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The best example of documentation of patient teaching regarding wound care is:

A.

"The patient was instructed about care of wound and dressing changes"

B.

"The patient demonstrated correct technique of wound care following instruction"

C.

"The patient and family verbalize that they understand the purposes of wound care"

D.

"Written instructions regarding wound care and dressing changes were given to the patient"

A patient is diagnosed with diabetic ketoacidosis. The nurse would expect the physician to prescribe:

A.

Regular insulin IV

B.

NPH insulin SC

C.

Glucagon IM

D.

Mixed insulin SC

The patient with iron deficiency anemia should be encouraged to eat which of the following foods high in iron?

A.

Eggs

B.

Lettuce

C.

Citrus fruits

D.

Cheese

Symptoms of alcohol withdrawal include:

A.

Euphoria, hyperactivity and insomnia

B.

Depression, suicidal ideation and hypersomnia

C.

Diaphoresis, nausea and vomiting and tremors

D.

Unsteady gait, nystagmus and profound disorientation

An early sign of acute respiratory failure is:

A.

Diaphoresis

B.

Cyanosis

C.

Restlessness

D.

Orthopnea

A newborn infant is assessed using the Apgar assessment tool and scores 6. The infant has a heart rate of 95, slow and irregular respiratory effort, and some flexion of extremities. The infant is pink, but has a weak cry. The nurse should know that this Apgar score along with the additional symptoms indicates the neonate is:

A.

Functioning normally

B.

Needing immediate life-sustaining measures

C.

Needing special assistance

D.

Needing to be warmed

To maintain the airway and promote respiratory function, the best position for the nurse to place the unconscious patient in the Post Anesthesia Care Unit (PACU) is:

A.

Supine

B.

Lateral

C.

Trendelenberg

D.

Fowler's

To promote accuracy of self-monitoring blood glucose by patients the nurse should:

A.

Retrain patients periodically

B.

Direct patients to rotate testing sites

C.

Advise patients to buy new strips routinely

D.

Compare results from patient's meter against lab results

The patient has a nursing diagnosis of altered cerebral tissue perfusion related to cerebral edema. An appropriate nursing intervention for this problem is to:

A.

Elevate the head of the bed 30 degrees

B.

Provide a position of comfort with knee flexion

C.

Provide uninterrupted periods of rest

D.

Ensure adequate hydration with mannitol

The nurse teaches a patient recovering from a total hip replacement that it is important to avoid:

A.

Putting a pillow between the legs while sleeping

B.

Sitting with the legs crossed

C.

Abduction exercises of the affected leg

D.

Bearing weight exercises on the affected leg for 6 weeks