Reference no: EM133918772
Questions
1. The nurse is caring for a patient on the first postoperative day. The patient denies pain, but his blood pressure and pulse are elevated and he is diaphoretic and anxious. what should the nurse do first?
a. Ask a family member if the patient would typically be stoic during pain or discomfort
b. Assess the patient for postoperative com-plications or barriers to reporting pain
c. Call the health care provider and report the vital signs, diaphoresis, and anxiety
d. Believe and document the patient sel-report and "denies pain"
2. The nurse is conducting a teaching session regarding prediabetes at a local health fair which point should the nurse include in the teaching session?
a. Daily insulin injection are recommended to prevent complication associated with pre-diabetes
b. aero exercise should be avoided in patient with prediabetes to prevent hypoglycemic episodes
c. Prediabetes is not a significant finding for most people, only those who have a genetic predisposition for diabetes should be concerned
d. People with prediabetes are at higher risk for developing diabetes and cardiovascular disease
3. The nurse is conducting a health history interview. which symptom the nurse recognize as classic manifestations of type 1 diabetes mellitus.? select all that apply.
a. Fatigue
b. excessive hunger
c. Obesity
d. Excessive thirst
4. A nurse has recently bee assigned to a medical- surgical clinical rotation. according to the scope of medical-surgical nursing, what type of client assessments dose the nurse expect to see.
a. walking adults in a corporate setting
b. Hospitalized children with acute and chronic illness
c. Hospitalized adults with acute on chronic illness
d. Older adult in a nursing home
5. A diabetic patient is found unconscious at h and family member call the clinic. after determining that a glucometer is not available, what should the nurse advise the family member to do.?
a. administer glucagon 1 mg intramuscularly or subcutaneously
b. Call for an ambulance to transport the patient to a medical facility
c. Have the patient drink 4 ounces of orange juice
d. Administer 10 U of regular insulin subcutaneously
6. The nurse is assigned to care for all of the following patients. which patient is at risk for hypokalemia? select all that apply
a. 26 year old in a motor vehicle accident who received 3 units of blood
b. 19 years old with a history of anorexia, laxative abuse and diuretic use
c. 83 year old a hypertension Who use salt substitutes
d. 64 year old with a diagnosis of kidney failure
e. 35 year old with a diarrhea and vomiting for the past two days
7. The older patient tells the home health nurse that he took to the tablet of arthritis-strength extended release acetaminophen at 6 AM and two tablets of hydrocodone at 2 pm and that he plans to take one dose of an over the counter product that contains acetaminophen doxylamine succinate and dextro- methorphan to sleep at night. what would the nurse do first?
a. Tell the patient to call the health care provider and report all medication that he takes
b. Call poison control, because the patient has exceeded do you recommended dose of acetaminophen
c. Educate the patient about acetaminophen in each product and the maximum dosage/day
d. Record the medication frequency and dosage in the medication reconciliation record.
8. Which clinical indicator would be expected in a patient with severe third spacing of fluid?
a. Decreased serum osmolality
b. Orthostatic hypotension
c. Jugular vein distention
d. Fever greater than 101F
9. Which solution is considered a hypertonic IV solution?
a. 0.9% sodium chloride
b. 0.45 sodium chloride
c. Lactated Ringers solution
d. Total Parenteral nutrition
10. Needs to Smith is a patient who has been admitted to a nursing unit with a diagnosis of heart failure resulting in fluid volume excess. upon entering his room Mr. Smith complaining of difficulty breathing. what should be the nurse first action.?
a. Assess his fluid status by obtaining a daily weights
b. elevate the head of the bed and obtain an oxygen saturation level
c. Administer a diuretic to help correct his diagnosis of a fluid volume excess
d. Contact the primary care provider