Anything Goes
The physician's order states to administer 500 mcg of digoxin IM once. The supply on hand is 0.25mg/2 mL. The nurse understands which of the following is the best approach in administering the medication as ordered?
D Prepare 2- 5mL syringes with 23-gauge x 1 ½” needles for administration in the ventrogluteal muscle
A patient asks why a cold pack has been prescribed for an arm injury. What would the nurse explain to the patient?
Which of the following objective assessment will the nurse obtain before administering a prescribed opioid medication to a patient?
A patient has not voided eight hours after abdominal surgery and says to the nurse, “I don’t think I can urinate.” What will be the nurse’s first action?
D Palpate the patient’s bladder
The nurse is caring for a patient scheduled for repair of a torn rotator cuff. The nurse understands that this surgery will be classified as:
The nurse is preparing to administer an intramuscular injection. The nurse recognizes which of the following statements is true regarding intramuscular injections?
D - activate the needle safety mechanism after withdrawing the needle
While changing a patient's dressing, the nurse notes clear and blood tinged drainage on the gauze. How will the nurse document the wound's drainage?
A patient is talking with the nurse about his spouse dying with cancer. What statement indicates that the husband is experiencing acceptance of Kubler-Ross’s grieving stages?
C “I made funeral arrangements today."
As part of the management of constipation, the client is instructed to take 30 mL of mineral oil orally. How does docusate sodium (Colace) facilitate bowel evacuation?
The preoperative nurse is educating a group of patients on health problems that increase surgical risk. Select the problems that increase the greatest surgical risk to the patient. SATA.
The nurse is to give an intramuscular injection using the deltoid muscle of the adult. What is the average gauge and length needle that should be used?
A patient's leg wounds appear red and edematous a day after a traumatic injury. Which stage of healing will the nurse identifies this injury?
A nurse is volunteering in a clinic. She is seeing a patient whom she suspects has clostridium difficile. In this disease process, which isolation would the patient be placed in?
The nurse is admitting a patient with severe diarrhea. What is the most important element of assessment for this patient?
The Intraoperative nurse would expect to perform which of the following tasks while in this role? Select all that apply
During cellular response to injury, white blood cells flood the are via margination, diapedesis, and chemotaxis. The nurse knows that the first white blood cells to arrive are:
At 0600 the patient took diltiazem 60mg. The half-life is 3 hours. How many milligrams would be left at 1200?
You are caring for a postoperative patient on a medical-surgical unit. During each patient assessment, you evaluate your patient for infection. Which sign or symptom would be most indicative of infection?
The nurse is preparing a patient for surgery prior to her hysterectomy. The nurse is witnessing the patient’s signature on a consent form. Which comment by the patient would best indicate informed consent?
The nurse is observing a patient in the PACU. Which of the following assessments should the nurse monitor closely?
During morning care, the nurse notes that a patient's wound is seeping a large amount of drainage. Which assessment indicates that the patient’s wound is at risk for delayed healing?
The nurse has administered a drug that is known to be lipid solubility. This drug's solubility will primarily affect what aspect of pharmacokinetics?
D distribution of the drug
A nurse in a clinic is caring for a patient who reports generalized aches and fever. The nurse suspects the patient has acquired an infection. Which of the following stages of infection is the patient experiencing?
When is the best time for the nurse to provide teaching?
A patient who received spinal anesthesia four hours ago during surgery is transferred to the medical-surgical unit and now reports a severe headache. The most appropriate nursing intervention is to:
A Lie the patient flat