A post-operative patient is febrile. What non-pharmacological steps can the nurse
take to lower the patient's temperature until receiving further orders from the
provider?
1. Apply cool packs.
2. Sponge the patient down with cool water.
3. Apply a cooling blanket to the patient.
4. Administer 1000 mg of acetaminophen to the patient.
5. Administer 650 mg of ASA to the patient.
Give this one a try later!
-Apply cool packs.
-Sponge the patient down with cool water.
-Apply a cooling blanket to the patient.
,The five steps that make up the nursing process allow it to be:
1. Collaborative
2. Analytical
3. Outcome based
4. Dynamic
Give this one a try later!
-Dynamic
A 45-year-old male patient with no previous medical history is six hours
postoperative from abdominal surgery. The patient has been prescribed opioid
analgesics for pain. The patient currently rates his pain level at 7 of 10. Which goals
and outcomes related to pain are appropriate for the patient?
1. Patient will report a pain level of less than 3 of 10 within five postoperative days.
2. Patient will discontinue the use of opioid analgesics prior to release from the
hospital.
3. Patient will maintain a pain level of less than 3 of 10 for the remainder of
hospitalization.
4. Patient will report a pain level of less than 3 of 10 within 45 minutes of receiving
pain medication.
5. Patient will meet with a pain specialist to outline a plan for decreasing an analgesic
dosage within the next two weeks.
Give this one a try later!
, -Patient will report a pain level of less than 3 of 10 within five postoperative
days.
-Patient will report a pain level of less than 3 of 10 within 45 minutes of
receiving pain medication.
-Patient will meet with a pain specialist to outline a plan for decreasing an
analgesic dosage within the next two weeks.
A patient admitted to the hospital has been exposed to below-freezing temperatures
while attempting to engage in sports in extreme weather conditions. During
assessment, the nurse observes the patient is shivering and learns that the patient was
not wearing adequate clothing. The patient has a weak pulse, rapid heart rate and is
slightly delirious. What is the most appropriate nursing diagnosis for this patient?
1. Hyperthermia related to extreme physical activity, as evidenced by delirium.
2. Ineffective Thermoregulation, as evidenced by inability to complete physical
performance in below-freezing temperatures.
3. Imbalanced Body Temperature with the risk factor of trauma to the body, as
evidenced by shivering due to exposure to below-freezing temperatures.
4. Hypothermia related to exposure to below-freezing temperature without adequate
clothing, as evidenced by a weak pulse and rapid heart rate.
Give this one a try later!
- Hypothermia related to exposure to below-freezing temperature without
adequate clothing, as evidenced by a weak pulse and rapid heart rate.
A patient presents with complaints of chest pain. The patient has a recent history of
bronchitis and coughing. The patient is 5'4", weighs 250 lbs., and is a smoker. She
continues to be short of breath, is afebrile, and reports the cough has subsided
greatly. The patient's respirations remain elevated at 24 breaths per minute (bpm).
What factors may be contributing to the tachypnea?
1. Obesity
, 2. Smoking
3. Her normal body temperature
4. Chest pain
5. Her normal body weight
Give this one a try later!
-Obesity
-Smoking
-Chest pain
The nurse has a patient that has been diagnosed with a head and brain injury. What
alterations in his breathing pattern could possibly occur?
1. Cheyne-Stokes respirations
2. Tachypnea
3. Hypoventilation
4. Biot's breathing
5. Apnea
Give this one a try later!
-Cheyne-Stokes respirations
-Hypoventilation
-Biot's breathing
A nurse is caring for a 10-year-old tracheotomy patient admitted the previous night.
When assessing the patient's pain level, is the nurse assessing subjective or objective
data?
1. Subjective data, because only the patient can experience the pain.
2. Subjective data, because the blood pressure is an accurate measure of the patient's
pain.
take to lower the patient's temperature until receiving further orders from the
provider?
1. Apply cool packs.
2. Sponge the patient down with cool water.
3. Apply a cooling blanket to the patient.
4. Administer 1000 mg of acetaminophen to the patient.
5. Administer 650 mg of ASA to the patient.
Give this one a try later!
-Apply cool packs.
-Sponge the patient down with cool water.
-Apply a cooling blanket to the patient.
,The five steps that make up the nursing process allow it to be:
1. Collaborative
2. Analytical
3. Outcome based
4. Dynamic
Give this one a try later!
-Dynamic
A 45-year-old male patient with no previous medical history is six hours
postoperative from abdominal surgery. The patient has been prescribed opioid
analgesics for pain. The patient currently rates his pain level at 7 of 10. Which goals
and outcomes related to pain are appropriate for the patient?
1. Patient will report a pain level of less than 3 of 10 within five postoperative days.
2. Patient will discontinue the use of opioid analgesics prior to release from the
hospital.
3. Patient will maintain a pain level of less than 3 of 10 for the remainder of
hospitalization.
4. Patient will report a pain level of less than 3 of 10 within 45 minutes of receiving
pain medication.
5. Patient will meet with a pain specialist to outline a plan for decreasing an analgesic
dosage within the next two weeks.
Give this one a try later!
, -Patient will report a pain level of less than 3 of 10 within five postoperative
days.
-Patient will report a pain level of less than 3 of 10 within 45 minutes of
receiving pain medication.
-Patient will meet with a pain specialist to outline a plan for decreasing an
analgesic dosage within the next two weeks.
A patient admitted to the hospital has been exposed to below-freezing temperatures
while attempting to engage in sports in extreme weather conditions. During
assessment, the nurse observes the patient is shivering and learns that the patient was
not wearing adequate clothing. The patient has a weak pulse, rapid heart rate and is
slightly delirious. What is the most appropriate nursing diagnosis for this patient?
1. Hyperthermia related to extreme physical activity, as evidenced by delirium.
2. Ineffective Thermoregulation, as evidenced by inability to complete physical
performance in below-freezing temperatures.
3. Imbalanced Body Temperature with the risk factor of trauma to the body, as
evidenced by shivering due to exposure to below-freezing temperatures.
4. Hypothermia related to exposure to below-freezing temperature without adequate
clothing, as evidenced by a weak pulse and rapid heart rate.
Give this one a try later!
- Hypothermia related to exposure to below-freezing temperature without
adequate clothing, as evidenced by a weak pulse and rapid heart rate.
A patient presents with complaints of chest pain. The patient has a recent history of
bronchitis and coughing. The patient is 5'4", weighs 250 lbs., and is a smoker. She
continues to be short of breath, is afebrile, and reports the cough has subsided
greatly. The patient's respirations remain elevated at 24 breaths per minute (bpm).
What factors may be contributing to the tachypnea?
1. Obesity
, 2. Smoking
3. Her normal body temperature
4. Chest pain
5. Her normal body weight
Give this one a try later!
-Obesity
-Smoking
-Chest pain
The nurse has a patient that has been diagnosed with a head and brain injury. What
alterations in his breathing pattern could possibly occur?
1. Cheyne-Stokes respirations
2. Tachypnea
3. Hypoventilation
4. Biot's breathing
5. Apnea
Give this one a try later!
-Cheyne-Stokes respirations
-Hypoventilation
-Biot's breathing
A nurse is caring for a 10-year-old tracheotomy patient admitted the previous night.
When assessing the patient's pain level, is the nurse assessing subjective or objective
data?
1. Subjective data, because only the patient can experience the pain.
2. Subjective data, because the blood pressure is an accurate measure of the patient's
pain.
