LINDSEY WILSON COLLEGE - NURS 3105: ADULT HEALTH 1- EXAM 5
(CHAPTER 62, 63, 64, 65) QUESTIONS & ANSWERS
The nurse is preparing to assist a patient who has had an open reduction and internal fixation (ORIF) of a
hip fracture out of bed for the first time. Which action should the nurse take?
a. Use a mechanical lift to transfer the patient from the bed to the chair.
b. Check the postoperative orders for the patient's weight-bearing status.
c. Avoid administration of pain medications before getting the patient up.
d. Delegate the transfer of the patient out of bed to nursing assistive personnel (NAP).
A patient has hip replacement surgery using the posterior approach. Which patient action requires rapid
intervention by the nurse?
a. The patient uses crutches with a swing-to gait.
b. The patient leans over to pull shoes and socks on.
c. The patient sits straight up on the edge of the bed.
d. The patient bends over the sink while brushing the teeth.
Before assisting a patient with ambulation on the day after a total hip replacement, which action is most
important for the nurse to take?
a. Administer the ordered oral opioid pain medication.
b. Instruct the patient about the benefits of ambulation.
c. Ensure that the incisional drain has been discontinued.
d. Change the hip dressing and document the wound appearance.
A patient with an acute attack of gout is treated with colchicine. The nurse determines that the drug is
effective upon finding
a. relief of joint pain.
b. increased urine output.
c. elevated serum uric acid.
d. decreased white blood cells (WBC).
, A patient with gout tells the nurse that he takes losartan (Cozaar) for control of the condition. The nurse
will plan to monitor
a. blood glucose.
b. blood pressure.
c. erythrocyte count.
d. lymphocyte count.
A long-term care patient who takes multiple medications develops acute gouty arthritis. The nurse will
consult with the health care provider before giving the prescribed dose of
a. sertraline (Zoloft).
b. famotidine (Pepcid).
c. oxycodone (Roxycodone).
d. hydrochlorothiazide (HydroDiuril)
When caring for a patient with gout and a red and painful left great toe, which nursing action will be
included in the plan of care?
a. Gently palpate the toe to assess swelling.
b. Use pillows to keep the left foot elevated.
c. Use a footboard to hold bedding away from the toe.
d. Teach patient to avoid use of acetaminophen (Tylenol).
A patient with an acute attack of gout in the left great toe has a new prescription for probenecid
(Benemid). Which information about the patient's home routine indicates a need for teaching regarding
gout management?
a. The patient sleeps about 8 to 10 hours every night.
b. The patient usually eats beef once or twice a week.
c. The patient generally drinks about 3 quarts of juice and water daily.
d. The patient takes one aspirin a day prophylactically to prevent angina.
Which statement by a 24-year-old woman with systemic lupus erythematosus (SLE) indicates that the
patient has understood the nurse's teaching about management of the condition?
(CHAPTER 62, 63, 64, 65) QUESTIONS & ANSWERS
The nurse is preparing to assist a patient who has had an open reduction and internal fixation (ORIF) of a
hip fracture out of bed for the first time. Which action should the nurse take?
a. Use a mechanical lift to transfer the patient from the bed to the chair.
b. Check the postoperative orders for the patient's weight-bearing status.
c. Avoid administration of pain medications before getting the patient up.
d. Delegate the transfer of the patient out of bed to nursing assistive personnel (NAP).
A patient has hip replacement surgery using the posterior approach. Which patient action requires rapid
intervention by the nurse?
a. The patient uses crutches with a swing-to gait.
b. The patient leans over to pull shoes and socks on.
c. The patient sits straight up on the edge of the bed.
d. The patient bends over the sink while brushing the teeth.
Before assisting a patient with ambulation on the day after a total hip replacement, which action is most
important for the nurse to take?
a. Administer the ordered oral opioid pain medication.
b. Instruct the patient about the benefits of ambulation.
c. Ensure that the incisional drain has been discontinued.
d. Change the hip dressing and document the wound appearance.
A patient with an acute attack of gout is treated with colchicine. The nurse determines that the drug is
effective upon finding
a. relief of joint pain.
b. increased urine output.
c. elevated serum uric acid.
d. decreased white blood cells (WBC).
, A patient with gout tells the nurse that he takes losartan (Cozaar) for control of the condition. The nurse
will plan to monitor
a. blood glucose.
b. blood pressure.
c. erythrocyte count.
d. lymphocyte count.
A long-term care patient who takes multiple medications develops acute gouty arthritis. The nurse will
consult with the health care provider before giving the prescribed dose of
a. sertraline (Zoloft).
b. famotidine (Pepcid).
c. oxycodone (Roxycodone).
d. hydrochlorothiazide (HydroDiuril)
When caring for a patient with gout and a red and painful left great toe, which nursing action will be
included in the plan of care?
a. Gently palpate the toe to assess swelling.
b. Use pillows to keep the left foot elevated.
c. Use a footboard to hold bedding away from the toe.
d. Teach patient to avoid use of acetaminophen (Tylenol).
A patient with an acute attack of gout in the left great toe has a new prescription for probenecid
(Benemid). Which information about the patient's home routine indicates a need for teaching regarding
gout management?
a. The patient sleeps about 8 to 10 hours every night.
b. The patient usually eats beef once or twice a week.
c. The patient generally drinks about 3 quarts of juice and water daily.
d. The patient takes one aspirin a day prophylactically to prevent angina.
Which statement by a 24-year-old woman with systemic lupus erythematosus (SLE) indicates that the
patient has understood the nurse's teaching about management of the condition?
