solved

1. When caring for a post-operative client on the same day of surgery. What is the practical nurse’s highest priority?
Turning, coughing, and deep breathing every 2 hours
Choosing low-fat foods from the menu
Performing leg exercises every hour while awake
Ambulating the evening of the operative day
2. A common analgesic for moderate to severe pain is morphine. A common side effect of this drug is
Decreased respirations
Disorientation and agitation
Diarrhea
Increased pulse rate
3. You are counseling a patient at a doctor’s office. He is 89 years old and lives in a retirement home. He states that he does not want to get the influenza vaccine because he —–it last year. Your best response is
That’s okay you are not in a high-risk group anyway
You can skip this year you should have some immunity left over from last year anyway
The virus changes every year
You will need to sign a consent form to opt out of the vaccine
4. Mr Walton is a 60-year-old male client that was admitted to the hospital with crushing sub-sternal chest pain radiating to the jaw. Left shoulder and left arm. The ———– is Acute Coronary Syndrome and to rule out myocardial infarction(MI) Why would Mr Walton, like many people who had an MI, be put on drugs to facilitate bowel movements such as senokot?
The drugs relax the muscle of the heart and contribute to relief of pain
The drug increases the movement of fluid and electrolytes from the small intestines into the bloodstream
The drug will enable less straining and will reduce vagal stimulation during defecation
The drug will increase urinary frequency, reducing the load on the heart
5. John is 70 yrs old and inquires about the incidence of cancer. The nurse advises John that the incidence of cancer
Decreases with age
Increases with age
Stays the same regardless of age
Doesn’t occur in old age
6. The patient who has had an ischemic stroke may be a candidate for TPA as long as the patient has not had a history of GI bleed stroke, head trauma, or recent major surgery
True
False
7. Which of the following statements best describes the outcome of peritoneal dialysis
Corrects kidney function
Cleans the peritoneal membrane
Remove toxins and metabolic —–
Provides fluids to the cell of the body
8. A post-operative medication that is often prescribed prophalyticaly is
Diuretics
Antidiuretics
Heparin and Fragmin
ASA
9. In promoting health maintenance for the prevention of strokes, the nurse understands that the highest risk for the most common type of stroke present in?
Patient with an acute kidney injury
Women who smoke
Individuals with hypertension and diabetes
Those who are obese with high dietary fat intake
10. Chemotherapy only attacks cancerous cells
True
False
11. Respiratory acidosis is caused by one of the following
Increase in HCO2. Increase in ph
Decrease in CO2, Decrease in ph
Decrease in HCO2, decrease in ph
Increase in CO2, decrease in ph
12. A 40 yr old, divorced mother of four children is hospitalized with metastatic breast cancer. The nurse finds the patient crying and she tells the nurse she does not know what will happen to her children when she dies. What is the most appropriate response from the nurse?
You are going to live for a long-time yet, and your children will be fine
I wouldn’t worry about that right now; you need to concentrate on getting well
I think your ex-husband should take care of the children once you can no longer care for them
Tell me about some of the options that you have for your children
13. A patient has a history of asthma and is admitted to the hospital in acute respiratory distress. During assessment of the patient, the nurse would notify the physician immediately upon what finding
An SPO2 of 92%
Respiratory rate of 28
Decreased breath sounds
Blood pressure of 146/70
14. Which of the following patient scenarios best describes a patient who is experiencing chronic stable angina?
Chest pain occurring at rest and lasting 20 mins
Chest pain lasts 3-5mins and usually subsides when the precipitating factor is relieved
Chest pain that is new in onset and unpredictable
Chest pain that wakes the patient up at night and is on a new location where pain has not previously been experienced
15. Necrosis means
Tissue death
A high amount of potassium
Blood loss
Inadequate blood flow

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