The nurse is caring for a patient who just returned from a transradial heart catheterization. Which action indicates the priority care for the postprocedure period?
a. The nurse encourages the patient to in-crease fluid intake.
b. The nurse checks the presence and strength of pedal pulses.
c. The nurse places the pulse oximeter on the thumb or first digit of the affected hand.
d. The nurse places the blood pressure cuff on the arm corresponding to the affected hand.
Question 2Which factors predominantly determine probable diagnosis of multiple sclerosis (MS)?
a. Blood tests revealing identifiable MS markers
b. Lumbar puncture results revealing in-flammatory response
c. Muscle biopsies revealing characteristic lesions
d. Signs and symptoms assessed and re-ported by the patient
Question 3The nurse is caring for a patient who has had spinal anesthesia. The nurse correctly questions which order?
a. Patient to lie flat for 6 to 8 hours.
b. Resume diet as tolerated.
c. Use incentive spirometer every hour while awake.
d. Notify physician immediately if headache occurs.
Question 4An older adult has fallen and sprained his ankle in a local park. Which action should the responder perform first?
a. Elevate the foot.
b. Apply ice.
c. Administer aspirin.
d. Assist the patient with ambulation.
Question 5The nurse is educating a patient with gestational diabetes. Which statement indicates that the patient needs additional teaching?
a. Gestational diabetes happens because of the hormonal changes of pregnancy.
b. I should exercise regularly and lose weight to reduce my risk of becoming a diabetic.
c. This problem goes away completely once I give birth.
d. The baby will have to be monitored for hypoglycemia during my pregnancy.
Question 6The home health nurse is caring for a patient with multiple sclerosis (MS) who complains of severe fatigue. What activity should the nurse suggest to diminish the effects of fatigue?
a. Relaxing in a warm bath
b. Performing deep-breathing exercises
c. Scheduling rest periods during the day
d. Including daily-dose multivitamins
Quick Reply
