Exam (elaborations)
PN Medical-Surgical Nursing Final Exam deWit 3rd edition
- Course
- Institution
PN Medical-Surgical Nursing Final Exam deWit 3rd edition
[Show more]
Content preview
PN MEDICAL-SURGICAL NURSINGFINAL EXAM DEWIT 3RD EDITION
COMPLETE DETAILED CASE STUDY
M
The home health nurse is caring for a patient with congestive heart failure (CHF). Which assessment
finding should the nurse report immediately to the physician?
A. Moderate shortness of breath after walking down the hall.
B. A 3 pound weight gain over the course of a week.
C. Heart rate of 104 beats/min after ambulating to the bathroom.
D. Increase urinary output to 50 mL in the last hour. - Answer:
A. Shortness of breath after walking down the hall.
The nurse is caring for a patient with C. difficile infection. Which action is most important for the nurse to
take?
A. Only use alcohol-based hand cleanser for hand hygiene.
B. Always wear an impervious mask.
C. Don proper eye protection before providing care.
D. Put the patient on contact plus isolation. - Answer:
D. Put the patient on contact plus isolation
The nurse is caring for a patient with general sepsis. Which finding should first alert the nurse to a
potential complication that warrants immediate attention?
A. Increased lethargy
,B. Sudden coughing
C. Elevated blood pressure
D. Cloudy urine - Answer:
A. Increased lethargy
The nurse is teaching a patient about the purpose of his telemetry. Which statement indicates the
nurse's teaching has been successful?
A. "I will need to stay in bed when the monitor is reading my heart waves."
B. "This test will help determine if I have a blockage in my arteries."
C. "If there is a problem with my heart valves, it will show up with telemetry."
D. "The nurses will be able to monitor my heart rate and rhythm." - Answer:
D. The nurses will be able to monitor my heart rate and rhythm.
The nurse is working in a trauma unit and is accidentally stuck with an IV needle following venipuncture
of the patient. What is the nurses first action?
A. Immediately begin taking the two- to three-drug regimen.
B. Report the stick to the charge nurse immediately so follow-up can be initiated.
C. Wash the punctured area with soap and water.
D. Complete an incident report so immediate testing of the patient and nurse can begin. - Answer:
C. Wash the punctured area with soap and water.
The nurse is caring for a post-myocardial infarction (MI) patient who has been started on daily
simvastatin (Zocor) and a low-fat diet. Which statement best indicates the nurse's teaching has been
successful?
, A. "I will need to have blood work every month while taking Zocor."
B. "I should take Zocor with grapefruit juice to help absorption."
C. " I should call my doctor if I experience unexplained muscle pain."
D. "I should take Zocor an hour before my biggest meal of the day." - Answer:
C. "I should call my doctor if I experience unexplained muscle pain."
Which area is the major focus of Healthy People 2020 and the primary mechanism through which to
improve the health of Americans in the second decade of the century?
A. Research funding
B. Health information distribution
C. Healthy lifestyle encouragement
D. Health improvement program designs - Answer:
C. Healthy lifestyle encouragement
A 79-year-old patient with bacterial pneumonia becomes increasingly restless, confused, and agitated.
The patient's temperature is 100 F, and his pulse, blood pressure, and respirations are elevated since the
last assessment 6 hours ago. What action should the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the mild sedative as ordered
D. Administer an ordered analgesic for discomfort - Answer:
B. Assess the patient's oxygen saturation
When caring for a 10-hour post-abdominal surgery patient, which finding should the nurse report to the
charge nurse?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller knowledgeNest. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67163 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now