Nursing 245 Final Exam – Questions with
Expert Solutions
Introduction:
This document contains a complete collection of Nursing 245 final
exam questions with detailed expert solutions. It covers a wide
range of nursing topics including postoperative care,
musculoskeletal conditions, ophthalmology, otolaryngology,
dermatology, burns, oncology, endocrine disorders, hematology,
reproductive health, and general nursing practice concepts. The
material provides both clinical case scenarios and theory-based
questions, making it a thorough preparation resource for exams and
practical applications.
Exam Questions and Answers:
On the first postoperative day, a pt with a below-the-knee
amputation complains of pain in the amputation limb, an
appropriate action by the nurse is to --- correct answer ---
Administer prescribed pain relieving medications, such as narcotics
A patient is to be discharged from the hospital 4 days after
undergoing a total hip arthroplasty, a statement by the patient that
,indicates a need for additional discharge instruction is --- correct
answer ---I have to be careful when i bend over to put on my shoes
and socks
A Pt is hospitalized for initiation of regional antibiotic perfusion for
chronic osteomyelitis of the right femur. In providing care for the
pt the nurse uses careful handling of the extremity to prevent ---
correct answer ---Pathologic fractures
A pt with a herniated intervertebral disk undergoes a laminectomy
and discectomy. Following the surgery, the nurse should position
the patient on his side --- correct answer ---Placing a pillow
between the patients legs and turning his body as a unit
When teaching a pt with osteoporosis who is to begin treatment
with alendronate (fosamax), the nurse explains that the drug ---
correct answer ---Inhibits osteoclastic bone resorption, increasing
bone density and mass
*take first thing in morning empty stomach, sit upright 30 mins,
dont take with other medications
A pt presents with an acute attack of primary gout, which is
affecting his left great toe and ankle, the pt outcome that the nurse
,determines as the priority for the patient is --- correct answer ---
Experience satisfactory pain relief.
A pt who requires glucocorticoid therapy long-term is complaining
of some mild edema of the ankles --- correct answer ---Decrease
sodium intake
The pt on colchicine calls the office complaining of the abdominal
pain, nausea and vomiting, the nurse should --- correct answer ---
Advice the patient to stop the drug, as this is a sign of toxicity
To assist in prevention and treatment of osteoporosis, women over
age 50 should be advised to --- correct answer ---Have calcium
intake of 1200 mg daily with 400-800 IU of vitamin D
Raloxifene, like other selective estrogen receptor modulators, can
preserve bone density but may increase risk of --- correct answer --
-DVT
The nurse is assessing a pt with a cast, and finds decreased pulses,
distal to the cast. The patient reports increased pain and tingling in
his extremity --- correct answer ---Contact the physician
immediately as compartment syndrome is suspected
, A 55 year old female patient asks a nurse about calcium
supplements. The nurse learns that the pt consumes 2 servings of
dairy products each day. --- correct answer ---600 mg Ca once,
10,000
The nurse is preparing to administer IV calcium chloride, dangerous
is given with --- correct answer ---digoxin
A pt reports experiencing weakness, fatigue, nausea, vomiting,
constipation, and nocturia, serum Ca is 10.5, + protein in urine ---
correct answer ---Stop taking vitamin D, reduce calcium and
increase fluids
A patient with severe Paget's disease, what can alleviate pain ---
correct answer ---calcitonin-Salmon
A postmenopausal pt is a high risk for developing osteoporosis. The
patients prescriber orders raloxifene, and the nurse provides
teaching about this drug. --- correct answer ---I should walk as
much as possible during long airline flights.
A client telephones the outpatient clinic and complains of severe
ear pain that ceased suddenly and now the ear is draining. the
client has otic antibiotics remaining from a previous ear infection 2
months ago and wants to know if it is safe to use the medication.
Expert Solutions
Introduction:
This document contains a complete collection of Nursing 245 final
exam questions with detailed expert solutions. It covers a wide
range of nursing topics including postoperative care,
musculoskeletal conditions, ophthalmology, otolaryngology,
dermatology, burns, oncology, endocrine disorders, hematology,
reproductive health, and general nursing practice concepts. The
material provides both clinical case scenarios and theory-based
questions, making it a thorough preparation resource for exams and
practical applications.
Exam Questions and Answers:
On the first postoperative day, a pt with a below-the-knee
amputation complains of pain in the amputation limb, an
appropriate action by the nurse is to --- correct answer ---
Administer prescribed pain relieving medications, such as narcotics
A patient is to be discharged from the hospital 4 days after
undergoing a total hip arthroplasty, a statement by the patient that
,indicates a need for additional discharge instruction is --- correct
answer ---I have to be careful when i bend over to put on my shoes
and socks
A Pt is hospitalized for initiation of regional antibiotic perfusion for
chronic osteomyelitis of the right femur. In providing care for the
pt the nurse uses careful handling of the extremity to prevent ---
correct answer ---Pathologic fractures
A pt with a herniated intervertebral disk undergoes a laminectomy
and discectomy. Following the surgery, the nurse should position
the patient on his side --- correct answer ---Placing a pillow
between the patients legs and turning his body as a unit
When teaching a pt with osteoporosis who is to begin treatment
with alendronate (fosamax), the nurse explains that the drug ---
correct answer ---Inhibits osteoclastic bone resorption, increasing
bone density and mass
*take first thing in morning empty stomach, sit upright 30 mins,
dont take with other medications
A pt presents with an acute attack of primary gout, which is
affecting his left great toe and ankle, the pt outcome that the nurse
,determines as the priority for the patient is --- correct answer ---
Experience satisfactory pain relief.
A pt who requires glucocorticoid therapy long-term is complaining
of some mild edema of the ankles --- correct answer ---Decrease
sodium intake
The pt on colchicine calls the office complaining of the abdominal
pain, nausea and vomiting, the nurse should --- correct answer ---
Advice the patient to stop the drug, as this is a sign of toxicity
To assist in prevention and treatment of osteoporosis, women over
age 50 should be advised to --- correct answer ---Have calcium
intake of 1200 mg daily with 400-800 IU of vitamin D
Raloxifene, like other selective estrogen receptor modulators, can
preserve bone density but may increase risk of --- correct answer --
-DVT
The nurse is assessing a pt with a cast, and finds decreased pulses,
distal to the cast. The patient reports increased pain and tingling in
his extremity --- correct answer ---Contact the physician
immediately as compartment syndrome is suspected
, A 55 year old female patient asks a nurse about calcium
supplements. The nurse learns that the pt consumes 2 servings of
dairy products each day. --- correct answer ---600 mg Ca once,
10,000
The nurse is preparing to administer IV calcium chloride, dangerous
is given with --- correct answer ---digoxin
A pt reports experiencing weakness, fatigue, nausea, vomiting,
constipation, and nocturia, serum Ca is 10.5, + protein in urine ---
correct answer ---Stop taking vitamin D, reduce calcium and
increase fluids
A patient with severe Paget's disease, what can alleviate pain ---
correct answer ---calcitonin-Salmon
A postmenopausal pt is a high risk for developing osteoporosis. The
patients prescriber orders raloxifene, and the nurse provides
teaching about this drug. --- correct answer ---I should walk as
much as possible during long airline flights.
A client telephones the outpatient clinic and complains of severe
ear pain that ceased suddenly and now the ear is draining. the
client has otic antibiotics remaining from a previous ear infection 2
months ago and wants to know if it is safe to use the medication.
