Med surg exam 5 with correct answers
A |postoperative |client |reports, |"I |have |pain |from |a |mild |headache." |Which |PRN |medication |does |
the |nurse |administer?
Acetaminophen |(Tylenol)
Hydromorphone |(Dilaudid)
Midazolam |(Versed)
Oxycodone |hydrochloride/acetaminophen |(Tylox) |- |correct |answer |-Acetaminophen |(Tylenol)
In |the |role |of |client |advocate, |what |does |the |nurse |do |first |for |a |client |who |reports |pain?
Administers |pain |medication
Assesses |the |level |of |pain
Believes |the |client's |report |of |pain
Calls |the |provider |for |a |medication |order |- |correct |answer |-Believes |the |client's |report |of |pain
A |newly |admitted |client |who |was |in |an |automobile |accident |has |a |concussion |and |is |reporting |pain
|from |a |fractured |femur |and |broken |fingers. |Which |staff |member |does |the |charge |nurse |on |the |
orthopedic |unit |assign |to |care |for |this |client?
An |experienced |RN |travel |nurse |who |arrived |on |the |unit |this |morning
An |LPN/LVN |who |has |worked |on |the |orthopedic |unit |for |6 |years
The |neurology |unit |RN |who |has |floated |to |the |orthopedic |unit
The |RN |orthopedic |case |manager |who |is |responsible |for |discharge |planning |- |correct |answer |-The |
neurology |unit |RN |who |has |floated |to |the |orthopedic |unit
The |nurse |is |preparing |a |client |for |home |care |pain |management |following |discharge. |Which |
intervention |does |the |nurse |implement?
Discuss |pain-relieving |strategies |on |the |day |of |discharge.
Discuss |home |care |with |only |the |client's |family, |not |with |the |client.
Offer |flexibility |in |home |management |of |the |client's |current |regimen.
,Offer |information |about |end-of-life |pain |control |management. |- |correct |answer |-Offer |flexibility |in |
home |management |of |the |client's |current |regimen.
A |hospitalized |client |expresses |satisfaction |after |using |a |recommended |complementary |and |
alternative |medicine |(CAM) |therapy, |saying |that |pain |was |diminished |and |anxiety |reduced. |Which |
CAM |did |the |client |most |likely |use?
Herbs
Homeopathy
Imagery
Tai |chi |- |correct |answer |-Imagery
When |assessing |a |client |for |acute |or |chronic |pain, |what |question |does |the |nurse |ask |the |client |to |
obtain |the |most |data?
"Did |someone |do |this |to |you?"
"Does |it |hurt |badly?"
"Is |the |pain |really |that |bad?"
"When |does |it |hurt?" |- |correct |answer |-"When |does |it |hurt?"
A |postoperative |client |is |requesting |medication |for |pain |every |4 |hours. |In |planning |effective |pain |
management, |what |assessment |question |does |the |nurse |ask |the |client |before |administering |the |
medication?
"Are |you |bleeding?"
"Are |you |able |to |last |more |than |4 |hours?"
"Is |your |pain |controlled |between |doses?"
"What |do |you |do |for |pain |when |you're |at |home?" |- |correct |answer |-"Is |your |pain |controlled |
between |doses?"
A |postoperative |client |is |receiving |epidural |analgesia |and |reports |itching. |What |does |the |nurse |do |
next?
Reduces |the |analgesic |dose
Gives |diphenhydramine |(Benadryl)
Gives |an |antiemetic
, Calls |the |surgeon |- |correct |answer |-Reduces |the |analgesic |dose
A |client |who |is |using |patient-controlled |analgesia |(PCA) |is |asleep. |The |nurse |observes |a |family |
member |pushing |the |PCA |button |for |the |sleeping |client. |What |does |the |nurse |say |to |the |visitor?
"Please |allow |the |client |to |push |the |button |when |needed."
"Please |don't |touch |any |equipment |in |the |client's |room."
"Thank |you. |I |am |sure |the |client |appreciated |that."
"The |client |is |asleep |and |is |not |in |pain." |- |correct |answer |-"Please |allow |the |client |to |push |the |
button |when |needed."
During |change-of-shift |report, |the |day |shift |staff |learns |that |a |client |who |had |back |surgery |has |been
|reporting |increasing |lower |back |pain |during |the |night. |It |is |most |appropriate |for |which |day |staff |
member |to |assess |the |client's |pain?
LPN/LVN |who |is |responsible |for |administering |medications |to |the |client
RN |nurse |manager |who |is |in |charge |of |coordinating |care |for |several |units
RN |team |leader |who |is |responsible |for |updating |the |care |plan |for |the |client
RN |who |has |floated |to |the |unit |from |the |emergency |department |- |correct |answer |-RN |team |leader |
who |is |responsible |for |updating |the |care |plan |for |the |client
The |nurse |is |caring |for |a |client |who |had |a |fractured |ankle |repaired. |Twenty |minutes |after |receiving |
1.5 |mg |of |hydromorphone |(Dilaudid) |IV |push, |the |client |is |slow |to |respond |and |has |constricted |
pupils |and |a |respiratory |rate |of |6 |breaths/min. |What |action |does |the |nurse |take |initially?
Calls |the |care |provider |for |a |change |in |the |medication |order
Changes |the |order |to |every |6 |hours |rather |than |every |4 |hours
Gives |the |client |a |dose |of |naloxone |(Narcan) |0.4 |mg |IV
Performs |a |cognitive |assessment |on |the |client |- |correct |answer |-Gives |the |client |a |dose |of |naloxone
|(Narcan) |0.4 |mg |IV
A |hospitalized |client |anticipates |a |daily |painful |dressing |change. |Which |complementary |and |
alternative |medicine |therapy |might |the |nurse |offer |before |the |procedure?
Animal-assisted |therapy
Hydrotherapy
A |postoperative |client |reports, |"I |have |pain |from |a |mild |headache." |Which |PRN |medication |does |
the |nurse |administer?
Acetaminophen |(Tylenol)
Hydromorphone |(Dilaudid)
Midazolam |(Versed)
Oxycodone |hydrochloride/acetaminophen |(Tylox) |- |correct |answer |-Acetaminophen |(Tylenol)
In |the |role |of |client |advocate, |what |does |the |nurse |do |first |for |a |client |who |reports |pain?
Administers |pain |medication
Assesses |the |level |of |pain
Believes |the |client's |report |of |pain
Calls |the |provider |for |a |medication |order |- |correct |answer |-Believes |the |client's |report |of |pain
A |newly |admitted |client |who |was |in |an |automobile |accident |has |a |concussion |and |is |reporting |pain
|from |a |fractured |femur |and |broken |fingers. |Which |staff |member |does |the |charge |nurse |on |the |
orthopedic |unit |assign |to |care |for |this |client?
An |experienced |RN |travel |nurse |who |arrived |on |the |unit |this |morning
An |LPN/LVN |who |has |worked |on |the |orthopedic |unit |for |6 |years
The |neurology |unit |RN |who |has |floated |to |the |orthopedic |unit
The |RN |orthopedic |case |manager |who |is |responsible |for |discharge |planning |- |correct |answer |-The |
neurology |unit |RN |who |has |floated |to |the |orthopedic |unit
The |nurse |is |preparing |a |client |for |home |care |pain |management |following |discharge. |Which |
intervention |does |the |nurse |implement?
Discuss |pain-relieving |strategies |on |the |day |of |discharge.
Discuss |home |care |with |only |the |client's |family, |not |with |the |client.
Offer |flexibility |in |home |management |of |the |client's |current |regimen.
,Offer |information |about |end-of-life |pain |control |management. |- |correct |answer |-Offer |flexibility |in |
home |management |of |the |client's |current |regimen.
A |hospitalized |client |expresses |satisfaction |after |using |a |recommended |complementary |and |
alternative |medicine |(CAM) |therapy, |saying |that |pain |was |diminished |and |anxiety |reduced. |Which |
CAM |did |the |client |most |likely |use?
Herbs
Homeopathy
Imagery
Tai |chi |- |correct |answer |-Imagery
When |assessing |a |client |for |acute |or |chronic |pain, |what |question |does |the |nurse |ask |the |client |to |
obtain |the |most |data?
"Did |someone |do |this |to |you?"
"Does |it |hurt |badly?"
"Is |the |pain |really |that |bad?"
"When |does |it |hurt?" |- |correct |answer |-"When |does |it |hurt?"
A |postoperative |client |is |requesting |medication |for |pain |every |4 |hours. |In |planning |effective |pain |
management, |what |assessment |question |does |the |nurse |ask |the |client |before |administering |the |
medication?
"Are |you |bleeding?"
"Are |you |able |to |last |more |than |4 |hours?"
"Is |your |pain |controlled |between |doses?"
"What |do |you |do |for |pain |when |you're |at |home?" |- |correct |answer |-"Is |your |pain |controlled |
between |doses?"
A |postoperative |client |is |receiving |epidural |analgesia |and |reports |itching. |What |does |the |nurse |do |
next?
Reduces |the |analgesic |dose
Gives |diphenhydramine |(Benadryl)
Gives |an |antiemetic
, Calls |the |surgeon |- |correct |answer |-Reduces |the |analgesic |dose
A |client |who |is |using |patient-controlled |analgesia |(PCA) |is |asleep. |The |nurse |observes |a |family |
member |pushing |the |PCA |button |for |the |sleeping |client. |What |does |the |nurse |say |to |the |visitor?
"Please |allow |the |client |to |push |the |button |when |needed."
"Please |don't |touch |any |equipment |in |the |client's |room."
"Thank |you. |I |am |sure |the |client |appreciated |that."
"The |client |is |asleep |and |is |not |in |pain." |- |correct |answer |-"Please |allow |the |client |to |push |the |
button |when |needed."
During |change-of-shift |report, |the |day |shift |staff |learns |that |a |client |who |had |back |surgery |has |been
|reporting |increasing |lower |back |pain |during |the |night. |It |is |most |appropriate |for |which |day |staff |
member |to |assess |the |client's |pain?
LPN/LVN |who |is |responsible |for |administering |medications |to |the |client
RN |nurse |manager |who |is |in |charge |of |coordinating |care |for |several |units
RN |team |leader |who |is |responsible |for |updating |the |care |plan |for |the |client
RN |who |has |floated |to |the |unit |from |the |emergency |department |- |correct |answer |-RN |team |leader |
who |is |responsible |for |updating |the |care |plan |for |the |client
The |nurse |is |caring |for |a |client |who |had |a |fractured |ankle |repaired. |Twenty |minutes |after |receiving |
1.5 |mg |of |hydromorphone |(Dilaudid) |IV |push, |the |client |is |slow |to |respond |and |has |constricted |
pupils |and |a |respiratory |rate |of |6 |breaths/min. |What |action |does |the |nurse |take |initially?
Calls |the |care |provider |for |a |change |in |the |medication |order
Changes |the |order |to |every |6 |hours |rather |than |every |4 |hours
Gives |the |client |a |dose |of |naloxone |(Narcan) |0.4 |mg |IV
Performs |a |cognitive |assessment |on |the |client |- |correct |answer |-Gives |the |client |a |dose |of |naloxone
|(Narcan) |0.4 |mg |IV
A |hospitalized |client |anticipates |a |daily |painful |dressing |change. |Which |complementary |and |
alternative |medicine |therapy |might |the |nurse |offer |before |the |procedure?
Animal-assisted |therapy
Hydrotherapy
