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Question 1 of 10
1. Question
The nurse notices blanching, coolness, and swelling at the peripheral intravenous (IV) site. Based on these findings, which of the following actions should the nurse implement?
Correct
Note that IV removal is important to prevent any further damage.
Incorrect
Note that IV removal is important to prevent any further damage.
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Question 2 of 10
2. Question
The nurse has received the patient assignment for the day. Which patient of these should the nurse help first?
Correct
The patient described in the correct answer has a low blood glucose level and symptoms reflective of hypoglycemia. This patient should be assessed first so that treatment can be implemented.
Incorrect
The patient described in the correct answer has a low blood glucose level and symptoms reflective of hypoglycemia. This patient should be assessed first so that treatment can be implemented.
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Question 3 of 10
3. Question
Patient on mechanical ventilation through a tracheostomy tube who is suffering from methicillin-resistant Staphylococcus aureus (MRSA). Which necessary protective items of the following should the nurse assemble when entering the patient’s room?
Correct
Note that protecting oneself from contracting an infection and requires that you consider the methods of possible transmission of infection, based on the patient’s condition. Because transmission of the infection can occur during the wound irrigation or suctioning of the tracheostomy.
Incorrect
Note that protecting oneself from contracting an infection and requires that you consider the methods of possible transmission of infection, based on the patient’s condition. Because transmission of the infection can occur during the wound irrigation or suctioning of the tracheostomy.
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Question 4 of 10
4. Question
A coronary artery disease patient has selected guided imagery to help deal with psychological tension and stress. Which of the following statement is true about the understanding of this stress reduction measure?
Correct
Note that: Psychosocial Integrity and the content addresses coping mechanisms. Guided imagery involves the patient creating an image in the brain and gradually becoming less aware of the offending stimulus when concentrating on the image. It can be done anytime and anywhere; some patients may use other relaxation techniques or play music with it to reduce stress or pressures.
Incorrect
Note that: Psychosocial Integrity and the content addresses coping mechanisms. Guided imagery involves the patient creating an image in the brain and gradually becoming less aware of the offending stimulus when concentrating on the image. It can be done anytime and anywhere; some patients may use other relaxation techniques or play music with it to reduce stress or pressures.
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Question 5 of 10
5. Question
A patient with Parkinson’s disease develops akinesia while ambulating, which increases the risk for his falls. Which suggestion of the following should the nurse provide to the patient to relieve this problem?
Correct
Patients with Parkinson’s disease can develop bradykinesia (slow movement) or akinesia (freezing or no movement). Having them to imagine line on the floor to walk over will help to keep them moving forward while remaining safe.
Incorrect
Patients with Parkinson’s disease can develop bradykinesia (slow movement) or akinesia (freezing or no movement). Having them to imagine line on the floor to walk over will help to keep them moving forward while remaining safe.
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Question 6 of 10
6. Question
The nurse monitors a patient receiving digoxin. which of the following symptoms indicate early manifestation of digoxin toxicity?
Correct
Incorrect
The most common early indications of toxicity of digoxin include gastrointestinal disturbances such as anorexia, nausea, and vomiting. There are also other indications such as Neurological abnormalities, and ocular disturbances but those aren’t early signs.
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Question 7 of 10
7. Question
An (MRI) study is prescribed for a patient with a suspected brain tumor. The nurse should implement which of the following actions to prepare the patient for this test?
Correct
Incorrect
Note that in an MRI study, radiofrequency pulses in a magnetic field are converted into pictures. All metal objects, such as rings, bracelets, hairpins, and watches, should be removed to show an accurate condition. In addition, the history of the patient should be taken to ascertain whether he has any internal metallic devices, such as orthopedic hardware, pacemakers, or shrapnel.
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Question 8 of 10
8. Question
A patient with impaired renal function has a magnesium level of 3.5 mEq/ L (1.75 mmol/ L). According to this laboratory result, which of the following shows disturbance in magnesium blood level?
Correct
Incorrect
It addresses an alteration in body systems. The normal magnesium level is 1.5 to 2.5 mEq/ L(0.75 to 1.25 mmol/ L). A magnesium level of 3.5 mEq/ L (1.75 mmol/L) indicates hypermagnesemia.
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Question 9 of 10
9. Question
A prescription reads acetaminophen liquid, 650 mg orally every 4 hours PRN for pain. The medication label reads 500 mg/15 mL. How many milliliters should the nurse prepare to administer 1 dose? Record your answer using one decimal place.
Correct
Formula:
Desired/Available  volume¼ mL
650 mg /500 mg  15 mL¼ 19:5 mLIncorrect
Formula:
Desired/Available  volume¼ mL
650 mg /500 mg  15 mL¼ 19:5 mL -
Question 10 of 10
10. Question
The nurse is caring for a hospitalized patient with a diagnosis of heart failure who suddenly complains of shortness of breath and dyspnea. Which immediate action the nurse should take?
Correct
Incorrect
You may immediately think that the client has developed pulmonary edema, a complication of heart failure, and needs a diuretic. Although pulmonary edema is a complication of heart failure, the question does not specifically state that pulmonary edema has developed, and the client could be experiencing shortness of breath or dyspnea as a symptom of heart failure exacerbation.