To maintain the airway and promote respiratory function, the best position for the nurse to place the unconscious patient in the Post Anesthesia Care Unit (PACU) is:
A. Supine
B. Lateral
C. Trendelenberg
D. Fowler's
The nurse is preparing teaching plans for several patients. The nurse should recognize which of the following patients is at greatest risk for fluid and electrolyte imbalance?
A. A 2-year-old patient who is receiving gastrostomy feedings
B. A 20-year-old patient with a sigmoid colostomy
C. A 40-year-old patient who is 3 days post-operative with an ileostomy
D. A 60-year-old patient who is 8 hours post-renal arteriography
A patient arrived to the Post Anesthesia Care Unit (PACU) complaining of pain after undergoing a right total hip arthroplasty. Which of the following should the nurse do to assess the patient's level of pain?
A. Determine the patient's position during surgery and how long the patient was in this position
B. Inspect the dressing, note type and amount of drainage, and insure bandage adhesive is not pulling on skin
C. Ask anesthesiologist what type of anesthesia patient received and last dose of pain medication
D. Note location, intensity and duration of pain and last dose and time of pain medication
A young patient is extremely irritable due to meningitis. It would be most important for the nurse to:
A. Use low-level lighting in the room
B. Ventilate the room
C. Eliminate strong odors
D. Allow frequent visitors
Whilst recovering from surgery a patient develops deep vein thrombosis. The sign that would indicate this complication to the nurse would be:
A. Intermittent claudication
B. Pitting edema of the area
C. Severe pain when raising the legs
D. Localized warmth and tenderness of the site
During the acute phase of a cerebrovascular accident (CVA) the nurse should maintain the patient in which of the following positions?
A. Semi-prone with the head of the bed elevated 60-90 degrees
B. Lateral, with the head of the bed flat
C. Prone, with the head of the bed flat
D. Supine, with the head of the bed elevated 30-45 degrees
The nurse is caring for a patient who is receiving dialysis. The patient has an arteriovenous (AV) fistula. Appropriate care for this patient would include which one of the following options?
A. Infusing medications through the AV fistula
B. Drawing blood samples from the AV fistula
C. Massaging the AV fistula
D. Palpating the AV fistula for a thrill
Which of the following is the most appropriate first action for the nurse to take for a pre- schooler who has fallen and has a hematoma formed on the temporal bone?
A. Encourage a nap
B. Give pain medication
C. Apply ice and monitor vital signs
D. Allow the child to continue activities
A patient undergoes laminectomy. In the immediate post-operative period, the nurse shoulD.
A. Monitor the patient's vital signs and log roll him to prone position
B. Monitor the patient's vital signs and encourage him to ambulate
C. Monitor the patient's vital signs and auscultate his bowel sounds
D. Monitor the patient's vital signs, check sensation and motor power of the feet
Whenever a child with thalassemia comes for blood transfusion, he is administered Desferoxamine (Desferal). The action of this drug is to:
A. Inhibit the inflammatory process
B. Enhance iron excretion
C. Antagonize the effect of vitamin C
D. Increase red blood cell production