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While in the PACU, the patient's blood pressure drops from an
admission pressure of 126/78 to 106/78 with a pulse change of 70 to
90. The nurse administers oxygen and then
A. Notifies the anesthesia care provider
B. Uses a cardiac monitor to assess the patient's heart rhythm
C. Performs neurovascular checks on the lower extremities
D. Increases the rate of the IV fluids -ANSWER-D. Increases the rate of
the IV fluids
The nurse has an 18-year-old patient with increased intracranial
pressure caused by a head injury they sustained while playing sports.
What is the best method for measuring ICP that the nurse would
anticipate the physician to order?
A. Ventriculostomy
B. Fiberoptic catheter
C. Air pouch/pneumatic technology
D. Lumbar puncture -ANSWER-A. Ventriculostomy
,What teaching should the nurse include when discharging a patient
after a laminectomy? Select all that apply.
A. Rock side to side while standing.
B. Apply and remove the rigid orthosis brace by logrolling in bed.
C. Invest in a mattress that is soft and comfortable to promote pressure
point relief.
D. Sitting and standing are encouraged, and prolonged amounts of time
laying down and walking should be avoided.
E. Apply and remove the rigid orthosis brace while sitting or standing. -
ANSWER-A. Rock side to side while standing.
B. Apply and remove the rigid orthosis brace by logrolling in bed.
D. Sitting and standing are encouraged, and prolonged amounts of time
laying down and walking should be avoided.
E. Apply and remove the rigid orthosis brace while sitting or standing.
When should the nurse caring for a patient postop after vertebral disc
surgery contact the HCP?
A. Patient says he has a severe headache and the nurse notes there is
drainage from the incision site.
B. Patient complains of no relief and continued paresthesia after
surgery.
,C. The patient's wife says his abdomen has been distended for several
days and he has not had a bowel movement since before his surgery.
D. Patient starts crying when the nurse suggests repositioning him in his
bed. -ANSWER-A. Patient says he has a severe headache and the nurse
notes there is drainage from the incision site.
All of the following patients have lung cancer. The nurse is most
concerned about the prognosis of which patient?
A. The patient coughing up blood-tinged sputum.
B. The patient who complains of wheezing.
C. The patient who complains of a hoarse voice.
D. The patient who has lost weight and has jaundice. -ANSWER-D. The
patient who has lost weight and has jaundice.
Which of the following individuals are at high risk for developing lung
cancer? Select all that apply.
A. An 40-year-old male who has smoked cigarettes for 20 years.
B. A 19-year-old male that works in a coal mine.
C. A 31-year-old female who works as a X-ray technician.
D. A 12-year-old female whose father smokes cigarettes inside the
house.
, E. A 68-year-old male who has a history of TB and bronchiectasis. -
ANSWER-A. An 40-year-old male who has smoked cigarettes for 20
years.
B. A 19-year-old male that works in a coal mine.
C. A 31-year-old female who works as a X-ray technician.
D. A 12-year-old female whose father smokes cigarettes inside the
house.
E. A 68-year-old male who has a history of TB and bronchiectasis.
A nurse cares for a patient with a tracheostomy. The patient suddenly
becomes tachypneic, has abnormal breath sounds, and starts using
accessory muscles to breathe. The nurse is suspecting tracheostomy
obstruction. The nurse should do what to manage the patient's
airway?Select all that applies.
A. Unlock and take out inner cannula and inspect for any obstruction,
clean if necessary.
B. Prepare the patient for a cricothyroidotomy.
C. Offer the patient water to drink.
D. Suction the tracheostomy. -ANSWER-A. Unlock and take out inner
cannula and inspect for any obstruction, clean if necessary.
D. Suction the tracheostomy.