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1. What is the primary method of pain control mentioned for a client after a
radical prostatectomy?
Topical analgesics will be applied
A PCA pump will be used for postoperative pain control
Oral medications will be prescribed
Intravenous antibiotics will be administered
2. In a scenario where a patient with a traumatic brain injury exhibits Cushing's
triad, what immediate nursing intervention should be prioritized?
Administer pain medication to the patient.
Increase the patient's fluid intake to prevent dehydration.
Notify the healthcare provider and prepare for possible
intervention to reduce intracranial pressure.
Perform a neurological assessment to confirm the triad.
3. Why is checking for end tidal carbon dioxide levels considered a reliable
method for confirming endotracheal tube placement?
It indicates that the tube is in the trachea and not the esophagus, as
CO2 is produced by the lungs.
It shows that the patient is breathing normally.
It confirms that the tube is correctly positioned in the stomach.
It provides information about the patient's oxygen saturation.
,4. Why is it important for a nurse to provide oral care every two hours for a
client on mechanical ventilation?
Oral care is only needed if the client shows signs of discomfort or
distress.
Providing oral care every two hours helps to reduce the
accumulation of bacteria in the oral cavity, thereby decreasing the
risk of ventilator-associated pneumonia.
Oral care is necessary to ensure the client is comfortable and can
communicate effectively.
Oral care every two hours is primarily for aesthetic purposes and does
not impact infection risk.
5. Describe the significance of using a PCA pump for pain management in
postoperative care.
A PCA pump is only used in emergency situations.
A PCA pump is used to administer antibiotics post-surgery.
A PCA pump allows patients to self-administer pain relief,
enhancing comfort and control over their pain management.
A PCA pump is primarily for hydration purposes after surgery.
6. What type of food presentation is recommended for clients with dementia
during meal times?
Restrictive diet
Finger food
Liquid diet
Formal dining
,7. A client is prescribed cephalexin 500 mg every 6 hours for 7 days for a skin
infection. Which statement by the client suggests that further teaching may be
required?
"I know constipation is not a common side effect."
"I should call back in several days if the wound is not improving."
"I can stop this medication when my wound heals."
"I should not save any leftover medication."
8. A nurse is caring for a mechanically ventilated patient who has developed a
fever and increased secretions. What should the nurse prioritize in their care
to prevent further complications?
Administer antipyretics and change the ventilator settings immediately.
Focus on providing comfort measures and wait for the physician's
orders before taking any action.
Reduce the frequency of oral care to avoid irritating the patient and
monitor vital signs every four hours.
Increase the frequency of oral care and closely monitor for changes
in respiratory status.
9. What vital sign change is commonly associated with hypovolemia in
postoperative patients?
Rapid pulse rate
Increased blood pressure
Warm extremities
Decreased urine output
, 10. Describe the importance of patient education prior to a bronchoscopy.
Patient education ensures the client understands the procedure,
risks, and post-procedure care.
Patient education is only necessary if the patient has questions.
Patient education is not important for this procedure.
Patient education focuses solely on medication administration.
11. Which medication does the nurse question?
keterolac (IV NSAID) to a client also on morphine sulfate
acetylsalicylic acid (aspirin) to a client receiving warfarin, an
anticoagulant
ibuprofen to a client receiving furosemide, a diuretic
12. What is the correct storage condition for cephalexin oral suspension as
indicated in the teaching?
In the freezer
Room temperature
Refrigerated
In direct sunlight
13. A patient on warfarin reports taking over-the-counter pain relief medication.
What should the nurse do next?
Encourage the patient to continue taking their current medication
without changes.
Suggest the patient switch to ibuprofen instead.