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NURS 309 Quiz #4 Questions With Complete Solutions
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NURS 309 Quiz #4 Questions With Complete Solutions
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NURS 309 Quiz #4 Questions With Complete Solutions(#172) A client with arthritis increases the dose of ibuprofen to
abate joint discomfort. After several weeks the client becomes
increasingly weak. The health care provider determines that the
client is severely anemic and admits the client to the hospital.
What clinical indicators does the nurse expect to identify when
performing an admission assessment? SATA
a. Melena
b. Tachycardia
c. Constipation
d. Clay-colored stools
e. Painful BM's Correct Answers b
(#189) A client reports sever pain 2 days after surgery. Which
intial action should the nurse take after assessing the character of
the pain?
a. Encourage rest
b. Obtain VS
c. Admin. Prn analgesics
d. document the client's pain response Correct Answers b
(#32) What is the nurse's responsibility when administering
prescribed opioid analgesics? SATA
a. Count the client's resp.
b. Document the intensity of the client's pain
c. withhold the meds if the client reports pruritis
d. Verify the # of doses in the locked cabinet before
administering the prescribed dose
e. Discard the med in the client's toilet before leaving the room
if the med is refused. Correct Answers a, b, d
,(#55) Based on the client's reported pain lvl, the nurse admin. 8
mg of the prescribed morphine. The med is available in a 10 mL
syringe. Wasting of the remaining 2 mg of morphine should be
done by the nurse and a witness. Who should be the witness?
a. Nursing supervisor
b. LPN
c. Client's health care provider
d. Designated nursing assistant Correct Answers b
(#59) What are the desired outcomes that the nurse expects
when administering an NSAID? SATA
a. Diuresis
b. Pain relief
c. Antipyresis
d. Bronchodilation
e. Anticoagulation
f. Reduced inflammation Correct Answers b, c, f
(#775) A client receiving morphine by PCA has a respiratory
rate of 6 breaths/min. What interventions should the nurse
anticipate?
a. Nasotracheal suction
b. Mechanical ventilation
c. Naloxone administration
d. CPR Correct Answers c
(#789) A terminally ill client in a hospice unit for several weeks
is receiving a morphine drip. The dose is now above the typical
recommended doseage. The client's spouse tells the nurse that
the client is again uncomfortable and needs the morphine
,increased. The prescription states to titrate the morphine to
comfort level. What should the nurse do?
a. Add a placebo to the morphine to appease the spouse
b. Discuss with the spouse about the risk for morphine addiction
c. Assess the client's pain before increasing the dose of
morphine
d. Check the client's heart rate before increasing the morphine to
the next level Correct Answers c
) In the PACU it is reported that client received intrathecal
morphine intra-op to control pain. Considering the
administration of this medication, what should the nurse include
as part of the client's initial 24-hour post-op care?
Assessing the client for tachycardia
Monitoring of respiratory rate hourly
Administering naloxone every 3 to 4 hours
Observing the client for signs of CNS excitement Correct
Answers b
1. The nurse is working at a walk-in clinic and has just
interviewed several PTs. Which patient represents the most
common reason for seeking medical care?
a. Has a family Hx of cardiac disease
b. Has a personal Hx of chronic pain
c. Has annual appointment for cancer screening
d. Has a desire to lose weight and improve health Correct
Answers b
1. You are the charge RN. A client with chronic pain reports to
you that the nurses have not been responding to requests for pain
medication. What is your initial action?
, a. Check the med. Admin. Records (MARs) for the past several
days.
b. Ask the nurse educator to provide in-service training about
pain management
c. Perform a complete pain assessment on the client and take a
pain history
d. Have a conference with the nurses responsible for the care of
this client Correct Answers d
1.) You decide to do a brief round of all the patients before shift
report, to ensure safety and to help determine acuity and
assignments. List the order in which you should briefly check in
on these patients:
a. Ms. R
b. Mr. L
c. Mr. O
d. Mr. H
e. Ms. J
f. Mr. A Correct Answers f, c, b, a, e
10. For client education about nonpharmaceutical alternatives,
which topic could you delegate to an experienced LPN/LVN,
who will function with your continued support and supervision?
a. Therapeutic touch
b. Application of heat and cold
c. Meditation
d. TENS Correct Answers b
10. The nurse is caring for a PT in on the first post op day. The
PT denies pain, but his BP and pulse are elevated and he is
diaphoretic and anxious. What should the nurse do first?
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