The nurse is planning care for a patient who is chronically malnourished. Which action is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
1. Monitor the patient for skin breakdown over the bony prominences.
2. Assist the patient to choose high-nutrition items from t...
When teaching a patient about testing to diagnose metabolic syndrome, which topic would the nurse include?
1. Resting electrocardiogram
2. Postural blood pressures
3. Blood glucose test
4. Cardiac enzyme test - answer-3. Blood glucose test
A patient who has experienced blunt abdominal trauma during a motor vehicle collision is complaining of increasing
abdominal pain. The nurse will plan to teach the patient about the purpose of
1. Peritoneal lavage.
2. Magnetic resonance imaging (MRI).
3. Abdominal ultrasonography.
4. Nasogastric (NG) tube placement. - answer-abdominal ultrasonography.
The nurse is caring for a patient diagnosed with furunculosis. Which nursing action could the nurse delegate to
unlicensed assistive personnel (UAP)?
1. Obtaining cultures from lesions
2. Cleaning the skin with antimicrobial soap
3. Evaluating the patient's personal hygiene
4. Applying antibiotic cream to the groin - answer-Cleaning the skin with antimicrobial soap
The nurse will anticipate preparing an older patient who is vomiting "coffee-ground" emesis for
1. Gastric analysis
2. Angiography
3. Barium studies
4. Endoscopy - answer-endoscopy
The nurse is reviewing laboratory results on a patient who had a large burn 48 hours ago. Which result requires priority
action by the nurse?
1. Hematocrit of 53%
2. Serum sodium of 147 meq/L
3. Blood urea nitrogen of 37 mg/dl
4. Serum potassium of 6.1 meq/L - answer-Serum potassium of 6.1 meq/L
A patient admitted with a peptic ulcer has a nasogastric (NG) tube in place. When the patient develops sudden, severe
upper abdominal pain, diaphoresis, and a firm abdomen, which action should the nurse take?
1. Elevate the foot of the bed.
2. Give the ordered antacid.
3. Check the vital signs.
4. Irrigate the NG tube. - answer-Check the vital signs.
A patient with atopic dermatitis has a new prescription for pimecrolimus (Elidel). After teaching the patient about the
medication, which statement by the patient indicates that further teaching is needed?
1. "If the medication burns when I apply it, I will wipe it off."
2. "After I apply the medication, I can get dressed as usual."
3. "I will rub the medication in gently every morning and night."
, SHERPATH EXAM REVIEW MED SURG 2
4. "I need to minimize time in the sun while using the Elidel." - answer-"If the medication burns when I apply it, I will
wipe it off."
Which action will the nurse include in the plan of care for a patient in the rehabilitation phase after a burn injury to the
right arm and chest?
1. Avoid the use of sustained-release narcotics.
2. Teach about the purpose of tetanus immunization.
3. Keep the right arm in a position of comfort.
4. Apply water-based cream to burned areas frequently. - answer-Apply water-based cream to burned areas frequently.
After successfully losing 1 lb weekly for several months, a patient at the clinic has not lost any weight for the past month.
The nurse should first
1. Ask the patient whether there have been any changes in exercise or diet patterns.
2. Review the diet and exercise guidelines with the patient.
3. Discuss the possibility that the patient has reached a temporary weight loss plateau.
Instruct the patient to weigh and record weights weekly. - answer-ask the patient whether there have been any changes
in exercise or diet patterns.
A patient who has experienced blunt abdominal trauma during a motor vehicle collision is complaining of increasing
abdominal pain. The nurse will plan to teach the patient about the purpose of
1. Magnetic resonance imaging (MRI).
2. NG tube placement
3. Peritoneal lavage
4. Abdominal ultrasonography. - answer-abdominal ultrasonography.
Which diet choice by the patient with an acute exacerbation of inflammatory bowel disease (IBD) indicates a need for
more teaching?
1. Oatmeal with cream
2. White toast with jam
3. Pancakes with syrup
4. Scrambled eggs - answer-Oatmeal with cream
A patient has a body mass index (BMI) of 31 kg/m2, a normal C-reactive protein level, and low serum transferrin and
albumin levels. The nurse will plan patient teaching to increase the patient's intake of foods that are high in
1. Iron
2. Protein
3. Calories
4. Carbohydrates - answer-protein
The nurse will plan to teach a patient with Crohn's disease who has megaloblastic anemia about the need for
1. Routine blood work
2. Iron dextran infusions
3. Oral ferrous sulfate tablets.
4. Cobalamin (B12) supplements.. - answer-cobalamin (B12) supplements..
A patient is being admitted for bariatric surgery. Which nursing action can the nurse delegate to unlicensed assistive
personnel (UAP)?
1. Plan methods for turning the patient after surgery.
2. Assist with IV insertion by holding adipose tissue out of the way.
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