A male patient with a right pleural effusion noted on a chest X-ray is being prepared for thoracentesis. The patient experiences severe dizziness when sitting upright. To provide a safe environment, the nurse assists the patient to which position for the procedure?
A newborn is diagnosed with ventricular septal defect. The baby is discharged with a prescription for digoxin syrup 20 micrograms bid. The bottle of digoxin is labeled as 0.05 mg/ml. The nurse should teach the mother to administer on each dose:
A nurse is not familiar with a particular solution ordered to irrigate a patient's wound. The appropriate action would be to:
When the nurse is caring for a patient placed on droplet precautions, the nurse should:
The patient with liver cirrhosis receives 100 ml of 25% serum albumin intravenously. Which of the following findings would best indicate that the albumin is having its desired effect?
When preparing an eye medication, the nurse reads the order "OS". Medication is given into:
What two behaviors are important when documenting the depth of the patient’s depression?
A patient who sustained a chest injury has a chest tube inserted which is connected to an under water seal drainage system. When caring for this patient the nurse will:
You have started work on a new ward. One of the patient's allocated to you has been on the ward for the last 7 months since she had a cerebrovascular accident (CVA). You notice that her nursing care plan says strict bed rest, but on assessment you can not see any reason why this patient can not sit out of bed for short periods. Your nursing action would be:
The patient did not sleep well last night and is anxious about having a bronchoscopy later this morning. The priority nursing intervention would be to:
A patient is to receive 50mL of fluid in 1/2 hour (30 min). The infusion pump should be set to deliver how many milliters per hour?
A patient undergoes laminectomy. In the immediate post-operative period, the nurse shoulD.
During balloon inflation of an indwelling urinary catheter, the patient complains of pain and discomfort. The nurse should:
Which of the following statements accurately describes the occurrence of dyspnea in patients who are receiving end of life care?
A patient is admitted to the emergency department with a possible allergic reaction to a bee sting. What is the first action the nurse should take?
A patient complains of pain in his right arm. The physician orders codeine 45 mg and aspirin 650 mgs every 4 hours PRN. Each codeine tablet contains 15mg of codeine and each aspirin tablet contains 325mg of aspirin. What should the nurse administer?
The nurse manager has just prepared a medication for a patient and she asked you to give the medication. Which of the following is the best response to the nurse manager's request?
The patient is receiving piperacillin (Pipril) I.V. Which of the following should the nurse consider when administering the medication to the patient?
The patient's pre-operative blood pressure was 120/68 mmHg. On admission to the Post Anesthesia Care Unit, the blood pressure was 124/70 mmHg. Thirty minutes after admission, the patient's blood pressure falls to 112/60 mmHg, pulse to 72 BPM, and the skin appears warm and dry. The most appropriate action by the nurse at this time is to:
A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?
The nurse is caring for a patient who is receiving dialysis. The patient has an arteriovenous (AV) fistula. Appropriate care for this patient would include which one of the following options?
Order: Allopurinol 450 mg p.o. daily. Drug availablE. Allopurinol 300 mg scored tablets. Which of the following will you administer?
Pain management for terminally ill patients is most effective when analgesics are given:
The nurse should observe for which of the following symptoms in a patient who has just undergone a total thyroidectomy:
A patient is to receive 25mg/hr of an aminophylline infusion. The solution prepared by the pharmacy contains 500mg of aminophylline in 1000ml of D5W. How many milligrams are available per ml?
A patient has had a total hip joint replacement. Which of the following actions should the nurse consider for the patient's daily recommended exercise program?
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:
The coronary care nurse draws an Arterial Blood Gas (ABG) sample to assess a patient for acidosis. A normal pH for arterial blood is:
A patient presents to the emergency department with diminished and thready pulses, hypotension and an increased pulse rate. The patient reports weight loss, lethargy, and decreased urine output. The lab work reveals increased urine specific gravity. The nurse should suspect:
A patient with a central venous line develops sudden clinical manifestations that include a decrease in blood pressure, an elevated heart rate, cyanosis, tachypnea, and changes in mental status. Which of the following is the most likely cause of these symptoms?
In caring for a woman and baby day 3 postnatally, she tells you that her baby has not had a bowel action since delivery. Your appropriate response would be:
Which of the following correctly describes wound packing in a wet to dry dressing?
Whilst recovering from surgery a patient develops deep vein thrombosis. The sign that would indicate this complication to the nurse would be:
The police bring a prisoner into the emergency department who is in severe pain. When the nurse is assigned to this patient, the nurse should:
Immediately after a craniotomy for head trauma, the nurse must monitor the drainage on the dressing. Which of the following should be reported?
A young patient is extremely irritable due to meningitis. It would be most important for the nurse to:
A medication was ordered by a physician. The nurse believes the medication dose is incorrect. What should the nurse do next?
Which of the following indicates the nurse is engaging in a therapeutic nurse-patient relationship?
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TESTED 23 Nov 2024
