Medsurg EAQ|143 Exam 4 Quiz Questions Well Solved|2024
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Medsurg EAQ
Institution
Medsurg EAQ
a nurse is admitting a pt. with a thrombotic stroke. the pt. is NPO but is requesting a drink of water. which response by a nurse is appropriate? - ️️it is not safe to allow you to have anything by mouth until a swallow assessment can be performed
A nurse is caring for a patient who had a stro...
a nurse is admitting a pt. with a thrombotic stroke. the pt. is NPO but is requesting a drink of water.
which response by a nurse is appropriate? - ✔ ✔ it is not safe to allow you to have anything by
mouth until a swallow assessment can be performed
A nurse is caring for a patient who had a stroke and is at risk of venous thromboembolism (VTE). What
should be included in the nursing interventions for such patients? - ✔ ✔ Note unusual warmth of
legs.
Measure the calf and thigh daily.
Observe swelling of lower extremities.
A nurse is caring for a patient who has aphasia after suffering from a stroke. How will the nurse
communicate with the patient? - ✔ ✔ Make use of gestures.
Present only one thought at a time.
Do not interrupt the patient if he or she is taking too long to communicate.
A nurse is caring for a patient who is not able to swallow properly post stroke. What interventions are
important to facilitate patient safety during eating? - ✔ ✔ Place food on the unaffected side of the
mouth.
Check mouth for pocketing of food.
Help the patient maintain a sitting position for 30 minutes after a completing meal.
A nurse is delegating responsibilities to unlicensed assistive personnel for caring for a patient who has
suffered from a stroke this morning. What responsibilities will the nurse assign? - ✔ ✔ Measure and
record urine output
,Perform passive and active range-of-motion exercises
A nurse is formulating a discharge teaching plan for a patient who had a stroke 15 days ago. What
instructions should the nurse include in the plan? - ✔ ✔ Seek spiritual assistance.
Maintain adequate fluid intake.
Follow-up for rehabilitation therapy is important.
a nurse is measuring the BP of a hypertensive obese pt. who has been admitted to the hospital for
increased blood glucose levels. while he or she is speaking, the nurse notes that the pt. has suddenly
started mumbling and is unable to articulate words. which action would the nurse take? - ✔ ✔ treat
this as an emergency and call the health care provider
A nurse is screening patients to determine if administering tissue plasminogen activator (tPA) for
fibrinolytic therapy is an appropriate intervention. Which patients may be administered tPA safely?
Select all that apply. - ✔ ✔ A 70-year-old with blood sugar levels of 110 mg/dLA
40-year-old with history of head injury six months ago
A 25-year-old with history of cholecystectomy two years previously
A nurse mentor provides teaching to a group of nursing students about the cardiac manifestations of
severe anemia. Which compensatory cardiac changes would the nurse include? Select all that apply. - ✔
✔ tachycardia
heart failure
intermittent claudification
A patient diagnosed with atrial fibrillation has been put on the oral anticoagulant warfarin. What
instructions should the nurse give the patient? - ✔ ✔ "The drug requires close monitoring."
"Do not stop the drug without informing the doctor."
, A patient has a hemoglobin level of 11 g/dL. The nurse determines that the patient has which level of
severity of anemia? - ✔ ✔ Mild anemia
In mild anemia, hemoglobin is in the range of 10-12 g/dL. In severe anemia, it is less than 6 g/dL. Aplastic
anemia refers to a type of anemia caused by a decrease in red blood cell precursors. It does not refer to
the severity of anemia. In moderate anemia, the hemoglobin it is in the range of 6-10 g/dL. Hemoglobin
above 12 g/dL is considered normal (no anemia).
A patient has suffered a right-brain stroke. What should the nurse include in the safety measures
immediately after the stroke? - ✔ ✔ Avoid using vests.
Elevate the side rails.
Use video monitors to observe the patient continuously.
A patient is admitted to the emergency department with right-sided facial drooping. When taking the
patient's history, which information would be most significant? - ✔ ✔ "When did the facial drooping
begin?"
A patient is prescribed oral iron for the treatment of anemia. The nurse should instruct the patient
about what side effects? Select all that apply. - ✔ ✔ heart burn
black stools
constipation
A patient presenting with stroke symptoms is being considered for fibrinolytic therapy. What
assessment data would be important to communicate promptly to the prescribing health care provider?
- ✔ ✔ Colonoscopy for evaluation of blood in the stools one week ago
A patient underwent a total hip arthroplasty (THA). The nurse expects that which interventions will be
included in the patients postoperative treatment plan? Select all that apply - ✔ ✔ regular
neuromuscular assessments
pain management strategies, which may include epidural or intrathecal analgesia etc
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