what my last few days have looked like:
1) A nurse is providing home-care instructions to a client who will be receiving intravenous therapy at home. The nurse teaches the client that the important action to prevent an infection at the IV site is to:
a) Protect the insertion site continually.
b) Assess the IV site for redness and edema.
c) Change the IV tubing every 48 to 72 hours.
d) Wash your hands before handling the IV site.
2) The home-care nurse is visiting a client who is in a body cast. The nurse is performing an assessment of the psychosocial adjustment of the client to the cast. During the assessment, the nurse would most appropriately assess:
a) The need for sensory stimulation.
b) The amount of home-care support available.
c) The ability to perform activities of daily living.
d) The type of transportation available for follow-up care.
3) The nurse is caring for a client with an intracranial aneurysm. The nurse interprets that which of the following is related to the dysfunction of cranial nerve III?
a) Mild drowsiness.
b) Ptosis of the left eyelid.
c) Slight slurring of speech.
d) Less frequent spontaneous speech.
4) The nurse is assigned to care for a client with a chest tube attached to closed chest drainage. The nurse determines that the client's lung has completely expanded if:
a) Pleuritic chest pain has resolved.
b) The oxygen saturation is greater than 92%.
c) Fluctuations in the water-seal chamber ceased.
d) Suction in the chest drainage system is no longer needed.
5) The physician has ordered a placebo for a client with chronic pain. You are a newly hired nurse and you feel very uncomfortable administering the medication. What is the first action that you should take?
a) Prepare the medication and hand it to the physician.
b) Check the hospital policy regarding use of a placebo.
c) Follow a personal code of ethics and refuse to participate.
d) Contact the charge nurse for advice.
6) The following clients come to the Emergency Department complaining of acute abdominal pain. Prioritize them for care in order of the severity of their conditions.
a) A 35 year old man complaining of severe intermittent cramps with three episodes of watery diarrhea 2 hours after eating.
b) An 11 year old boy with a low-grade fever, right lower quadrant tenderness, nausea, and anorexia for the past 2 days.
c) A 40 year old woman with moderate right upper quadrant pain who has vomited small amounts of yellow bile and whose symptoms have worsened over the past week.
d) A 65 year old man with a pulsating abdominal mass and sudden onset of "tearing" pain in the abdomen and flank within the past hour.
e) A 23 year old woman complaining of dizziness and severe left lower quadrant pain who reports she is possibly pregnant.
f) A 50 year old woman who complains of gnawing midepigastric pain that is worse between meals and during the night.
So, there's a piece of my world lately...in the midst of packing, and getting ready to move half way across the country. Want to see if you can answer them? Go ahead...post your answers and I'll let you know how you did!
1) A nurse is providing home-care instructions to a client who will be receiving intravenous therapy at home. The nurse teaches the client that the important action to prevent an infection at the IV site is to:
a) Protect the insertion site continually.
b) Assess the IV site for redness and edema.
c) Change the IV tubing every 48 to 72 hours.
d) Wash your hands before handling the IV site.
2) The home-care nurse is visiting a client who is in a body cast. The nurse is performing an assessment of the psychosocial adjustment of the client to the cast. During the assessment, the nurse would most appropriately assess:
a) The need for sensory stimulation.
b) The amount of home-care support available.
c) The ability to perform activities of daily living.
d) The type of transportation available for follow-up care.
3) The nurse is caring for a client with an intracranial aneurysm. The nurse interprets that which of the following is related to the dysfunction of cranial nerve III?
a) Mild drowsiness.
b) Ptosis of the left eyelid.
c) Slight slurring of speech.
d) Less frequent spontaneous speech.
4) The nurse is assigned to care for a client with a chest tube attached to closed chest drainage. The nurse determines that the client's lung has completely expanded if:
a) Pleuritic chest pain has resolved.
b) The oxygen saturation is greater than 92%.
c) Fluctuations in the water-seal chamber ceased.
d) Suction in the chest drainage system is no longer needed.
5) The physician has ordered a placebo for a client with chronic pain. You are a newly hired nurse and you feel very uncomfortable administering the medication. What is the first action that you should take?
a) Prepare the medication and hand it to the physician.
b) Check the hospital policy regarding use of a placebo.
c) Follow a personal code of ethics and refuse to participate.
d) Contact the charge nurse for advice.
6) The following clients come to the Emergency Department complaining of acute abdominal pain. Prioritize them for care in order of the severity of their conditions.
a) A 35 year old man complaining of severe intermittent cramps with three episodes of watery diarrhea 2 hours after eating.
b) An 11 year old boy with a low-grade fever, right lower quadrant tenderness, nausea, and anorexia for the past 2 days.
c) A 40 year old woman with moderate right upper quadrant pain who has vomited small amounts of yellow bile and whose symptoms have worsened over the past week.
d) A 65 year old man with a pulsating abdominal mass and sudden onset of "tearing" pain in the abdomen and flank within the past hour.
e) A 23 year old woman complaining of dizziness and severe left lower quadrant pain who reports she is possibly pregnant.
f) A 50 year old woman who complains of gnawing midepigastric pain that is worse between meals and during the night.
So, there's a piece of my world lately...in the midst of packing, and getting ready to move half way across the country. Want to see if you can answer them? Go ahead...post your answers and I'll let you know how you did!
K Aimee, Im gonna give it a shot!
ReplyDelete1.D
2.B
3.B
4.B
5.D
6.D.-TAA E.-ectopic preg. or miscarage B.-appendix C.-ruptured gall bladder A.-maybe lactose intolerant? (needs fluids) F. gall stones
let me know how I did.....HA!
-Jessica
WITHOUT LOOKING AT JESSICA'S....
ReplyDelete1. d
2. c
3. c
4. b
5. a
6. d, e (tubal pregnancy?), c, f, a (ate something bad, it happens all the time dude), b (flu)