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MULTIPLE CHOICE 1. How many hours of hospital stay does legislation currently allow for a postpartum patient who has delivered vaginally without complications? a. 24 b. 48 c. 36 d. 72 ANS: B Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; patients who have had a cesarean delivery usually stay 4 days. DIF: Cognitive Level: Knowledge REF: Page 6 TOP: Hospital Terms for Postpartum Patients KEY: Nursing Process Step: Planning MSC: NCLE...

MULTIPLE CHOICE 1. A woman who is 25 weeks pregnant asks the nurse what her fetus looks like. What does the nurse explain is one physical characteristic present in a 25-week-old fetus? a. Lanugo covering the body b. Constant motion c. Skin that is pink and smooth d. Eyes that are closed ANS: A By 25 weeks, the body of the fetus is covered with lanugo, the eyes are open, the skin is wrinkled, and the fetus has definite periods of movement and sleeping. DIF: Cognitive Level: Compr...

MULTIPLE CHOICE 1. The nurse has explained menstruation to a 13-year-old girl. What statement indicates the girl needs additional education? a. Periods last about 5 days. b. My cycle should get regular in 6 months. c. I should expect heavy bleeding with clots. d. Periods come about every 4 weeks. ANS: C Clots are not normally seen in menstrual discharge. A normal menstrual flow is 30 to 40 mL blood and 30 to 50 mL serous fluid. DIF: Cognitive Level: Comprehension REF: Page 29 T...

Chapter 21: Gastrointestinal Disorders and Therapeutic Management 22: Endocrine Clinical Assessment and Diagnostic Procedures 23: Endocrine Disorders and Therapeutic Management 24: Trauma 25: Burns 26: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 27: Hematologic Disorders and Oncologic Emergencies

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. Contracture development leading to impaired physical mobility can occur after a major burn injury. Splints are applied to prevent or correct contractures. Priority nursing interventions concerning this therapy include which action? a. Daily assessment for proper fit and effectiveness b. Removal of splints during showers and dressing changes c. Allowing for frequent breaks from splint use d. Passive and active...

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. The nurse is caring for a patient with type 2 heparin-induced thrombocytopenia (HIT). The nurse knows that pulmonary embolism is a serious complication of HIT. Which findings would alert the nurse to the presence of this complication? a. Blanching of fingers and toes and loss of peripheral pulses b. Chest pain, pallor, and confusion c. Headache, impaired speech, and loss of motor function d. Dyspnea, pleuritic p...

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient has been admitted in hypovolemic shock due to blood loss. Which finding would the nurse expect to note to support this diagnosis? a. Distended neck veins b. Decreased level of consciousness c. Bounding radial and pedal pulses d. Widening pulse pressure ANS: B Signs of hypovolemia include flattened neck veins, a decreased level of consciousness, weak and thready peripheral pulses, and a narrowe...

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient is reporting a headache, fatigue, abdominal pain, and blurred vision. The nurse knows that these signs may indicate the patient has what problem? a. Hypothyroidism b. Pituitary tumor c. Cushing syndrome d. Hyperglycemia ANS: D Because severe hyperglycemia affects a variety of body systems, all systems are assessed. The patient may complain of blurred vision, headache, weakness, fatigue, drowsi...

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient with acute pancreatitis is complaining of a pain in the left upper quadrant. Using a 1- to 10-point pain scale, the patient states the current level is at an 8. What intervention would the nurse include in the patient’s plan of care to facilitate pain control? a. Administer analgesics only as needed. b. Administer analgesics around the clock. c. Educate the patient and family on lifestyle changes. d...

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient is admitted to the ICU for observation of his grade II splenic laceration. Which signs and symptoms suggest that the patient has had a delayed rupture of his splenic capsule and is now in hemorrhagic shock? a. BP, 110/70 mm Hg; HR, 120 beats/min; Hct, 42 mg/dL; UO, 40 mL/hr; skin that is pink, warm, and dry with capillary refill of 3 seconds b. BP, 90/70 mm Hg; HR, 140 beats/min; Hct, 21 mg/dL; UO, 10 m...