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1. Which of the following statements about the a. The nurse
nurse's role in obtaining informed consent places the form on
before surgery is correct? (Select all that the chart for the
apply.) physician to obtain
con- sent
a. The nurse places the form on the chart for the physi- c. The nurse
confirms con-
cian to obtain sent and witnesses the
consent
b. The nurse describes the surgical procedure and asks patient's
signature before
the patient to sign the consent form a. Assess
c. The nurse confirms consent and witnesses for signs
the pa- tient's signature before sedation is and
administered symptoms
d. The nurse has no duties once consent is of
obtained, even if the patient asks additional hyperglyce
questions mia such
as polyuria
2. Dermatome and motor block assessments and thirst.
would be performed for patients receiving b. Assess
which of the follow- ing types of anesthesia? for changes
(Select all that apply.) in
nutritional
a. General
status that
b. Spinal
could cause
c. Epidural
hyperglyce
d. Peripheral nerve block
mia.
3. Which of these interventions are priorities? c. Assess
(Select all that apply.) capillary
blood
, BSNC 3000 Nclex Midterm (module 1) Exam Questions With
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glucose levels before meals and HS (normal sedation is administered
CBG range: 4.0 - 7.0 mmol/L).
d. Assess for complications of hyperglycemia,
such as
b. Spinal
c. Epidural
a. Assess for signs
and symptoms of hyper-
glycemia such as
polyuria and thirst.
b. Assess for
changes in
nutritional status
that could cause
hyper- glycemia.
c. Assess capillary
blood
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infection, electrolyte disturbances, and glucose levels before
dehydration. meals and HS
e. Assess for signs of fluid overload that could (normal CBG
exacer- bate hyperglycemia. range: 4.0 - 7.0
f. Assess for factors that exacerbate the PSR (e.g., pain) mmol/L).
which can increase blood glucose levels. f. Assess for factors that
exacerbate the PSR
(e.g., pain) which can
increase blood
glucose levels.
4. What are the steps of priorities that you
would ad- dress? B-D-A-C
a. Assess for signs and symptoms of
hyperglycemia such as polyuria and thirst.
b. Assess capillary blood glucose levels before
meals and HS (normal CBG range: 4.0 - 7.0
mmol/L).
c. Assess for complications of hyperglycemia,
such as infection, electrolyte disturbances, and
dehydration.
d. Assess for factors that exacerbate the
PSR (e.g., pain) which can increase blood
glucose levels. b. Administer
short or rapid-acting
5. Which of these interventions are priorities? insulin as per
(Select all that apply.) postoperative sliding
scale.
a. Encourage fluid intake to manage
hyperglycemia.
b. Administer short or rapid-acting insulin as per post- c. Manage
Rosa's stress
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operative sliding by reducing pain and ad-
scale.
c. Manage Rosa's stress by reducing pain and address- dressing other
physical or
ing other physical or psychosocial stressors. psychosocial stressors.
d. Administer glyburide as per MAR. d. Administer
e. Place Rosa on bed rest to decrease the risk of glyburide as per MAR.
falls related to sensory deficits associated with
hyper-