An operating room nurse is assisting with the positioning of a 78-year-old female patient on the operating table prior to the patient's abdominal surgery. Which of the following actions should the nurse prioritize?
A) Keeping the patient cool to prevent operative hyperthermia
B) Supporting the neck and head to prevent postoperative neck pain
C) Placing the patient supine to maximize respiratory status
D) Protecting the patient's skin integrity by padding bony prominences
Question 2A hospital patient with a complex medical history that includes asthma has rung his call bell and states that he is having an asthma attack.
The nurse has completed a rapid assessment of the patient and has identified the need for pharmacologic interventions. After consulting the patient's medication administration record, the nurse should administer a p.r.n. dose of:
A) Hydromorphone (Dilaudid)
B) Albuterol (Ventolin)
C) Ipratropium (Atrovent)
D) Fluticasone (Flovent)
Question 3Before the patient undergoes computed tomographic (CT) scanning with a contrast medium, the nurse should
a. verify that the patient is not allergic to seafood or iodine.
b. explain that the patient will have to change position frequently during the procedure.
c. maintain a safe distance from the patient to reduce the exposure to radiation.
d. verify that the patient has no metal objects such as an implant or a pacemaker.
Question 4A patient has been complaining of headaches. If the headaches are migraine, the nurse would expect to assess that the headaches:
a. They are observed during times of stress.
b. They become worse toward evening.
c. They have their onset when the person is in his or her twenties or thirties.
d. They may cause unusual smells or sounds for the patient before the pain begins.
Question 5Nurse R is providing care for a 71-year-old woman who has been admitted to the surgical unit following her post-anesthetic recovery from a bilateral mastectomy.
The patient has been physically stable but disoriented to place and time since admission, but the nurse knows that a history of dementia is noted in the patient's chart. The patient's daughter is distraught, however, because mom was always just a bit forgetful, but nothing at all like this.. What would be the most appropriate response by the nurse? A) If your mother already has dementia, her confusion is to be expected..
B) It is nothing for you to worry about, most elderly persons are forgetful..
C) Delirium can also cause an alteration in mental status and can be caused from a new environment, altered level of consciousness, excess stimuli, adverse drug reactions, and physiologic disturbance, all which your mother has likely experienced as a result of her hospitalization and surgery..
D) Are you blaming us for your mother's confusion?
Question 6The nurse recognizing a female patient's susceptibility to infection due to her history of chronic obstructive pulmonary disease (COPD).
When teaching this patient to reduce her risk of infection in the community, what measure should the nurse emphasize to the patient?
A) Avoiding abrupt transitions from cold air to hot air
B) Washing her hands frequently and thoroughly
C) Remaining indoors when possible during allergy season
D) Avoiding contact with individuals who have not received an influenza vaccination
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