Weekend Sale - Limited Time 70% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: sntaclus

The nurse notes that there are no physician's orders regarding Fatima's post operative daily insulin dose. The most appropriate action by the nurse is to:

A.

Withhold any insulin dose since none is ordered and the patient is NPO

B.

Call the physician to clarify whether insulin should be given and at what dose

C.

Give half the usual daily insulin dose since she will not be eating in the morning

D.

Give the patient her usual daily insulin dose since the stress of surgery will increase her blood glucose

A patient with duodenal peptic ulcer would describe his pain as:

A.

Generalized burning sensation

B.

Intermittent colicky pain

C.

Gnawing sensation relieved by food

D.

Colicky pain intensified by food

A patient arrived to the Post Anesthesia Care Unit (PACU) complaining of pain after undergoing a right total hip arthroplasty. Which of the following should the nurse do to assess the patient's level of pain?

A.

Determine the patient's position during surgery and how long the patient was in this position

B.

Inspect the dressing, note type and amount of drainage, and insure bandage adhesive is not pulling on skin

C.

Ask anesthesiologist what type of anesthesia patient received and last dose of pain medication

D.

Note location, intensity and duration of pain and last dose and time of pain medication

A patient requires tracheal suctioning through the nose. Which of the following nursing action would be incorrect?

A.

Lubricating the catheter with sterile water

B.

Applying suction while withdrawing the catheter from the nose

C.

Applying suction for a minimum of 30 seconds

D.

Rotating the catheter while withdrawing it

A patient arrives at the emergency department with slurred speech and a right facial droop. The patient's relative states the patient "is not himself." Upon assessment, the nurse finds paresthesia to the right side of the body, receptive aphasia, hemianopia and altered cognitive abilities. The nurse should suspect:

A.

A narcotic overdose

B.

Parkinson's disease

C.

Alcohol withdrawal

D.

A cerebrovascular accident (CVA)

An 85-year-old man is admitted with dementia. He continuously attempts to remove his nasogastric tube. The nurse applies cloth wrist restraints as ordered. Which of the following actions by the nurse is most appropriate?

A.

Evaluate the need to restrain by observing patient's behavior once every 24 hrs

B.

Perform circulation checks to the extremities every two hours

C.

Remove the restraints when the patient is sleeping

D.

Instruct family to limit physical contact with the patient

A patient with allergic rhinitis reports severe nasal congestion, sneezing, and watery eyes at various times of the year. To teach the patient to control these symptoms the nurse advises the patient to:

A.

Avoid all over the counter intranasal sprays

B.

Limit the use of nasal decongestant sprays to 10 days

C.

Use oral decongestants at bedtime to prevent symptoms during the night

D.

Keep a diary of when an allergic reaction occurs and what precipitates it

Nursing management of a patient with pulmonary embolism would focus on which of the following actions?

A.

Assessing oxygenation status

B.

Assessing signs of DVT in legs

C.

Monitoring for other sources of clots

D.

Monitoring patient for cardiogenic shock

The administration of which of the following types of parenteral fluids would result in a lowering of the osmotic pressure and cause the fluid to move into the cells?

A.

Hypotonic

B.

Isotonic

C.

Hypertonic

D.

Colloid

When inserting a rectal suppository for a patient the nurse should?

A.

Insert the suppository while the patient performs the 'valsava maneuver'

B.

Place the patient in a supine position

C.

Position the suppository beyond the muscle sphincter of the rectum

D.

Insert the suppository 1/2 inch into the rectum