Which route of administration is preferred if immediate analgesia and rapid titration are necessary? A. Intraspinal B. Patient-controlled analgesia (PCA) C. Intravenous (IV) D. Sublingual Correct Answer: C. Intravenous (IV) The IV route is preferred as the fastest and most amenable to titration. Medications may be given… Read More »
A client has an order to receive one unit of packed RBCs. The nurse makes sure which of the following intravenous solutions to hang with the blood product at the client’s bedside? A. 0.9% sodium chloride. B. 5% dextrose in 0.9% sodium chloride. C. Balanced Multiple Maintenance Solution with 5% Dextrose. … Read More »
A nurse is caring for a client with severe burns of the face and head. The nurse will place the client in which position? A. Trendelenburg. B. Head of bed elevated. C. Supine position. D. Prone position. Correct Answer: B. Head of bed elevated. For clients with… Read More »
In most ethical dilemmas, the solution to the dilemma requires negotiation among members of the health care team. The nurse’s point of view is valuable because: A. Nurses have a legal license that encourages their presence during ethical discussions. B. The principle of autonomy guides all participants to respect their own self-worth. … Read More »
The nurse is most likely to report which finding to the primary care provider for a client who has an established colostomy? A. The stoma extends 1/2 inch above the abdomen. B. The skin under the appliance looks red briefly after removing the appliance. C. The stoma color is a deep red… Read More »
It is best described as a systematic, rational method of planning and providing nursing care for individual, families, group, and community A. Assessment B. Nursing Process C. Diagnosis D. Implementation Correct Answer: B. Nursing Process The statement describes the Nursing Process. The Nursing Process is the essential… Read More »
An elderly nursing home resident has refused to eat or drink for several days and is admitted to the hospital. The nurse should expect which assessment finding? A. Increase blood pressure B. Weak, rapid pulse C. Moist mucous membranes D. Jugular vein distention Correct Answer: B. Week,… Read More »
A patient who develops hives after receiving an antibiotic is exhibiting drug: A. Tolerance B. Idiosyncrasy C. Synergism D. Allergy Correct Answer: D. Allergy A drug-allergy is an adverse reaction resulting from an immunologic response following previous sensitizing exposure to the drug. The reaction can range from… Read More »
When titrating an analgesic to manage pain, what is the priority goal? A. Administer smallest dose that provides relief with the fewest side effects. B. Titrate upward until the client is pain-free. C. Titrate downwards to prevent toxicity. D. Ensure that the drug is adequate to meet the client’s subjective needs. … Read More »
Nurse Jay is caring for a client with an ongoing transfusion of packed RBCs when suddenly the client is having difficulty breathing, skin is flushed, and having chills. Which action should nurse Jay take first? A. Administer oxygen. B. Place the client on a droplight. C. Check the client’s temperature. D. Stop… Read More »