NUR 362 Exam 1 Practice Questions with answers

NUR 362 Exam 1 Practice Questions with
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answers


Which would be included as a responsibility of the scrub nurse?
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A)Obtaining and opening wrapped sterile equipment |\ |\ |\ |\ |\




B)Keeping all records and adjusting lights |\ |\ |\ |\ |\




C)Handing instruments to the surgeon and assistants |\ |\ |\ |\ |\ |\




D)Coordinating activities of other personnel - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\


✔✔Handing instruments to the surgeon and assistants
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|\ Explanation:
The responsibilities of a scrub nurse are to assist the surgical
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team by handing instruments to the surgeon and assistants,
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preparing sutures, receiving specimens for laboratory
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examination, and counting sponges and needles. Responsibilities |\ |\ |\ |\ |\ |\ |\


of a circulating nurse include obtaining and opening wrapped
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sterile equipment and supplies before and during surgery,
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keeping records, adjusting lights, and coordinating activities of
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other personnel.|\




Monitored anesthesia care differs from moderate sedation in that
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monitored anesthesia care: |\ |\




A)Is used as an adjunct to spinal anesthesia.
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b)may result in the administration of general anesthesia.
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C)is a type of regional anesthesia.
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D)requires the introduction of an anesthetic agent into the
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epidural space. - CORRECT ANSWERS ✔✔may result in the
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administration of general anesthesia. |\ |\ |\

,|\ Explanation:
Monitored anesthesia care may require the anesthsiologist to
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convert to general anesthesia. |\ |\ |\




A client is at postoperative day 1 after abdominal surgery. The
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client is receiving 0.9% normal saline at 75 mL/h, has a
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nasogastric tube to low wall suction with 200 mL every 8 hours of |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


light yellow fluid, and a wound drain with 50 mL of dark red
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drainage every 8 hours. The 24-hour urine output total is 2430
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mL. What action by the nurse is most appropriate?
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A)Document the findings and reassess in 24 hours. |\ |\ |\ |\ |\ |\ |\ |\




B)Assess for signs and symptoms of fluid volume deficit.
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C)Assess for edema. |\ |\ |\




D)Discontinue the nasogastric tube suctioning. - CORRECT |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Assess for signs and symptoms of fluid volume
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deficit.
|\ Explanation:
The client's 24-hour intake is 1800 mL (75 x 24). The client's 24-
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hour output is 3180 mL [(200 × 3) + (50 × 3) + 2430]. Because
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the output is significantly higher than the intake, the client is at
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risk for fluid volume deficit. The nurse should not discontinue the
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nasogastric suctioning without a physician's order. The findings |\ |\ |\ |\ |\ |\ |\ |\


should be documented and reassessed, but the nurse needs to
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take more action to prevent complication. Edema is usually
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associated with fluid volume excess. |\ |\ |\ |\




A client who has undergone extensive fracture repair continues
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to request opioid pain medication with increasing frequency. The
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initial surgeries occurred more than 2 months ago, and the nurse
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is concerned about the repeated requests. What does the nurse
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, suspect to be the cause of the client's frequent appeals for pain
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medication?
A)tolerance |\




B)addiction |\




C)drug allergy |\ |\




D)poor quality control by the drug manufacturer - CORRECT
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ANSWERS ✔✔tolerance |\




A client sustained severe burns over both lower extremities 1
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week ago. The client informs the nurse that he had to wait for 30
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minutes last night to receive pain medication, which caused the
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pain not to be relieved after administration. What suggestions
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could the nurse make to the physician to provide adequate relief
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of pain? |\




A)Provide the client with a patient-controlled analgesia (PCA)
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pump. |\




B)If the nurse is going to be late with administration, have an
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extra dose of medication available.
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C)Increase the frequency of the medication so that the client will
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have less time to wait. |\ |\ |\ |\ |\




D)Increase the dosage of the medication so the client will stay |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


medicated longer. - CORRECT ANSWERS ✔✔A |\ |\ |\ |\ |\




When a client with a history of chronic alcoholism is admitted to
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the hospital for surgery, the nurse anticipates that the client may
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show signs of alcohol withdrawal delirium during which time
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period?
A)Immediately upon admission |\ |\ |\