NUR 311 Exam 3 Jeopardy/Powerpoint
Questions With Complete Solutions
•A 32-year-old client is recovering from a sickle cell
crisis. The client's discomfort is controlled with pain
medications and discharge planning has been
initiated. What medication will the nurse anticipate
to be prescribed before discharge?
A.Heparin
B.Warfarin
C.Hydroxyurea
D.Tissue plasminogen activator (t-PA) Correct
Answers •C
•The nurse anticipates Hydroxyurea to be
prescribed for pain for a sickle cell disease client
who is being discharge. Hydroxyurea (Droxia) has
been used successfully to reduce sickling of cells
and pain episodes associated with sickle cell
disease (SCD).Clients with SCD are not prescribed
anticoagulants such as heparin or warfarin
(Coumadin). t-PA is used as a "clot buster" in
clients who have had ischemic strokes.
•A 4-year-old child needing to use a metered-dose
inhaler to treat asthma cannot coordinate her
breathing to use it effectively. The appropriate
intervention by the nurse is to use which piece of
respiratory equipment?
A.A spacer
B.A nebulizer
,C.A peak expiratory flowmeter
D.An incentive spirometer Correct Answers •A
•The medication in a metered-dose inhaler is
sprayed into the spacer. The child can then inhale
the medication without having to coordinate the
spraying and breathing. A nebulizer is a
mechanism used to administer medications, but it
cannot be used with metered-dose inhalers. This is
a measure of pulmonary function not related to
medication administration. This item helps patients
to increase their lung expansion and to be able to
see their progress.
•A client has just returned from coronary artery
bypass graft surgery. For which finding does the
nurse contact the surgeon?
A.Temperature 98.2°F (36.8°C)
B.Chest tube drainage 175 mL last hour
C.Serum potassium 3.9 mEq/L (3.9 mmol/L)
D.Incisional pain 6 on a scale of 0 to 10 Correct
Answers •B
•The nurse needs to report chest drainage over
150 mL/hr to the surgeon. Although some bleeding
is expected after surgery, 175 mL per hour is
excessive. Although hypothermia is a common
problem after surgery, a temperature of 98.2°F
(36.8°C) is a normal finding. Serum potassium of
3.9 mEq/L (3.9 mmol/L) is a normal finding.
Incisional pain of 6 on a scale of 0-10 is expected
,immediately after major surgery; the nurse would
administer prescribed analgesics.
•A client has just undergone arterial
revascularization. Which statement by the client
indicates a need for further teaching related to
postoperative care?
A."My leg might turn very white after the surgery."
B."I must be concerned if my foot turns blue."
C."I must report a fever or any drainage."
D."Warmness, redness, and swelling are
expected." Correct Answers •A
•A need for further postoperative teaching about
arterial revascularization is needed when the client
says that "my leg might turn very white after the
surgery." Pallor is one of the signs of decreased
perfusion along with increased pain,
poikilothermia, paresthesia, pulselessness, and
paralysis. The foot turning blue is a sign of poor
perfusion. Fever or drainage would indicate an
infection. Warmness, redness, and swelling
indicate reperfusion, which is a good sign.
•A client recently diagnosed with asthma has a
prescription to use an inhaled medication with a
spacer. The nurse evaluates the client has correct
understanding of the use of an inhaler with a
spacer when the client states which of these?
Select all that apply
, A."I don't have to wait a minute between the two
puffs if I use a spacer."
B."If the spacer makes a whistling sound, I am
breathing in too rapidly."
C."I should rinse my mouth and then swallow the
water to get all of the medicine."
D."I should shake the canister when I want to see
whether it is empty."
E."I should hold my breath for at least ten seconds
after inhaling the medication." Correct Answers
•BE
•Slow and deep breaths ensure that the
medication is reaching deeply into the lungs. The
whistling noise serves as a reminder to the client of
which technique needs to be used. The client
should hold the breath for at least 10 seconds,
however attempting to hold the breath for a
minute is unnecessary and could pose a threat to
oxygenation. The client must wait 1 minute
between puffs regardless of the method of delivery
of the medication. The client should rinse the
mouth but not swallow the water. The mouth needs
to be rinsed after using an inhaler with or without a
spacer. This is especially important if the inhaled
medication is a corticosteroid; rinsing will help
prevent the development of an oral fungal
infection. An empty inhaler will float on its side in
water while a full inhaler will sink. Shaking an
inhaler helps ensure that the medication is
Questions With Complete Solutions
•A 32-year-old client is recovering from a sickle cell
crisis. The client's discomfort is controlled with pain
medications and discharge planning has been
initiated. What medication will the nurse anticipate
to be prescribed before discharge?
A.Heparin
B.Warfarin
C.Hydroxyurea
D.Tissue plasminogen activator (t-PA) Correct
Answers •C
•The nurse anticipates Hydroxyurea to be
prescribed for pain for a sickle cell disease client
who is being discharge. Hydroxyurea (Droxia) has
been used successfully to reduce sickling of cells
and pain episodes associated with sickle cell
disease (SCD).Clients with SCD are not prescribed
anticoagulants such as heparin or warfarin
(Coumadin). t-PA is used as a "clot buster" in
clients who have had ischemic strokes.
•A 4-year-old child needing to use a metered-dose
inhaler to treat asthma cannot coordinate her
breathing to use it effectively. The appropriate
intervention by the nurse is to use which piece of
respiratory equipment?
A.A spacer
B.A nebulizer
,C.A peak expiratory flowmeter
D.An incentive spirometer Correct Answers •A
•The medication in a metered-dose inhaler is
sprayed into the spacer. The child can then inhale
the medication without having to coordinate the
spraying and breathing. A nebulizer is a
mechanism used to administer medications, but it
cannot be used with metered-dose inhalers. This is
a measure of pulmonary function not related to
medication administration. This item helps patients
to increase their lung expansion and to be able to
see their progress.
•A client has just returned from coronary artery
bypass graft surgery. For which finding does the
nurse contact the surgeon?
A.Temperature 98.2°F (36.8°C)
B.Chest tube drainage 175 mL last hour
C.Serum potassium 3.9 mEq/L (3.9 mmol/L)
D.Incisional pain 6 on a scale of 0 to 10 Correct
Answers •B
•The nurse needs to report chest drainage over
150 mL/hr to the surgeon. Although some bleeding
is expected after surgery, 175 mL per hour is
excessive. Although hypothermia is a common
problem after surgery, a temperature of 98.2°F
(36.8°C) is a normal finding. Serum potassium of
3.9 mEq/L (3.9 mmol/L) is a normal finding.
Incisional pain of 6 on a scale of 0-10 is expected
,immediately after major surgery; the nurse would
administer prescribed analgesics.
•A client has just undergone arterial
revascularization. Which statement by the client
indicates a need for further teaching related to
postoperative care?
A."My leg might turn very white after the surgery."
B."I must be concerned if my foot turns blue."
C."I must report a fever or any drainage."
D."Warmness, redness, and swelling are
expected." Correct Answers •A
•A need for further postoperative teaching about
arterial revascularization is needed when the client
says that "my leg might turn very white after the
surgery." Pallor is one of the signs of decreased
perfusion along with increased pain,
poikilothermia, paresthesia, pulselessness, and
paralysis. The foot turning blue is a sign of poor
perfusion. Fever or drainage would indicate an
infection. Warmness, redness, and swelling
indicate reperfusion, which is a good sign.
•A client recently diagnosed with asthma has a
prescription to use an inhaled medication with a
spacer. The nurse evaluates the client has correct
understanding of the use of an inhaler with a
spacer when the client states which of these?
Select all that apply
, A."I don't have to wait a minute between the two
puffs if I use a spacer."
B."If the spacer makes a whistling sound, I am
breathing in too rapidly."
C."I should rinse my mouth and then swallow the
water to get all of the medicine."
D."I should shake the canister when I want to see
whether it is empty."
E."I should hold my breath for at least ten seconds
after inhaling the medication." Correct Answers
•BE
•Slow and deep breaths ensure that the
medication is reaching deeply into the lungs. The
whistling noise serves as a reminder to the client of
which technique needs to be used. The client
should hold the breath for at least 10 seconds,
however attempting to hold the breath for a
minute is unnecessary and could pose a threat to
oxygenation. The client must wait 1 minute
between puffs regardless of the method of delivery
of the medication. The client should rinse the
mouth but not swallow the water. The mouth needs
to be rinsed after using an inhaler with or without a
spacer. This is especially important if the inhaled
medication is a corticosteroid; rinsing will help
prevent the development of an oral fungal
infection. An empty inhaler will float on its side in
water while a full inhaler will sink. Shaking an
inhaler helps ensure that the medication is
