PrexfAssessmentxfquizxfWeekxf3xfRNxfCapstonexfReviewxf(medxfsurg
)
1. Axfnursexfisxfreceivingxfaxftransferxfreportxfforxfaxfclientxfwhoxfhasxfaxfheadxfinjury.xf
ThexfclientxfhasxfaxfGlasgowxfcomaxfscalexfofxfthreexfforxfeye-
openingxffivexfforxfbestxfverbalxfresponsexfandxffivexfforxfbestxfmotorxfresponsexfw
hichxfofxfthexffollowingxfisxfthexfappropriatexfconclusionxfbasedxfonxfthisxfdata?:xfThexfclien
txfopensxfhisxfeyesxfwhenxfspokenxfto
Rational:xfaxfGCSxfofxf3-5-
5xfindicatesxfthatxfthexfclientxfopensxfhisxfeyesxfinxfresponsexftoxfspeech,xfisxforiented,xfandxfisxfablexftoxflocalizexfpain.
2. Axfnursexfinxfthexfemergencyxfdepartmentxfisxfcaringxfforxfaxfclientxfwhoxfhasxfanaph
y-
laxisxffollowingxfaxfbeexfsting.xfWhichxfofxfthexffollowingxfactionxfshouldxfthexfnursexfta
kexffirst?:xfAuscultatexfforxfwheezing
Rational:xfwhenxfusingxfthexfairway,xfbreathing,xfcirculationxfapproachxftoxfclientxfcare,xfthexfnursexfshouldxfplacexfthexfpriorityxf
onxfassessingxfthexfclientsxfrespiratoryxfstatus.xfBronchial,xfcontortion,xforxfclosurexfofxfthexfupperxfairwayxfmayxfoccur,xfwhichxf
placesxfthexfclientxfatxfriskxfforxfrespiratoryxfarrest.
3. Axfnursexfisxfadmittingxfaxfclientxffromxfaxfproviderxfoffice.xfClickxftoxfhighlightxft
hexfprovidersxfprescriptions.xfThexfnursexfshouldxfimplementxffirst.
Viewxfavailablexfexhibitsxfforxfallxfneededxfinformation:xfVitalxfsignsxfonxfadmissionxfandxfeveryxffo
urxfhours
Stoolxfculture,xfandxfsensitivityxfUri
nexfculturexfandxfsensitivity
Dextrosexf5%xfinxf0.45%xfsodiumxfchloridexfIVxfatxf125xfML/hour
4. Axfnursexfisxfassessingxfaxfclientxfforxfhypoxemiaxfduringxfanxfasthmaxfattack.xfWhi
chxfofxfthexffollowingxfmanifestationxfshouldxfthexfnursexfexpect?:xfAgitation
Rational:xfthexfnursexfshouldxfexpectxfagitationxfduexftoxfneurologicalxfchangesxffromxfpoorxfoxygenxfexchange
5. Axfnursexfisxfassessingxfaxfclientxfwhoxfhasxfpepticxfulcerxfdisease.xfWhichxfofxfth
exffollowingxffindingsxfshouldxfthexfnursexfidentifyxfasxfaxfpriority?:xfHematemesis
Rational:xfwhenxfusingxfthexfurgentxfversexfnon-
urgentxfapproachxftoxfclientxfcare,xfthexfnursexfshouldxfdeterminexfthatxfthexfpriorityxffindingxfisxfhematemesis,xfwhichxfindicate
sxfmassivexfbleeding
6. AxfnursexfisxfassessingxfaxfclientxfwhoxfhasxfCOPD.xfThexfnursexfshouldxfexpectxft
xf x
f
, PrexfAssessmentxfquizxfWeekxf3xfRNxfCapstonexfReviewxf(medxfsurg
)
hexfclientsxfchestxftoxfbexfinxfwhichxfofxfthexffollowingxfshapes.:xfBarrel
Rational:xfAxfclientxfwhoxfhasxfCOPDxfusesxfaccessoryxfmusclesxftoxfassistxfwithxfrespiratoryxfettort.xfThexfusexfofxfthosexfaccessory
xf x
f
)
1. Axfnursexfisxfreceivingxfaxftransferxfreportxfforxfaxfclientxfwhoxfhasxfaxfheadxfinjury.xf
ThexfclientxfhasxfaxfGlasgowxfcomaxfscalexfofxfthreexfforxfeye-
openingxffivexfforxfbestxfverbalxfresponsexfandxffivexfforxfbestxfmotorxfresponsexfw
hichxfofxfthexffollowingxfisxfthexfappropriatexfconclusionxfbasedxfonxfthisxfdata?:xfThexfclien
txfopensxfhisxfeyesxfwhenxfspokenxfto
Rational:xfaxfGCSxfofxf3-5-
5xfindicatesxfthatxfthexfclientxfopensxfhisxfeyesxfinxfresponsexftoxfspeech,xfisxforiented,xfandxfisxfablexftoxflocalizexfpain.
2. Axfnursexfinxfthexfemergencyxfdepartmentxfisxfcaringxfforxfaxfclientxfwhoxfhasxfanaph
y-
laxisxffollowingxfaxfbeexfsting.xfWhichxfofxfthexffollowingxfactionxfshouldxfthexfnursexfta
kexffirst?:xfAuscultatexfforxfwheezing
Rational:xfwhenxfusingxfthexfairway,xfbreathing,xfcirculationxfapproachxftoxfclientxfcare,xfthexfnursexfshouldxfplacexfthexfpriorityxf
onxfassessingxfthexfclientsxfrespiratoryxfstatus.xfBronchial,xfcontortion,xforxfclosurexfofxfthexfupperxfairwayxfmayxfoccur,xfwhichxf
placesxfthexfclientxfatxfriskxfforxfrespiratoryxfarrest.
3. Axfnursexfisxfadmittingxfaxfclientxffromxfaxfproviderxfoffice.xfClickxftoxfhighlightxft
hexfprovidersxfprescriptions.xfThexfnursexfshouldxfimplementxffirst.
Viewxfavailablexfexhibitsxfforxfallxfneededxfinformation:xfVitalxfsignsxfonxfadmissionxfandxfeveryxffo
urxfhours
Stoolxfculture,xfandxfsensitivityxfUri
nexfculturexfandxfsensitivity
Dextrosexf5%xfinxf0.45%xfsodiumxfchloridexfIVxfatxf125xfML/hour
4. Axfnursexfisxfassessingxfaxfclientxfforxfhypoxemiaxfduringxfanxfasthmaxfattack.xfWhi
chxfofxfthexffollowingxfmanifestationxfshouldxfthexfnursexfexpect?:xfAgitation
Rational:xfthexfnursexfshouldxfexpectxfagitationxfduexftoxfneurologicalxfchangesxffromxfpoorxfoxygenxfexchange
5. Axfnursexfisxfassessingxfaxfclientxfwhoxfhasxfpepticxfulcerxfdisease.xfWhichxfofxfth
exffollowingxffindingsxfshouldxfthexfnursexfidentifyxfasxfaxfpriority?:xfHematemesis
Rational:xfwhenxfusingxfthexfurgentxfversexfnon-
urgentxfapproachxftoxfclientxfcare,xfthexfnursexfshouldxfdeterminexfthatxfthexfpriorityxffindingxfisxfhematemesis,xfwhichxfindicate
sxfmassivexfbleeding
6. AxfnursexfisxfassessingxfaxfclientxfwhoxfhasxfCOPD.xfThexfnursexfshouldxfexpectxft
xf x
f
, PrexfAssessmentxfquizxfWeekxf3xfRNxfCapstonexfReviewxf(medxfsurg
)
hexfclientsxfchestxftoxfbexfinxfwhichxfofxfthexffollowingxfshapes.:xfBarrel
Rational:xfAxfclientxfwhoxfhasxfCOPDxfusesxfaccessoryxfmusclesxftoxfassistxfwithxfrespiratoryxfettort.xfThexfusexfofxfthosexfaccessory
xf x
f
