nursing 327 exam 1 questions with complete solutions
A 75 year old client had surgery for a hip fracture yesterday.
The client is under stress because of the pain, the medications,
sleep deprivation, and hospital surroundings. Which nursing
intervention to treat the client's pain should the nurse question
when ordered by the doctor? Correct Answer Advil
A client has just returned from the postanesthesia care unit
following left tibia open reduction internal fixation. The client is
reporting pain, and the nurse is preparing to administer the
client's first scheduled dose of hydromorphone. Prior to
administering the drug, you would prioritize what assessment?
Correct Answer Allergy status
A client in the emergency department is diagnosed with a
communicable disease. When complications of the disease are
discovered, the client is admitted to the hospital and placed in
respiratory isolation. Which infection warrants airborne
isolation? Correct Answer Measles
A client is administered succinylcholine and propofol for
induction of anesthesia. One hour after administration, the client
demonstrates muscle rigidity with a heart rate of 180. What
should the nurse do first? Correct Answer Notify the surgical
team
A client with chronic renal failure has a serum potassium level
of 6.8 meq/l. What should the nurse assess first? Correct
Answer The patient's pulse
, A client with legionnaires disease is prescribed azithromycin,
500 mg on the first day and then 250 mg on days 2 through 5.
After completing the therapy, how many grams of the drug has
the client received? Correct Answer 1.5 grams
A clinic nurse is caring for a male client diagnosed with
gonorrhea who has been prescribed ceftriaxone and doxycycline.
The client asks why he is receiving two antibiotics. What is the
nurse's best response? Correct Answer Many people have
gonorrhea are infected with chlamydia as well
A medical student scheduled to observe surgery enters the
unrestricted surgical zone wearing jeans, a tshirt, and tennis
shoes. What is the best action by the nurse? Correct Answer
Educate the medical student on the required PPE for each zone
A newly graduated nurse is admitting a client with a long history
of emphysema. The nurse learns that the client's PaCO2 has
been between 56 and 64 mmhg for several months. What should
the nurse be cautious administering oxygen? Correct Answer
Using O2 may result in the client developing CO2 necrosis and
hypoxemia
A nurse caring for a patient who is receiving an IV solution via a
central vein suspects the complication of an air embolism.
Which of the following are signs and symptoms consistent with
the diagnosis? Select all that apply Correct Answer -Cyanosis
-Shoulder pain
-Dyspnea
-Tachycardia
A 75 year old client had surgery for a hip fracture yesterday.
The client is under stress because of the pain, the medications,
sleep deprivation, and hospital surroundings. Which nursing
intervention to treat the client's pain should the nurse question
when ordered by the doctor? Correct Answer Advil
A client has just returned from the postanesthesia care unit
following left tibia open reduction internal fixation. The client is
reporting pain, and the nurse is preparing to administer the
client's first scheduled dose of hydromorphone. Prior to
administering the drug, you would prioritize what assessment?
Correct Answer Allergy status
A client in the emergency department is diagnosed with a
communicable disease. When complications of the disease are
discovered, the client is admitted to the hospital and placed in
respiratory isolation. Which infection warrants airborne
isolation? Correct Answer Measles
A client is administered succinylcholine and propofol for
induction of anesthesia. One hour after administration, the client
demonstrates muscle rigidity with a heart rate of 180. What
should the nurse do first? Correct Answer Notify the surgical
team
A client with chronic renal failure has a serum potassium level
of 6.8 meq/l. What should the nurse assess first? Correct
Answer The patient's pulse
, A client with legionnaires disease is prescribed azithromycin,
500 mg on the first day and then 250 mg on days 2 through 5.
After completing the therapy, how many grams of the drug has
the client received? Correct Answer 1.5 grams
A clinic nurse is caring for a male client diagnosed with
gonorrhea who has been prescribed ceftriaxone and doxycycline.
The client asks why he is receiving two antibiotics. What is the
nurse's best response? Correct Answer Many people have
gonorrhea are infected with chlamydia as well
A medical student scheduled to observe surgery enters the
unrestricted surgical zone wearing jeans, a tshirt, and tennis
shoes. What is the best action by the nurse? Correct Answer
Educate the medical student on the required PPE for each zone
A newly graduated nurse is admitting a client with a long history
of emphysema. The nurse learns that the client's PaCO2 has
been between 56 and 64 mmhg for several months. What should
the nurse be cautious administering oxygen? Correct Answer
Using O2 may result in the client developing CO2 necrosis and
hypoxemia
A nurse caring for a patient who is receiving an IV solution via a
central vein suspects the complication of an air embolism.
Which of the following are signs and symptoms consistent with
the diagnosis? Select all that apply Correct Answer -Cyanosis
-Shoulder pain
-Dyspnea
-Tachycardia
