QUESTIONS AND CORRECT DETAILED ANSWERS LATEST
UPDATES 2024-2025(100% CORRECT ANSWERS)
ALREADY GRADED A+
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education? - ANSWER-Empty the pouch when it is
half full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement? -
ANSWER-initiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position? - ANSWER-
Picture with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the pt for the
procedure, which intervention has the highest priority? - ANSWER-Instruct pt to
write down questions
,While caring for a pt post operative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the provider, the nurse
should review which of the pt lab values? - ANSWER-culture for sensitive
organisms
A pt with a lower respiratory tract infection receives a prescription for
ciprofloxacin 500mg PO every 12hrs. When the client requests an afternoon snack,
which dietary choice should the nurse provide? - ANSWER-Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has been 7 days
since his last BM and his abd is distended, and he just vomited 150ml of dark
brown emesis. In what order should the nurse implement these interventions? -
ANSWER-Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
A patient who recently received a prescription for ramelteon to treat sleep
deprivation reports experiencing several side effects since taking the med. Which
side effect should the nurse report to the healthcare provider? - ANSWER-
Somnambulism
A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary
embolism. Which information in the client's history requires follow up by the
nurse? - ANSWER-take metformin for type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level
is 6.2 mEq/? - ANSWER-Spironolactone
, A nurse receives a report on a pt who is four hours post-total abdominal
hysterectomy. The previous nurse reports that it was necessary to change the
client's perineal pad hourly and that it is again saturated. The previous nurse also
reports that the client's urinary output has decreased. Which action should the
nurse implement first? - ANSWER-Assess for weakness or dizziness
A pt who is admitted for primary hypothyroidism has early signs of myxedema
coma. In assessing the pt, in which sequence should the nurse complete these
actions? - ANSWER--Observe breathing patterns
-assess blood pressure
-measure body temp
-palpate for pedal edema
A pt presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use? -
ANSWER-Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first? - ANSWER-Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred
after experiencing a fall at home. The daughter, who has power of attorney, has
brought the client's prescriptions. Which information should the nurse provide
first when reporting to the healthcare provider using SBAR communication? -
ANSWER-Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming three
times a week in an effort to lose weight and sleep better. The pt states that it still
is taking hours to fall asleep at night. Which action should the nurse implement? -