A patient diagnosed with a cerebral aneurysm reports a severe headache to the nurse. What action is a priority for the nurse?
A) Implement distraction techniques.
B) Administer an analgesic.
C) Inform the nurse-manager.
D) Call the health care provider immediately.
Question 2After recently being admitted to the emergency department with signs and symptoms of hyperglycemia, a 33-year-old man was subsequently diagnosed with diabetes.
The patient's blood sugars have been stabilized, and the man has begun diabetes education with a nurse educator. When working with this patient, the nurse educator should first:
A) Teach the patient about the essential concepts of nutrition
B) Explain the various insulin delivery devices to the patient
C) Ask the patient what questions he currently has about diabetes
D) Ascertain the patient's readiness and willingness to learn
Question 3A patient has severe shoulder pain from subluxation of the shoulder is being cared for on the unit. To prevent further injury and pain, the nurse caring for this patient is aware of what?
A) Use of a sling should be avoided due to adduction of the affected shoulder.
B) Elevation of the arm and hand can lead to further complications associated with edema.
C) Passively exercising the affected extremity is avoided to minimize pain.
D) The patient should be taught to interlace fingers, place palms together, and slowly bring scapulae forward to avoid excessive force to shoulder.
Question 4A patient with a recent diagnosis of type 2 diabetes has been prescribed metformin (Glucophage) 500 mg PO t.i.d.
The nurse who is providing this patient's care should recognize that this medication helps the patient achieve stable blood glucose levels by:
A) Stimulating insulin release from the pancreatic beta cells.
B) Facilitating the action of insulin on peripheral receptor sites
C) Stimulating insulin synthesis by the pancreatic beta cells
D) Delaying the absorption of glucose in the intestinal system
Question 5The nurse is preparing to administer a patient's scheduled dose of Novolin 70/30 . When administering this dose of insulin, the nurse should:
A) Ensure that the insulin is not given near a previous injection site
B) Aspirate before injecting the insulin into the patient's subcutaneous tissue
C) Massage the injection site gently for 10 to 15 seconds after administration
D) Use a 3 mL syringe with a 24 gauge, - to -inch needle
Question 6A hospital patient has been ordered a sliding scale of Humulin R for the duration of her admission.
The patient's medication administration record specifies the first administration time of the day at 08:00 and the nurse knows that breakfast trays typically arrive on the unit between 07:45 and 07:50 . When should the nurse administer the patient's insulin?
A) 07:30
B) 07:45
C) 08:00
D) 08:15
Question 7The nurse is preparing discharge teaching for a patient who is being discharged after hospitalization for a hemorrhagic stroke. What should be included in the discharge teaching for this patient?
A) Intermittent seizures can be expected.
B) Take ibuprofen for complaints of a serious headache.
C) Take antihypertensive medication as ordered.
D) Drowsiness is normal for the first week after discharge.
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