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Question 1 of 10
The nurse is caring for a patient with terminal cancer. which item of the following should the nurse consider when planning to control pain using opioids?Correct
Around-the-clock doses provide increasing pain relief and decrease stressors associated with pain, such as anxiety and fear.
Question 2 of 10
The nurse is teaching a patient in skeletal leg traction about measures and means to increase bed mobility. Which item of the following would be most helpful for this patient?Correct
The usage of an overhead trapeze is extremely helpful in assisting a patient to move about in bed and to get on and off the bedpan.
Question 3 of 10
The nurse is looking after a patient who just returned from the recovery room after undergoing abdominal surgery. The nurse should look for which early sign of hypovolemic shock?Correct
Think about the pathophysiology that happens in hypovolemic shock to direct you to the correct solution.
Question 4 of 10
The nurse provides medication instructions to a patient about digoxin. Which statement by the patient indicates an understanding of its side effects?Correct
Digoxin is a cardiac glycoside and works by increasing the contractility of the heart. This medication has a narrow therapeutic range and a major concern is toxicity. Currently, it is considered a second-line cure for heart failure because of its narrow therapeutic range and potential for side effects.
Question 5 of 10
A patient with a diagnosis of cancer is receiving morphine sulfate for pain. The nurse should prioritize which action in the care of the patient?Correct
Recall that morphine sulfate suppresses the cough reflex and the respiratory reflex, and a common adverse effect is respiratory depression. Coughing and deep breathing can help ensure adequate oxygenation since the number of respirations per minute can potentially be decreased in a client receiving this medication.
Question 6 of 10
The nurse caring for a client experiencing dystocia determines that the priority is which action?Correct
Note the strategic word, priority, and use of Maslow’s Hierarchy of Needs theory to prioritize, remembering that physiological needs come first.
Question 7 of 10
A patient who had an application of a right arm cast complains of pain at the wrist when the arm is moved. What action should the nurse take first?Correct
Based on the data in the question, determine if an abnormality exists. The event indicates that the client complains of pain at the wrist when the arm is passively moved. This could indicate an abnormality; therefore, further assessment or intervention is required.
Question 8 of 10
The nurse reviews the arterial blood gas results of a patient and notices the following: pH 7.45, PCO2 30 mm Hg, and HCO3 22 mEq/ L (22 mmol/ L). The nurse analyzes these results as an indication of which condition?Correct
The normal pH is 7.35 to 7.45. In a respiratory condition, an opposite effect will be seen between the pH and the PCO2. In this situation, the pH is at the high end of the normal value and the PCO2 is low.
Question 9 of 10
The nurse developing a plan of care for a patient with a cataract condition understands that which problem is the priority?Correct
This question relates to planning nursing care and asks you to identify the priority problem. Use Maslow’s Hierarchy of Needs theory to answer the question, remembering that physiological needs are the priority.
Question 10 of 10
The nurse is caring for a hospitalized patient with angina pectoris who begins to feel and experience chest pain. The nurse administers a nitroglycerin tablet sublingually as prescribed, but the pain is still unrelieved. Which action should the nurse take next?Correct
You may think it is necessary to check the blood pressure before administering another tablet, which is correct. However, there are no data in the question indicating that the blood pressure is abnormal and could not sustain normality if another tablet were given. In addition, checking the blood pressure is not one of the options. Recalling that the nurse would administer 3 nitroglycerin tablets 5 minutes apart from each other to relieve chest pain in a hospitalized client will assist in directing you to the correct option.