NSG 320 exam 4 Questions With Complete Solutions
angioplasty and stenting. Which assessment information is
of most concern to the nurse?
The patient has difficulty speaking.
After receiving change-of-shift report on the following four
patients, which patient would the nurse see first?
A 60-yr-old patient with right-sided weakness who has an
infusion of tPA prescribed
A patient with a stroke has progressively increasing weakness
and decreasing level of consciousness. Which patient problem
would the nurse determine has the highest priority for the
patient?
Risk for aspiration
A patient with left-sided weakness that began 60 minutes earlier
is admitted to the emergency department. Which prescribed
diagnostic test would be done first?
Computed tomography (CT) scan
A patient in the emergency department with sudden-onset right-
sided weakness is diagnosed with an intracerebral hemorrhage.
Which information about the patient is most important to
communicate to the health care provider?
The patient has atrial fibrillation and takes warfarin (Coumadin).
A patient with a left-brain stroke suddenly bursts into tears when
family members visit. How would the nurse respond?
,Teach the family that emotional outbursts are common after
strokes.
A patient with acute osteomyelitis of the left femur is
hospitalized for regional antibiotic irrigation. Which
intervention would the nurse include in the initial plan of care?
Immobilization of the left leg
A patient is being discharged after 1 week of IV antibiotic
therapy for osteomyelitis in the right leg. Which information
would the nurse include in the discharge teaching?
How to administer prescribed antibiotics at home
Which finding would the nurse expect when assessing a patient
who has osteoarthritis (OA) of the knee?
Discomfort with joint movement
The nurse is assessing a patient with osteoarthritis who uses
naproxen (Naprosyn) for pain management. Which assessment
finding would the nurse recognize as likely to require a change
in medication?
The patient has dark-colored stools.
,The nurse teaches a patient with osteoarthritis (OA) of the hip
about how to manage the OA. Which patient statement a need
for additional teaching?
I will take 1 gram of acetaminophen (Tylenol) every 4 hours
The nurse would anticipate the need to teach a patient who has
osteoarthritis (OA) about which medication?
Capsaicin cream (Zostrix)
A patient being seen in the clinic has rheumatoid nodules on the
elbows. Which action would the nurse take?
Assess the nodules for skin breakdown or infection
Which action would the nurse include in the plan of care for a
patient with a new diagnosis of rheumatoid arthritis (RA)?
Encourage the patient to take a nap in the afternoon
A patient with rheumatoid arthritis (RA) tells the clinic nurse
about having chronically dry eyes. Which action would the
nurse take?
Suggest the patient use preservative free artificial tears
, Which information would the nurse include when teaching a
patient who has an exacerbation of rheumatoid arthritis?
Applying cold packs before exercise may decrease joint pain.
Which laboratory result would the nurse monitor to determine if
prednisone has been effective for a patient who has an acute
exacerbation of rheumatoid arthritis?
C-reactive protein
Which suggestion would the nurse make to a group of women
with rheumatoid arthritis (RA) about managing activities of
daily living?
Limit the number of exercise repetitions during periods of acute
inflammation.
How would the nurse suggest that a patient recently diagnosed
with rheumatoid arthritis (RA) plan to start each day?
A warm shower followed by a short rest
angioplasty and stenting. Which assessment information is
of most concern to the nurse?
The patient has difficulty speaking.
After receiving change-of-shift report on the following four
patients, which patient would the nurse see first?
A 60-yr-old patient with right-sided weakness who has an
infusion of tPA prescribed
A patient with a stroke has progressively increasing weakness
and decreasing level of consciousness. Which patient problem
would the nurse determine has the highest priority for the
patient?
Risk for aspiration
A patient with left-sided weakness that began 60 minutes earlier
is admitted to the emergency department. Which prescribed
diagnostic test would be done first?
Computed tomography (CT) scan
A patient in the emergency department with sudden-onset right-
sided weakness is diagnosed with an intracerebral hemorrhage.
Which information about the patient is most important to
communicate to the health care provider?
The patient has atrial fibrillation and takes warfarin (Coumadin).
A patient with a left-brain stroke suddenly bursts into tears when
family members visit. How would the nurse respond?
,Teach the family that emotional outbursts are common after
strokes.
A patient with acute osteomyelitis of the left femur is
hospitalized for regional antibiotic irrigation. Which
intervention would the nurse include in the initial plan of care?
Immobilization of the left leg
A patient is being discharged after 1 week of IV antibiotic
therapy for osteomyelitis in the right leg. Which information
would the nurse include in the discharge teaching?
How to administer prescribed antibiotics at home
Which finding would the nurse expect when assessing a patient
who has osteoarthritis (OA) of the knee?
Discomfort with joint movement
The nurse is assessing a patient with osteoarthritis who uses
naproxen (Naprosyn) for pain management. Which assessment
finding would the nurse recognize as likely to require a change
in medication?
The patient has dark-colored stools.
,The nurse teaches a patient with osteoarthritis (OA) of the hip
about how to manage the OA. Which patient statement a need
for additional teaching?
I will take 1 gram of acetaminophen (Tylenol) every 4 hours
The nurse would anticipate the need to teach a patient who has
osteoarthritis (OA) about which medication?
Capsaicin cream (Zostrix)
A patient being seen in the clinic has rheumatoid nodules on the
elbows. Which action would the nurse take?
Assess the nodules for skin breakdown or infection
Which action would the nurse include in the plan of care for a
patient with a new diagnosis of rheumatoid arthritis (RA)?
Encourage the patient to take a nap in the afternoon
A patient with rheumatoid arthritis (RA) tells the clinic nurse
about having chronically dry eyes. Which action would the
nurse take?
Suggest the patient use preservative free artificial tears
, Which information would the nurse include when teaching a
patient who has an exacerbation of rheumatoid arthritis?
Applying cold packs before exercise may decrease joint pain.
Which laboratory result would the nurse monitor to determine if
prednisone has been effective for a patient who has an acute
exacerbation of rheumatoid arthritis?
C-reactive protein
Which suggestion would the nurse make to a group of women
with rheumatoid arthritis (RA) about managing activities of
daily living?
Limit the number of exercise repetitions during periods of acute
inflammation.
How would the nurse suggest that a patient recently diagnosed
with rheumatoid arthritis (RA) plan to start each day?
A warm shower followed by a short rest
