Pharmacology NURS 251 Module 9 Exam portage learning
Questions and Verified Answers,
100% Guarantee Pass
1. A client who has undergone abdominal surgery calls the nurse and reports
that she just felt "something give way" in the abdominal incision. The nurse
checks the incision and notes the presence of wound dehiscence. The nurse
immediately takes which action?
Answer> Covers the abdominal wound with a sterile dressing moistened with
sterile saline solution
2. A client who just returned from the recovery room after a tonsillectomy
and adenoidectomy is restless and her pulse rate is increased. As the nurse
continues the assessment, the client begins to vomit a copious amount of
bright-red blood. Which is the immediate nursing action?
Answer> Notify the surgeon
,3. A client who has just undergone surgery suddenly experiences chest pain,
dyspnea, and tachypnea. The nurse suspects that the client has a pulmonary
embolism and immediately takes which action?
Answer> Administering oxygen by way of nasal cannula
4. A nurse is assessing a client who has a closed chest tube drainage system.
The nurse notes constant bubbling in the water seal chamber. What actions
should the nurse take? Select all that apply.
Answer> Assessing the system for an external air leak
Documenting assessment findings, actions taken, and client response
5. A nurse is helping a client with a closed chest tube drainage system get out
of bed and into a chair. During the transfer, the chest tube is caught on the leg
of the chair and dislodged from the insertion site. The immediate priority on
the part of the nurse is which action?
Answer> Covering the insertion site with a sterile occlusive dressing
6. A nurse performing nasopharyngeal suctioning and suddenly notes the
presence of bloody secretions. The nurse should take which action first?
Answer> - Check the degree of suction being applied.
7. A nurse is suctioning a client through a tracheostomy tube. During the
procedure, the client begins to cough, and the nurse hears a wheeze. The
, nurse tries to remove the suction catheter from the client's trachea but is
unable to do so. The nurse would take which action first?
Answer> Disconnect the suction source from the catheter.
8. A nurse assesses the closed chest tube drainage system of a client who
underwent lobectomy 24 hours ago. The nurse notes that there has been
no chest tube drainage for the past hour. The nurse first performs which
action?
Answer> Checks for kinks in the drainage system
9. A nurse is monitoring a postoperative client on an hourly basis. The nurse
notes that the client's urine output for the past hour was 25 mL. On the basis
of this finding, the nurse takes which action first?
Answer> Checks the client's overall intake and output record
10. A nurse is getting a client out of bed for the first time since surgery. The
nurse raises the head of the bed, and the client complains of dizziness. Which
action should the nurse take first?
Answer> Lowering the head of the bed slowly until the dizziness is relieved
11. A nurse is preparing for intershift report when a nurse's aide pulls an emer-
gency call light in a client's room. Upon answering the light, the nurse finds a
client who returned from surgery earlier in the day experiencing tachycardia
Questions and Verified Answers,
100% Guarantee Pass
1. A client who has undergone abdominal surgery calls the nurse and reports
that she just felt "something give way" in the abdominal incision. The nurse
checks the incision and notes the presence of wound dehiscence. The nurse
immediately takes which action?
Answer> Covers the abdominal wound with a sterile dressing moistened with
sterile saline solution
2. A client who just returned from the recovery room after a tonsillectomy
and adenoidectomy is restless and her pulse rate is increased. As the nurse
continues the assessment, the client begins to vomit a copious amount of
bright-red blood. Which is the immediate nursing action?
Answer> Notify the surgeon
,3. A client who has just undergone surgery suddenly experiences chest pain,
dyspnea, and tachypnea. The nurse suspects that the client has a pulmonary
embolism and immediately takes which action?
Answer> Administering oxygen by way of nasal cannula
4. A nurse is assessing a client who has a closed chest tube drainage system.
The nurse notes constant bubbling in the water seal chamber. What actions
should the nurse take? Select all that apply.
Answer> Assessing the system for an external air leak
Documenting assessment findings, actions taken, and client response
5. A nurse is helping a client with a closed chest tube drainage system get out
of bed and into a chair. During the transfer, the chest tube is caught on the leg
of the chair and dislodged from the insertion site. The immediate priority on
the part of the nurse is which action?
Answer> Covering the insertion site with a sterile occlusive dressing
6. A nurse performing nasopharyngeal suctioning and suddenly notes the
presence of bloody secretions. The nurse should take which action first?
Answer> - Check the degree of suction being applied.
7. A nurse is suctioning a client through a tracheostomy tube. During the
procedure, the client begins to cough, and the nurse hears a wheeze. The
, nurse tries to remove the suction catheter from the client's trachea but is
unable to do so. The nurse would take which action first?
Answer> Disconnect the suction source from the catheter.
8. A nurse assesses the closed chest tube drainage system of a client who
underwent lobectomy 24 hours ago. The nurse notes that there has been
no chest tube drainage for the past hour. The nurse first performs which
action?
Answer> Checks for kinks in the drainage system
9. A nurse is monitoring a postoperative client on an hourly basis. The nurse
notes that the client's urine output for the past hour was 25 mL. On the basis
of this finding, the nurse takes which action first?
Answer> Checks the client's overall intake and output record
10. A nurse is getting a client out of bed for the first time since surgery. The
nurse raises the head of the bed, and the client complains of dizziness. Which
action should the nurse take first?
Answer> Lowering the head of the bed slowly until the dizziness is relieved
11. A nurse is preparing for intershift report when a nurse's aide pulls an emer-
gency call light in a client's room. Upon answering the light, the nurse finds a
client who returned from surgery earlier in the day experiencing tachycardia
