Your patient has been diagnosed with a hyphema following hitting their head on the steering wheel during a car accident. What position would you want to place this patient in?
A. Supine
B. Semi- fowlers
C. Lateral
D. Trendelenburg
Which of the following orders would the physician prescribe for the patient with retinal detachment?
A. Bathroom privileges
B. Head of bed up 45 degrees
C. Eye patch to affected eye
D. Dark glasses to read or watch television
What nursing action would the nurse take when caring for a patient with enucleation with bright red drainage?
A. Notify the physician.
B. Continue to monitor the drainage.
C. Document the finding.
D. Mark the drainage on the dressing.
You are encouraging your postoperative patient to cough and take deep breaths. The patient questions why it is so important to do this. Your response would include the understanding that retaining pulmonary secretions can lead to:
A. Fluid imbalance
B. Carbon dioxide retention
C. Pulmonary edema
D. Pneumonia
A nurse from the surgical care unit has been floated to your unit for the day. Which of the following patients would you want to assign to this nurse?
A. Exacerbation of heart failure
B. Diabetes Type II, new onset
C. Emergency appendectomy
D. Thyrotoxicosis
You are caring for a suicidal patient with a plan. You have developed a plan of care. What would the outcome of your plan of care be?
A. Coping and problem solving skills
B. Less anxiety and agitation
C. Develops a relationship with staff and peers
D. Denies suicidal ideations and identifies options to deal with stressors
What adverse effect would you observe in a patient who is taking an excessive amount of bupropion (Wellbutrin)?
A. Dizziness when getting up
B. Seizure activity
C. Increased weight
D. Constipation
You are caring for an older female patient whose husband died six months ago. Which of the following actions by the patient indicates ineffective coping?
A. Visiting the grave once a month
B. Participating in a senior citizens program
C. Looking at old snapshots of her family
D. Neglecting her personal grooming
You are assisting the physician with removal of a chest tube. The nurse should instruct the patient to:
A. Remain very still.
B. Inhale and exhale quickly.
C. Exhale slowly.
D. Perform the Valsalva's maneuver.
You are changing the tape on a tracheostomy tube when the patient coughs, and the tube becomes
dislodged.
The initial action of the nurse should be:
A. Cover the site with a sterile dressing.
B. Notify the physician.
C. Grasp the retention sutures and spread the opening.
D. Notify the respiratory therapist.
You are caring for a patient who had a radical neck dissection. The endotracheal tube has just been removed. Which of the following signs would you want to report to the physician immediately?
A. Stridor
B. Occasional pink-tinged sputum
C. Respiratory rate of 24 breaths a minute
D. Basilar crackles on the right side
Which diagnostic test would confirm a diagnosis of tuberculosis?
A. Bronchoscopy
B. Chest x-ray
C. Sputum culture
D. Tuberculin skin test
You are caring for a patient in hypovalemic shock who will require plasma expansion. What do you suspect the physician will order?
A. Cryoprecipitate
B. Packed red blood cells
C. Albumin
D. Platelets
You are caring for a patient with a gunshot wound. As a result of the patient's Coumadin therapy, the prothrombin time is twice the normal amount. Which blood product do you expect the physician to order?
A. Fresh frozen plasma
B. Random donor platelets
C. Red blood cells
D. Crystalloids
Which of the following medications would you give to a patient with benzodiazepine overdose?
A. Diazepam (Valium)
B. Traizolam (Halicion)
C. Fluvoxamine (Luvox)
D. Flumazenil (Romazicon)