Nevada State College

1. A 94-year-old patient is receiving gentamicin sulfate (Garamycin) in a continuous intravenous (IV) infusion. The nurse adds to the nursing care plan the patient problem “Potential injury.” What nursing action should be implemented? a. Pull side rails in place. b. Assist with ambulation. c. Measure intake and output. d. Provide for a possible seizure. ANS: C Reduced urine output would cause the drug to stay in the system rather than being excreted, which could result in a drug sat...

1. Which statement best defines concepts to be included in a teaching plan for a patient with cancer? a. Cancer is a group of diseases. The cancer cells are different from the cells in the tissue of its origin in both the growth and spreading of abnormal cells. b. Cancer is the third leading cause of death in the United States. Many hospitals have the highest number of patients with this diagnosis. c. Americans who have a diagnosis of cancer die within 1 year or less. d. When a person is ...

1. A 60-year-old patient who has had an enucleation asks when he can get his prosthesis fitted. In approximately how many weeks should this patient expect to be fitted? a. 2 b. 4 c. 8 d. 12 ANS: B After an enucleation, the patient is fitted with a prosthesis in 1 month. DIF: Cognitive Level: Knowledge REF: p. 1183 OBJ: 2 TOP: Enucleation KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Basic Care and Comfort 2. A patient with glaucoma is taking a beta-adre...

1. A patient in early labor says to the nurse, “I will pass on protection from diseases, and the baby will not ever need any shots.” What is the best response by the nurse? a. “Babies are born with innate (natural) immunity at birth.” b. “Babies are born with immunoglobulin E (IgE), an antibody that crosses the placenta, but it only briefly protects the baby.” c. “Yes, immediate antibody immunity from the mother is the first line of defense against disease for babies.” d. ...

. A patient with an extensive abdominal surgical procedure is assessed by the nurse as having predictable pain. How often should the nurse administer analgesics to this patient to be most effective? a. As needed (PRN) b. Once a day c. Twice a day d. Around the clock ANS: D Using a preventive approach for managing this patient’s pain management is the best plan for the nurse because the pain is predictable and major. DIF: Cognitive Level: Application REF: p. 143 OBJ: 8 TOP: Predictab...

1. What negative effects does immobilization have on the musculoskeletal system? a. Demineralization of bone b. Increase in aerobic capacity c. Increased muscle oxidation d. Lengthening of muscle fibers ANS: A Immobilization has negative effects on the musculoskeletal system such as demineralization of bone, a decrease in aerobic capacity, a decrease in muscle oxidation, and shortening of muscle fibers. DIF: Cognitive Level: Comprehension REF: p. 192 OBJ: 1 TOP: Effects of Immobility K...

MULTIPLE CHOICE 1. While a home health nurse is making the entry to a service assessment on a homebound patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator therapy and insulin injections. What is the best response by the nurse? a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.” b. “No, Medicare will not cover either of these ongoing therapies.” c. “Medicare will cover the ventilator therapy, but it does...

1. A 60-year-old patient who has had an enucleation asks when he can get his prosthesis fitted. In approximately how many weeks should this patient expect to be fitted? a. 2 b. 4 c. 8 d. 12 ANS: B After an enucleation, the patient is fitted with a prosthesis in 1 month. DIF: Cognitive Level: Knowledge REF: p. 1183 OBJ: 2 TOP: Enucleation KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Basic Care and Comfort 2. A patient with glaucoma is taking a beta-adre...

1. A 94-year-old patient is receiving gentamicin sulfate (Garamycin) in a continuous intravenous (IV) infusion. The nurse adds to the nursing care plan the patient problem “Potential injury.” What nursing action should be implemented? a. Pull side rails in place. b. Assist with ambulation. c. Measure intake and output. d. Provide for a possible seizure. ANS: C Reduced urine output would cause the drug to stay in the system rather than being excreted, which could result in a drug sat...

1. While a home health nurse is making the entry to a service assessment on a homebound patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator therapy and insulin injections. What is the best response by the nurse? a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.” b. “No, Medicare will not cover either of these ongoing therapies.” c. “Medicare will cover the ventilator therapy, but it does not cover the in...