NURSING MISC (NURSINGMISC)

Chapter 17: Surgery Linton: Medical-Surgical Nursing, 7th Edition MULTIPLE CHOICE 1. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first? a. Assess for the presence of bowel sounds. b. Assess pupillary reaction. c. Ask the patient’s family if she is having pain. d. Determine when the patient last received pain medication. ANS: D Verifying the time of the last dose decrea...

1. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first? a. Assess for the presence of bowel sounds. b. Assess pupillary reaction. c. Ask the patient’s family if she is having pain. d. Determine when the patient last received pain medication. ANS: D Verifying the time of the last dose decreases the risk of a dose of medication being given too soon. DIF: Cognitive Level: Ap...

1. What recommendation should a nurse make to the family of a patient diagnosed with ataxia when preparing discharge to home? a. Remove all scatter rugs from the home. b. Rearrange the bedroom furniture. c. Arrange for someone to stay with the patient 24 hours a day. d. Purchase oversized shoes so that they are easy to get on. ANS: A Scatter rugs can slip and cause a patient to fall. DIF: Cognitive Level: Application REF: p. 186 OBJ: 5 TOP: Fall Prevention KEY: Nursing Process Step: Pla...

1. The family of a patient with Alzheimer disease asks the nurse, “When will my mother quit being so confused?” On what information regarding dementia should the nurse base a response? a. It is a short-term confusional state that is typically reversible. b. It is a state of confusion caused primarily by medications. c. It is a state of confusion that usually begins abruptly and lasts a short period. d. It is a syndrome that is chronic and irreversible. ANS: D Alzheimer disease is a t...

1. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first? a. Assess for the presence of bowel sounds. b. Assess pupillary reaction. c. Ask the patient’s family if she is having pain. d. Determine when the patient last received pain medication. ANS: D Verifying the time of the last dose decreases the risk of a dose of medication being given too soon. DIF: Cognitive Level: Ap...

1. The family of a patient with Alzheimer disease asks the nurse, “When will my mother quit being so confused?” On what information regarding dementia should the nurse base a response? a. It is a short-term confusional state that is typically reversible. b. It is a state of confusion caused primarily by medications. c. It is a state of confusion that usually begins abruptly and lasts a short period. d. It is a syndrome that is chronic and irreversible. ANS: D Alzheimer disease is a t...

1. Two days after surgery for a crushed pelvis, a certified nursing assistant (CNA) reports that the patient is complaining of a shortness of breath and is demonstrating signs of confusion and restlessness. What should a nurse suspect, from these signs alone, that the patient has developed? a. Impending shock b. Fat embolus c. Anxiety d. Neurovascular compromise ANS: B These are the classic symptoms of a fat embolus that has escaped from the crushed marrow. DIF: Cognitive Level: Analys...

1. Two days after surgery for a crushed pelvis, a certified nursing assistant (CNA) reports that the patient is complaining of a shortness of breath and is demonstrating signs of confusion and restlessness. What should a nurse suspect, from these signs alone, that the patient has developed? a. Impending shock b. Fat embolus c. Anxiety d. Neurovascular compromise ANS: B These are the classic symptoms of a fat embolus that has escaped from the crushed marrow. DIF: Cognitive Level: Analys...

Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition BY Gloria Leifer Chapter 1-34 updated 2023