Adult Health lll exam 3 notes Questions With Answers, Exams of Nursing

Download Adult Health lll exam 3 notes Questions With Answers and more Exams Nursing in PDF only on Docsity! Adult Health lll exam 3 notes Questions With Answers 1. The nurse is caring for a client who requires furosemide for diuresis. The prescription is for 80 mg/day, IV in 4 divided doses. The nurse has 10 mg/mL of furosemide. How many mL per dose should the nurse administer to the client? Do not round your answer. Enter numeric value only. 2 2. The nurse in the emergency department is working to stabilize an unconscious client who has just arrived via ambulance and is suspected to have internal bleeding following a trauma. The nurse anticipates that which of the following would most likely be used for aggressive fluid resuscitation? lactated Ringer's solution 3. The nurse is caring for a client with heatstroke who has a prescription for intravenous 0.9% normal saline 1.5 Liters over 8 hours. The drop factor is 15 gtt/mL. How many gtt/min should the nurse administer to the client? Round your answer to a whole number. Enter numeric value only. 47 4. The nurse in the emergency department has received an unconscious client who arrived by ambulance following an automobile accident. Which of the following actions would be appropriate for the nurse to take while attempting to stabilize the client? The jaw-thrust maneuver 5. The nurse in the emergency department is assessing the vaccination status of a client who has a penetrating injury sustained while working with farming equipment. It would be a priority for the nurse to assess whether the client is vaccinated against which of the following? Tetanus that lasts 10 yrs. 6. The nurse is providing triage at a disaster site of a workplace explosion. A 40-year-old client is burned over 65% of the body; the burns are second- and third-degree burns, but the client is conscious. The nurse should tag the client with which of the following triage colors? Blue 7. The nurse in the emergency department is caring for a client who arrived by ambulance unconscious and hypotensive following a fall from a second-story balcony. It would be appropriate for the nurse to take which of the following actions? Select all that apply. The nurse should place two large-bore (14- or 16-gauge) peripheral venous access devices for aggressive fluid resuscitation and blood -Transfusion of O-negative packed blood red blood cells is indicated during emergencies when the client's blood type is unknown. inspect the client's posterior surfaces when attempting to identify the source of bleeding. Ecchymosis on the back or flanks Proper cervical alignment must be maintained to prevent potential cervical spine injury Log-rolling the client while one staff member holds the client's head in a neutral position is appropriate ventilated with 100% oxygen via non-rebreather mask 8. The nurse is planning an education conference about contractility of the heart. Which of the following medications should the nurse include when discussing positive inotropes that improve contractility. Select all that apply. Epinephrine isoproterenol dopamine 9. The nurse in the emergency department is caring for a client with severe hypothermia. It is important for the nurse to monitor the client's monitor cardiac telemetry 10. The nurse in the emergency department is asked by another nurse about tetanus prophylaxis for clients with unknown vaccination status. The nurse should confirm for the colleague that tetanus prophylaxis is indicated for clients with which of the following? Select all that apply. -severe frostbite -human bite wounds other wounds, such as those sustained while gardening 11. The nurse in the emergency department is triaging clients. The nurse should first attend to which of the following clients? A woman of childbearing age who reports severe pelvic and/or abdominal pain for several hours might be experiencing ectopic pregnancy. 12. The nurse is caring for a child with a severe allergic reaction who has a prescription for diphenhydramine 1.25 mg/kg, IV times one. The nurse has 50 mg/mL available. The client ways 79.2 lbs. How many mL should the nurse administer to the client? Do not round your answer. Enter numeric value only. 27. The nurse is caring for a client who is critically ill and at risk for stress ulcers. Which of the following prescribed medications should the nurse expect from the healthcare provider as prophylactic therapy? Select all that apply. mucosal-protecting medication like sucralfate or misoprostol and a PPI or antiulcer medication like pantoprazole. 28. The nurse is caring for a client on the critical care unit who reports severe sleep disturbance. The nurse should call the health care provider and request a prescription for which of the following to help the client sleep? benzodiazepine like temazepam. 29. The nurse in the emergency department attended a staff training about family and intimate partner violence. Which of the following statements by the nurse would indicate a correct understanding of the training? "Do you feel safe at home?" 30. The nurse has provided dietary education to a client with gallbladder disease. The nurse should reinforce teaching if the client chose which of the following food choices for a meal? limited to low-fat liquids The patient should avoid fried foods such as fried chicken, as fatty foods may bring on an episode of cholecystitis. 31. The nurse in the emergency department receives a client who has choked on a piece of food and is unconscious. Abdominal thrusts and suctioning have failed to remove the foreign object, and the physician has determined intubation is impossible due to the obstruction. The nurse should emergently prepare for which of the following procedures? the client requires an emergent tracheotomy 32. The nurse administered NPH insulin to an assigned client at 0700. Which of the following times should the nurse expect the insulin to begin peaking? NPH to begin peaking around 1100 33. The nurse is caring for a client who is alert and having an acute asthma attack. Which of the following prescribed medications should the nurse plan to administer? Select all that apply. bronchodilator like albuterol a corticosteroid to reduce inflammation like methylprednisolone 34. The nurse in the emergency department has just received a client who might have been exposed to anthrax. The client is afraid and says, "I know there is no treatment for anthrax exposure." Which of the following would be a correct response by the nurse? Anthrax is effectively treated with antibiotics. 35. The nurse in the emergency department is receiving a client who is arriving by ambulance after a traumatic accident. The paramedic reports that the client has asymmetric chest wall movement. The nurse demonstrates a correct understanding of this report by taking which of the following actions? Palpating for thoracic crepitus shows an understanding of what flail chest indicates. 36. The nurse is planning an education conference about insulin for clients with diabetes mellitus. Which of the following medications should the nurse include when discussing rapid-acting insulin? Select all that apply. lispro aspart and glulisine as rapid-acting insulins. 37. The nurse is caring for a client who had a submersion injury and is being treated with mannitol for cerebral edema. The prescription is for 0.5 g/kg as 25% solution, once over 30 min and the client weighs 143 lbs. The nurse has a 25% solution available. How many grams should the nurse administer to the client? Do not round your answer. Enter numeric value only. 32.5 38. The nurse is planning an education conference about administering insulin to clients with diabetes mellitus. Which of the following information should the nurse include in the conference? insulin pens are a great alternative for client's with poor vision because the client can hear the clicks of the pen as the dose is selected. 39. The nurse is caring for a client who was exposed to inhalation anthrax and is to receive prescribed ciprofloxacin 400 mg, every 12 hours, IV for 60 days. The nurse has 400 mg/200 mL in D5W to be infused over 2 hours. How many mL per hour should the nurse administer? Do not round your answer. Enter numeric value only. 100 40. The nurse in the emergency department is providing discharge teaching for a client who arrived with hypothermia. The nurse should include in the teaching that which of the following increases the risk for hypothermia? Alcohol consumption increases one's risk for hypothermia because it alters the body's defenses against hypothermia. 41. The nurse is providing care for a client who survived near drowning. Which of the following interventions should be a priority for the nurse to take? air/ oxygen 42. The nurse in the emergency department is caring for a group of clients who have experienced poisoning. Which of the following actions by the nurse would be appropriate? A client who has ingested an excessive dose of aspirin (salicylic acid) may develop severe acidosis. Hemodialysis can help to correct this imbalance. 43. The nurse in the emergency room is caring for a client whose serum blood sugar is 821 mg/dL. The nurse should expect the health care provider to prescribe which of the following insulins for intravenous infusion? expect regular insulin to be prescribed 44. The nurse in the emergency department is caring for a client who has heatstroke. Which of the following actions would be appropriate ways to lower the client's core temperature? Select all that apply. Cool water bath prevent the client from shivering Covering the client with wet sheets A fan so it is blowing on the client Ice packs applied to the client's groin and axillae 45. The nurse in the emergency department is triaging clients who have arrived following a mass casualty incident. The nurse should consider which of the following factors when triaging clients? Select all that apply. clients' physiologic stability ie. whether the client is dying or has injuries that make death likely if not addressed immediately. Resource utilization, ie. what kind of diagnostic testing and personnel is required, is also weighed. 46. The nurse is caring for clients in the emergency department. Which of the following interventions should the nurse implement? the nurse should use tweezers to grasp the tick and pull the tick's body up and away from the skin with a steady motion 47. The nurse in the emergency department is assessing a client who arrived by ambulance following a traumatic injury at a construction site. Which of the following assessment findings should be a priority for the nurse to address? deviated trachea 48. The nurse is assessing a client who sustained a blunt injury to the chest wall. Which of the following findings would indicate to the nurse that the client has a pneumothorax? diminished breath sounds, increased respiratory rate, chest pain, and dyspnea. 49. The nurse is caring for a client who fell at home and is diagnosed with right hip fracture. Which of the following would be most important for the nurse to assess?