NURS 612 Exam 1 (Perioperative, Diabetes, Endocrine) Questions With 100% Correct Answers

NURS 612 Exam 1 (Perioperative, Diabetes, Endocrine) Questions With 100% Correct Answers A nurse administered midazolam IV bolus to a client before a procedure. His BP is 86/40 mm Hg, and his pulse is 134/min. Which of the following IV medication should the nurse administer? a. Naloxone b. Morphine c. Flumazenil d. Atropine - answerc. Flumazenil A nurse is assisting an anesthesiologist in the delivery of nitrous oxide by face mask to a client during the induction of anesthesia. Which of the following is the priority nursing action? a. Assess oxygen saturation b. Measure BP c. Palpate pulse rate d. check temperature - answera. assess oxygen saturation A nurse is caring for a client who develops malignant hyperthermia. Which of the following actions should the nurse take? SELECT ALL THAT APPLY. a. infuse iced IV fluids b. provide 100% oxygen c. place the client on a cooling blanket d. treat the complication while continuing surgery e. administer IV Dantrolene - answera, b, c, e A nurse is caring for a client who develops a systemic toxic reaction following a regional block. Which of the following actions should the nurse take? a. monitor serum creatinine levels b. provide airway support c. turn the client to the right side d. administer 0.9% sodium chloride 500mL IV bolus - answerb. provide airway support A nurse is caring for a client who reports a headache following an epidural regional nerve block. Which of the following actions should the nurse take? a. decrease the client's fluid intake b. apply pressure to the puncture site c. place the head of the bed flat d. instruct the client to lie prone - answerc. place the head of the bed flat A nurse is assessing a client's laboratory values before surgery. Which of the following results should the nurse report to the provider? (Select all that apply.) a. Potassium 3.9 mEq/L b. Sodium 145 mEq/L c. Creatinine 2.8 mg/dL d. Blood glucose 235 mg/dL e. WBC 17,850/mm - answerC, D, E A nurse is verifying informed consent for a client who is having a paracentesis. Which of the following actions should the nurse take? (Select all that apply.) A. Explain to the client the purpose of having the procedure. B. Inform the client of risks to having the procedure. C. Ensure the client understands information about the procedure. D. Witness the client signing the informed consent form. E. Determine if the client is capable of understanding the reason for the procedure. - answerC, D, E A nurse is caring for a client who is scheduled for an exploratory laparotomy. The client's temperature is 102.2 orally. Which of the following actions should the nurse take? a. Inform the surgeon of the elevated temperature b. transfer the client to the preoperative unit c. apply ice packs to the groin d. encourage the client to increase intake of clear liquids - answerA A preoperative nurse is caring for a client who is having a colon resection. Which of the following actions should the nurse take? a. encourage the client to void after preoperative medication b. administer antibiotics 2 hr prior to surgical incision c. remove hair using a manual razor d. remove nail polish on fingers and toes - answerD A nurse is providing preoperative teaching to a client who is to have abdominal surgery. Which of the following statements should the nurse make? (Select all that apply.) a. "Take your heart medication with a sip of water before surgery." b. "Splint the abdominal incision with a pillow when coughing and deep breathing." c. "Bed rest is recommended for the first 48 hours." d. "Anti embolism stockings are applied before surgery." e. "you may eat solid food up to 4 hours before surgery." - answerA, B, D A nurse is reviewing the health records of several clients in the PACU to identify risk factors that can lead to postoperative complications. Which of the following clients are at risk for complications? (Select all that apply.) a. A client who has a WBC of 22,500/uL b. A client who uses an insulin pump c. A client who takes warfarin daily d. A client who has heart failure e. A client who has a BMI of 26 - answerA, B, C, D A nurse who is caring for a female client who mainfest indications of hypovolemia while in the PACU. Which of the following findings requires action by the nurse? a. urine output less than 25mL/hr b. hematocrit 48% c. BUN 24 mg/dL d. tenting of skin over the sternum e. apical pulse rate 62/min - answerA, B, C, D