the patient complains of a severe throbbing headache. What should the nurse do
first?
a. check the pt's indwelling urinary catheter for kinks to ensure patency
b. lower the HOB to improve perfusion
c. administer analgesia
d. reassure the pt that headaches are expected after spinal cord injuries
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a. check the pt's indwelling urinary catheter for kinks to ensure patency
A group of medical nurses are being certified in their response to potential
bioterrorism. The nurses learn that if a patient is exposed to the smallpox virus he or
she becomes contagious at what time?
,A. 6 to 12 hours after exposure
B. When pustules form
C. After a rash appears
D. When the patient becomes febrile
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C. After a rash appears
The patient is in V-fib and code blue has been activated. What setting with the nurse
use on the defibrillator?
a. cardiovert
b. pace
c. defibrillate
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c. defibrillate
A pt has been exposed to a nerve agent in a biochemical terrorist attack. This type of
agent bonds with acetylcholinesterase, so that acetylcholine is not inactivated. What
is the pathologic effect of this type of agent?
a. hyper stimulation of the nerve endings
b. temporary deactivation of the nerve endings
c. binding of the nerve endings
d. destruction of the nerve endings
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a. hyper stimulation of the nerve endings
, Nerve agent
A nurse is caring for a pt receiving skeletal traction. Due to the patients severe limits
on mobility, the nurse has identified a risk for atelectasis or pneumonia. What
interventions should the nurse provide in order to prevent these complications?
a. perform chest physiotherapy once per shift and as needed
b. teach the pt to perform deep breathing and coughing exercises
c. administer prophylactic antibiotics as ordered
d. administer nebulizer bronchodilators and corticosteroids as ordered
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b. teach the pt to perform deep breathing and coughing exercises
The emergency response team is dealing with a radiation leak at the hospital. What
action should be performed to prevent the spread of contaminants?
a. floors must be scrubbed with undiluted bleach
b.waste must be promptly incinerated
c. the ventilation system should be deactivated
d. air ducts and vents should be sealed
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d. air ducts and vents should be sealed
Along with double bagging waste in plastic lined containers outside the
facility
, The nurse is screening the unit's patient population for those who are at highest risk
for the development of ARDS. Which patient(s) does this include? SELECT ALL THAT
APPLY.
a. the to admitted for smoke inhalation
b. the pt who has been a stable diabetic for 10+ years
c. the pt who developed a fat embolism following a femur fracture
d. the pt who is developing septic shock
e. the pt admitted for tx of pancreatitis
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a. the to admitted for smoke inhalation
c. the pt who developed a fat embolism following a femur fracture
d. the pt who is developing septic shock
e. the pt admitted for tx of pancreatitis
A nurse working the night shift enters the medication room and finds a co-worker with
a tourniquet wrapped around the upper arm and injecting a clear fluid into the vein.
What will be the best action of the nurse who witnessed this action by the co-worker?
a. call security
b. call the local police
c. call the nursing supervisor
d. detain the co-worker in the medication room until help arrives
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c. call the nursing supervisor