statement by a 50-year-old female patient indicates to the nurse that further assessment of thyroid function may be necessary? A) "I notice my breasts are tender lately." B) "I am so thirsty that I drink all day long." C) "I get up several times at night to urinate." D) "I feel a lump in my throat when I swallow." Q2) Which laboratory value should the nurse review to determine whether a patient's hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland? A) Thyroxine (T?) level B) Triiodothyronine (T?) level C) Thyroid-stimulating hormone (TSH) level D) Thyrotropin-releasing hormone (TRH) level Q3) The nurse will teach a patient to plan to minimize physical and emotional stress while the patient is undergoing A) a water deprivation test. B) testing for serum T? and T? levels. C) a 24-hour urine test for free cortisol. D) a radioactive iodine (I-131) uptake test. To view all questions and flashcards with answers, click on the resource link above. Page 50
Chapter 49: Nursing Management: Diabetes Mellitus Available Study Resources on Quizplus for this Chatper 49 Verified Questions 49 Flashcards Source URL: https://quizplus.com/quiz/19705
Sample Questions Q1) The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 diabetes about home management of the disease.Which action should the nurse take first? A) Ask the patient's family to participate in the diabetes education program. B) Assess the patient's perception of what it means to have diabetes mellitus. C) Demonstrate how to check glucose using capillary blood glucose monitoring. D) Discuss the need for the patient to actively participate in diabetes management. Q2) Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is correct? A) Insulin is not used to control blood glucose in patients with type 2 diabetes. B) Complications of type 2 diabetes are less serious than those of type 1 diabetes. C) Changes in diet and exercise may control blood glucose levels in type 2 diabetes. D) Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 50: Nursing Management: Endocrine Problems Available Study Resources on Quizplus for this Chatper 46 Verified Questions 46 Flashcards Source URL: https://quizplus.com/quiz/19706
Sample Questions Q1) The nurse is caring for a patient admitted with diabetes insipidus (DI).Which information is most important to report to the health care provider? A) The patient is confused and lethargic. B) The patient reports a recent head injury. C) The patient has a urine output of 400 mL/hr. D) The patient's urine specific gravity is 1.003. Q2) 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?" Q3) 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. To view all questions and flashcards with answers, click on the resource link above. Page 52
Chapter 51: Nursing Assessment: Reproductive System Available Study Resources on Quizplus for this Chatper 19 Verified Questions 19 Flashcards Source URL: https://quizplus.com/quiz/19707
Sample Questions Q1) An 18-year-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays.Which information is most important to report to the health care provider before the x-rays are obtained? A) Severity of abdominal pain B) Positive result of hCG test C) Blood pressure 172/88 mm Hg D) Temperature 102.1° F (38.9° C) Q2) Which finding from the nurse's physical assessment of a 42-year-old male patient should be reported to the health care provider? A) One testis hangs lower than the other. B) Genital hair distribution is diamond shaped. C) Clear discharge is present at the penile meatus. D) Inguinal lymph nodes are nonpalpable bilaterally. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 52: Nursing Management: Breast Disorders Available Study Resources on Quizplus for this Chatper 28 Verified Questions 28 Flashcards Source URL: https://quizplus.com/quiz/19708
Sample Questions Q1) When the nurse is working in the women's health care clinic,which action is appropriate to take? A) Teach a healthy 30-year-old about the need for an annual mammogram. B) Discuss scheduling an annual clinical breast examination with a 22-year-old. C) Explain to a 60-year-old that mammography frequency can be reduced to every 3 years. D) Teach a 28-year-old with a BRCA-1 mutation about magnetic resonance imaging (MRI). Q2) During a well woman physical exam,a 43-year-old patient asks about her risk for breast cancer.Which question is most pertinent for the nurse to ask? A) "Do you currently smoke tobacco?" B) "Have you ever had a breast injury?" C) "At what age did you start having menstrual periods?" D) "Is there a family history of fibrocystic breast changes?" To view all questions and flashcards with answers, click on the resource link above.
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Chapter 53: Nursing Management: Sexually Transmitted Infections Available Study Resources on Quizplus for this Chatper 19 Verified Questions 19 Flashcards Source URL: https://quizplus.com/quiz/19709
Sample Questions Q1) 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 Q2) A 39-year-old patient with a history of IV drug use is seen at a community clinic.The patient reports difficulty walking,stating "I don't know where my feet are." Diagnostic screening reveals positive Venereal Disease Research Laboratory (VDRL)and fluorescent treponemal antibody absorption (FTA-Abs)tests.Based on the patient history,what will the nurse assess ? A) Heart sounds B) Genitalia for lesions C) Joints for swelling and inflammation D) Mental state for judgment and orientation E) Skin and mucous membranes for gummas To view all questions and flashcards with answers, click on the resource link above.
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Chapter 54: Nursing Management: Female Reproductive Problems Available Study Resources on Quizplus for this Chatper 49 Verified Questions 49 Flashcards Source URL: https://quizplus.com/quiz/19710
Sample Questions Q1) Which information will the nurse include when teaching a patient who has developed a small vesicovaginal fistula 2 weeks into the postpartum period? A) Take stool softeners to prevent fecal contamination of the vagina. B) Limit oral fluid intake to minimize the quantity of urinary drainage. C) Change the perineal pad frequently to prevent perineal skin breakdown. D) Call the health care provider immediately if urine drains from the vagina. Q2) A 32-year-old woman is scheduled for an induced abortion using instillation of hypertonic saline solution.Which information will the nurse plan to discuss with the patient before the procedure? A) The patient will require a general anesthetic. B) The expulsion of the fetus may take 1 to 2 days. C) There is a possibility that the patient may deliver a live fetus. D) The procedure may be unsuccessful in terminating the pregnancy. Q3) When caring for a patient who has a radium implant for treatment of cancer of the cervix,the nurse will A) assist the patient to ambulate every 2 to 3 hours. B) use gloves and gown when changing the patient's bed. C) flush the toilet several times right after the patient voids. D) encourage the patient to discuss needs or concerns by telephone. Page 56 To view all questions and flashcards with answers, click on the resource link above.
Chapter 55: Nursing Management: Male Reproductive Problems Available Study Resources on Quizplus for this Chatper 35 Verified Questions 35 Flashcards Source URL: https://quizplus.com/quiz/19711
Sample Questions Q1) A 27-year-old man who has testicular cancer is being admitted for a unilateral orchiectomy.The patient does not talk to his wife and speaks to the nurse only to answer the admission questions.Which action is best for the nurse to take? A) Teach the patient and the wife that impotence is unlikely after unilateral orchiectomy. B) Ask the patient if he has any questions or concerns about the diagnosis and treatment. C) Document the patient's lack of communication on the chart and continue preoperative care. D) Inform the patient's wife that concerns about sexual function are common with this diagnosis. Q2) Which assessment information is most important for the nurse to report to the health care provider when a patient asks for a prescription for testosterone replacement therapy (TRT)? A) The patient has noticed a decrease in energy level for a few years. B) The patient's symptoms have increased steadily over the last few years. C) The patient has been using sildenafil (Viagra) several times every week. D) The patient has had a gradual decrease in the force of his urinary stream. To view all questions and flashcards with answers, click on the resource link above. Page 57
Chapter 56: Nursing Assessment: Nervous System Available Study Resources on Quizplus for this Chatper 21 Verified Questions 21 Flashcards Source URL: https://quizplus.com/quiz/19712
Sample Questions Q1) A 39-year-old patient with a suspected herniated intervertebral disc is scheduled for a myelogram.Which information is most important for the nurse to communicate to the health care provider before the procedure? A) The patient is anxious about the test. B) The patient has an allergy to shellfish. C) The patient has back pain when lying flat. D) The patient drank apple juice 4 hours earlier. Q2) The nurse will anticipate teaching a patient with a possible seizure disorder about which test? A) Cerebral angiography B) Evoked potential studies C) Electromyography (EMG) D) Electroencephalography (EEG) Q3) Which equipment will the nurse obtain to assess vibration sense in a diabetic patient who has peripheral nerve dysfunction? A) Sharp pin B) Tuning fork C) Reflex hammer D) Calibrated compass To view all questions and flashcards with answers, click on the resource link above. Page 58
Chapter 57: Nursing Management: Acute Intracranial Problems Available Study Resources on Quizplus for this Chatper 40 Verified Questions 40 Flashcards Source URL: https://quizplus.com/quiz/19713
Sample Questions Q1) The nurse is admitting a patient with a basal skull fracture.The nurse notes ecchymoses around both eyes and clear drainage from the patient's nose.Which admission order should the nurse question? A) Keep the head of bed elevated. B) Insert nasogastric tube to low suction. C) Turn patient side to side every 2 hours D) Apply cold packs intermittently to face. Q2) A 46-year-old patient with a head injury opens the eyes to verbal stimulation,curses when stimulated,and does not respond to a verbal command to move but attempts to push away a painful stimulus.The nurse records the patient's Glasgow Coma Scale score as A) 9. B) 11. C) 13. D) 15. Q3) An unconscious patient with a traumatic head injury has a blood pressure of 130/76 mm Hg,and an intracranial pressure (ICP)of 20 mm Hg.The nurse will calculate the cerebral perfusion pressure (CPP)as ____ mm Hg. To view all questions and flashcards withPage answers, 59 click on the resource link above.
Chapter 58: Nursing Management: Stroke Available Study Resources on Quizplus for this Chatper 30 Verified Questions 30 Flashcards Source URL: https://quizplus.com/quiz/19714
Sample Questions Q1) A patient in the clinic reports a recent episode of dysphasia and left-sided weakness at home that resolved after 2 hours.The nurse will anticipate teaching the patient about A) alteplase (tPA). B) aspirin (Ecotrin). C) warfarin (Coumadin). D) nimodipine (Nimotop). Q2) A 70-year-old female patient with left-sided hemiparesis arrives by ambulance to the emergency department.Which action should the nurse take first? A) Monitor the blood pressure. B) Send the patient for a computed tomography (CT) scan. C) Check the respiratory rate and effort. D) Assess the Glasgow Coma Scale score. Q3) 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). To view all questions and flashcards with answers, click on the resource link above. Page 60
Chapter 59: Nursing Management: Chronic Neurologic Problems Available Study Resources on Quizplus for this Chatper 36 Verified Questions 36 Flashcards Source URL: https://quizplus.com/quiz/19715
Sample Questions Q1) Which medication taken by a patient with restless legs syndrome should the nurse discuss with the patient? A) Multivitamin (Stresstabs) B) Acetaminophen (Tylenol) C) Ibuprofen (Motrin, Advil) D) Diphenhydramine (Benadryl) Q2) A hospitalized 31-year-old patient with a history of cluster headache awakens during the night with a severe stabbing headache.Which action should the nurse take first? A) Start the ordered PRN oxygen at 6 L/min. B) Put a moist hot pack on the patient's neck. C) Give the ordered PRN acetaminophen (Tylenol). D) Notify the patient's health care provider immediately. Q3) While the nurse is transporting a patient on a stretcher to the radiology department,the patient begins having a tonic-clonic seizure.Which action should the nurse take? A) Insert an oral airway during the seizure to maintain a patent airway. B) Restrain the patient's arms and legs to prevent injury during the seizure. C) Time and observe and record the details of the seizure and postictal state. D) Avoid touching the patient to prevent further nervous system stimulation. Page 61 To view all questions and flashcards with answers, click on the resource link above.
Chapter 60: Nursing Management: Alzheimer's Disease,Dementia,and Delirium Available Study Resources on Quizplus for this Chatper 21 Verified Questions 21 Flashcards Source URL: https://quizplus.com/quiz/19716
Sample Questions Q1) Which intervention will the nurse include in the plan of care for a patient with moderate dementia who had an appendectomy 2 days ago? A) Provide complete personal hygiene care for the patient. B) Remind the patient frequently about being in the hospital. C) Reposition the patient frequently to avoid skin breakdown. D) Place suction at the bedside to decrease the risk for aspiration. Q2) Which nursing action will be most effective in ensuring daily medication compliance for a patient with mild dementia? A) Setting the medications up monthly in a medication box B) Having the patient's family member administer the medication C) Posting reminders to take the medications in the patient's house D) Calling the patient weekly with a reminder to take the medication Q3) The day shift nurse at the long-term care facility learns that a patient with dementia experienced sundowning late in the afternoon on the previous two days.Which action should the nurse take? A) Keep blinds open during the daytime hours. B) Provide hourly orientation to time and place. C) Have the patient take a brief mid-morning nap. D) Move the patient to a quieter room late in the afternoon. Page 62 To view all questions and flashcards with answers, click on the resource link above.
Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems Available Study Resources on Quizplus for this Chatper 33 Verified Questions 33 Flashcards Source URL: https://quizplus.com/quiz/19717
Sample Questions Q1) A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder.Which action will the nurse include in the plan of care? A) Teach the patient the Credé method. B) Instruct the patient how to self-catheterize. C) Catheterize for residual urine after voiding. D) Assist the patient to the toilet every 2 hours. Q2) The nurse is admitting a patient with a neck fracture at the C6 level to the intensive care unit.Which assessment finding(s)indicate(s)neurogenic shock? A) Hyperactive reflex activity below the level of injury B) Involuntary, spastic movements of the arms and legs C) Hypotension, bradycardia, and warm, pink extremities D) Lack of sensation or movement below the level of injury Q3) A patient is admitted with possible botulism poisoning after eating home-canned green beans.Which intervention ordered by health care provider will the nurse question? A) Encourage oral fluids to 3 L/day B) Document neurologic symptoms C) Position patient lying on the side D) Observe respiratory status closely To view all questions and flashcards withPage answers, 63 click on the resource link above.
Chapter 62: Nursing Assessment: Musculoskeletal System Available Study Resources on Quizplus for this Chatper 15 Verified Questions 15 Flashcards Source URL: https://quizplus.com/quiz/19718
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) Which finding from a patient's right knee arthrocentesis will be of concern to the nurse? A) Cloudy fluid B) Scant thin fluid C) Pale yellow fluid D) Straw-colored fluid Q3) A patient has a new order for magnetic resonance imaging (MRI)to evaluate for left femur osteomyelitis after a hip replacement surgery.Which information indicates that the nurse should consult with the health care provider before scheduling the MRI? A) The patient has a pacemaker. B) The patient is claustrophobic. C) The patient wears a hearing aid. D) The patient is allergic to shellfish. To view all questions and flashcards with answers, click on the resource link above. Page 64
Chapter 63: Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery Available Study Resources on Quizplus for this Chatper 47 Verified Questions 47 Flashcards Source URL: https://quizplus.com/quiz/19719
Sample Questions Q1) A patient with a right lower leg fracture will be discharged home with an external fixation device in place.Which information will the nurse teach? A) "You will need to check and clean the pin insertion sites daily." B) "The external fixator can be removed for your bath or shower." C) "You will need to remain on bed rest until bone healing is complete." D) "Prophylactic antibiotics are used until the external fixator is removed." Q2) A patient who has had an open reduction and internal fixation (ORIF)of a hip fracture tells the nurse that he is ready to get out of bed for the first time.Which action should the nurse take? A) Use a mechanical lift to transfer the patient from the bed to the chair. B) Check the postoperative orders for the patient's weight-bearing status. C) Avoid administration of pain medications before getting the patient up. D) Delegate the transfer of the patient to nursing assistive personnel (NAP). Q3) When doing discharge teaching for a 19-year-old patient who has had a repair of a fractured mandible,the nurse will include information about A) administration of nasogastric tube feedings. B) how and when to cut the immobilizing wires. C) the importance of high-fiber foods in the diet. D) the use of sterile technique for dressing changes. Page 65 To view all questions and flashcards with answers, click on the resource link above.
Chapter 64: Nursing Management: Musculoskeletal Problems Available Study Resources on Quizplus for this Chatper 25 Verified Questions 25 Flashcards Source URL: https://quizplus.com/quiz/19720
Sample Questions Q1) The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation.Which statement by a patient indicates that additional patient teaching is needed? A) "I will need to participate in physical therapy after surgery." B) "I did not have this bone cancer until my leg broke a week ago." C) "I wish that I did not have to have chemotherapy after this surgery." D) "I can use the patient-controlled analgesia (PCA) to control postoperative pain." 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) A patient with osteomyelitis is to receive vancomycin (Vancocin)500 mg IV every 6 hours.The vancomycin is diluted in 100 mL of normal saline and needs to be administered over 1 hour.The nurse will set the IV pump for how many mL/minute? (Round to the nearest hundredth.) To view all questions and flashcards withPage answers, 66 click on the resource link above.
Chapter 65: Nursing Management: Arthritis and Connective Tissue Diseases Available Study Resources on Quizplus for this Chatper 47 Verified Questions 47 Flashcards Source URL: https://quizplus.com/quiz/19721
Sample Questions Q1) The nurse determines that colchicine has been effective for a patient with an acute attack of gout upon finding A) relief of joint pain. B) increased urine output. C) elevated serum uric acid. D) increased white blood cells (WBC). Q2) When the nurse brings medications to a patient with rheumatoid arthritis,the patient refuses the prescribed methotrexate (Rheumatrex).The patient tells the nurse,"My arthritis isn't that bad yet.The side effects of methotrexate are worse than the arthritis." The most appropriate response by the nurse is A) "You have the right to refuse to take the methotrexate." B) "Methotrexate is less expensive than some of the newer drugs." C) "It is important to start methotrexate early to decrease the extent of joint damage." D) "Methotrexate is effective and has fewer side effects than some of the other drugs." To view all questions and flashcards with answers, click on the resource link above.
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Chapter 66: Nursing Management: Critical Care Available Study Resources on Quizplus for this Chatper 41 Verified Questions 41 Flashcards Source URL: https://quizplus.com/quiz/19722
Sample Questions Q1) After change-of-shift report on a ventilator weaning unit,which patient should the nurse assess first? A) Patient who failed a spontaneous breathing trial and has been placed in a rest mode on the ventilator B)
Patient
who
is
intubated
and
has
continuous
partial
pressure
end-tidal
CO<sub>2</sub> (PETCO<sub>2</sub>) monitoring C) Patient with a central venous oxygen saturation (ScvO<sub>2</sub>) of 69% while on bilevel positive airway pressure (BiPAP) D) Patient who was successfully weaned and extubated 4 hours ago and now has no urine output for the last 6 hours Q2) To verify the correct placement of an oral endotracheal tube (ET)after insertion,the best initial action by the nurse is to A) auscultate for the presence of bilateral breath sounds. B) obtain a portable chest x-ray to check tube placement. C) observe the chest for symmetric chest movement with ventilation. D) use an end-tidal CO<sub>2</sub> monitor to check for placement in the trachea. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 67: Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome Available Study Resources on Quizplus for this Chatper 29 Verified Questions 29 Flashcards Source URL: https://quizplus.com/quiz/19723
Sample Questions Q1) When the nurse educator is evaluating the skills of a new registered nurse (RN)caring for patients experiencing shock,which action by the new RN indicates a need for more education? A) Placing the pulse oximeter on the ear for a patient with septic shock B) Keeping the head of the bed flat for a patient with hypovolemic shock C) Increasing the nitroprusside (Nipride) infusion rate for a patient with a high SVR D) Maintaining the room temperature at 66° to 68° F for a patient with neurogenic shock Q2) The nurse is caring for a patient who has septic shock.Which assessment finding is most important for the nurse to report to the health care provider? A) Blood pressure (BP) 92/56 mm Hg B) Skin cool and clammy C) Oxygen saturation 92% D) Heart rate 118 beats/minute Q3) A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/minute.The label on the infusion bag states: dobutamine 250 mg in 250 mL normal saline.When setting the infusion pump,the nurse will set the infusion rate at how many mL per hour? To view all questions and flashcards withPage answers, 69 click on the resource link above.
Chapter 68: Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome Available Study Resources on Quizplus for this Chatper 27 Verified Questions 27 Flashcards Source URL: https://quizplus.com/quiz/19724
Sample Questions Q1) The oxygen saturation (SpO<sub>2</sub>)for a patient with left lower lobe pneumonia is 90%.The patient has rhonchi,a weak cough effort,and complains of fatigue.Which action is a priority for the nurse to take? A) Position the patient on the left side. B) Assist the patient with staged coughing. C) Place a humidifier in the patient's room. D) Schedule a 2-hour rest period for the patient. Q2) The nurse is caring for a 78-year-old patient who was hospitalized 2 days earlier with community-acquired pneumonia.Which assessment information is most important to communicate to the health care provider? A) Scattered crackles bilaterally in the posterior lung bases. B) Persistent cough that is productive of blood-tinged sputum. C) Temperature of 101.5° F (38.6° C) after 2 days of IV antibiotic therapy. D) Decreased oxygen saturation to 90% with 100% O<sub>2</sub> by non-rebreather mask. To view all questions and flashcards with answers, click on the resource link above.
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Chapter 69: Nursing Management: Emergency, Terrorism, and Disaster Nursing Available Study Resources on Quizplus for this Chatper 26 Verified Questions 26 Flashcards Source URL: https://quizplus.com/quiz/19725
Sample Questions Q1) When rewarming a patient who arrived in the emergency department (ED)with a temperature of 87° F (30.6° C),which assessment indicates that the nurse should discontinue active rewarming? A) The patient begins to shiver. B) The BP decreases to 86/42 mm Hg. C) The patient develops atrial fibrillation. D) The core temperature is 94° F (34.4° C). Q2) The urgent care center protocol for tick bites includes the following actions.Which action will the nurse take first when caring for a patient with a tick bite? A) Use tweezers to remove any remaining ticks. B) Check the vital signs, including temperature. C) Give doxycycline (Vibramycin) 100 mg orally. D) Obtain information about recent outdoor activities. To view all questions and flashcards with answers, click on the resource link above.
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