55 Questions
What is the initial nursing action if a child begins to vomit bright red blood after tonsillectomy?
Turn the child to the side
Which postoperative finding would the nurse be most concerned about in a client who has undergone a tonsillectomy?
Frequent swallowing
What diagnosis is supported by a client presenting with Hypocalcemia, hyperphosphatemia, muscle cramps, and positive Trousseau's sign?
Hypoparathyroidism
What is the most likely diagnosis for an 18-year-old man complaining of severe quadrant pain and jerking upon palpation?
Appendicitis
What is the potential risk of giving laxatives to a patient with appendicitis?
Worsening the inflammation and causing the appendix to rupture
What is the most important desired outcome after discharge for a patient who underwent a general appendectomy?
Prevention of complications such as bowel obstruction
What is the highest priority intervention for a 17-year-old with severe abdominal pain, positive rebound tenderness, and elevated vital signs?
Preparing for emergency surgery
What is the likely medication to dissolve the thrombus in a 66-year-old woman presenting with chest pain and elevated S T segments?
$ ext{Alteplase}$
What is the potential first medication to be ordered for a 62-year-old man with a history of intracerebral bleeding presenting with acute stroke symptoms?
$ ext{Alteplase}$
What is the appropriate administration route for nitroglycerin sublingual tablets?
Sublingual placement
What nursing intervention should be considered for a 28-year-old man admitted to an orthopedic ward with pain in a casted leg?
Assessing pedal pulse
What is the primary purpose of advising a patient to remove milk from the diet while taking phenylamine mandelate?
To make the urine acidic
What are the symptoms of severe toxicity related to lithium carbonate?
Nystagmus, visual hallucinations, and oliguria
What is the primary indication for aspirin?
To decrease the formation of platelet plugs
What is a contraindication for oral contraceptives in women?
Thrombophlebitis
What is the safest intervention to reduce febrile avulsion in a child at home?
An antipyretic
What route is Ofloxacin Otic medication given?
In the ear
What is the most appropriate IV solution for a 13-year-old patient with diarrhea and vomiting who is pale and lethargic?
0.9% normal saline
Which neurotransmitter is mentioned as a possible cause of schizophrenia?
Dopamine
What type of solution does D5NS represent?
5% dextrose in normal saline
What medication should be administered to a patient exposed to nerve gas?
Atropine
What is the correct administration route for nitroglycerin?
Sublingual
What medication should be held for a patient with bradycardia?
Digoxin
What should a nurse be alert to regarding a patient receiving ongoing magnesium sulfate?
Respiratory rate depression
What medication is indicated for increasing heart rate?
Atropine
What should the nurse identify among a group of patients in the medical unit as at risk for excess fluid volume?
Patient with heart failure and edema
What should the nurse do when a physician orders an intravenous fluid of D5NS at 100cc/hr?
Verify the order and understand the rationale behind it.
What should a nurse do if a patient's respiratory rate and oxygen saturation are abnormal after administering morphine sulfate in the post-anesthesia care unit?
Notify the healthcare provider immediately.
What is the most suitable nursing action for postoperative care of a child after tonsillectomy?
Observe for subtle signs of hemorrhage
What is the initial nursing action if a child begins to vomit bright red blood after tonsillectomy?
Turn the child to the side
What diagnosis is supported by a client presenting with Hypocalcemia, hyperphosphatemia, muscle cramps, and positive Trousseau's sign?
Hypoparathyroidism
What is the most likely diagnosis for an 18-year-old man complaining of severe quadrant pain and jerking upon palpation?
Appendicitis
What is the primary indication for aspirin?
Decrease of platelet plug formation
What is the contraindication for oral contraceptives in women?
Thrombophlebitis
What are symptoms of severe toxicity related to lithium carbonate?
Nystagmus, visual hallucinations, and oliguria
What should the nurse advise regarding the safest intervention to reduce febrile avulsion in a child at home?
An antipyretic
In which route will Ofloxacin Otic medication be given?
In the ear
What is necessary for the wound healing process?
Vitamin C
What is the most common presenting symptom of appendicitis in children?
Nausea and vomiting
What is the potential risk of giving laxatives to a patient with suspected appendicitis?
Rupturing the inflamed appendix
What is the most important desired outcome after discharge for a patient who underwent a general appendectomy?
Early ambulation
What is the highest priority intervention for a 17-year-old with severe abdominal pain, positive rebound tenderness, and elevated vital signs?
Prepare for emergency surgery
What is the nurse's role in increasing the comfort of a patient with appendicitis?
Administering prescribed pain medication
What is the likely diagnosis for a woman presenting with abdominal pain, nausea, vomiting, constipation, rebound tenderness, and abdominal rigidity?
Appendicitis
What should be the initial medication ordered for a 62-year-old man with a history of intracerebral bleeding presenting with acute stroke symptoms?
Aspirin
What should a nurse do if a patient is prescribed four 250 mg tablets, but the medication is held and documented in nursing notes?
Withhold the medication and document the reason for withholding
What is the primary indication for atropine?
Decreasing heart rate
What should a nurse identify when caring for a patient with ongoing magnesium sulfate?
Respiratory rate abnormalities
What should a nurse do when a physician orders an intravenous fluid of D5NS at 100cc/hr?
Consult with the physician to clarify the order
What medication is contraindicated for a patient with bradycardia?
Digoxin
What should a nurse consider when identifying a patient at risk for excess fluid volume among a group of patients in the medical unit?
Decreased urine output
What neurotransmitter is mentioned as a possible cause of schizophrenia?
Dopamine
What should a nurse do when checking the medication chart for a patient with a nitroglycerin order?
Identify the correct administration route
What is the most appropriate IV solution for a 13-year-old patient with diarrhea and vomiting who is pale and lethargic?
Ringer's lactate solution
What should a nurse do if a patient's respiratory rate and oxygen saturation are abnormal after administering morphine sulfate in the post-anesthesia care unit?
Reassess the patient's pain level and vital signs, then notify the healthcare provider
Study Notes
Nursing Care and Medication Management
- Patient is prescribed four 250 mg tablets, but the medication is held and documented in nursing notes.
- A patient with atrial fibrillation is prescribed 25 mg of drug X, but the available supply/dose is 0.25 mg, and the correct dose is not provided.
- A 13-year-old patient with diarrhea and vomiting is pale and lethargic, and the nurse must determine the most appropriate IV solution based on vital signs.
- A nurse must identify a patient at risk for excess fluid volume among a group of patients in the medical unit.
- A physician orders an intravenous fluid of D5NS at 100cc/hr, and the nurse must identify the type of solution it represents.
- Excess secretion of a neurotransmitter is mentioned as a possible cause of schizophrenia, and the nurse must identify the neurotransmitter involved.
- A nurse administered morphine sulfate to a patient in the post-anesthesia care unit, and the patient's respiratory rate and oxygen saturation are abnormal.
- Digoxin is not given to a patient with bradycardia.
- Atropine is indicated for increasing heart rate.
- The nurse caring for a patient with ongoing magnesium sulfate must be alert to respiratory rate.
- A nurse prepares for medical management of a patient exposed to nerve gas and must identify the appropriate medication.
- A nurse checks the medication chart for a patient with a nitroglycerin order and must identify the correct administration route.
Nursing Care and Medication Management
- Patient is prescribed four 250 mg tablets, but the medication is held and documented in nursing notes.
- A patient with atrial fibrillation is prescribed 25 mg of drug X, but the available supply/dose is 0.25 mg, and the correct dose is not provided.
- A 13-year-old patient with diarrhea and vomiting is pale and lethargic, and the nurse must determine the most appropriate IV solution based on vital signs.
- A nurse must identify a patient at risk for excess fluid volume among a group of patients in the medical unit.
- A physician orders an intravenous fluid of D5NS at 100cc/hr, and the nurse must identify the type of solution it represents.
- Excess secretion of a neurotransmitter is mentioned as a possible cause of schizophrenia, and the nurse must identify the neurotransmitter involved.
- A nurse administered morphine sulfate to a patient in the post-anesthesia care unit, and the patient's respiratory rate and oxygen saturation are abnormal.
- Digoxin is not given to a patient with bradycardia.
- Atropine is indicated for increasing heart rate.
- The nurse caring for a patient with ongoing magnesium sulfate must be alert to respiratory rate.
- A nurse prepares for medical management of a patient exposed to nerve gas and must identify the appropriate medication.
- A nurse checks the medication chart for a patient with a nitroglycerin order and must identify the correct administration route.
Test your knowledge of medication dosage calculations with this quiz. Determine the correct dosage for a patient with a history of atrial fibrillation based on the available supply/dose of the drug.
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