NURS 2500 EXAM 3 QUESTIONS WITH ANSWERS

NURS 2500 EXAM 3 QUESTIONS WITH |\ |\ |\ |\ |\ |\




ANSWERS

Which vital sign requires follow-up by the nurse?
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A. BP of 160/88
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B. Pulse of 68 beats/min
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C. Respirations of 14 breaths/min
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D. Temperature of 97.F (36.2 C) - CORRECT ANSWERS ✔✔A
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The nurse reviews the medications taken Ms. Jackson. Ms.
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Jackson states she has been taking two medications;
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hydrochlorothiazide, a diuretic and warfarin, an anticoagulant, |\ |\ |\ |\ |\ |\ |\


every day for more than a year.
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What nursing action is most important?
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A. Observe the appearance of the client's oral mucosa
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B. Assess the client for any signs of excessive bruising
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C. Review common side effects of each medications
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D. Explain the need to withhold the warfarin prior to surgery. -
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CORRECT ANSWERS ✔✔D (anticoagulants -- increase risk for
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bleeding during surgery) |\ |\

,The nurse then reviews Ms. Jackson's preoperative lab results
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drawn earlier in the week. Which serum lab value requires follow-
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up by the nurse?
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A. Sodium of 135
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B. WBC of 14,000
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C. Creatine of 0.8
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D. Hemoglobin of 14 - CORRECT ANSWERS ✔✔B (normal is 5,000
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to 10,000)|\




The nurse talks with Ms. Jackson about what to expect the day of
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surgery and during the immediate postoperative period. The
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nurse provides instructions regarding cough and deep breathing
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exercises. Ms. Jackson performs a return demonstration by
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breathing in through her mouth deeply and exhaling through
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pursed lips forcefully and rapidly. What action should the nurse
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implement?


A. Advise the client to avoid pursing her lips when exhaling.
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B. Remind the client to cough after taking two to three breaths.
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C. Demonstrate the deep breathing and coughing technique
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again.
D. Document successful completion of the return demonstration.
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- CORRECT ANSWERS ✔✔C
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When the nurse begins teaching about the benefits of early
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mobilization following surgery, Ms. Jackson states, "Oh, I know if I |\ |\ |\ |\ |\ |\ |\ |\ |\ |\

, stay in bed very long I will get bedsores." How should the nurse
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respond?


A. "Getting a bedsore is very serious. Sometimes people die from
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infected bedsores."
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B. "The nurses will make sure you do not stay in bed long enough
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to get bedsores."
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C. "Bedsores are one of many problems that can occur from
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prolonged bedrest." |\




D. "Those are now called pressure ulcers because they are
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caused by pressure." - CORRECT ANSWERS ✔✔C (acknowledge
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and promotes further learning)
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The nurse discusses postoperative pain management with Ms.
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Jackson and explains the use of a patient-controlled analgesia
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(PCA) pump. Ms. Jackson expresses fear that she might
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accidentally overdose herself, since she will be sleepy after |\ |\ |\ |\ |\ |\ |\ |\ |\


surgery. How should the nurse respond? |\ |\ |\ |\ |\ |\




A. "You will only use the PCA pump for the first 24 hours after
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surgery." |\




B. "The surgeon will prescribe the dose of medication that is
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correct for you." |\ |\ |\




C. "I will tell the surgeon that you prefer that the nurse
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administer your pain medicine." |\ |\ |\ |\




D. "The pump has a control device that prevents you from taking
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too much medicine." - CORRECT ANSWERS ✔✔D
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, While discussing postoperative pain management strategies with
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Ms. Jackson, the nurse observes Ms. Jackson begin to cry. What
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action should the nurse take? |\ |\ |\ |\ |\




A. Quietly sit with the client
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B. Offer reassurance about the surgery
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C. Calmly continue the preoperative instructions
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D. Leave the room until the client has composed herself -
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CORRECT ANSWERS ✔✔A |\ |\




After Ms. Jackson stops crying, she states, "My father was in so
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much pain before he died. Talking about pain brings back so
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many memories."How should the nurse respond?
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A. "We do not need to talk about pain control today if it makes
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you sad." |\




B. "Perhaps you need to see a counselor to help you resolve your
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grief."
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C. "It sounds as if you went through a difficult time when your
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father died." |\




D. "You need to focus on your own needs now and not on past
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memories." - CORRECT ANSWERS ✔✔C |\ |\ |\ |\




The next week, Ms. Jackson arrives at the surgery center 3 hours
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before her scheduled surgery. Which question is most important
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for the nurse to ask Ms. Jackson during the admission interview?
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