ANSWERS
A patient who had gastrointestinal surgery has an oxygen saturation of 91%, a heart
rate of 98 beats/min, and dyspnea with mild exertion, but has clear breath sounds and a
normal respiratory effort. The patient's nail beds are pale. Which action does the nurse
take next?
A. Elevate the head of the bed to 30 degrees.
B. Notify the Rapid Response Team.
C. Request an order for a complete blood count.
Suggest that the patient increase oral fluid intake. - Answer-c
A patient with leukemia who is undergoing chemotherapy reports increasing fatigue. A
family member tells the nurse that the patient has difficulty eating and asks what the
patient should eat to help improve energy. What does the nurse recommend for this
patient?
A. Calorie-dense foods such as ice cream
B. High-carbohydrate and high-protein foods
C. Red meats and green, leafy vegetables
D. Vitamin and mineral supplements - Answer-b
The nurse is caring for a patient with lower extremity peripheral arterial disease. Which
precaution should the nurse ask the patient to take?
A. "You should avoid crossing your legs."
B. "You should raise your legs above the heart level."
C. "You may ignore any change that your feet may develop."
D. "You should apply direct heat to your limbs using extremely hot water." - Answer-a
, A patient is prescribed atorvastatin and reports severe muscle cramping. Which
intervention would be performed first to improve the patient's condition?
A. Discontinuing the therapy
B. Administering acetaminophen
C. Encouraging the patient to exercise
D. Consuming adequate amount of fluids - Answer-a
Which side effect may occur in a patient who is taking metoprolol?
A. Cough
B. Diarrhea
C. Hypovolemia
D. Orthostatic hypotension - Answer-d
An older patient has muscle wastage and loss of subcutaneous fat in the extremities.
What nutritional intervention does the nurse suggest to the patient and caregiver?
A. Add vitamin A supplements to the diet.
B. Choose foods rich in calcium and vitamin D.
C. Include foods rich in calories and proteins.
D. Take iron and folic supplements daily. - Answer-c
The nurse is monitoring a patient who is receiving an intravenous fat emulsion (IVFE)
nutritional supplement. What action does the nurse take in the event that the patient
develops fever, increased triglycerides, and clotting problems?
A. Discontinues the IVFE infusion
B. Documents the findings and continues to monitor
C. Slows the rate of flow of the IVFE infusion
D. Switches to total parenteral nutrition (TPN) - Answer-a
Which patient is at greatest risk for developing an infection?
A. A 54-year-old man with hypertension