NUR 1212C Final Exam - 1./ With Answers and Rationales

Question 1 1 out of 1 points A client is considered high risk for development of clots and thus a potential pulmonary embolism. Which of the following statements indicated a need for further teachin g ? Question 2 1 out of 1 points A client is being started on hydromorphone (Dilaudid) for abdominal pain. Which of the following need to be included in the patient education? Question 3 0 out of 3.2 points The nurse is working in an urgent care clinic that has standardized treatment protocols for implementation by nursing staff. After reviewing the history, physical assessment, and vital signs for a 60-year-old patient as shown in the accompanying figure, which action should the nurse take first? The sudden change in peripheral vision may indicate an acute problem, such as retinal detachment, that should be treated quickly to preserve vision. The other data about the patient are not indicative of any acute problem. The other actions are also appropriate, but the highest priority for this patient is prevention of blindness. Question 4 1 out of 1 points The nurse is caring for a male patient who reports an urgent need to urinate but is unable to pass more than a few drops of urine on the toilet. Which is the priority assessment to be performed by the nurse? Question 5 3.2 out of 3.2 points A client has a foreign body in the eye. What action by the nurse takes priority? Question 6 0 out of 3.2 points The nurse understands that the patient with acute glomerulonephritis has had an immune complex response to which of the following? Question 7 3.2 out of 3.2 points A client is taking warfarin (Coumadin) and asks the nurse if taking St. John's wort is acceptable.