Practice Exam II
A 14 years old female purchaser develops an "iatrogenic" contamination at the catheter
insertion web page. The nurse documents the contamination is a result of which of the
following? - ANS-Improper nursing care
A purchaser has simply had surgery to do away with vaginal lesions. Due to the site of the
manner, you'll need to assess for what while the patient is in restoration? - ANS-Thrombus
formation
A licensed practical nurse has administered an allergen to a patron. The patient reports
feeling aggravating, brief of breath, and dizzy. Which motion included inside the emergency
protocol should the nurse ought to take first? - ANS-Give epinephrine 0.2 mL intramuscularly
A certified sensible nurse is assigned a purchaser with hypervolemia. The customer's
morning assessment exhibits bounding peripheral pulses, weight advantage of two lb, pitting
ankle edema, and wet crackles bilaterally. Which order written through the doctor takes
priority presently? - ANS-Administer furosemide 60 mg PO stat
A licensed realistic nurse is tracking a sixty two-yr-vintage patron who's present process a
treadmill pressure check. Which consumer locating will require the most immediate
movement? - ANS-Chest pain level of 3 (on a scale of 10)
A certified sensible nurse is running in the emergency branch. She is caring for a customer
who has been involved in a motor vehicle accident. The consumer has a suspected neck
damage. The nurse should intervene if which of the subsequent is located? - ANS-The
consumer's neck is immobilized before being x-rayed
A newly hired nurse receives a customer from the emergency room with orders. The
consumer's chart states his food plan consists of small serving sizes of strong ingredients,
but does now not contain complete grain cereals or salads with uncooked, sparkling end
result and greens. The nurse is conscious the customer follows a: - ANS-Soft diet
A nurse is caring for a 22 years antique consumer who's gravida 1 para 1. The consumer
isn't always displaying signs of early labor or ruptured membranes. She has a blood
pressure of a hundred and seventy/102 mm Hg. She has 3+ protein in her urine, and her
face and palms are swollen. What preliminary medicine have to the nurse expect to be
prescribed
for this purchaser? - ANS-Magnesium sulfate
A nurse is being concerned for a patron at the revolutionary cardiac unit. Which laboratory
check end result need to the nurse apprehend as indicating the presence of organ damage?
- ANS-Serum creatinine of two.6 mg/dL