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After an unimmunized person is exposed to hepatitis B through a needle-stick injury,
what
actions will the nurse plan to take? (Select all that apply.)
a. Administer hepatitis B vaccine.
b. Test for antibodies to hepatitis B.
c. Teach about -interferon therapy.
d. Give hepatitis B immune globulin.
e. Explain options for oral antiviral therapy. -ANSWERS-Administer hepatitis B
Test for antibodies to hepatitis B
Give hepatitis N immune globulin
The nurse cares for an acute respiratory distress syndrome (ARDS). Which finding
indicated that the client is experiencing a complication resulting from ARDS? -
ANSWERS-Urine output 20mL dark amber in the past 8 hours
which finding to the nurse that administered nifedipine (Procardia) who effective for a
patient who has idiopathic pulmonary artery hypertension (IPAH) -ANSWERS-Patients
reports decrease in exertion dyspnea
During change-of-shift report on a medical unit, the nurse learns that a patient with
aspiration pneumonia who was admitted with respiratory distress has become
increasingly agitated. Which action should the nurse take first?
a. Give the prescribed PRN sedative drug.
, b. Offer reassurance and reorient the patient.
c. Use pulse oximetry to check the oxygen saturation.
d. Notify the health care provider about the patient's status. -ANSWERS-c. Use pulse
oximetry to check the oxygen saturation.
The nurse assesses vital signs on a patient admitted two days ago with ______
temperature of 101.2 BP of 90/56 mm hG pulse of 92 beats/min and respirations of 34.
What action should the nurse take first? -ANSWERS-Obtain oxygen saturation using
pulse oximetry
A nurse cares for a patient who is orally intubated, to decrease the risk of ventilator
associated pneumonia. What action will the nurse provide for the patient? -ANSWERS-
Elevate the head of the bed to 30-45 degrees
After receiving change of shift report on a medical unit, which patent should the nurse
assess first? -ANSWERS-A patient with septicemia who has intercostal and
suprasternal retractions.
When caring for a patient admitted with pulmonary embolism. The nurse notices a
change in the patients oxygen saturation (Sp02) from 94% to 88% which action should
the nurses take first? -ANSWERS-Increase the prescribed 02 flow rate
A patient with respiratory failure has a respiratory rate of 6 breaths/min and an oxygen
saturation (Sp02) of 78%. The patient is becoming increasingly lethargic. Which action
would the nurse anticipate? -ANSWERS-Endotracheal intubation and positive pressure
ventilation
A nurse cares for a patient with right lower lobe pneumonia who is obese. Which
position would the nurse place the client in? -ANSWERS--On the left side
A lobectomy is scheduled for a patient with stage 1 non small cell lung cancer. The
patient tells the nurse. I would rather have chemotherapy than surgery. Which response
by the nurse is most appropriate? -ANSWERS-Tell me what you know about the
treatments available