A patient has just returned to the unit from the PACU after surgery for a tumor within the spine. The patient complains of pain.
When positioning the patient for comfort and to reduce injury to the surgical site, the nurse will position the patient in what position?
A) In the lithotomy position
B) In a flat side-lying position
C) In the Trendelenburg position
D) In the reverse Trendelenburg position
Question 2A patient diagnosed with a pituitary adenoma has arrived on the oncology unit. Based upon the nurse's initial assessment, the patient is most likely to exhibit:
A) Decreased intracranial pressure (ICP)
B) Headache
C) Decreased level of consciousness
D) Restlessness
Question 3A medical patient has been admitted to the intensive care unit after developing acute renal failure (ARF). The intensive care nurse should anticipate performing interventions to resolve which of the following health problems?
A) Fluid volume deficit and hypotension
B) Hyperkalemia and acidosis
C) Disseminated intravascular coagulation (DIC)
D) Hemolytic anemia and hyperbilirubinemia
Question 4A nurse who provides care in a high-acuity medical setting is aware of the high incidence and morbidity of acute renal failure (ARF). To reduce patients' risks of developing ARF during their stay in hospital, it is imperative that:
A) Standard precautions be adhered to rigorously
B) Patients be encouraged to ambulate as soon as they are able
C) Patients' medication regimens be monitored closely
D) Tube feeding or parenteral nutrition be initiated for patients who cannot eat
Question 5The nurse is writing a care plan for a patient with brain metastases. Following a thorough assessment, the nurse decides that an appropriate nursing diagnosis is Anxiety related to lack of control over the health care needs and situation.
In establishing this plan of care for the patient, the nurse will identify what measure as appropriate for the care of this patient?
A) The patient will receive antianxiety medications every 4 hours.
B) The patient's family will be instructed on measures to implement when providing care for the patient.
C) The patient will be encouraged to verbalize concerns related to the disease and its treatment.
D) The patient will begin a busy schedule of therapy, so that he will forget about the anxiety.
Question 6A 6-year-old girl has been receiving care in a children's hospital for the past several days after she was diagnosed with nephrotic syndrome. In anticipation of discharge, the nurse is now performing health education with the child's parents.
What teaching point should the nurse emphasize?
A) The correct technique for monitoring the child's blood pressure
B) Signs and symptoms of the cardiac and gastrointestinal complications of nephrotic syndrome
C) The importance of frequent physical activity
D) The importance of closely following the prescribed dietary regimen
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