Terms in this set (76)
1. alprazolam (Xanax)
Incorrect - alprazolam is used to reduce anxiety
A client with Multiple Sclerosis
2.Corticosteroid injection
reports a constant, burning, Incorrect - Corticosteroid injections are used to reduce
tingling pain in the inflammation in a localized area, often due to joint breakdown.
shoulders. The nurse anticipates In MS patients it is used to treat acute
that the physician will order exacerbations ("flare-ups"), but the symptoms described do not
which medication for this type constitute an acute exacerbation.
of pain?
gabapentin (Neurontin)
3.
1. alprazolam (Xanax) Correct - Anticonvulsants like gabapentin are often the first line
2. Corticosteroid injection of treatment for nerve pain
3. gabapentin (Neurontin)
4. hydrocodone/acetaminophen
4.hydrocodone/acetaminophen (Norco)
(Norco)
Incorrect - Opioids would not be the appropriate medication to treat nerve
pain.
,A nurse is providing discharge 1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
teaching for a patient with CORRECT - Large meals increase the volume and pressure in the
severe Gastroesophogeal Reflux stomach and delay gastric emptying. It's recommended instead
Disease. Which of these to eat 4-6 small meals a day.
statements by the patient
indicates a need for more 2. "I'm going to make sure to remain upright after meals and
teaching? elevate my head when I sleep"
Incorrect - This is a correct verbalization of health promotion for GERD.
1. "I'm going to limit my meals
to 2-3 per day to reduce acid 3."I won't be drinking tea or coffee or eating chocolate any more."
secretion." Incorrect - This is a correct verbalization of health promotion for GERD.
4."I'm going to start trying to lose some weight."
2. "I'm going to make sure to
Incorrect - This is a correct verbalization of health promotion for GERD.
remain upright after meals and
elevate my head when I
sleep"
3. "I won't be drinking tea or
coffee or eating chocolate
any more."
4. "I'm going to start trying to
lose some weight."
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, 1. Start a
large-bore IV in the patient's arm
The nurse in the Emergency CORRECT - The nurse should suspect that the patient is
Room is treating a patient haemorrhaging and will need need a fluid replacement
suspected to have a therapy, which requires a large bore IV.
Peptic Ulcer. On assessing lab
results, the nurse finds that the 2.Ask the patient for a stool sample
patient's blood Incorrect - While this is useful in the diagnosis and assessment
pressure is 95/60, pulse is 110 of Peptic Ulcer Disease, it is not the priority intervention.
beats per minute, and the
patient reports epigastric pain. 3.Prepare to insert an NG Tube
Incorrect - While this intervention may be used in the later
What is the PRIORITY
stages of Peptic Ulcer Disease, it is not the first and priority
intervention?
intervention.
1. Start alarge-bore IV in the
patient's arm 4.Administer intramuscular morphine sulphate as ordered
2. Ask the patient for a stool Incorrect - While this is an important intervention to manage
sample pain, it is not the priority intervention.
3. Prepare to insert an NG Tube
4. Administer intramuscular
morphine sulphate as
ordered
, 1. Hemoglobin 11g/dl
This is below normal, but a normal female hemoglobin is 12-14.
A female patient with atrial
There is a more critical lab result.
fibrillation has the following lab
results: Hemoglobin of 11 g/dl, a
Platelet of 150,000
2.
platelet count of 150,000, an INR This is also below the normal values, but is not the most critical lab result.
of 2.5, and potassium of 2.7
mEq/L. Which 3.INR of 2.5
result is critical and should be This is a therapeutic range for a patient who is taking an
reported to the physician anticoagulant for atrial fibrillation
immediately?
Potassium of 2.7 mEq/L
4.
1. Hemoglobin 11 g/dl CORRECT - A potassium imbalance for a patient with a history of
2. Platelet of 150,000 dysrhythmia can be life-threatening and can lead to cardiac
3. INR of 2.5 distress.
4. Potassium of 2.7 mEq/L
1. Stop the
saline infusion immediately
While receiving normal saline
CORRECT - the patient has a fluid volume overload as a result of
infusions to treat a GI bleed, the
overly rapid fluid replacement. The nurse should stop the
nurse notes that the patient's
infusion and notify the physician.
lower legs have become
edematous and auscultates
Notify Physician
2.
crackles in the lungs. What
This is not the first action the nurse should take.
should the nurse do first?
Elevate the patient's legs
3.
1. Stop the saline infusion This would help with the edema, but is not a priority
immediately
2. Notify Physician
4. Continue the infusion, since these are
3. Elevate the patient's legs
normal findings This is not a normal
4. Continue the infusion, since
finding
these are normal findings