Advantage for Understanding Medical-Surgical
Nursing 7th Edition All Chapters | Complete
Guide A+
|Brand New!!!
A patient receiving large doses of opioids is lethargic and difficult to arouse, with a respiratory rate of
6 per minute and constricted pupils. Which medication should the nurse anticipate being prescribed?
Naloxone (Narcan)
A physician writes an order to give a saline injection to a patient who has been requesting frequent
meperidine (Demerol) shots. Which initial response by the licensed practical nurse (LPN) is best?
Tell the physician about feeling uncomfortable administering saline if the patient thinks it is
Demerol.
A patient with chronic back pain has a new order for a fentanyl (Duragesic) patch. As the nurse applies
the patch, the patient states, "I'm really glad to get that patch on. I am really hurting bad." Which
response by the nurse is correct?
"The patch may take a while to work. Would you like a pain shot in the meantime?"
The nurse enters a room just as a patient's daughter pushes the button of his IV patient-controlled
analgesia (PCA) pump. Which response by the nurse is appropriate?
"It is dangerous for anyone but your dad to push the button. Remind him to push it himself if he
needs it."
The nurse is preparing to administer morphine 5 mg intravenously to a patient with cancer. Available
is morphine 10 mg/mL. How many mL will the nurse administer? Enter the numeral only.
0.5
A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a
fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus.
Which condition does the nurse recognize as a possible complication for this patient?
Delay or absence of healing
The nurse is providing care for a patient following an open reduction of a compound fracture. Which
neurologic finding does the nurse report immediately to the HCP or registered nurse (RN)?
There exists numbness and tingling sensations.
, The nurse is contributing to the plan of care for a patient who has an upper extremity amputation.
Which factor does the nurse keep in mind about this type of amputation being more debilitating than
a lower extremity amputation?
The upper extremity is more specialized.
The nurse is assisting with the preparation of materials for a health fair aimed at promoting health in
women. Which reason does the nurse recognize as a probable cause of an increase in the incidence of
osteoporosis?
The ages of adults have increased.
The nurse is providing care for a patient with external fixation for a fracture involving severe bone
damage. Which is the most important focus for the nurse during care of this patient?
Monitoring pin and wound sites for signs of infection
The nurse is assisting with patients on an orthopedic unit. Which is an important factor to remember
when caring for patients after a total hip replacement?
A triangular pillow is used between the legs to avoid adduction.
The nurse is caring for a patient newly diagnosed with Multiple Sclerosis. The nurse recognizes which
of the following are included in the pathophysiology of this disease? Select all that apply
Inflamed nerves
Slowed or blocked nerve impulses
Degeneration of the myelin sheath
What is the most common cause of death related to Multiple Sclerosis?
Infection
Which of the following most accurately describes fibromyalgia?
It is a disorder of pain regulation and central sensitization
Which of the following are used in diagnosis of fibromyalgia? Select all that apply
Physical exam positive for widespread tenderness
Patient history of 3 months of widespread musculoskeletal pain accompanied by sleep
disturbances, fatigue, and cognitive disturbances
The nurse is caring for a group of patients on a medical-surgical unit. Which patient should the
licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
A patient with a blood glucose of 42 mg/dL
The LPN/LVN enters the room of a patient who is angry and yells, "I asked 5 minutes ago for my pain
medication. I'm going to call the CEO of the hospital if you don't get it for me now." Which statement
by the nurse demonstrates intellectual empathy?
"I am sorry you had to wait, I know you must be in a lot of pain."
Nursing 7th Edition All Chapters | Complete
Guide A+
|Brand New!!!
A patient receiving large doses of opioids is lethargic and difficult to arouse, with a respiratory rate of
6 per minute and constricted pupils. Which medication should the nurse anticipate being prescribed?
Naloxone (Narcan)
A physician writes an order to give a saline injection to a patient who has been requesting frequent
meperidine (Demerol) shots. Which initial response by the licensed practical nurse (LPN) is best?
Tell the physician about feeling uncomfortable administering saline if the patient thinks it is
Demerol.
A patient with chronic back pain has a new order for a fentanyl (Duragesic) patch. As the nurse applies
the patch, the patient states, "I'm really glad to get that patch on. I am really hurting bad." Which
response by the nurse is correct?
"The patch may take a while to work. Would you like a pain shot in the meantime?"
The nurse enters a room just as a patient's daughter pushes the button of his IV patient-controlled
analgesia (PCA) pump. Which response by the nurse is appropriate?
"It is dangerous for anyone but your dad to push the button. Remind him to push it himself if he
needs it."
The nurse is preparing to administer morphine 5 mg intravenously to a patient with cancer. Available
is morphine 10 mg/mL. How many mL will the nurse administer? Enter the numeral only.
0.5
A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a
fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus.
Which condition does the nurse recognize as a possible complication for this patient?
Delay or absence of healing
The nurse is providing care for a patient following an open reduction of a compound fracture. Which
neurologic finding does the nurse report immediately to the HCP or registered nurse (RN)?
There exists numbness and tingling sensations.
, The nurse is contributing to the plan of care for a patient who has an upper extremity amputation.
Which factor does the nurse keep in mind about this type of amputation being more debilitating than
a lower extremity amputation?
The upper extremity is more specialized.
The nurse is assisting with the preparation of materials for a health fair aimed at promoting health in
women. Which reason does the nurse recognize as a probable cause of an increase in the incidence of
osteoporosis?
The ages of adults have increased.
The nurse is providing care for a patient with external fixation for a fracture involving severe bone
damage. Which is the most important focus for the nurse during care of this patient?
Monitoring pin and wound sites for signs of infection
The nurse is assisting with patients on an orthopedic unit. Which is an important factor to remember
when caring for patients after a total hip replacement?
A triangular pillow is used between the legs to avoid adduction.
The nurse is caring for a patient newly diagnosed with Multiple Sclerosis. The nurse recognizes which
of the following are included in the pathophysiology of this disease? Select all that apply
Inflamed nerves
Slowed or blocked nerve impulses
Degeneration of the myelin sheath
What is the most common cause of death related to Multiple Sclerosis?
Infection
Which of the following most accurately describes fibromyalgia?
It is a disorder of pain regulation and central sensitization
Which of the following are used in diagnosis of fibromyalgia? Select all that apply
Physical exam positive for widespread tenderness
Patient history of 3 months of widespread musculoskeletal pain accompanied by sleep
disturbances, fatigue, and cognitive disturbances
The nurse is caring for a group of patients on a medical-surgical unit. Which patient should the
licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
A patient with a blood glucose of 42 mg/dL
The LPN/LVN enters the room of a patient who is angry and yells, "I asked 5 minutes ago for my pain
medication. I'm going to call the CEO of the hospital if you don't get it for me now." Which statement
by the nurse demonstrates intellectual empathy?
"I am sorry you had to wait, I know you must be in a lot of pain."
