NURS 612 Exam 1 (Perioperative, Diabetes, Endocrine) with verified answers.

NURS 612 Exam 1 (Perioperative, Diabetes,
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Endocrine) with verified answers
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A |nurse |administered |midazolam |IV |bolus |to |a |client |before |a |procedure. |His |BP |is |86/40 |mm |
Hg, |and |his |pulse |is |134/min. |Which |of |the |following |IV |medication |should |the |nurse |
administer?

a. |Naloxone

b. |Morphine

c. |Flumazenil

d. |Atropine |- |correct |answer |c. |Flumazenil



A |nurse |is |assisting |an |anesthesiologist |in |the |delivery |of |nitrous |oxide |by |face |mask |to |a |client
|during |the |induction |of |anesthesia. |Which |of |the |following |is |the |priority |nursing |action?



a. |Assess |oxygen |saturation

b. |Measure |BP

c. |Palpate |pulse |rate

d. |check |temperature |- |correct |answer |a. |assess |oxygen |saturation



A |nurse |is |caring |for |a |client |who |develops |malignant |hyperthermia. |Which |of |the |following |
actions |should |the |nurse |take? |SELECT |ALL |THAT |APPLY.

a. |infuse |iced |IV |fluids

b. |provide |100% |oxygen |

c. |place |the |client |on |a |cooling |blanket

d. |treat |the |complication |while |continuing |surgery |

e. |administer |IV |Dantrolene |- |correct |answer |a, |b, |c, |e

,A |nurse |is |caring |for |a |client |who |develops |a |systemic |toxic |reaction |following |a |regional |block.
|Which |of |the |following |actions |should |the |nurse |take?



a. |monitor |serum |creatinine |levels |

b. |provide |airway |support

c. |turn |the |client |to |the |right |side

d. |administer |0.9% |sodium |chloride |500mL |IV |bolus |- |correct |answer |b. |provide |airway |
support



A |nurse |is |caring |for |a |client |who |reports |a |headache |following |an |epidural |regional |nerve |
block. |Which |of |the |following |actions |should |the |nurse |take?

a. |decrease |the |client's |fluid |intake |

b. |apply |pressure |to |the |puncture |site

c. |place |the |head |of |the |bed |flat

d. |instruct |the |client |to |lie |prone |- |correct |answer |c. |place |the |head |of |the |bed |flat



A |nurse |is |assessing |a |client's |laboratory |values |before |surgery. |Which |of |the |following |results |
should |the |nurse |report |to |the |provider? |(Select |all |that |apply.)

a. |Potassium |3.9 |mEq/L

b. |Sodium |145 |mEq/L

c. |Creatinine |2.8 |mg/dL

d. |Blood |glucose |235 |mg/dL

e. |WBC |17,850/mm |- |correct |answer |C, |D, |E



A |nurse |is |verifying |informed |consent |for |a |client |who |is |having |a |paracentesis. |Which |of |the |
following |actions |should |the |nurse |take? |(Select |all |that |apply.)



A. |Explain |to |the |client |the |purpose |of |having |the |procedure. |

B. |Inform |the |client |of |risks |to |having |the |procedure. |

, C. |Ensure |the |client |understands |information |about |the |procedure. |

D. |Witness |the |client |signing |the |informed |consent |form. |

E. |Determine |if |the |client |is |capable |of |understanding |the |reason |for |the |procedure. |- |correct |
answer |C, |D, |E



A |nurse |is |caring |for |a |client |who |is |scheduled |for |an |exploratory |laparotomy. |The |client's |
temperature |is |102.2 |orally. |Which |of |the |following |actions |should |the |nurse |take? |

a. |Inform |the |surgeon |of |the |elevated |temperature

b. |transfer |the |client |to |the |preoperative |unit

c. |apply |ice |packs |to |the |groin

d. |encourage |the |client |to |increase |intake |of |clear |liquids |- |correct |answer |A



A |preoperative |nurse |is |caring |for |a |client |who |is |having |a |colon |resection. |Which |of |the |
following |actions |should |the |nurse |take? |

a. |encourage |the |client |to |void |after |preoperative |medication

b. |administer |antibiotics |2 |hr |prior |to |surgical |incision |

c. |remove |hair |using |a |manual |razor

d. |remove |nail |polish |on |fingers |and |toes |- |correct |answer |D



A |nurse |is |providing |preoperative |teaching |to |a |client |who |is |to |have |abdominal |surgery. |
Which |of |the |following |statements |should |the |nurse |make? |(Select |all |that |apply.)

a. |"Take |your |heart |medication |with |a |sip |of |water |before |surgery."

b. |"Splint |the |abdominal |incision |with |a |pillow |when |coughing |and |deep |breathing."

c. |"Bed |rest |is |recommended |for |the |first |48 |hours."

d. |"Anti |embolism |stockings |are |applied |before |surgery."

e. |"you |may |eat |solid |food |up |to |4 |hours |before |surgery." |- |correct |answer |A, |B, |D