A patient informs the nurse that he is having severe chest pain. He took two nitroglycerin tablets more
than 1 hour ago with no relief. On further assessment the nurse notices that the patient is diaphoretic
and also complains of feeling dizzy. The nurse would expect which diagnostic test or test...
Nurs 1871 CSCC Exam 1
A patient informs the nurse that he is having severe chest pain. He took two nitroglycerin tablets more
than 1 hour ago with no relief. On further assessment the nurse notices that the patient is diaphoretic
and also complains of feeling dizzy. The nurse would expect which diagnostic test or tests to be ordered:
- Creatine kinase-myoglobin (CK-MB) and C-reactive protein (CRP)
A 72-year-old man presents to the emergency room. The patient appears diaphoretic and anxious, and
has noted peripheral edema. The patient's vital signs are blood pressure of 100/40, heart rate of 130 and
irregular, and respiratory rate of 26. How does the nurse interpret these findings? - The patient
has impaired central perfusion
A defining characteristic of high reliability organizations (HROs) is sensitivity to operations. Which of the
following is a manifestation of this characteristic? - Process anomalies and outliers are quickly
identified
A patient had a hip replacement 3 days ago. The patient states that the right leg is swollen below the
knee and is warm to the touch. The patient has the diagnosis of deep vein thrombosis. Which
intervention is appropriate for the patient? - Elevate the right lower leg when the patient is in the
sitting position.
A patient is admitted to the medical unit with pneumonia. When reviewing home medications, which of
the following medications would the nurse recognize as a risk for bleeding? - Warfarin (Coumadin)
A patient is experiencing periods of confusion, and the family is concerned. The patient's son asks the
nurse for an explanation and recommendation. What is the nurse's best response? - "Your father
may be having mini-strokes; I will notify his physician."
A patient is having the arterial blood gas (ABG) measured. What would the nurse identify as the
parameters to be evaluated by this test? - Status of acid-base balance in arterial blood
A patient is questioning the nurse about circulation and perfusion. What is the nurse's best response? -
Perfusion assists the cell by delivering oxygen and removing waste products.
, A patient states that everything has been going great; however, the nurse observe the patient biting his
nails and fidgeting. What type of communication does the nurse recognize from the patient's actions and
statements? - Paralinguistic
A patient voices an understanding of instructions about furosemide (Lasix) when he makes which
statement? - "If I notice ringing in my ears, I will call the doctor."
A student nurse receives an order for diazepam to be given intravenously. Diazepam tablets are
available. The student nurse crushes a tablet and mixes it with sterile water for injection. The instructor
notes that the solution is cloudy and asks to see the medication vial. When the student produces the vial
of sterile water for injection and the instructor stops the medication from being given, what type of error
is prevented? - Treatment error
Exercise and activity are included in a cardiac rehabilitation program for which purposes - Increase
Cardiac output, Increase blood flow to the arteries, increase muscle mass and increase flexibility
In an agency with a culture of safety, when an error or patient safety issue is identified, the individual
who reports the problem knows which information? - Near misses in healthcare are used to
improve care
In which way is the relationship between sexuality and functional ability most similar to or most different
from that between culture and functional ability? - Functional ability is a significant determinant
of sexuality
Instruments such as the Functional Activities Questionnaire (FAQ) for postoperative patients who are at
home, the Minimum Data Set for Nursing Facility Resident Assessment and Care Screening (MDS) for
nursing home patients, the Functional Status Scale (FSS) for children, and the Edmonton Functional
Assessment Tool for cancer patients are used to assess activities of daily living (ADLs). The nurse needs to
remember that a disadvantage of these instruments includes: - the variations in assessments and
responses may be subjective because of self-reporting of functional activities.
On which basis is an alteration in functional ability categorized as a primary problem? - Absence
as opposed to loss of function
Professionalism exemplars related to leadership include which attribute? - Influential
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