You are making a home visit to a 50-year old patient who was recently hospitalized with a right leg deep vein thrombosis and a pulmonary embolism. The patient’s only medication is enoxaparin (Lovenox) subcutaneously. Which assessment information will you need to communicate to the physician? A. The patient says that her right leg aches… Read More »
During a class discussion, the 50-year-old professor suddenly feels left-sided chest pain, dizziness, and diaphoresis. What is the priority action when he arrives in the ED triage area? A. Supply oxygen via nasal cannula B. Place intravenous (IV) access C. Notify the ED physician D. Set the client on continuous electrocardiographic monitoring … Read More »
Two student nurses are assigned to a client with lung cancer who has received oxycodone (Roxicodone) 10 mg orally for pain. During the assessment, which finding should the student nurses report immediately? A. Decrease in pain level from 6 to 2 (on a scale of 10) B. Heart rate of 90 to 100 beats/min… Read More »
You are providing care for a patient with recently diagnosed asthma. Which key points would you be sure to include in your teaching plan for this patient? Select all that apply. A. Avoid potential environmental asthma triggers such as smoke. B. Use the inhaler 30 minutes before exercising to prevent bronchospasm. C. Wash… Read More »
Which of these medication orders for a patient with a pulmonary embolism is more important to clarify with the prescribing physician before administration? A. Warfarin (Coumadin) 1.0 mg by mouth (PO) B. Morphine sulfate 2 to 4 mg IV C. Cephalexin (Keflex) 250 mg PO D. Heparin infusion at 900 units/hr … Read More »
A child with fever has been admitted to the ED for several hours. Cooling measures are ordered by the physician in order for the client’s temperature to come down. Which task would be appropriate to delegate to the nursing assistant? A. Prepare and administer a tepid bath B. Assist the child in removing… Read More »
The nurse just received the client’s morning laboratory results. Which of these results is of most concern? A. Serum sodium level of 134 mEq/L B. Serum potassium level of 5.2 mEq/L C. Serum magnesium level of 0.8 mEq/L D. Serum calcium level of 10.6 mg/dL Correct Answer: C. Serum… Read More »
You are providing nursing care for a newborn infant with respiratory distress syndrome (RDS) who is receiving nasal CPAP ventilation. What complications should you monitor for this infant? A. Pulmonary embolism B. Bronchitis C. Pneumothorax D. Pneumonia Correct Answer: C. Pneumothorax The most common complications after birth… Read More »
The assigned LPN of the unit reports to you that a client’s blood pressure and heart rate have decreased, and when her face is assessed, one side twitches. What is the most appropriate thing to do as a nurse? A. Assess the client’s pupillary reaction to light. B. Obtain a neurologic exam request for the… Read More »
You are acting as a preceptor for a newly graduated RN during her second week of orientation. You would assign the new RN under your supervision to provide care to which patients? Select all that apply. A. A 38-year old with moderate persistent asthma awaiting discharge. B. A 63-year old with a tracheostomy needing… Read More »