NURS 350 - final exam questions With Complete Solutions

A nurse should monitor for gastric irritation, signs of bleeding, and bruising as side effects of which pain medications? Select all that apply correct answer: acetylsalicyclic acid (Aspirin) ibuprofen (Motrin) Naproxen sodium (Aleve) *NO Tylenol (acetaminophen) A nurse receives a telephone call from the postanesthesia care unit stating that a patient is being transferred to the surgical unit. The nurse plans to take which action first on arrival of the patient? correct answer: assess the patency of the airway What should you include when teaching health maintenance strategies to the patient with COPD (Chronic Obstructive Pulmonary Disease)? Select all that apply. correct answer: Yearly Influenza immunizations Immunization against pneumonia Adequate caloric intake The nurse is assessing a patient's arm for inflammation. What are cardinal signs of a localized inflammatory process? Select all that apply correct answer: pain hyperemia erythema Which symptoms would you expect to assess in a patient with a pulmonary embolism (PE)? correct answer: abrupt onset of dyspnea and apprehension A patient is admitted with severe diarrhea. ABGs= ph 7.33, PO2 95, PCO2 50 and HCO3 20. You conclude this patients acid-base imbalance as? correct answer: Uncompensated metabolic acidosis & Uncompensated respiratory acidosis A nurse is assessing a patient's surgical incision for signs of infection. Which finding by the nurse should be interpreted as a normal finding at the surgical site? correct answer: serous drainage You are caring for a patient that has been receiving chemotherapy after having a partial mastectomy for breast cancer. The patient was admitted with a diagnosis of pleural effusion. The physician has explained the procedure of a thoracentesis which he will perform in an hour. What actions are required on your part to prepare this patient for the procedure? Select all that apply. correct answer: Obtain an informed consent for the thoracentesis Obtain a recent set of vital signs position the patient upright, leaning forward with chest and arms over and over-the-bed table have oxygen (O2) available and IV (intravenous) access A nurse is developing a plan for a patient scheduled for outpatient surgery. Which activity should the nurse include in the patient care plan on the day of the surgery? correct answer: have the patient void immediately before going to surgery The nurse needs to obtain a sputum specimen for culture and sensitivity from a patient. When should the nurse obtain this specimen? correct answer: before the first dose of antibiotics is administered The nurse has just reasssessed the condition of a postoperative patient who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour? correct answer: urine output of 20 mL/hr A nurse is caring for a post-surgical patient suspected to have an acute pulmonary embolus secondary to deep vein throm