Blood
The nurse is teaching a patient who takes warfarin (Coumadin) about a coagulation monitoring device. Which blood clotting time should the device monitors?
INR
What is the purpose of mucus?
To trap particles and bacteria.
The patient is experiencing phantom pain following the amputation of her foot. Which type of pain is most associated with phantom pain?
Neuropathic
A patient being treated for cancer shows symptoms of a secondary fungal infection of the oral mucosa. What is the most likely type of infection?
Candida albicans
The nurse is teaching a patient about infection prevention. The nurse points out that covering the mouth and nose with a tissue for a sneeze reduces the probability of infection spreading by which route?
Droplet
Jaundice results from excessive release of which substance into the bloodstream?
Bilirubin
When the patient complains, “If this viral infection I have right now can’t be helped by antibiotics, why am I taking this expensive acyclovir?” How should the nurse respond?
“Acyclovir is an antiviral drug that prevents your infection from becoming worse.”
A patient has been admitted to the hospital with a diagnosis of sickle cell crisis. What is the primary focus nursing interventions for this patient?
Pain Control
The nurse is providing medication information to a patient receiving pain medication with codeine. Which side effect should the nurse tell the patient is most likely to occur?
Constipation
The nurse provides discharge teaching about antibiotic therapy. Which statement indicates that the patient requires additional teaching?
1“I should try to take my medication as evenly spaced apart as possible.”
2“I should wait 3 days after my symptoms resolve before stopping my antibiotic.”
3“I should not share my medication with anyone.”
4 “If I start feeling worse, I should call my health care provider.”
2
What is the average life span of a red blood cell (RBC)?
120 days
The nurse explains that exposure to a pathogen stimulates the macrophages to migrate to the area of infection to ingest and destroy the pathogen. This statement describes which process?
Phagocytosis
The hospitalized postsurgical patient is reluctant to take the opioid pain medication because of drowsiness. Which response is most informative for the nurse to make?
1. “Mental stimulation after the medication will keep you more alert.”
2. “Sleep and pain relief promote healing.”
3.“Drowsiness is an undesirable side effect.”
4.“The medication should be taken only before bedtime.”
2
In order to provide the optimum nursing care, it is important for the nurse to know that the standard of pain and pain control is best determined by which person?
Patient
The nurse is caring for a patient receiving a strong narcotic for pain control. During the assessment, the nurse notes the patient’s respiratory rate to be 8 respirations per minute. Which medication may be necessary for this patient?
Nalxone
Which organ releases the erythropoietin-stimulating factor that directs stem cells in the bone marrow to make blood cells?
Kidney
The nurse is caring for a patient with C. difficile infection. Which action is most important for the nurse to take?
1. Notify housekeeping to use appropriate cleaning agents.
2. Don proper eye protection before providing care.
3.Always wear an impervious mask.
4.Only use alcohol-based hand cleanser for hand hygiene.
1
The patient on frequent doses of meperidine (Demerol) complains of constipation. Which initial intervention is best?
Increase oral fluid intake.
The nurse is caring for a patient that is receiving intravenous morphine sulfate. The patient breaks out in hives and begins to itch. What should the nurse do first?
Stop the infusion
Most of the inspired oxygen is carried to the tissues via which component of the body?
Red blood cells
A nurse initiates neutropenic precautions for a patient who has undergone chemotherapy. What nursing actions would be carried out?
1.Use clean technique for wound care and invasive procedures
2.No Flowers or raw vegetables
3. Allow visitors as desired
4.Wear a mask and group care
2,4
The nurse is providing infection control teaching to a group of patients. Which statement demonstrates that the patient understands the nurse’s teaching?
1.“Hand hygiene is one of the most effective ways I can prevent the spread of infection.”
2. “If I eat a nutritious diet, it will be difficult for me to get an infection.”
3. “Vaccinations only prevent a disease from becoming severe.”
4.“I should take an antibiotic at the first sign of an infection.”
1
The nurse is caring for an 85-year-old patient who has been on bed rest for a fractured hip. The nurse finds that the patient is flushed, has a temperature of 100° F, a pulse of 100, and respiratory rate of 24. What assessment should the nurse perform next?
Auscultate breath sounds.
A patient who is to receive vitamin B12 injections for treatment of pernicious anemia asks the nurse how long she will have to receive these injections. What education will be given to the patient?
“You will need the injection for the rest of your life.”
A patient is being treated with IV antibiotics for bacterial infection. The nurse suspects a health care-associated infection (HAI) when the patient begins to develop what?
Severe diarrhea