Preop and Surgical
The nurse is providing teaching to a patient regarding pain control after surgery. What time does the nurse inform the patient is the best time to request pain medication?
before the pain becomes severe
The nurse is preparing to discharge a client home with a prescription for ibuprofen. What should the nurse instruct as a common side effect of this medication?
Gastrointestinal (GI) bleeding
When caring for a cancer patient who also has aids, which protective measure should be used?
Standard precaution
You are caring for a patient with possible fluid overload. Which is your priority for assessment?
Lung Sounds
A nursing is assignment comprises of a diabetic being discharged today, a client with tracheostomy and copious secretions, a client scheduled for physical therapy this morning and a client with a pressure ulcer that needs dressing change
a client with tracheostomy and copious secretions
Which nursing interventions is most likely to prevent respiratory complications such as pneumonia and atelectasis in a post surgical patient?
use of incentive spirometry
Which objective assessment data will the nurse obtain before administering a prescribed opioid medication to a client?
Respiratory rate
A process that kills all microorganisms and also destroys spores
Sterilization
Prior to obtaining ABG test, what should the nurse check?
Allen’s Test
A nurse enters a room and finds a client lying on the floor. Which action should the
nurse perform first?
establish whether the client is responsive
Which medication most likely requires special preoperative assessment and treatment? as a result of an existing medical condition?
daily anticoagulants to treat atrial fib.
The nurse is providing discharge instructions to a client prescribed an opioid medication. What can the nurse suggest to decrease the risk of constipation with this medication?
Drink 6 to 8 glasses of water per day.
The medical/surgical nurse cares for a middle-aged patient with a wound infected with MRSA (Methicillin-resistant Staphylococcus aureus). Which protective safety items, if worn by the nurse, would be considered appropriate?
A gown and gloves.
A patient was admitted to Med/Surg for an electrolyte imbalance of elevated potassium. You would expect treatment with?
Kayexalate
What is the most common reason for reluctance in delegating tasks among members of the team?
lack of trust in the team members
A patient is returning to the floor after orthopedic surgery is complaining of nausea. the nurse is aware that an appropriate intervention is to do what?
avoid strong smelling foods
The nurse is to administer acetaminophen (Tylenol) prn for a headache. The client has been vomiting all day. Which route should the nurse use to administer the medication?
Rectal
During report, the previous nurse emphasized that one of the newly admitted patients is on seizure precautions. The incoming nurse is correct when she performs which of the following actions to the client?
Maintain the client’s bed in the lowest position.
Patient presents to ER with excessive diarrhea. Patient is loosing bicarb. Which condition would the nurse suspect?
Metabolic acidosis
What is the nurse’s first priority when caring for a client in the post-aneasthesia care unit. ABC is a priority.
respiratory status
A nurse is formulating a plan of care for a client receiving enteral feedings. The nurse identifies which nursing diagnosis as the highest priority for this client?
risk for aspiration
The nurse is identifying nursing diagnoses appropriate for a client experiencing pain. The client has had previous episodes of uncontrolled pain in the past, and is worried about the current pain pattern. Which diagnosis would be appropriate for the nurse to include for this client?
Anxiety.
The herpes zoster virus requires a nurse to follow ________ precautions at all times.
Airborne
Patient is being treated with Lasix, what is the effect of this medication?
decrease in potassium levels
A client presents to the emergency room with dyspnea, chest pain, and syncope. The nurse assesses the client and notes that the client is pale and diaphoretic with blood pressure 94/60, respiration 32. The client is anxious, fearing death. Which action should the nurse take first?
administer oxygen per nasal cannula