The PACU staff have brought a patient to the unit following a thyroidectomy. To promote comfort for this patient, how should the nurse position this patient?
A) Side-lying (lateral) with one pillow under the head
B) Head of the bed elevated 30 degrees and no pillows placed under the head
C) Semi-Fowler's with the head supported on two pillows
D) Flat, with a small roll supporting the neck
Question 2A woman has been brought to the emergency department (ED) by her distraught husband who believes that she has had a stroke.
A rapid assessment by the care team confirms that the husband's suspicions are likely accurate, and the woman is being screened for the possible administration of recombinant tissue plasminogen activator (r tPA). Which of the following factors would contraindicate the use of tPA?
A) The woman's stroke has a hemorrhagic etiology.
B) The woman is older than 80 years of age.
C) The woman has previously had a stroke.
D) The woman has hypertension and type 1 diabetes.
Question 3What should the nurse suspect when hourly assessment of urine output on a postcraniotomy patient exhibits a urine output from a catheter of 1,500 mL for 2 consecutive hours?
A) Cushing's syndrome
B) Syndrome of inappropriate antidiuretic hormone (SIADH)
C) Adrenal crisis
D) Diabetes insipidus
Question 4A 72-year-old woman is being treated on a medical unit 1 week after experiencing an ischemic stroke. The effects of the woman's stroke include slurred, partially intelligible speech.
However, the patient's comprehension of spoken language remains intact. The nurse should expect to read documentation in the patient's chart of:
A) Dysarthria
B) Aphasia
C) Dysphasia
D) Apraxia
Question 5A community health nurse is conducting a workshop for unlicensed care providers who work in a chain of long-term care facilities. The nurse is teaching the participants about the signs and symptoms of stroke.
What signs and symptoms should the nurse identify? Select all that apply.
A) Epistaxis (nosebleed)
B) Confusion
C) Sudden numbness
D) Sudden ear pain
E) Visual disturbances
Question 6A diabetes nurse is teaching an older adult patient who has been recently diagnosed with type 2 diabetes about the importance of foot care. To reduce this patient's risk of developing a diabetic foot ulcer, what practice should the nurse teach?
A) The correct technique for soaking the feet in Epsom salts each evening
B) Technique for daily inspection of all of the surfaces of both feet
C) The correct placement of pillows to prevent the feet from being placed in a dependent position
D) Exercises that can be used to promote circulation in the patient's feet
Question 7A patient with a diagnosis of type 2 diabetes has been vigilant about glycemic control since being diagnosed and has committed to increasing her knowledge about the disease.
To reduce her risk of developing diabetic nephropathy in the future, this patient should combine glycemic control with what other preventative measure?
A) Vigorous physical activity at least three times weekly
B) Maintenance of a low-sodium, low-protein diet
C) Maintenance of healthy blood pressure and prompt treatment of hypertension
D) Subcutaneous injection of 5,000 units of heparin twice daily
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