Exam |With elaborations| NURS 521 Advanced Pharmacology - Questions and Answers-Mid Term

Question Answered step -by-step 1.Which of the following patients should RN assigned to another RN, or retain personal responsibility for? A. A 25 -year-old, nine hours after cesarean section. She has petechiae and ecchymosis of the skin and had uncontrolled hemorrhage during surgery. Platelet count is decreased. B. A six -year-old who is one day postoperative. A unit of blood is ordered for today. C. A seven -year-old admitted with pneumonia who is in an oxygen tent and requires hand held nebulizer every four hours. D. A seven -year-old girl admitted for a T & A this morning. Preoperative teaching was done, and she is awaiting transport to the operating room. 2.Which of the following patients should the nurse assigned to a LPN/LVN? A. A 78 -year-old patient, admitted with a fractured hip, postoperative day 4. The wound requires a sterile dressing change daily. B. A 36 -year-old woman, two days after an appendectomy, who requires ambulation. C. A new colostomy patient, who requires fitting of the drainage appliance and the first irrigation procedure. D. An 82 -year-old woman, two days after above the knee amputation. She is receiving peritoneal dialysis. 3.Which of the following patients should the nurse assigned to a UAP? A. A 75 -year-old man who is in traction and requires a bed bath. B. A 45 -year-old with an open wound to the upper right leg, which cultured positive for MRSA. The wound requires a dressing change. C. A 26 -year-old, two days after a splenectomy. The patient has orders to increase activity. D. A 40 six -year-old woman after a mastectomy. She needs discharge teaching related to emptying wound drainage device 4.Which of the following patients should the nurse assigned to an experienced UAP? A. A 45 -year-old with a fracture of the left leg wh o wrings his call light because he needs to use the urinal. B. A 52 -year-old man admitted for gastroenteritis. He has antiemetic medications ordered. C. A 42 -year-old woman experiencing abdominal discomfort. Her abdomen is distended. She has had only 5 0 mL of urine output in the past 24 hours. D. A patient, with a chest tube, who is ambulating in the hall. 5.You are the charge nurse and emergency unit tonight. Central staffing has informed you that a pediatric nurse will be floated to your unit as a replacement for the call. Which of the following patients would be the best assignment? A. A 30 -year-old patient with cerebral palsy. He has difficulty voicing his chief complaint. B. A 60 -year-old patient transported by ambulance from home with short ness of breath, labored respirations, nonproductive cough, and congested lung sounds. He is very lethargic and has cicumoral pallor. C. A 90 -year-old man who is brought into the ER by his daughter. His chief complaint is nausea and vomiting of coffee gro und emesis for two days. His daughter has power of attorney. D. An 18 -year-old woman admitted with head trauma following an MVA. Respirations are labored She has an altered level of consciousness. Blood pressure is 180/105 mm Hg. Pupils are pinpoint. 6.You are the charge nurse on an ICCU tonight. Central staffing has informed you that a medical - surgical nurse will be floated to your unit to replace the nurse who called in. Which of the following patients would be the best assignment? A. A 45 -year-old man admitted to the hospital with a laceration of the spleen and minor cuts and bruises acquired due to an altercation. He is scheduled for exploratory surgery. B. A 23 -year-old woman, diagnosis cocaine addiction, with abnormal cramps and vaginal bleeding. C. A 55 -year-old man admitted with an abdominal aortic aneurysm who is scheduled for dissection repair as soon as possible. D. A 33 -year-old man admitted wi th a subarachnoid hematoma. The patient is unconscious and requires assistance with breathing. 7.You are the charge nurse on call oncology unit tonight. Central staffing his informed you the psychiatric nurse will be floated to your unit as a replacement for a call in. Which of the following patients would be the best assignment? A. A 30 -year-old woman who has just been diagnosed with cancer of the breast. B. A 43 -year-old man with terminal cancer who is asking for an increase in the dose of morphine being administered by a PCA pump.