Solutions
45% TBSH thermal burns, what lab result is appropriate
a. increase Ph
b. increase sodium
c. increased potassium
d. decreased hematocrit Correct Answers c
immediate period
65% of body is burn, what is priority after patent airway
a. replace fluids
b. prevent contractors of extremities
c. monitor urine output hourly
d. prepare to assist with escharotomy Correct Answers a
A charge nurse on a medical unit is admitting a client diagnosed
with meningococcal meningitis. Which room and precautions
should the nurse plan for this client?
a.
A private room with droplet precautions.
b.
A private room with airborne precautions.
c.
A semiprivate room with a roommate with a similar diagnosis
and standard precautions
d.
A semi-private room with a roommate with a similar diagnosis
and contact precautions Correct Answers b
,A client calls a clinic 2 weeks after beginning to use oral
carbidopa-levodopa (Parcopa ®), stating that the medication has
been ineffective in controlling the symptoms of Parkinson's
disease. What nursing action is most appropriate?
a.
Contact the physician to change the dose of the medication.
b.
Ensure that the client is eating a diet high in protein and vitamin
B6 (pyridoxine).
c.
Remind the client that it may take 1 to 2 months to note any
effects of the medication.
d.
Review the correct procedure for taking the medication. Correct
Answers c
A client develops muscle weakness and seeks medical attention
from a primary care provider. The client asks a nurse during the
initial assessment if the symptoms suggest "Lou Gehrig's"
disease. Which is the most appropriate response to the client?
a.
"You may have been working too much and that is why you are
tired. Let's not think the worst."
b.
"Tell me what has you thinking that you might have Lou
Gehrig's disease."
c.
"Have you been having trouble remembering things along with
this weakness?"
,Have you been having trouble remembering things along with
this weakness?"
d.
"Well, you are in the right place to figure out what is going on."
Correct Answers b
A client has had recurrent episodes of low back pain. Which
statement indicates that the client has incorporated positive
lifestyle changes to decrease the incidence of future back
problems?
a.
"I stoop and avoid twisting when I lift objects."
b.
"I wear my old comfortable shoes whenever I go for a walk to
avoid blisters."
c.
"I walk 5 miles each day on the weekends."
d.
"I sit as much as possible and elevate my legs." Correct
Answers a
A client is admitted for surgery has a vagus nerve stimulation
(VNS) device that was implanted several months earlier for
seizure management. The nurse determines that the VNS is
working properly when:
a.
, the client does not experience any airway obstruction from
secretions during a seizure.
b.
the client activates the device to stop a seizure from occurring.
c.
it defibrillates the client when the client experiences a lethal
dysrhythmia during a seizure. Correct Answers
A client is admitted to an emergency department (ED). A nurse
in the ED documents that the client is "postictal upon transfer"
as evidenced by which observation?
a.
Yellowing of the skin
b. Abnormal sensations including tingling of the skin
c.
Increased muscle tonicity
d.
In a drowsy or confused state Correct Answers d
A client with a history of epilepsy has consecutive seizures
lasting more than 5 minutes and is in status epilepticus. Which
interventions should be included in this client's immediate
treatment?
SELECT ALL THAT APPLY.