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alpersworld alpersworld
wrote...
Posts: 348
Rep: 2 0
6 years ago
As she began to wake after surgery, Mrs. P became extremely restless. Which of the following should the recovery room nurse likely administer first?
 
  A) A narcotic to ease the pain
  B) Antibiotics to prevent an infection
  C) Electrolytes to correct an imbalance
  D) Oxygen to correct hypoxia

Question 2

A 39-year-old mother of four has a 6-year history of multiple sclerosis. During planning, the nurse remembers this is a degenerative neurological disease that
 
  a. occurs most often in tropical climates.
  b. occurs most often in the older adult.
  c. has classic signs and symptoms that are readily recognized.
  d. results from demyelination of the nerve sheath.

Question 3

A nurse is assessing a new patient who is diagnosed with peripheral arterial disease. The nurse cannot feel the pulse in the patient's left foot. What could the nurse use to assess the blood flow in the patient's left foot?
 
  A) An ultrasound machine
  B) A stethoscope
  C) A fetoscope
  D) Doppler ultrasound

Question 4

What is one way of improving the chances for successful anesthesia of an elderly patient?
 
  A) Long, careful surgery
  B) Frequent turning of tissue during surgery
  C) Particularly close monitoring during surgery
  D) Use of inhaled agents during surgery

Question 5

While assessing a patient, the nurse notes that the patient's ankle-brachial index (ABI) of the patient's right leg is 0.40 . The nurse is aware that this may indicate what?
 
  A) Venous narrowing
  B) Arterial narrowing
  C) Adequate peripheral circulation
  D) Inadequate coronary output

Question 6

A patient, age 52, is brought to the emergency department by ambulance after she hit her head on her bathroom sink and fell unconscious to the floor. Which assessment should the nurse perform first?
 
  a. History of health problems
  b. Patency of airway
  c. Neurological status
  d. Status of bodily functions

Question 7

A pediatric nurse is conducting patient education with a 13-year-old girl who has just been diagnosed with asthma. What subject should the nurse prioritize when teaching this patient and her parents about the management of asthma?
 
  A) Identification of the triggers that exacerbate her asthma
  B) The appropriate use of antibiotics in the treatment of asthma
  C) Techniques for managing long-term oxygen therapy
  D) Demonstrating the use of continuous positive airway pressure (CPAP)
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2 Replies

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Replies
wrote...
6 years ago
Answer to #1

D
Feedback:
Restlessness after surgery may appear to be caused by pain, but is a symptom of hypoxia. Oxygen may even be given prophylactically, but narcotics may worsen the hypoxia. Antibiotics should never be given unless needed, and there is no indication that Mrs. P needs electrolytes.

Answer to #2

D
In patients with multiple sclerosis, multiple foci of demyelination are distributed randomly in the white matter of the brain stem, spinal cord, optic nerves, and cerebrum.

Answer to #3

D

Answer to #4

C
Feedback:
For an elderly patient, surgery should not be prolonged, and the tissue should not be handled more than necessary. Inhaled agents are eliminated slowly and may prolong anesthesia. Close monitoring during surgery can catch any problems as they develop.

Answer to #5

B

Answer to #6

B
Nursing diagnosis and interventions for the patient with a severe head injury may include Ineffective breathing pattern related to neuromuscular impairment. Nursing interventions will be to maintain a patent airway.

Answer to #7

A
alpersworld Author
wrote...
6 years ago
Smiling Face with Glasses Feeling super confident now, TY
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