The nurse is caring for an immunosuppressed patient. Which care considerations should the nurse ...

The nurse is caring for an immunosuppressed patient. Which care considerations should the nurse include? (Select all that apply.)
 
  a. Increase fresh fruit intake.
  b. Adhere to Standard Precautions.
  c. Avoid bringing potted plants into the pa-tient's room.
  d. Employ reverse isolation.
  e. Use filters on air conditioner vents.

Question 2

The PACU nurse is caring for an unconscious patient. Assessment reveals diminished breath sounds bilaterally. Which action should the nurse take?
 
  a. Hyperventilate the patient with an Ambu bag.
  b. Increase bi-nasal oxygen to 3 L/min.
  c. Elevate the head of bed 45 degrees.
  d. Document diminished breath sounds in both lower lobes.

Question 3

A patient at risk for the development of osteoporosis has reported plans to increase calcium intake. Which meal choice is most appropriate for this patient?
 
  a. Grilled salmon, green beans, and milk
  b. Hamburger patty on a wheat bun, baked chips, and milk
  c. Grilled chicken breast, tossed salad, and fruit punch
  d. Bacon, lettuce, and tomato sandwich on whole-grain bread, orange slices, and milk

Question 4

The nurse is explaining Parkinson disease to the student nurse. Which statement indicates that the student nurse correctly understands the pathophysiology of the disease?
 
  a. Regardless of the actual etiology, Par-kinson disease is caused by depletion of dopamine and excess of acetylcholine.
  b. The pathophysiology of the disease is caused by the deterioration of the myelin sheath of the basal ganglia.
  c. Excess dopamine and deficient acetyl-choline are the cause of Parkinson dis-ease.
  d. When there is decreased dopamine up-take at receptors in brain cells, Parkinson disease results.

Question 5

Which patient would the nurse consider to be immunosuppressed? (Select all that apply.)
 
  a. A patient on chemotherapy for cancer
  b. A patient using corticosteroids
  c. A patient pregnant at 28 weeks gestation
  d. A patient recovering from joint replace-ment
  e. A patient diagnosed with human immu-nodeficiency virus (HIV)

Question 6

The PACU nurse is caring for a semiconscious patient immediately following abdominal surgery. The nurse correctly places the patient in which position?
 
  a. Supine
  b. Semi-Fowler
  c. Lateral
  d. Trendelenburg

Question 7

The nurse is assessing the patient's crutches. Which observation confirms that the crutches are sized correctly?
 
  a. The crutches are the same height as the patient's shoulders.
  b. The crutches are approximately 12 inches shorter than the patient's shoulders.
  c. The crutches are approximately 16 inches shorter than the patient's height.
  d. The crutches are tall enough to allow the patient's arms to be fully extended when walking.

Question 8

The patient with a right-sided paralysis from a stroke becomes frustrated when attempting to self-feed. He throws the spoon at the nurse and begins to cry. What nursing action(s) is/are most appropriate at this time? (Select all that apply.)
 
  a. Retrieve the spoon and sit quietly for a few seconds.
  b. Touch the patient and inquire if he would rather have a high-protein milkshake for his meal.
  c. Remind the patient that such behavior is not acceptable.
  d. Add an intervention to the NCP for in-creased support with self-feeding.
  e. Complete an incident report.

Question 9

Techniques of testing for possible allergy include which of the following? (Select all that apply.)
 
  a. The scratch test
  b. Drinking diluted solution of antigen
  c. Intradermal injection
  d. Dropping solution in the eye
  e. Adhesive patches