The nurse is reviewing laboratory results of a patient who had surgery 2 days ago. The nurse notes that the C-reactive protein is elevated. What potential problem does this finding indicate?
a. Impending infection
b. Possible hemorrhage
c. A drug allergic reaction
d. Fluid deficit
Question 2Which nursing intervention best encourages self-feeding in a patient with right-sided paralysis after a CVA?
a. Place finger foods on the left side of the plate.
b. Support the right hand in holding an adap-tive cup.
c. Seat the patient in the dining room with other residents.
d. Place large helpings of food in the center of the plate.
Question 3The nurse adds interventions for range-of-motion (ROM) and isometric exercises for the new patient with a stroke. The nurse's reasoning stems from her awareness that contracture formation may begin with how many days of immobilization?
a. 1 day
b. 2 days
c. 3 days
d. 10 days
Question 4The nurse is caring for a patient in the immediate preoperative period. Which action best demonstrates compliance with the National Patient Safety Goals protocol?
a. The nurse accompanies the patient to the operating room.
b. The nurse raises all side rails and elevates the head of the bed to 30 degrees.
c. The nurse verifies and marks the surgical site.
d. The nurse identifies all prosthetic devices before the time-out.
Question 5The nurse explains to a patient with a painful toe that the pain is related to the inflammatory response. What process causes this discomfort?
a. Swelling, which compresses nerves.
b. Enzyme release, which irritates the area.
c. Acidic waste from the destroyed cells.
d. Heat of lysis, which affects the nerves.
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