A nurse is receiving change-of-shift report about an older adult patient who has a diagnosis of chronic obstructive pulmonary disease (COPD).
The nurse's colleague reports that she has applied oxygen at 6 L/min by nasal prongs in an effort to bring the patient's oxygen saturation levels above 92. How should the nurse best interpret this colleague's action?
A) Supplementary oxygen should not normally be given to patients who have a history of COPD.
B) The patient should be given oxygen by simple face mask rather than by nasal prongs.
C) Giving oxygen at a high rate has the potential to interfere with the patient's hypoxic drive.
D) The patient will require 2 to 3 hours of oxygen therapy before an increase in oxygen saturation occurs.
Question 2Following a chest X-ray, a patient has been diagnosed with a pleural effusion. The care team has concluded that the quantity of fluid in the patient's intrapleural space necessitates thoracentesis.
What patient education should the nurse provide in anticipation of this procedure?
A) You can move around as normal after the procedure is finished, and I've applied a bandage over the site.
B) The doctor will ask you to cough a few times to facilitate the insertion of the needle.
C) If you're unable to lie on your side, you can sit upright and support yourself on your overbed table.
D) It's very important that you remain still while the doctor is performing the procedure.
Question 3Which of the following is the most effective nursing action for an elderly person who becomes violent/physically abusive?
A) Understanding that elderly persons have weakened physical conditions and are unlikely to cause harm to themselves or others.
B) Scheduling time for supervised walking.
C) Putting persons in situations that trigger the behavior to desensitize the person.
D) Getting help to protect self and others.
Question 4The nurse working on the respiratory intensive care unit is aware that several respiratory conditions can affect the compliance of the lung tissue. Which condition leads to an increase in lung compliance?
A) Emphysema
B) Pulmonary fibrosis
C) Pleural effusion
D) Acute respiratory distress syndrome
Question 5A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have hot flashes. The nurse's response is based on the knowledge that
a. only the uterus was removed, and the ovaries are still producing estrogen.
b. the patient is too young to have hot flashes associated with menopause.
c. the uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause.
d. the uterus and fallopian tubes were removed, and she will not experience hot flashes.
Question 6To the embarrassment of his family, an 81-year-old male patient on the subacute unit of a hospital has made repeated, sexually inappropriate statements to female staff members. The patient's family is adamant that such behavior is uncharacteristic.
What should be the nurse's initial action? A) Attempt to identify the underlying cause of the patient's behavior.
B) Explore pharmacologic treatment options with the patient's physician.
C) Emphasize to the patient that such behavior is not permissible.
D) Liaise with the nurse manager to ensure the patient receives care from male staff whenever possible.
Question 7A female patient is anxious after having a mastectomy for breast cancer. As part of her pain management program, what alternative therapy should the nurse recommend as the most beneficial?
A) Naturopathy
B) Biofeedback
C) Nutritional therapy
D) Meditation and prayer
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