NUR 213 Module 8 Final Exam Questions and Answers (Latest Update Rated A+)

NUR 213 Module 8 Final Exam Questions and Answers (Latest Update Rated A+) Which nursing intervention is the priority when providing care for a patient experiencing status epilepticus? Time the length of the seizure. Contact the heath care provider. Maintain the airway. Administer medication IV stat. Question 12 Which statement made by the patient with a new prescription for phenytoin indicates to the RN that more teaching is needed? “My spouse will have to drive me to my next doctor’s appointment.” “I need to take this medication on an empty stomach.” “My urine may turn reddish brown in color.” “I will use a soft bristle toothbrush.” Question 13 Which information should the RN include when discharging a pediatric patient with a fiberglass forearm cast? Select all that apply. Blow cool air down the cast if itching occurs. Ask the child to wiggle their fingers every 4 hours. Do not use magic markers for autographs. Elevate the arm on a pillow for the first day. Swimming is allowed with a fiberglass cast. Question 14 Which intervention by the unlicensed assistive personnel (UAP) caring for the patient with right hemiparesis requires the RN to intervene? The UAP places a hand under the right axilla to move the patient up in bed. The UAP positions the patient supine with the head turned to one side. The UAP places a gait belt around the patient’s waist prior to ambulating. The UAP praises the patient for performing ADLs independently. Question 15 Which assessment is a priority for the RN to perform while the patient diagnosed with an ischemic stroke is receiving tissue plasminogen activator (t-PA) ? Skin turgor. Blood pressure. Signs of active bleeding. Urine output. Question 16 Which nursing intervention is a priority when caring for a patient diagnosed with Guillain-Barre’ Syndrome? Measure strict intake and output. Medicate for pain as needed. Encourage use of incentive spirometry. Turn and position every two hours. Question 17 Which nursing intervention is a priority for the patient diagnosed with diffuse axonal injury (DAI)? Initiate supplemental feedings to increase available calories Administer opioids to control restlessness. Provide passive range of motion exercises to extremities. Keep the head of the bed elevated about 30 degrees. Question 18 Which information should the RN include in a community presentation to prevent head and spinal cord injuries? Helmets should be worn when skateboarding, skiing or riding bicycles. Children under age 12 should be restrained in the front seat of the car. Parents should not sleep with infants. Children should not eat while in a car for fear of choking. Question 19 Which nursing intervention is a priority for a patient diagnosed with a T-10 spinal cord injury that has a flushed face, blood pressure of 200/100 and heart rate of 62? Administer a sedative as prescribed. Place the patient in a supine position. Collaborate with the health care provider. Check the indwelling urinary catheter for patency. Question 20 Which intervention will the RN implement to promote communication for a patient with expressive aphasia following a cerebral vascular accident (CVA)? Ask the family to translate the patient’s needs to the hospital staff. Explore the ability to write. Speak clearly and slowly. Gently insert words the patient is unable to pronounce. Question 21 Which statement made by a patient with a transection of the spinal cord at T2 indicates to the RN that the patient has effective coping skills? “I will regain full use of my arms and legs.” “Eventually I will be able to walk again.” “Someone has to check my skin for areas of redness.” “Occupational therapy may not be necessary.” Question 22 A patient is receiving intravenous methylprednisolone (Solumedrol) to decrease inflammation during an acute exacerbation of Multiple Sclerosis. The registered nurse would assess for which side effects? Hypotension and syncope. Tachycardia and diaphoresis. Weight gain and mood swings. Dehydration and weight loss. Question 23 Which intervention should the RN implement to control intracranial pressure in the patient with a severe brain injury? Administer opioids to manage restlessness. Hyperextend the neck to maintain an open airway Request a prescription for a stool softener. Keep the room environment well lit and warm. Question 24 Which nursing intervention is a priority when a patient who arrives in the Emergency Department awake and conversant after a brief loss of consciousness following a head injury is now restless, agitated and confused? Administer lorazepam intravenously. Request a CT scan of the head. Prepare for endotracheal intubation. Notify the primary care provider. Question 25 Which task would not be appropriate for the RN to delegate to a UAP or LPN for a patient who has a nursing diagnosis of impaired physical mobility? Asking the UAP to provide the client with non-skid socks for ambulation. Asking the UAP to assess and evaluate the client’s response to pain medication. Asking the LPN to ambulate the client to the bathroom with a walker. Asking the LPN to administer pain medication to the client. Question 26 Which statement made by the patient using ibuprofen to manage the pain of osteoarthritis indicates to the RN the need for additional teaching? “I can continue to use ginkgo while taking this medication.” “I will avoid drinking wine while taking this medication.” “I need to call my physician if my feet are swollen in the morning.” “I should take this medication with meals or a snack.” Question 27 Which outcome would the RN identify for the patient who is one day post-operative total knee replacement with the nursing diagnosis Risk for peripheral neurovascular dysfunction? The patient will: Report decreased pain at the operative site. Demonstrate capillary refill less than 3 seconds on the toes of both feet. Ambulate independently for 50 feet. Wear antiembolism stockings at all times. Question 28 Which interventions should the RN implement for the postoperative patient with a hip arthroplasty? Select all that apply. Flex the hip less than 90 degrees. Place abductor pillow between legs. Elevate the bed to high Fowler’s. Place a pillow under affected leg. Assist the patient to cross the legs. Question 29 Which intervention should the RN implement first for the patient with a fractured femur who is suspected of having fat embolism syndrome? Administer methylprednisone intravenously. Encourage respiratory hygiene exercises. Initiate supplemental oxygen. Assess breath sounds bilaterally. Question 30 Which response by the RN is best when the patient diagnosed with gout asks about using aspirin to relieve pain in the left great toe? “Aspirin can interfere with the action of the other medications.” “Aspirin can lead to increased levels of uric acid in the body.” “It is not recommended as a high dose would be necessary.” “It is appropriate to take aspirin as it will relieve the pain.” Question 31 Which intervention is a priority when the RN administers alendronate (Fosamax)? Ask the patient if there is a history of peptic ulcer disease. Encourage the patient to participate in weight bearing exercise. Administer the medication first thing in the morning. Have the patient remain upright for 30 minutes after administration. Question 32 Which information should the RN include in a community presentation about osteoporosis? Post-menopausal women and older adults need 2,000 mg of calcium daily. Engage in weight bearing exercise such as walking once a week. African –American women are more susceptible to osteoporosis. Reduce use of caffeine and carbonated beverages. Question 33 Which intervention should the RN include in the teaching plan for the patient with a new diagnosis of gout? Sleep 12 hours per night. Decrease amount of exercise. Increase fluid intake to 2000 mL per day. Limit red meat to five times weekly. Question 34 Which intervention is a priority for a patient that presents to the Urgent Care Center with edema, pain and crepitus in the right forearm with limited mobility of the finger of the right arm after a fall? Assess need for tetanus prophylaxis. Splint the right arm. Apply ice to the right forearm. Administer pain medication. Question 35 Which information should the RN share with members of the intra-professional team providing care for a pediatric patient with an elbow cast? Edema at the elbow can result in nerve damage. The patient should expect low grade pain after the cast is applied. The cast should be constructed of fiberglass, not plaster. The cast needs to be kept clean to prevent humeral osteomyelitis. Question 36 Which statement made by the adolescent patient wearing a brace to manage scoliosis indicates to the RN that the outcome for the nursing diagnosis Situational low self esteem has been met? “I am signing up for after school volleyball.” “I just want an operation to fix my back.” “I will ask my friend to help me learn how to play chess.” “I can wear the brace at night when I am sleeping.” Question 37 Which statement made by the patient diagnosed with scleroderma indicates to the RN an understanding of the teaching plan? “I will not constrict my feet by wearing socks” “I will consume a 1200 calorie diet daily.” “I need to avoid anti-inflammatory medications.” “I should avoid cold temperatures” Question 38 A patient is prescribed crutches to promote non weight bearing on the right leg. Which instruction should the RN include in the teaching plan? Place right foot and left crutch forward, then left foot and right crutch forward. Bear weight on the arms to avoid pressure on the axillae. Place right foot on step, then bring move the crutches when going downstairs. Lean forward at a 45 degree angle while walking. Question 39 The registered nurse would teach a patient newly diagnosed with gout to avoid which of the following foods? Select all that apply. Oatmeal White bread Chicken Fried eggs Shrimp Question 40 Which task can the RN delegate to the LPN when providing care for a patient diagnosed with a stroke? Administer the prescribed anticoagulant subcutaneously. Perform a neurological assessment. Feed the patient the first meal since admission. Teach the patient to tuck the chin when swallowing. Question 41 Which instruction should the RN include in the teaching plan for the patient diagnosed with systemic lupus erythematosus (SLE) that is experiencing fatigue? Limit the patient’s dependence on assistive devices. Reduce the patient’s intake of carbohydrates Encourage aerobic exercise at least five days a week. Develop a plan for managing activities of daily living. Question 42 Which assessment would indicate to the registered nurse that fat embolism syndrome may have developed in a patient with multiple fractures of the lower extremities? Decrease in urine output to less than 30 mL per hour. Cool dry extremities upon palpation. Generalized pain in the calves. Tachypnea and hypoxia.