Nursing Management of Complex Health Problems Exam Questions - 1771 Verified Questions

Nursing Management of Complex Health Problems Exam Questions https://quizplus.com/study-set/1584 69 Chapters 1771 Verified Questions

Nursing Management of Complex Health Problems Exam Questions Course Introduction This course focuses on the advanced concepts and skills required for nurses to manage patients with complex and multifaceted health problems across various healthcare settings. Emphasizing a holistic and evidence-based approach, students learn to assess, plan,

implement,

and

evaluate

comprehensive

care

strategies

for

individuals

experiencing acute and chronic illnesses, multi-system dysfunction, or co-morbid conditions. Topics include advanced pathophysiology, interdisciplinary collaboration, critical thinking in clinical decision-making, crisis intervention, and ethical considerations in the management of critically ill patients. The course prepares nursing students to deliver safe, high-quality care and contribute to improved patient outcomes in diverse and challenging clinical environments.

Recommended Textbook Medical Surgical Nursing 8th Edition by Sharon L. Lewis

Available Study Resources on Quizplus 69 Chapters 1771 Verified Questions 1771 Flashcards Source URL: https://quizplus.com/study-set/1584

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Chapter 1: Contemporary Nursing Practice Available Study Resources on Quizplus for this Chatper 15 Verified Questions 15 Flashcards Source URL: https://quizplus.com/quiz/31398

Sample Questions Q1) Using the Situation-Background-Assessment-Recommendation (SBAR) format, in which order should the nurse make these statements to communicate a change in patient status to a health care provider?

A) Mr. A was admitted 2 days ago with heart failure and has been receiving furosemide (Lasix) for diuresis, but his urine output has been low.

B) I think that he needs to be evaluated immediately and may need intubation and mechanical ventilation.

C) This is the nurse on the surgical unit. I am calling about Mr. A in room 3. After assessing him, I am very concerned about his shortness of breath.

D) Today, he has crackles audible throughout the posterior chest and his O₂ saturation is 89%. His condition is very unstable.

Answer: C,A, D, B 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 17 Verified Questions 17 Flashcards Source URL: https://quizplus.com/quiz/31399

Sample Questions Q1) The nurse obtains information about all these areas during the health interview for a new patient. Which area will be the focus of patient teaching?

A) Age and gender B) Hispanic/Latino ethnicity C) Family history of diabetes D) Refined carbohydrate intake Answer: D Q2) Which information will the nurse need to collect when assessing the health status of a community?

A) Average income of community members B) Morning traffic patterns in the community C) Median life expectancy for the community D) Occupations of individuals in the community 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 14 Verified Questions 14 Flashcards Source URL: https://quizplus.com/quiz/31400

Sample Questions Q1) While the nurse is taking the health history, a patient states, "My father and grandfather both had heart attacks and were unable to be very active afterwards." This statement is related to the functional health pattern of A) activity-exercise.

B) cognitive-perceptual.

C) coping-stress tolerance.

D) health perception-health management.

Answer: D Q2) The nurse records the following general survey of a patient: "The patient is a 68-year-old male Asian attended by his wife and two daughters. Alert and oriented.

Does not make eye contact with the nurse and responds slowly, but appropriately, to questions. No apparent disabilities or distinguishing features." Additional information that should be added to this general survey includes A) nutritional status.

B) intake and output.

C) reasons for contact with the health care system.

D) comments of family members about his condition.

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 18 Verified Questions 18 Flashcards Source URL: https://quizplus.com/quiz/31401

Sample Questions Q1) A 73-year-old Hispanic/Latino patient is seen at the health clinic and diagnosed with protein malnutrition. The priority action in the nurse's teaching plan will be to A) suggest the use of liquid supplements as a way to increase protein intake.

B) encourage the patient to increase the dietary intake of meat, cheese, and milk.

C) ask the patient to record the intake of all foods and beverages for a 3-day period.

D) focus on the use of combinations of beans and rice to improve daily protein intake.

Q2) While admitting a patient to the medical unit, the nurse learns that the patient does not read well. This information will guide the nurse in determining A) the degree of patient motivation and readiness to learn.

B) what information the patient will be able to understand.

C) that the family must be included in the teaching process.

D) which instructional strategies should be used in teaching.

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Chapter 5: Chronic Illness and Older Adults Available Study Resources on Quizplus for this Chatper 19 Verified Questions 19 Flashcards Source URL: https://quizplus.com/quiz/31402

Sample Questions Q1) Which nursing actions will the nurse take to assess for possible malnutrition in a 69-year-old patient (select all that apply)?

A) Observe for depression.

B) Review laboratory results.

C) Assess teeth and oral mucosa.

D) Ask about transportation needs.

E) Determine food likes and dislikes.

Q2) The nurse is planning discharge for an alert, homeless 70-year-old with a chronic foot infection. The most appropriate intervention by the nurse is to A) teach the patient how to assess and care for the foot infection.

B) refer to social services for further assessment of patient needs.

C) schedule the patient to return to outpatient services for foot care.

D) give the patient written information about shelters and meal sites.

Q3) When admitting an 88-year-old patient to the hospital, the nurse should plan to A) speak slowly and loudly while facing the patient.

B) obtain a detailed medical history from the patient.

C) interview the patient before the physical assessment.

D) determine whether the patient uses glasses or hearing aids.

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Chapter 6: Community-Based Nursing and Home Care Available Study Resources on Quizplus for this Chatper 11 Verified Questions 11 Flashcards Source URL: https://quizplus.com/quiz/31403

Sample Questions Q1) Which of these patients being discharged by the acute care nurse meets the requirements for Medicare reimbursement for home health services?

A) A 71-year-old who needs weekly blood sampling for monitoring of clotting times B) A 70-year-old who receives daily intravenous antibiotics for an infected leg wound C) A 68-year-old diabetic patient who needs teaching about a diabetic diet and lifestyle D) A 65-year-old patient with a spinal cord injury and paralysis who needs dressing changes Q2) A 78-year-old patient hospitalized for a fractured hip has recovered from the surgery but needs to work with physical therapy to improve mobility before returning home. The nurse will anticipate transferring the patient to A) an acute care setting.

B) a transitional care setting.

C) a residential care facility.

D) an intermediate care facility.

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Chapter 7: Complementary and Alternative Therapies Available Study Resources on Quizplus for this Chatper 11 Verified Questions 11 Flashcards Source URL: https://quizplus.com/quiz/31404

Sample Questions Q1) A patient who uses multiple herbal products is scheduled to undergo knee replacement surgery. The nurse informs the patient that herbs that should be discontinued at least 2 to 3 weeks before surgery include (select all that apply) A) garlic.

B) ginger.

C) feverfew.

D) echinacea.

E) ginkgo biloba.

Q2) A patient who has nausea associated with chemotherapy asks the nurse whether there are any complementary and alternative therapies that might be effective. The nurse should discuss the use of A) green tea.

B) acupuncture.

C) black cohosh.

D) chiropractic therapy.

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Chapter 8: Stress and Stress Management Available Study Resources on Quizplus for this Chatper 10 Verified Questions 10 Flashcards Source URL: https://quizplus.com/quiz/31405

Sample Questions Q1) A patient who has fibromyalgia tells the nurse, "My life feels very chaotic and out of my control. I will not be able to manage if anything else happens." Which response should the nurse make initially?

A) "Regular massages may help reduce muscle pain."

B) "Guided imagery can be helpful in regaining control."

C) "Tell me more about how your life has been recently."

D) "Your previous coping mechanism can help you now."

Q2) The nurse is assisting with a breast biopsy for an alert patient who has a lump in the right breast. Which relaxation technique will be best to use at this time?

A) Massage B) Meditation 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 9: Sleep and Sleep Disorders Available Study Resources on Quizplus for this Chatper 9 Verified Questions 9 Flashcards Source URL: https://quizplus.com/quiz/31406

Sample Questions Q1) Which information will the nurse plan to include when teaching a patient with narcolepsy about management of the disorder?

A) Stimulant drugs should be used for only a short time because of the risk for abuse.

B) Driving an automobile may be possible with appropriate treatment of narcolepsy.

C) Changes in sleep hygiene are ineffective in improving sleep quality in narcolepsy.

D) Antidepressant drugs are prescribed to treat the depression caused by the disorder.

Q2) A patient with sleep apnea who received a new prescription for a continuous positive airway pressure (CPAP) device a week ago returns to the clinic and says that severe daytime fatigue is still a problem. Which action should the nurse take first?

A) Teach about radiofrequency ablation.

B) Plan to schedule a night time PSG study.

C) Ask the patient whether the CPAP is being used every night.

D) Discuss the possible surgical approaches used for sleep apnea.

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Chapter 10: Pain Available Study Resources on Quizplus for this Chatper 23 Verified Questions 23 Flashcards Source URL: https://quizplus.com/quiz/31407

Sample Questions Q1) A patient with chronic cancer pain is receiving imipramine (Tofranil) in addition to long-acting morphine for pain control. Which information is the best indicator that the imipramine is effective?

A) The patient sleeps 8 hours every night.

B) The patient has no symptoms of anxiety.

C) The patient states, "I feel much less depressed since I've been taking the imipramine."

D) The patient states, "The pain is manageable, and I can accomplish my desired activities.

Q2) When caring for a patient who is receiving epidural morphine, which information obtained by the nurse indicates that the patient may be experiencing a side effect of the medication?

A) The patient has cramping abdominal pain.

B) The patient becomes restless and agitated.

C) The patient has not voided for over 10 hours.

D) The patient complains of a "pounding" headache.

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Chapter 11: Palliative Care at End of Life Available Study Resources on Quizplus for this Chatper 14 Verified Questions 14 Flashcards Source URL: https://quizplus.com/quiz/31408

Sample Questions Q1) A patient who has been diagnosed with metastatic cancer and has a poor prognosis plans a trip across the country "to settle some issues with my sisters and brothers." The nurse recognizes that the patient is manifesting the psychosocial response of A) restlessness.

B) yearning and protest.

C) anxiety about unfinished business.

D) fear of the meaninglessness of one's life.

Q2) A patient in a hospice program is experiencing continuous, increasing amounts of pain. The nurse caring for the patient plans the scheduling of opioid pain medications to provide A) around-the-clock routine administration of analgesics.

B) PRN doses of medication whenever the patient requests.

C) enough pain medication to keep the patient sedated and unaware of stimuli.

D) analgesic doses that provide pain control without decreasing respiratory rate.

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Chapter 12: Addictive Behaviors Available Study Resources on Quizplus for this Chatper 21 Verified Questions 21 Flashcards Source URL: https://quizplus.com/quiz/31409

Sample Questions Q1) A 19-year-old patient comes to the emergency department with severe chest pain and agitation. Which action should the nurse take first?

A) Give the PRN naloxone (Narcan) IV. B) Ask about any use of stimulant drugs.

C) Assess orientation to person, place, and time.

D) Check blood pressure, pulse, and respirations.

Q2) A patient in the outpatient clinic who is using a nicotine patch (Nicoderm CQ) tells the nurse about waking frequently during the night. Which action is best for the nurse to take?

A) Question the patient about use of the patch at night.

B) Suggest that the patient go to bed earlier in the evening.

C) Ask the health care provider about prescribing a sedative drug for nighttime use.

D) Remind the patient that the benefits of the patch outweigh the short-term insomnia.

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Chapter 13: Inflammation and Wound Healing Available Study Resources on Quizplus for this Chatper 20 Verified Questions 20 Flashcards Source URL: https://quizplus.com/quiz/31410

Sample Questions Q1) Which nursing action will be included when the nurse is doing a wet-to-dry dressing change for a patient's stage III sacral pressure ulcer?

A) Administer the ordered PRN oral opioid 30 minutes before the dressing change.

B) Soak the old dressings with sterile saline a few minutes before removing them.

C) Pour sterile saline onto the new dry dressings after the wound has been packed.

D) Apply antimicrobial ointment before repacking the wound with moist dressings.

Q2) A 76-year-old patient has an open surgical wound on the abdomen that contains a creamy exudate and small areas of deep pink granulation tissue. The nurse documents the wound as a A) red wound.

B) yellow wound.

C) full-thickness wound.

D) stage III pressure wound.

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Chapter 14: Genetics, Altered Immune Responses, and Transplantation Available Study Resources on Quizplus for this Chatper 30 Verified Questions 30 Flashcards Source URL: https://quizplus.com/quiz/31411

Sample Questions Q1) A patient diagnosed with systemic lupus erythematosus (SLE) is scheduled for plasmapheresis. The nurse plans to teach the patient that plasmapheresis will A) eliminate eosinophils and basophils from blood.

B) remove antibody-antigen complexes from circulation.

C) prevent foreign antibodies from damaging various body tissues.

D) decrease the damage to organs caused by attacking T-lymphocytes.

Q2) A patient who is receiving an IV antibiotic develops wheezes and dyspnea. In which order should the nurse implement these prescribed actions? Put a comma and space between each solve choice (a, b, c, d, etc.) ____________________ A) Discontinue the antibiotic infusion.

B) Give diphenhydramine (Benadryl) IV. C) Inject epinephrine (Adrenalin) IM or IV. D) Prepare an infusion of dopamine (Intropin).

E) Start 100 % oxygen using a nonrebreather mask.

Q3) The nurse will monitor a patient who is undergoing plasmapheresis for A) shortness of breath.

B) high blood pressure.

C) transfusion reactions.

D) numbness and tingling.

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 22 Verified Questions 22 Flashcards Source URL: https://quizplus.com/quiz/31412

Sample Questions Q1) Ten years after seroconversion, an HIV-infected patient has a CD4+ cell count of 800/µl and an undetectable viral load. What is the priority nursing intervention at this time?

A) Monitor for symptoms of AIDS. B) Teach about the effects of antiretroviral agents.

C) Encourage adequate nutrition, exercise, and sleep.

D) Discuss likelihood of increased opportunistic infections.

Q2) Which action can the nurse delegate to nursing assistive personnel (NAP) who help with the care of a patient admitted with tuberculosis and placed on airborne precautions?

A) Teach the patient about how to use tissues to dispose of respiratory secretions.

B) Stock the patient's room with all the necessary personal protective equipment.

C) Interview the patient to obtain the names of family members and close contacts.

D) Tell the patient's family members the reason for the use of airborne precautions.

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Chapter 16: Cancer Available Study Resources on Quizplus for this Chatper 37 Verified Questions 37 Flashcards Source URL: https://quizplus.com/quiz/31413

Sample Questions Q1) A patient receiving head and neck radiation has ulcerations over the oral mucosa and tongue and thick, ropey saliva. The nurse will teach the patient to A) remove food debris from the teeth and oral mucosa with a stiff toothbrush.

B) use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth.

C) gargle and rinse the mouth several times a day with an antiseptic mouthwash.

D) rinse the mouth before and after each meal and at bedtime with a saline solution.

Q2) A patient with tumor lysis syndrome (TLS) is taking allopurinol (Zyloprim). Which laboratory value should the nurse monitor to determine the effectiveness of the medication?

A) Uric acid level B) Serum potassium C) Serum phosphate D) Blood urea nitrogen 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 32 Verified Questions 32 Flashcards Source URL: https://quizplus.com/quiz/31414

Sample Questions Q1) The nurse notes that a patient who was admitted with diabetic ketoacidosis has rapid, deep respirations. Which action should the nurse take?

A) Notify the patient's health care provider.

B) Give the prescribed PRN lorazepam (Ativan).

C) Start the prescribed PRN oxygen at 2 to 4 L/min.

D) Encourage the patient to take deep, slow breaths.

Q2) A patient with hypercalcemia is being cared for on the medical unit. Nursing actions included on the care plan will include A) maintaining the patient on bed rest.

B) auscultating lung sounds every 4 hours.

C) monitoring for Trousseau's and Chvostek's signs.

D) encouraging fluid intake up to 4000 ml every day.

Q3) Intravenous potassium chloride (KCl) 60 mEq is prescribed for treatment of a patient with severe hypokalemia. Which action should the nurse take?

A) Administer the KCl as a rapid IV bolus.

B) Infuse the KCl at a rate of 20 mEq/hour.

C) Give the KCl only through a central venous line.

D) Add no more than 40 mEq/L to a liter of IV fluid.

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Chapter 18: Nursing Management: Preoperative Care Available Study Resources on Quizplus for this Chatper 20 Verified Questions 20 Flashcards Source URL: https://quizplus.com/quiz/31415

Sample Questions Q1) During the preoperative interview, a patient scheduled for an elective hysterectomy tells the nurse, "I am afraid that I will die in surgery like my mother did!" Which response by the nurse is most appropriate?

A) "Tell me more about what happened to your mother."

B) "You will receive medications to reduce your anxiety."

C) "You should talk to the doctor again about the surgery."

D) "Surgical techniques have improved a lot in recent years."

Q2) A diabetic patient who uses insulin to control blood glucose has been NPO since midnight before having a mastectomy. The nurse will anticipate the need to 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.

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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/31416

Sample Questions Q1) A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. At completion of the surgery, it is most important that the nurse monitor the patient for A) nausea.

B) confusion.

C) bronchospasm.

D) weak chest-wall movement.

Q2) Which action will the scrub nurse use to maintain aseptic technique during surgery?

A) Use waterproof shoe covers.

B) Wear personal protective equipment.

C) Insist that all operating room (OR) staff perform a surgical scrub.

D) Change gloves after touching the upper arm of the surgeon's gown.

Q3) Data that were obtained during the perioperative nurse's assessment of a patient in the preoperative holding area that would indicate a need for special protection techniques during surgery include A) a stated allergy to cats and dogs.

B) a history of spinal and hip arthritis.

C) verbalization of anxiety by the patient.

D) having a sip of water 2 hours previously.

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Chapter 20: Nursing Management: Postoperative Care Available Study Resources on Quizplus for this Chatper 20 Verified Questions 20 Flashcards Source URL: https://quizplus.com/quiz/31417

Sample Questions Q1) While caring for a patient with abdominal surgery the first postoperative day, the nurse notices new bright-red drainage about 6 cm in diameter on the dressing. In response to this finding, the nurse should first A) reinforce the dressing.

B) take the patient's vital signs.

C) recheck the dressing in 1 hour for increased drainage.

D) notify the patient's surgeon of a potential hemorrhage.

Q2) After a new nurse has been oriented to the postanesthesia care unit (PACU), the charge nurse will evaluate that the orientation has been successful when the new nurse A) places a patient in the Trendelenburg position when the blood pressure (BP) drops.

B) assists a patient to the prone position when the patient is nauseated.

C) turns an unconscious patient to the side when the patient arrives in the PACU. D) positions a newly admitted unconscious patient supine with the head elevated.

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Chapter 21: Nursing Assessment: Visual and Auditory Systems Available Study Resources on Quizplus for this Chatper 21 Verified Questions 21 Flashcards Source URL: https://quizplus.com/quiz/31418

Sample Questions Q1) Which finding by the nurse during the admission assessment for a patient may indicate that the patient is at risk for falls while hospitalized?

A) Lateralization with Weber test B) Positive result for Rinne testing C) Inability to hear a low-pitched whisper D) Nystagmus when head is turned rapidly Q2) The nurse at the eye clinic advises all patients to wear sunglasses that protect the eyes from ultraviolet light because ultraviolet sunlight exposure is associated with the development of A) cataracts.

B) glaucoma.

C) anisocoria.

D) exophthalmos.

Q3) The nurse is assessing a 48-year-old patient for presbyopia. Which equipment will the nurse need to obtain before the examination?

A) Penlight B) Tono-pen C) Jaeger chart D) Snellen chart Page 23 To view all questions and flashcards with answers, click on the resource link above.

Chapter 22: Nursing Management: Visual and Auditory Problems Available Study Resources on Quizplus for this Chatper 40 Verified Questions 40 Flashcards Source URL: https://quizplus.com/quiz/31419

Sample Questions Q1) A patient who is being admitted to the hospital for abdominal pain and nausea tells the nurse about a history of glaucoma. Which of these prescribed medications should the nurse question?

A) morphine sulfate 4 mg IV B) diazepam ( Valium ) 5 mg IV C) betaxolol ( Betoptic ) 0.25% eyedrops D) scopolamine patch ( Transderm Scop ) 1.5 mg Q2) A patient is seen at a clinic for repeated hordeolum of the eyes during the last 6 months. To help prevent further infection, the nurse advises the patient to A) apply cold compresses at the first sign of recurrence.

B) discard all open or used cosmetics used near the eyes.

C) wash the scalp and eyebrows with an antiseborrheic shampoo.

D) be evaluated for the presence of sexually transmitted diseases (STDs).

Q3) The priority nursing diagnosis for a patient with Ménière's disease who is experiencing an acute attack is A) risk for falls related to dizziness.

B) impaired verbal communication related to tinnitus.

C) self-care deficit (bathing and dressing) related to vertigo.

D) imbalanced nutrition: less than body requirements related to nausea.

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 12 Verified Questions 12 Flashcards Source URL: https://quizplus.com/quiz/31420

Sample Questions Q1) A patient has a circular, flat, reddened lesion about 5 cm in diameter on his ankle. To determine whether the lesion is related to blood vessel dilation, the nurse will A) elevate the patient's leg.

B) press firmly on the lesion.

C) check the temperature of the skin around the lesion.

D) palpate the dorsalis pedis and posterior tibial pulses.

Q2) The nurse notes these abnormalities on the skin of a 95-year-old patient who is being admitted to an assisted living facility. Which abnormality 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 24 Verified Questions 24 Flashcards Source URL: https://quizplus.com/quiz/31421

Sample Questions Q1) A patient is diagnosed with basal cell carcinoma ( BCC ) of the face. Which information should be included in patient teaching?

A) Treatment plans include watchful waiting.

B) Screening for metastasis will be important.

C) Low dose systemic chemotherapy is used to treat BCC. D) Minimizing sun exposure will reduce risk for future BCC. Q2) When assessing a new patient at the outpatient clinic, the nurse notes dry, scaly skin; thin hair; and thick, brittle nails. Which action is best for the nurse to take at this time?

A) Instruct the patient about the importance of nutrition in skin heath.

B) Make a referral to a podiatrist so that the nails can be safely trimmed.

C) Consult with the health care provider about the need for further diagnostic testing.

D) Teach the patient about using moisturizing creams and lotions to decrease dry skin.

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Chapter 25: Nursing Management: Burns Available Study Resources on Quizplus for this Chatper 29 Verified Questions 29 Flashcards Source URL: https://quizplus.com/quiz/31422

Sample Questions Q1) Which of these laboratory results requires the most rapid action by the nurse who is caring for a patient who suffered a large burn 48 hours ago?

A) Hct 52% B) BUN 36 mg/dL C) Serum sodium 146 mEq/L D) Serum potassium 6.2 mEq/L Q2) What is the priority nursing assessment when caring for a patient who has just arrived in the emergency department after suffering an electrical burn from exposure to a high-voltage current?

A) Oral temperature B) Peripheral pulses C) Extremity movement D) Pupil reaction to light Q3) A 70 kg patient with burns over 30% of total body surface area (TBSA) is admitted to the burn unit. Using the Parkland formula, calculate the volume of lactated Ringer's solution that the nursing staff will administer during the first 24 hours. __________________ 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 22 Verified Questions 22 Flashcards Source URL: https://quizplus.com/quiz/31423

Sample Questions Q1) The nurse palpates the posterior chest while the patient says "99" and notes that no vibration is felt. How should this be charted?

A) Diminished expansion B) Dullness to percussion C) Absent tactile fremitus D) Decreased breath sounds Q2) When the nurse is analyzing the results of a patient's arterial blood gases (ABGs), which finding indicates the need for most immediate action?

A) The arterial oxygen saturation (SaO₂) is 92%.

B) The partial pressure of oxygen in arterial blood (PaO₂) is 59 mm Hg. C) The partial pressure of CO₂ in arterial blood (PaCO₂) is 31 mm Hg. D) The bicarbonate level (HCO₃-) is 29 mEq/L. 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 23 Verified Questions 23 Flashcards Source URL: https://quizplus.com/quiz/31424

Sample Questions Q1) The nurse is obtaining a health history from a 67-year-old patient with a 40 pack-year smoking history, complaints of hoarseness and tightness in the throat, and difficulty swallowing. Which question is most important for the nurse to ask?

A) "How much alcohol do you drink in an average week?"

B) "Do you have a family history of head or neck cancer?"

C) "Have you had frequent streptococcal throat infections?"

D) "Do you use antihistamines for upper airway congestion?"

Q2) The nurse enters the room of a patient who has just returned from surgery for a total laryngectomy and radical neck dissection and notes the following problems. In which order should the nurse address the problems? Put a comma and space between each solve choice (a, b, c, d, etc.) ____________________ A) The nasogastric ( NG ) tube is disconnected from suction and clamped off.

B) The patient is in a side-lying position with the head of the bed flat.

C) The Hemovac in the neck incision contains 200 mL of bloody drainage.

D) The patient is coughing blood-tinged secretions from the tracheostomy.

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Chapter 28: Nursing Management: Lower Respiratory Problems Available Study Resources on Quizplus for this Chatper 43 Verified Questions 43 Flashcards Source URL: https://quizplus.com/quiz/31425

Sample Questions Q1) A patient who was admitted the previous day with pneumonia complains of a sharp pain "whenever I take a deep breath." Which action will the nurse take next?

A) Listen to the patient's lungs.

B) Administer the PRN morphine.

C) Have the patient cough forcefully.

D) Notify the patient's health care provider.

Q2) A patient experiences a steering wheel injury as a result of an automobile accident.

During the initial assessment, the emergency department nurse would be most concerned about A) paradoxic chest movement.

B) the complaint of chest wall pain.

C) a heart rate of 110 beats/minute.

D) a large bruised area on the chest.

Q3) A patient with newly diagnosed lung cancer tells the nurse, "I think I am going to die pretty soon." Which response by the nurse is best?

A) "Would you like to talk to the hospital chaplain about your feelings?"

B) "Can you tell me what it is that makes you think you will die so soon?"

C) "Are you afraid that the treatment for your cancer will not be effective?"

D) "Do you think that taking an antidepressant medication would be helpful?"

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 42 Verified Questions 42 Flashcards Source URL: https://quizplus.com/quiz/31426

Sample Questions Q1) The following medications are prescribed by the health care provider for a patient having an acute asthma attack. Which one will the nurse administer first?

A) salmeterol (Serevent) 50 mcg per dry-powder inhaler (DPI) B) albuterol (Ventolin) 2.5 mg per nebulizer C) triamcinolone (Azmacort) 2 puffs per metered-dose inhaler (MDI) D) methylprednisolone (Solu-Medrol) 60 mg IV Q2) Which finding by the nurse for a patient with a nursing diagnosis of impaired gas exchange will be most useful in evaluating the effectiveness of treatment?

A) Pulse oximetry reading of 91% B) Absence of wheezes or crackles C) Decreased use of accessory muscles D) Respiratory rate of 22 breaths/minute Q3) A patient who is experiencing an acute asthma attack is admitted to the emergency department. The nurse's first action should be to A) listen to the patient's breath sounds.

B) ask about inhaled corticosteroid use.

C) determine when the dyspnea started.

D) obtain the forced expiratory volume (FEV) flow rate.

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Chapter 30: Nursing Assessment: Hematologic System Available Study Resources on Quizplus for this Chatper 15 Verified Questions 15 Flashcards Source URL: https://quizplus.com/quiz/31427

Sample Questions Q1) The complete blood count ( CBC ) and differential indicate that a patient is neutropenic. Which action should the nurse include in the plan of care?

A) Avoid intramuscular injections.

B) Encourage increased oral fluids.

C) Check temperature every 4 hours.

D) Increase intake of iron-rich foods.

Q2) A patient's complete blood count shows a hemoglobin of 20 g/dL and a hematocrit of 54%. Which question should the nurse ask to determine possible causes of this finding?

A) "Has there been any recent weight loss?"

B) "Do you have any history of lung disease?"

C) "What is your intake of fruits and vegetables?"

D) "Have you noticed any dark or bloody stools?"

Q3) When caring for a patient who is receiving heparin, the nurse will monitor A) prothrombin time (PT).

B) fibrin degradation products (FDP).

C) international normalized ratio (INR).

D) activated partial thromboplastin time (aPTT).

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Chapter 31: Nursing Management: Hematologic Problems Available Study Resources on Quizplus for this Chatper 39 Verified Questions 39 Flashcards Source URL: https://quizplus.com/quiz/31428

Sample Questions Q1) A patient who has a history of a transfusion-related acute lung injury (TRALI) is to receive a transfusion of packed red blood cells (PRBCs). Which action will the nurse take to decrease the risk for TRALI for this patient?

A) Infuse the PRBCs slowly over 4 hours.

B) Transfuse only leukocyte-reduced PRBCs. C) Administer the scheduled oral diuretic before the transfusion.

D) Give the PRN dose of antihistamine before starting the transfusion.

Q2) Which newly admitted patient should the nurse assign as a roommate for a patient who has aplastic anemia?

A) A patient with severe heart failure B) A patient who has viral pneumonia C) A patient who has right leg cellulitis D) A patient with multiple abdominal drains Q3) A patient is admitted to the hospital with a sickle cell crisis. While caring for the patient during the crisis, it is important for the nurse to A) limit the patient's intake of oral and IV fluids.

B) evaluate the effectiveness of opioid analgesics.

C) encourage the patient to ambulate as much as tolerated.

D) teach the patient about high-protein, high-calorie foods.

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Chapter 32: Nursing Assessment: Cardiovascular System Available Study Resources on Quizplus for this Chatper 20 Verified Questions 20 Flashcards Source URL: https://quizplus.com/quiz/31429

Sample Questions Q1) A patient is scheduled for a cardiac catheterization with coronary angiography.

Before the test, the nurse informs the patient that A) electrocardiographic (ECG) monitoring will be required for 24 hours after the test.

B) it will be important to lie completely still during the procedure.

C) a warm feeling may be noted when the contrast dye is injected.

D) monitored anesthesia care will be provided during the procedure.

Q2) When auscultating over the patient's abdominal aorta, the nurse hears a humming sound. The nurse documents this finding as a A) thrill.

B) bruit.

C) heave.

D) murmur.

Q3) Which action will the nurse implement for a patient who arrives for a calcium-scoring CT scan?

A) Administer oral sedative medications.

B) Teach the patient about the procedure.

C) Ask whether the patient has eaten today.

D) Insert a large gauge intravenous catheter.

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Chapter 33: Nursing Management: Hypertension Available Study Resources on Quizplus for this Chatper 23 Verified Questions 23 Flashcards Source URL: https://quizplus.com/quiz/31430

Sample Questions Q1) Which information should the nurse include when teaching a patient with newly diagnosed hypertension?

A) Dietary sodium restriction will control BP for most patients.

B) Most patients are able to control BP through lifestyle changes.

C) Hypertension is usually asymptomatic until significant organ damage occurs.

D) Annual BP checks are needed to monitor treatment effectiveness.

Q2) Which nursing action should the nurse take first in order to assist a patient with newly diagnosed stage 1 hypertension in making needed dietary changes?

A) Have the patient record dietary intake for 3 days.

B) Give the patient a detailed list of low-sodium foods.

C) Teach the patient about foods that are high in sodium.

D) Help the patient make an appointment with a dietitian.

Q3) The nurse is reviewing the laboratory tests for a patient who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?

A) Serum creatinine of 2.6 mg/dL B) Serum potassium of 3.8 mEq/L C) Serum hemoglobin of 14.7 g/dL D) Blood glucose level of 98 mg/dL 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 38 Verified Questions 38 Flashcards Source URL: https://quizplus.com/quiz/31431

Sample Questions Q1) Which information given by a patient admitted with chronic stable angina will help the nurse confirm this diagnosis?

A) The patient rates the pain at a level 3 to 5 (0 to 10 scale).

B) The patient states that the pain "wakes me up at night."

C) The patient says that the frequency of the pain has increased over the last few weeks.

D) The patient states that the pain is resolved after taking one sublingual nitroglycerin tablet.

Q2) Which of these statements made by a patient with coronary artery disease after the nurse has completed teaching about the therapeutic lifestyle changes ( TLC ) diet indicates that further teaching is needed?

A) "I will switch from whole milk to 1% or nonfat milk."

B) "I like fresh salmon and I will plan to eat it more often."

C) "I will miss being able to eat peanut butter sandwiches."

D) "I can have a cup of coffee with breakfast if I want one."

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Chapter 35: Nursing Management: Heart Failure Available Study Resources on Quizplus for this Chatper 24 Verified Questions 24 Flashcards Source URL: https://quizplus.com/quiz/31432

Sample Questions Q1) The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea.

When evaluating the patient response to the medications, the best indicator that the treatment has been effective is A) weight loss of 2 pounds overnight.

B) hourly urine output greater than 60 mL. C) reduction in patient complaints of chest pain.

D) decreased dyspnea with the head of bed at 30 degrees.

Q2) An outpatient who has heart failure returns to the clinic after 2 weeks of therapy with carvedilol (Coreg). Which of these assessment findings is most important for the nurse to report to the health care provider?

A) Pulse rate of 56 B) 2+ pedal edema C) BP of 88/42 mm Hg D) Complaints of fatigue 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 28 Verified Questions 28 Flashcards Source URL: https://quizplus.com/quiz/31433

Sample Questions Q1) The nurse needs to estimate quickly the heart rate for a patient with a regular heart rhythm. Which method will be best to use?

A) Print a 1-minute electrocardiogram (ECG) strip and count the number of QRS complexes.

B) Count the number of large squares in the R-R interval and divide by 300.

C) Use the 3-second markers to count the number of QRS complexes in 6 seconds and multiply by 10.

D) Calculate the number of small squares between one QRS complex and the next and divide into 1500.

Q2) A patient's cardiac monitor shows sinus rhythm, rate 60 to 70. The P-R interval is 0.18 seconds at 1:00 AM, 0.20 seconds at 2:30 PM, and 0.23 seconds at 4:00 PM. Which action should the nurse take at this time?

A) Prepare for possible temporary pacemaker insertion.

B) Administer atropine sulfate 1 mg IV per agency 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 prescribed metoprolol (Lopressor).

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Chapter 37: Nursing Management: Inflammatory and Structural Heart Disorders Available Study Resources on Quizplus for this Chatper 28 Verified Questions 28 Flashcards Source URL: https://quizplus.com/quiz/31434

Sample Questions Q1) The nurse will plan discharge teaching about the need for prophylactic antibiotics when having dental procedures for the patient who A) was admitted with a large acute myocardial infarction.

B) is being discharged after an exacerbation of heart failure.

C) has had a mitral valve replacement with a mechanical valve.

D) has been treated for rheumatic fever after a streptococcal infection.

Q2) A few days after an acute myocardial infarction (MI), a patient complains of stabbing chest pain that increases with deep breathing. Which action will the nurse take first?

A) Auscultate the heart sounds.

B) Check the patient's oral temperature.

C) Notify the patient's health care provider.

D) Give the ordered acetaminophen (Tylenol).

Q3) During the assessment of a patient with infective endocarditis (IE), the nurse would expect to find A) a new regurgitant murmur.

B) a pruritic rash on the trunk.

C) involuntary muscle movement.

D) substernal chest pain and pressure.

Page 39 To view all questions and flashcards with answers, click on the resource link above.

Chapter 38: Nursing Management: Vascular Disorders Available Study Resources on Quizplus for this Chatper 31 Verified Questions 31 Flashcards Source URL: https://quizplus.com/quiz/31435

Sample Questions Q1) A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfarin (Coumadin). The patient asks the nurse why two medications are necessary. Which response by the nurse is accurate?

A) "Administration of two anticoagulants reduces the risk for recurrent venous thrombosis."

B) "Lovenox will start to dissolve the clot, and Coumadin will prevent any more clots from occurring."

C) "The Lovenox will work immediately, but the Coumadin takes several days to have an effect on coagulation."

D) "Because of the potential for a pulmonary embolism, it is important for you to have more than one anticoagulant."

Q2) A patient who has had a femoral-popliteal bypass graft to the right leg is being cared for on the surgical unit. Which action by an LPN/LVN caring for the patient requires the RN to intervene?

A) The LPN/LVN places the patient in a Fowler's position for meals.

B) The LPN/LVN has the patient sit in a bedside chair for 90 minutes.

C) The LPN/LVN assists the patient to ambulate 40 feet in the hallway.

D) The LPN/LVN administers the ordered aspirin 160 mg after breakfast.

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Chapter 39: Nursing Assessment: Gastrointestinal System Available Study Resources on Quizplus for this Chatper 15 Verified Questions 15 Flashcards Source URL: https://quizplus.com/quiz/31436

Sample Questions Q1) When the nurse is obtaining a history from a patient who is admitted with jaundice, which statement is most indicative of a need for patient 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 need to take an antacid for indigestion several times a week" D) "I use acetaminophen (Tylenol) every 4 hours for chronic pain."

Q2) Which assessment finding in a patient who is being admitted to the hospital is most important to report to the health care provider?

A) Tympany on percussion of the abdomen B) Liver edge 3 cm below the costal margin C) Bowel sounds of 20/minute in each quadrant D) Aortic pulsations visible in the epigastric area Q3) When caring for a patient following a needle biopsy of the liver at the bedside, the nurse should A) put pressure on the biopsy site using a sandbag.

B) elevate the head of the bed to facilitate breathing.

C) place the patient on the right side with the bed flat.

D) check the patient's postbiopsy coagulation studies.

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Chapter 40: Nursing Management: Nutritional Problems Available Study Resources on Quizplus for this Chatper 23 Verified Questions 23 Flashcards Source URL: https://quizplus.com/quiz/31437

Sample Questions Q1) A patient who is receiving continuous enteral nutrition through a small-bore silicone feeding tube has a computed tomography (CT) scan ordered and will have to be placed in a flat position for the scan. Which action by the nurse is best?

A) Shut the feeding off 30 to 60 minutes before the scan.

B) Ask the health care provider to reschedule the CT scan.

C) Connect the feeding tube to continuous suction during the scan.

D) Send the patient to CT scan with oral suction in case of aspiration.

Q2) A patient with a body mass index (BMI) of 17 kg/m² and a low albumin level is being admitted by the nurse. Which assessment finding will the nurse expect to find?

A) Restlessness B) Hypertension C) Pitting edema D) Food allergies 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 19 Verified Questions 19 Flashcards Source URL: https://quizplus.com/quiz/31438

Sample Questions Q1) A few months after bariatric surgery, a 62-year-old patient tells the nurse, "My skin is hanging in folds. I think I need cosmetic surgery." Which response by the nurse is most appropriate?

A) "Perhaps you would like to talk to a counselor about your body image."

B) "The important thing is that your weight loss is improving your health."

C) "The skinfolds will gradually disappear once most of the weight is lost."

D) "Cosmetic surgery is certainly a possibility once your weight has stabilized."

Q2) When working with an obese patient who is enrolled in a behavior modification program, which nursing action is appropriate?

A) Having the patient write down the caloric intake of each meal B) Asking the patient about situations that tend to increase appetite C) Encouraging the patient to eat small amounts throughout the day rather than having scheduled meals D) Suggesting that the patient have a reward, such as a piece of sugarless candy, after achieving a weight-loss goal 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 42 Verified Questions 42 Flashcards Source URL: https://quizplus.com/quiz/31439

Sample Questions Q1) A patient with acute gastrointestinal (GI) bleeding is receiving normal saline IV at a rate of 500 mL/hr. Which assessment finding obtained by the nurse is most important to communicate immediately to the health care provider?

A) The patient's blood pressure (BP) has increased to 142/94 mm Hg. B) The nasogastric (NG) suction is returning coffee-ground material.

C) The patient's lungs have crackles audible to the midline.

D) The bowel sounds are very hyperactive in all four quadrants.

Q2) Which information will be best for the nurse to include when teaching a patient with peptic ulcer disease ( PUD ) about dietary management of the disease?

A) "Avoid foods that cause pain after you eat them."

B) "High-protein foods are least likely to cause pain."

C) "You will need to remain on a bland diet indefinitely."

D) "You should avoid eating many raw fruits and vegetables."

Q3) The nurse will plan to teach the patient with newly diagnosed achalasia that A) a liquid or blenderized diet will be necessary.

B) drinking fluids with meals should be avoided.

C) endoscopic procedures may be used for treatment.

D) lying down and resting after meals is recommended.

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Chapter 43: Nursing Management: Lower Gastrointestinal Problems Available Study Resources on Quizplus for this Chatper 46 Verified Questions 46 Flashcards Source URL: https://quizplus.com/quiz/31440

Sample Questions Q1) A patient who has blunt abdominal trauma after an automobile accident is complaining of severe pain. A peritoneal lavage returns brown drainage with fecal material. Which action will the nurse plan to take next?

A) Auscultate the bowel sounds.

B) Prepare the patient for surgery.

C) Check the patient's oral temperature.

D) Obtain information about the accident.

Q2) A patient with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. The nurse will teach the patient A) to clean the perianal area carefully after any stools.

B) about fistula formation between the bowel and bladder.

C) to empty the bladder before and after sexual intercourse.

D) about the effects of corticosteroid use on immune function.

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Chapter 44: Nursing Management: Liver, Pancreas, and Biliary Tract Problems Available Study Resources on Quizplus for this Chatper 40 Verified Questions 40 Flashcards Source URL: https://quizplus.com/quiz/31441

Sample Questions Q1) During change-of-shift report, the nurse learns about the following four patients.

Which patient requires the most rapid assessment?

A) 50-year-old with chronic pancreatitis who has gnawing abdominal pain B) 48-year-old who has compensated cirrhosis and is complaining of anorexia C) 45-year-old with cirrhosis and severe ascites who has an oral temperature of 102° F ( 38.8° C ) D) 56-year-old who is recovering from a laparoscopic cholecystectomy and has severe shoulder pain Q2) A patient is admitted with an abrupt onset of jaundice, nausea, and abnormal liver function studies. Serologic testing is negative for viral causes of hepatitis. Which question by the nurse is most appropriate?

A) "Is there any history of IV drug use?"

B) "Are you taking corticosteroids for any reason?"

C) "Do you use any over-the-counter ( OTC ) drugs?"

D) "Have you recently traveled to a foreign country?"

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Chapter 45: Nursing Assessment: Urinary System Available Study Resources on Quizplus for this Chatper 22 Verified Questions 22 Flashcards Source URL: https://quizplus.com/quiz/31442

Sample Questions Q1) A patient who is scheduled for an intravenous pyelogram ( IVP ) gives the nurse the following information. Which information has the most immediate implications for the patient's care?

A) The patient describes allergies to shellfish and penicillin.

B) The patient has not had anything to eat or drink for 8 hours.

C) The patient complains of costovertebral angle ( CVA ) tenderness.

D) The patient used a bisacodyl ( Dulcolax ) tablet the previous night.

Q2) When reading a patient's chart, the nurse notes that the patient has dysuria. To assess whether there is any improvement, which question will the nurse ask?

A) "Do you have any blood in your urine?"

B) "Do you have to urinate very frequently?"

C) "Do you have any pain when you urinate?"

D) "Do you have to get up at night to urinate?"

Q3) While assessing a patient's urinary system, the nurse cannot palpate either kidney.

Which action should the nurse take next?

A) Obtain a urine specimen to check for hematuria.

B) Document the information on the assessment form.

C) Ask the patient about any history of recent sore throat.

D) Ask the health care provider about scheduling a renal ultrasound.

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Chapter 46: Nursing Management: Renal and Urologic Problems Available Study Resources on Quizplus for this Chatper 39 Verified Questions 39 Flashcards Source URL: https://quizplus.com/quiz/31443

Sample Questions Q1) A patient with bladder cancer is scheduled for intravesical chemotherapy. In preparation for the treatment the nurse will teach the patient about A) premedicating to prevent nausea.

B) where to obtain wigs and scarves.

C) the importance of oral care during treatment.

D) the need to empty the bladder before treatment.

Q2) After the home health nurse teaches a patient with a neurogenic bladder how to use intermittent catheterization for bladder emptying, which patient statement indicates that the teaching has been effective?

A) "I will use a sterile catheter and gloves for each time I self-catheterize."

B) "I will clean the catheter carefully before and after each catheterization."

C) "I will need to buy seven new catheters weekly and use a new one every day."

D) "I will need to take prophylactic antibiotics to prevent any urinary tract infections."

Q3) To prevent the recurrence of renal calculi, the nurse teaches the patient to A) use a filter to strain all urine.

B) avoid dietary sources of calcium.

C) drink diuretic fluids such as coffee.

D) have 2000 to 3000 mL of fluid a day.

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Chapter 47: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease Available Study Resources on Quizplus for this Chatper 36 Verified Questions 36 Flashcards Source URL: https://quizplus.com/quiz/31444

Sample Questions Q1) Which action by a patient who is using peritoneal dialysis ( PD ) indicates that the nurse should provide more teaching about PD? A) The patient slows the inflow rate when experiencing pain.

B) The patient leaves the catheter exit site without a dressing.

C) The patient plans 30 to 60 minutes for a dialysate exchange.

D) The patient cleans the catheter while taking a bath every day.

Q2) Which statement by a patient with stage 5 chronic kidney disease ( CKD ) indicates that the nurse's teaching about management of CKD has been effective?

A) "I need to try to get more protein from dairy products."

B) "I will try to increase my intake of fruits and vegetables."

C) "I will measure my urinary output each day to help calculate the amount I can drink."

D) "I need to take the erythropoietin to boost my immune system and help prevent infection."

Q3) A patient complains of leg cramps during hemodialysis. The nurse should first A) reposition the patient.

B) massage the patient's legs.

C) give acetaminophen (Tylenol).

D) infuse a bolus of normal saline.

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Chapter 48: Nursing Assessment: Endocrine System Available Study Resources on Quizplus for this Chatper 20 Verified Questions 20 Flashcards Source URL: https://quizplus.com/quiz/31445

Sample Questions Q1) When caring for a patient having a water deprivation test, which finding is most important for the nurse to communicate to the health care provider?

A) The patient complains of intense thirst.

B) The patient has a 5-lb (2.3 kg) weight loss.

C) The patient feels dizzy when sitting up on the edge of the bed.

D) The patient's urine osmolality does not change after antidiuretic hormone (ADH) is given.

Q2) The nurse is interviewing a patient who has a possible thyroid disorder. Which question will provide the most useful information?

A) "What methods do you use to help cope with stress?"

B) "Have you experienced any blurring or double vision?"

C) "Do you have to get up at night to empty your bladder?"

D) "Have you had any recent unplanned weight gain or loss?"

Q3) A patient is scheduled for a 24-hour urine collection for 17-ketosteroids. The nurse will need to A) keep the specimen on ice.

B) insert a retention catheter.

C) have the patient void and save that specimen to start the collection.

D) encourage the patient to drink 2 to 3 L of fluid during the 24 hours.

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Chapter 49: Nursing Management: Diabetes Mellitus Available Study Resources on Quizplus for this Chatper 39 Verified Questions 39 Flashcards Source URL: https://quizplus.com/quiz/31446

Sample Questions Q1) When teaching a diabetic patient who has just been started on intensive insulin therapy about mealtime coverage, which type of insulin will the nurse need to discuss?

A) glargine (Lantus) B) lispro (Humalog) C) detemir (Levemir) D) NPH (Humulin N) Q2) Which action by a type 1 diabetic patient indicates that the nurse should implement teaching about exercise and glucose control?

A) The patient always carries hard candies when engaging in exercise.

B) The patient goes for a vigorous walk when the glucose is 200 mg/dL. C) The patient has a peanut butter sandwich before going for a bicycle ride.

D) The patient increases daily exercise when ketones are present in the urine.

Q3) A patient who has type 1 diabetes plans to take a swimming class daily at 1:00 PM. The clinic nurse will plan to teach the patient to A) check glucose level before, during, and after swimming.

B) delay eating the noon meal until after the swimming class.

C) increase the morning dose of neutral protamine Hagedorn (NPH) insulin.

D) time the morning insulin injection so that the peak occurs while swimming.

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Chapter 50: Nursing Management: Endocrine Problems Available Study Resources on Quizplus for this Chatper 39 Verified Questions 39 Flashcards Source URL: https://quizplus.com/quiz/31447

Sample Questions Q1) A patient is hospitalized with possible syndrome of inappropriate antidiuretic hormone (SIADH). The patient is confused and reports a headache, muscle cramps, and twitching. The nurse would expect the initial laboratory results to include A) an elevated hematocrit.

B) a decreased serum sodium.

C) an increased serum chloride.

D) a low urine specific gravity.

Q2) After receiving change-of-shift report about the following four patients, which patient should the nurse assess first?

A) A 31-year-old with Cushing syndrome and a blood glucose level of 244 mg/dL B) A 22-year-old admitted with syndrome of inappropriate antidiuretic hormone ( SIADH ) who has a serum sodium level of 130 mEq/L C) A 70-year-old who recently started taking levothyroxine ( Synthroid ) and has an irregular pulse of 134 D) A 53-year-old who has Addison's disease and is due for a scheduled dose of hydrocortisone ( Solu-Cortef ).

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Chapter 51: Nursing Assessment: Reproductive System Available Study Resources on Quizplus for this Chatper 18 Verified Questions 18 Flashcards Source URL: https://quizplus.com/quiz/31448

Sample Questions Q1) When the nurse is assessing the sexual-reproductive functional health pattern for a 34-year-old man, which question is most useful in determining the patient's sexual orientation and risk factors?

A) "Do you have sex with men, women, or both?"

B) "Which gender do you prefer to have sex with?"

C) "What types of sexual activities do you prefer?"

D) "Are you heterosexual, homosexual, or bisexual?"

Q2) When preparing a patient for colposcopy with a cervical biopsy, the nurse explains to the patient that the procedure A) involves dilation of the cervix and biopsy of the tissue lining the uterus.

B) will take place in a same-day surgery center so that local anesthesia can be used.

C) requires that the patient have nothing to eat or drink for 6 hours before the procedure.

D) is similar to a speculum examination of the cervix and should result in little or no pain.

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Chapter 52: Nursing Management: Breast Disorders Available Study Resources on Quizplus for this Chatper 25 Verified Questions 25 Flashcards Source URL: https://quizplus.com/quiz/31449

Sample Questions Q1) A 51-year-old woman at menopause is considering the use of hormone replacement therapy (HRT) but is concerned about the risk of breast cancer. Which information will the nurse include when discussing HRT with the patient?

A) HRT does not appear to increase the risk for breast cancer unless there are other risk factors.

B) HRT is a safe therapy for menopausal symptoms if there is no family history of BRCA genes.

C) She and her health care provider must weigh the benefits of HRT against the possible risks of breast cancer.

D) Alternative therapies with herbs and natural drugs are as effective as estrogen in relieving menopausal symptoms.

Q2) When the nurse is caring for a patient with breast cancer who is receiving chemotherapy with doxorubicin (Adriamycin) and cyclophosphamide (Cytoxan), which assessment finding is most important to communicate to the health care provider?

A) The patient's apical pulse is irregular.

B) The patient has complaints of fatigue.

C) The patient eats only 15% of food on meal tray.

D) The patient's white blood cell ( WBC ) count is 5000/mm³.

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Chapter 53: Nursing Management: Sexually Transmitted Diseases Available Study Resources on Quizplus for this Chatper 16 Verified Questions 16 Flashcards Source URL: https://quizplus.com/quiz/31450

Sample Questions Q1) A male patient who has been diagnosed with gonococcal urethritis tells the nurse about recent sexual contact with a woman but says she did not appear to have any disease. In responding to the patient, the nurse explains that A) women do not develop gonorrhea infections but can serve as carriers to spread the disease to males.

B) women develop subclinical cases of gonorrhea that do not cause tissue damage or clinical manifestations.

C) many women are not aware they have gonorrhea because they often do not have symptoms of infection.

D) when gonorrhea infections occur in women, the disease affects only the ovaries and not the genital organs.

Q2) A man who has a profuse, purulent urethral discharge with painful urination is seen at the sexually transmitted disease ( STD ) clinic. Which information will be most important for the nurse to obtain?

A) Contraceptive use B) Sexual orientation C) Immunization history D) Recent sexual contacts 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 43 Verified Questions 43 Flashcards Source URL: https://quizplus.com/quiz/31451

Sample Questions Q1) A patient with multiple uterine leiomyomas is admitted for an abdominal hysterectomy. Which topic will the nurse include in patient teaching?

A) Leg exercises and the purpose of frequent ambulation B) Temporary decrease in vaginal sensation after surgery C) Adverse effects of systemic chemotherapy or radiation D) Symptoms caused by the sudden drop in estrogen level Q2) A patient with endometriosis is treated with medroxyprogesterone ( Depo-Provera ).

The nurse explains that this therapy A) suppresses the menstrual cycle by mimicking pregnancy.

B) may cause symptoms such as vaginal atrophy and hot flashes.

C) is associated with loss of bone density and increased fracture risk.

D) will lead to permanent suppression of abnormal endometrial tissues.

Q3) A 46-year-old woman tells the nurse that she has not had a menstrual period for 3 months and asks whether she is going into menopause. The best response by the nurse is, A) "Have you thought about using hormone replacement therapy?"

B) "Most women feel a little depressed about entering menopause."

C) "What was your menstrual pattern before your periods stopped?"

D) "Since you are in your mid-40s, it is likely that you are menopausal."

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 27 Verified Questions 27 Flashcards Source URL: https://quizplus.com/quiz/31452

Sample Questions Q1) Which information will the nurse include when teaching a patient who has a diagnosis of chronic prostatitis?

A) Ibuprofen (Motrin) should provide good pain control.

B) Prescribed antibiotics should be taken for 7 to 10 days.

C) Sexual intercourse and masturbation will help relieve symptoms.

D) Cold packs should be used every 4 hours to reduce inflammation.

Q2) A 22-year-old man tells the nurse at the health clinic that he has recently had some problems with erectile dysfunction. When assessing for possible etiologic factors, which question should the nurse ask first?

A) "Are you using any recreational drugs or drinking a lot of alcohol?"

B) "Have you been experiencing an unusual amount of anxiety or stress?"

C) "Do you have any history of an erection that lasted for 6 hours or more?"

D) "Do you have any chronic cardiovascular or peripheral vascular disease?"

Q3) When obtaining a focused health history for a patient with possible testicular cancer, the nurse will ask the patient about any history of A) sexually transmitted disease ( STD ) infection.

B) testicular trauma.

C) testicular torsion.

D) undescended testicles.

Page 57 To view all questions and flashcards with answers, click on the resource link above.

Chapter 56: Nursing Assessment: Nervous System Available Study Resources on Quizplus for this Chatper 20 Verified Questions 20 Flashcards Source URL: https://quizplus.com/quiz/31453

Sample Questions Q1) When admitting an acutely confused patient with a head injury, which action should the nurse take?

A) Ask family members about the patient's health history.

B) Ask leading questions to assist in obtaining health data.

C) Wait until the patient is better oriented to ask questions.

D) Obtain only the physiologic neurologic assessment data.

Q2) Propranolol (Inderal), a ?-adrenergic blocker that inhibits sympathetic nervous system activity, is prescribed for a patient. The nurse monitors the patient for A) dry mouth.

B) constipation.

C) slowed pulse.

D) urinary retention.

Q3) During the neurologic assessment, the patient cooperates with the nurse's directions to grip with the hands and to move the feet but is unable to respond orally to the nurse's questions. The nurse will suspect A) a brainstem lesion.

B) a temporal lobe lesion.

C) injury to the cerebellum.

D) damage to the frontal lobe.

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Chapter 57: Nursing Management: Acute Intracranial Problems Available Study Resources on Quizplus for this Chatper 35 Verified Questions 35 Flashcards Source URL: https://quizplus.com/quiz/31454

Sample Questions Q1) Which parameter is best for the nurse to monitor to determine whether the prescribed IV mannitol (Osmitrol) has been effective for an unconscious patient?

A) Hematocrit B) Blood pressure C) Oxygen saturation D) Intracranial pressure Q2) The charge nurse observes an inexperienced staff nurse who is caring for a patient who has had a craniotomy for a brain tumor. Which action by the inexperienced nurse requires the charge nurse to intervene?

A) The staff nurse suctions the patient every 2 hours.

B) The staff nurse assesses neurologic status every hour.

C) The staff nurse elevates the head of the bed to 30 degrees.

D) The staff nurse administers a mild analgesic before turning the patient.

Q3) When admitting a patient who has a tumor of the right frontal lobe, the nurse would expect to find A) judgment changes.

B) expressive aphasia.

C) right-sided weakness.

D) difficulty swallowing.

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Chapter 58: Nursing Management: Stroke Available Study Resources on Quizplus for this Chatper 29 Verified Questions 29 Flashcards Source URL: https://quizplus.com/quiz/31455

Sample Questions Q1) A patient who has had a subarachnoid hemorrhage is being cared for in the intensive care unit. Which information about the patient is most important to communicate to the health care provider?

A) The patient's blood pressure is 90/50 mm Hg. B) The patient complains about having a stiff neck.

C) The cerebrospinal fluid (CSF) report shows red blood cells (RBCs).

D) The patient complains of an ongoing severe headache.

Q2) A 58-year-old patient who began experiencing right-sided arm and leg weakness is admitted to the emergency department. In which order will the nurse implement these actions included in the stroke protocol? Put a comma and space between each solve choice (a, b, c, d, etc.) ____________________ A) Obtain CT scan without contrast.

B) Infuse tissue plasminogen activator ( tPA ).

C) Administer oxygen to keep O₂ saturation >95%.

D) Use National Institute of Health Stroke Scale to assess patient.

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Page 60

Chapter 59: Nursing Management: Chronic Neurologic Problems Available Study Resources on Quizplus for this Chatper 32 Verified Questions 32 Flashcards Source URL: https://quizplus.com/quiz/31456

Sample Questions Q1) A patient tells the nurse about using acetaminophen (Tylenol) several times every day for recurrent bilateral headaches. Which action will the nurse plan to take first?

A) Discuss the need to stop taking the acetaminophen.

B) Suggest the use of biofeedback for headache control.

C) Teach the patient about magnetic resonance imaging (MRI).

D) Describe the use of botulism toxin (BOTOX) for headaches.

Q2) The nurse witnesses a patient with a seizure disorder as the patient suddenly jerks the arms and legs, falls to the floor, and regains consciousness immediately. It will be most important for the nurse to A) assess the patient for a possible head injury.

B) give the scheduled dose of divalproex (Depakote).

C) document the timing and description of the seizure.

D) notify the patient's health care provider about the seizure.

Q3) When the nurse is assessing a patient with myasthenia gravis, which action will be most important to take?

A) Check pupillary size.

B) Monitor grip strength.

C) Observe respiratory effort.

D) Assess level of consciousness.

Page 61 To view all questions and flashcards with answers, click on the resource link above.

Chapter 60: Nursing Management: Alzheimers Disease, Dementia, and Delirium Available Study Resources on Quizplus for this Chatper 16 Verified Questions 16 Flashcards Source URL: https://quizplus.com/quiz/31457

Sample Questions Q1) The spouse of a male patient with early stage Alzheimer's disease ( AD ) tells the nurse, "I am just exhausted from the constant worry. I don't know what to do." Which action is best for the nurse to take next (select all that apply)?

A) Suggest that a long-term care facility be considered.

B) Offer ideas for ways to distract or redirect the patient.

C) Suggest that the spouse consult with the physician for antianxiety drugs.

D) Educate the spouse about the availability of adult day care as a respite.

E) Ask the spouse what she knows and has considered about dementia care options.

Q2) A 62-year-old patient is brought to the clinic by a family member who is concerned about the patient's inability to solve common problems. To obtain information about the patient's current mental status, which question should the nurse ask the patient?

A) "Where were you were born?"

B) "Do you have any feelings of sadness?"

C) "What did you have for breakfast?"

D) "How positive is your self-image?"

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Page 62

Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems Available Study Resources on Quizplus for this Chatper 29 Verified Questions 29 Flashcards Source URL: https://quizplus.com/quiz/31458

Sample Questions Q1) A patient arrives at an urgent care center with a deep puncture wound after stepping on a nail that was lying on the ground. The patient reports having had a tetanus booster 7 years ago. The nurse will anticipate A) IV infusion of tetanus immune globulin ( TIG ).

B) administration of the tetanus-diphtheria ( Td ) booster.

C) intradermal injection of an immune globulin test dose.

D) initiation of the tetanus-diphtheria immunization series.

Q2) Which action should the nurse take when assessing a patient with trigeminal neuralgia?

A) Examine the mouth and teeth thoroughly.

B) Have the patient clench and relax the jaw and eyes.

C) Identify trigger zones by lightly touching the affected side.

D) Gently palpate the face to compare skin temperature bilaterally.

Q3) A patient has an incomplete right spinal cord lesion at the level of T7, resulting in Brown-Séquard syndrome. Which nursing action should be included in the plan of care?

A) Assessment of the patient for left leg pain B) Assessment of the patient for left arm weakness C) Positioning the patient's right leg when turning the patient D) Teaching the patient to look at the left leg to verify its position Page 63 To view all questions and flashcards with answers, click on the resource link above.

Chapter 62: Nursing Assessment: Musculoskeletal System Available Study Resources on Quizplus for this Chatper 14 Verified Questions 14 Flashcards Source URL: https://quizplus.com/quiz/31459

Sample Questions Q1) Which nursing action is correct when the nurse is assessing the straight-leg raising test for a patient with back pain?

A) Raise the patient's legs to a 60-degree angle from the bed.

B) Have the patient dangle the legs over the edge of the exam table.

C) Place the patient initially in the prone position on the bed or exam table.

D) Instruct the patient to elevate the legs while tightening the abdominal muscles.

Q2) While testing the patient's muscle strength, the nurse finds that the patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance. The nurse should document the patient's muscle strength as level A) 1.

B) 2.

C) 3.

D) 4.

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Page 64

Chapter 63: Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery Available Study Resources on Quizplus for this Chatper 39 Verified Questions 39 Flashcards Source URL: https://quizplus.com/quiz/31460

Sample Questions Q1) A patient has hip replacement surgery using the posterior approach. Which patient action requires rapid intervention by the nurse?

A) The patient uses crutches with a swing-to gait.

B) The patient leans over to pull shoes and socks on.

C) The patient sits straight up on the edge of the bed.

D) The patient bends over the sink while brushing the teeth.

Q2) A 20-year-old baseball pitcher has an arthroscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans postoperative teaching for the patient, which information will be included?

A) "You have an appointment with a physical therapist for tomorrow."

B) "You can still play baseball but you will not be able to return to pitching."

C) "The doctor will use the drop-arm test to determine the success of surgery."

D) "Leave the shoulder immobilizer on for the first few days to minimize pain."

Q3) Before assisting a patient with ambulation on the day after a total hip replacement, which action is most important for the nurse to take?

A) Administer the ordered oral opioid pain medication.

B) Instruct the patient about the benefits of ambulation.

C) Ensure that the incisional drain has been discontinued.

D) Change the hip dressing and document the wound appearance.

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 18 Verified Questions 18 Flashcards Source URL: https://quizplus.com/quiz/31461

Sample Questions Q1) A patient with a herniated intravertebral disk undergoes a laminectomy and discectomy. Following the surgery, the nurse should position the patient on the side by A) instructing the patient to move the legs before turning the rest of the body.

B) having the patient turn by grasping the side rails and pulling the shoulders over.

C) placing a pillow between the patient's legs and turning the entire body as a unit.

D) turning the patient's head and shoulders first, followed by the hips, legs, and feet.

Q2) Which statement by a patient who is scheduled for an above-the-knee amputation for treatment of an osteosarcoma of the right tibia indicates that patient teaching is needed?

A) "I did not have this bone cancer until my leg broke a week ago."

B) "I wish that I did not have to have chemotherapy after this surgery."

C) "I know that I will need to participate in physical therapy after surgery."

D) "I will use the patient-controlled analgesia ( PCA ) to control postoperative pain."

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Page 66

Chapter 65: Nursing Management: Arthritis and Connective Tissue Diseases Available Study Resources on Quizplus for this Chatper 40 Verified Questions 40 Flashcards Source URL: https://quizplus.com/quiz/31462

Sample Questions Q1) A patient with an acute attack of gout in the left great toe has a new prescription for probenecid ( Benemid ). Which information about the patient's home routine indicates a need for teaching regarding gout management?

A) The patient sleeps about 8 to 10 hours every night.

B) The patient usually eats beef once or twice a week.

C) The patient generally drinks about 3 quarts of juice and water daily.

D) The patient takes one aspirin a day prophylactically to prevent angina.

Q2) Which information will the nurse include when teaching range-of-motion exercises to a patient with an exacerbation of rheumatoid arthritis?

A) Affected joints should not be exercised when pain is present.

B) Application of cold packs before exercise may decrease joint pain.

C) Exercises should be performed passively by someone other than the patient.

D) Walking may substitute for range-of-motion (ROM) exercises on some days.

Q3) Which finding will the nurse expect when assessing a 60-year-old patient who has osteoarthritis ( OA ) of the left knee?

A) Heberden's nodules B) Pain upon joint movement C) Redness and swelling of the knee joint D) Stiffness that increases with movement Page 67 To view all questions and flashcards with answers, click on the resource link above.

Chapter 66: Nursing Management: Critical Care Available Study Resources on Quizplus for this Chatper 37 Verified Questions 37 Flashcards Source URL: https://quizplus.com/quiz/31463

Sample Questions Q1) When assisting with insertion of a pulmonary artery ( PA ) catheter, the nurse identifies that the catheter is correctly placed when the A) monitor shows a typical PAWP tracing.

B) PA waveform is observed on the monitor.

C) systemic arterial pressure tracing appears on the monitor.

D) catheter has been inserted to the 22-cm marking on the line.

Q2) Which assessment information obtained by the nurse when caring for a patient receiving mechanical ventilation indicates the need for suctioning?

A) The respiratory rate is 32 breaths/min.

B) The pulse oximeter shows a SpO₂ of 93%.

C) The patient has not been suctioned for the last 6 hours.

D) The lungs have occasional audible expiratory wheezes.

Q3) A patient's vital signs are pulse 80, respirations 24, and BP of 124/60 mm Hg and cardiac

output

is

4.8

L/min.

What

is

the

patient's

stroke

volume?

____________________ To view all questions and flashcards with answers, click on the resource link above.

Page 68

Chapter 67: Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome Available Study Resources on Quizplus for this Chatper 25 Verified Questions 25 Flashcards Source URL: https://quizplus.com/quiz/31464

Sample Questions Q1) The emergency department ( ED ) receives notification that a patient who has just been in an automobile accident is being transported to your facility with anticipated arrival in 1 minute. In preparation for the patient's arrival, the nurse will obtain A) 500 mL of 5% albumin.

B) lactated Ringer's solution.

C) two 14-gauge IV catheters.

D) dopamine ( Intropin ) infusion.

Q2) The patient with neurogenic shock is receiving a phenylephrine (Neo-Synephrine) infusion through a left forearm IV. Which assessment information obtained by the nurse indicates a need for immediate action?

A) The patient's IV infusion site is cool and pale.

B) The patient has warm, dry skin on the extremities.

C) The patient has an apical pulse rate of 58 beats/min.

D) The patient's urine output has been 28 mL over the last hour.

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Page 69

Chapter 68: Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome Available Study Resources on Quizplus for this Chatper 22 Verified Questions 22 Flashcards Source URL: https://quizplus.com/quiz/31465

Sample Questions Q1) Which assessment finding by the nurse when caring for a patient with ARDS who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) indicates that the PEEP may need to be decreased?

A) The patient has subcutaneous emphysema.

B) The patient has a sinus bradycardia with a rate of 52.

C) The patient's PaO₂ is 50 mm Hg and the SaO₂ is 88%.

D) The patient has bronchial breath sounds in both the lung fields.

Q2) The nurse is caring for a 22-year-old patient who came to the emergency department with acute respiratory distress. Which information about the patient requires the most rapid action by the nurse?

A) Respiratory rate is 32 breaths/min.

B) Pattern of breathing is shallow.

C) The patient's PaO₂ is 45 mm Hg. D) The patient's PaCO₂ is 34 mm Hg. To view all questions and flashcards with answers, click on the resource link above.

Page 70

Chapter 69: Nursing Management: Emergency, Terrorism, and Disaster Nursing Available Study Resources on Quizplus for this Chatper 23 Verified Questions 23 Flashcards Source URL: https://quizplus.com/quiz/31466

Sample Questions Q1) After resuscitation, a patient who had a cardiac arrest is nonresponsive to commands and therapeutic hypothermia is prescribed. Which action will the nurse include in the plan of care?

A) Rapidly infuse cold normal saline.

B) Avoid the use of sedative medications.

C) Check neurologic status every 30 minutes.

D) Rewarm if temperature is >91° F ( 32.8° C ).

Q2) Following an earthquake, patients are triaged by emergency medical personnel and are transported to the hospital. Which of these patients will the nurse need to assess first?

A) A patient with a red tag B) A patient with a blue tag C) A patient with a yellow tag D) A patient with a green tag Q3) When preparing to rewarm a patient with hypothermia, the nurse will plan to A) attach a cardiac monitor.

B) insert a urinary catheter.

C) assist with endotracheal intubation.

D) have sympathomimetic drugs available.

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