PEER-
TO-
PEER,
BEYOURSELFANDBEGOODNURSE.
1.Themaingoal oftr
eatmentf oracut
eglomerul
onephri
ti
sisto:
A/Encouragehighpr ot
einint
ake.
B/Maintai
nf l
uidbalance
C/Encourageactivi
ty.
D/Teachintermit
tenturinar
ycathet
eri
zat
ion.
2.Nursi
ngdiagnosesmost lydiff
erfr
om medical
diagnoses,
inthatt
heyar
e:
A/Dependentuponmedi caldi
agnosesf ort hedirecti
onofappr opri
atei nter
ventions
B/Pr i
mar i
l
yconcer nedwi t
hcar i
ng, whilemedi caldiagnosesar epr i
mar ilyconcerned
withcuring
C/Pr i
mar i
lyconcernedwi t
hhumanr esponse, whilemedi caldiagnosesar eprimaril
y
concernedwi t
hpat hology .
D/Pr i
mar i
lyconcernedwi t
hpsy chosoci alparamet ers,whilemedi caldiagnosesar e
primari
lyconcernedwi thphy siol
ogi cpar ameters
3.Apat i
entwhor eceiv
edspi nal anesthesiaf ourhoursagodur ingsurger yistransferredtothe
sur gi
calunitand,aft
eroneandahal fhour s,nowr epor t
ssev er
eincisi
onal pain.Thepat i
ent'
s
bloodpr essureis170/90mm Hg, pulseis108beat s/min,temper atur
ei s99oF( 37.2oC),and
respirati
onsare30br eaths/mi n.Thepat ient'
sski nispale, andthesur gicaldressingisdr yand
i
nt act.Themostappr opriatenur si
nginter v
ent i
oni sto:
A/Medi catet hepat ientf orpain.
B/Placet hepat i
enti nahi ghFowl erposi t
ionandadmi nisteroxy gen.
C/Placet hepat ientinar everseTr endelenburgpositi
onandopent heIVli
ne.
D/Repor tthef i
ndi ngst ot heprovider .
4.Toprev entacommon, adverseeffectofpr olongeduseofpheny toinsodium (
Dil
ant
in)
,
pati
ent
st akingt hedr ugar einstr
uctedt o:
A/Av oidcrowdsandobt ainanannual i
nfl
uenzav acci
nation.
B/Drinkatl east2Loff l
uidsdaily,incl
uding8t o10glassesofwat er
.\
C/Eatapot assium- rich,lowsodi um di et
.
D/Pract i
cegooddent alhygieneandr eportgum swelli
ngorbl eeding.
5.Themostcommon, pr event ablecompl icationofabdomi nalsurgeryis:
A/Atelectasi
s.
B/Fluidandel ectrol
yteimbalance.
C/Thrombophl ebiti
s.
D/Ur i
naryretention.
6.A78-year-
oldpat i
entisschedul edfortransiti
ont
ohomeaf t
ertreatmentf
orheartdisease.
Thepatient
'sspouse, whohaschr onicobstructi
vepul
monarydisease,pl
anstocareforthe
pati
entathome.Thespousesay sthattheirgrownchi
ldr
en,
whol ivenear
by,wil
lhel
p.Thebest
approachtodischargepl anningisto:
A/Ar rangenursinghomepl acementf orthecouple.
B/Consul tthespouse' shealthcareprovideraboutt
hespouse'sabil
i
tytocareforthe
pati
ent .
C/Cont actthechildrentoascer tai
ntheircommi tmenttohel
p.
D/Di scusscommuni tyresourceswi t
ht hespouseandof f
ertomaker ef
erral
s.
7.Duri
nganassessmentofapat i
entwhosust ainedaheadi nj
ury24hoursago,themedical-
surgi
calnursenot esthedev elopmentofsl ur
redspeechanddi sori
entat
iontoti
meandpl ace.
Thenurse'sinit
ialacti
onist o:
A.Conti
nuet hehour l
yneur ologicassessment s.
B.Inf
ormt heneur osurgeonoft hepat i
ent'
sstatus.
1
TO-
PEER,
BEYOURSELFANDBEGOODNURSE.
1.Themaingoal oftr
eatmentf oracut
eglomerul
onephri
ti
sisto:
A/Encouragehighpr ot
einint
ake.
B/Maintai
nf l
uidbalance
C/Encourageactivi
ty.
D/Teachintermit
tenturinar
ycathet
eri
zat
ion.
2.Nursi
ngdiagnosesmost lydiff
erfr
om medical
diagnoses,
inthatt
heyar
e:
A/Dependentuponmedi caldi
agnosesf ort hedirecti
onofappr opri
atei nter
ventions
B/Pr i
mar i
l
yconcer nedwi t
hcar i
ng, whilemedi caldiagnosesar epr i
mar ilyconcerned
withcuring
C/Pr i
mar i
lyconcernedwi t
hhumanr esponse, whilemedi caldiagnosesar eprimaril
y
concernedwi t
hpat hology .
D/Pr i
mar i
lyconcernedwi t
hpsy chosoci alparamet ers,whilemedi caldiagnosesar e
primari
lyconcernedwi thphy siol
ogi cpar ameters
3.Apat i
entwhor eceiv
edspi nal anesthesiaf ourhoursagodur ingsurger yistransferredtothe
sur gi
calunitand,aft
eroneandahal fhour s,nowr epor t
ssev er
eincisi
onal pain.Thepat i
ent'
s
bloodpr essureis170/90mm Hg, pulseis108beat s/min,temper atur
ei s99oF( 37.2oC),and
respirati
onsare30br eaths/mi n.Thepat ient'
sski nispale, andthesur gicaldressingisdr yand
i
nt act.Themostappr opriatenur si
nginter v
ent i
oni sto:
A/Medi catet hepat ientf orpain.
B/Placet hepat i
enti nahi ghFowl erposi t
ionandadmi nisteroxy gen.
C/Placet hepat ientinar everseTr endelenburgpositi
onandopent heIVli
ne.
D/Repor tthef i
ndi ngst ot heprovider .
4.Toprev entacommon, adverseeffectofpr olongeduseofpheny toinsodium (
Dil
ant
in)
,
pati
ent
st akingt hedr ugar einstr
uctedt o:
A/Av oidcrowdsandobt ainanannual i
nfl
uenzav acci
nation.
B/Drinkatl east2Loff l
uidsdaily,incl
uding8t o10glassesofwat er
.\
C/Eatapot assium- rich,lowsodi um di et
.
D/Pract i
cegooddent alhygieneandr eportgum swelli
ngorbl eeding.
5.Themostcommon, pr event ablecompl icationofabdomi nalsurgeryis:
A/Atelectasi
s.
B/Fluidandel ectrol
yteimbalance.
C/Thrombophl ebiti
s.
D/Ur i
naryretention.
6.A78-year-
oldpat i
entisschedul edfortransiti
ont
ohomeaf t
ertreatmentf
orheartdisease.
Thepatient
'sspouse, whohaschr onicobstructi
vepul
monarydisease,pl
anstocareforthe
pati
entathome.Thespousesay sthattheirgrownchi
ldr
en,
whol ivenear
by,wil
lhel
p.Thebest
approachtodischargepl anningisto:
A/Ar rangenursinghomepl acementf orthecouple.
B/Consul tthespouse' shealthcareprovideraboutt
hespouse'sabil
i
tytocareforthe
pati
ent .
C/Cont actthechildrentoascer tai
ntheircommi tmenttohel
p.
D/Di scusscommuni tyresourceswi t
ht hespouseandof f
ertomaker ef
erral
s.
7.Duri
nganassessmentofapat i
entwhosust ainedaheadi nj
ury24hoursago,themedical-
surgi
calnursenot esthedev elopmentofsl ur
redspeechanddi sori
entat
iontoti
meandpl ace.
Thenurse'sinit
ialacti
onist o:
A.Conti
nuet hehour l
yneur ologicassessment s.
B.Inf
ormt heneur osurgeonoft hepat i
ent'
sstatus.
1
