Basic Care and Comfort QuestionDifficulty
You’ve noticed your patient has been eating less than 10% of his meals, if any, and does not snack in between meal times. Which of the following would NOT be an appropriate intervention? Select all that apply....
Your patient is a 3 year-old male who has been vomiting for several days. You want to assess for aspiration. Which of the following assessment findings would be indicative of aspiration? Select all that apply....
Your patient has had a liver biopsy. Which patient position would be most appropriate post-procedure to decrease the risk for bleeding?...
A patient has just been admitted to the surgical nursing unit after a thyroidectomy. What position would be best for this particular patient?...
Your patient has a left mastectomy with lymph nodes removed. Which of the following precautions need to be implemented?...
Your patient suffered a fall from a ladder and a subsequent Grade II hip and femur fracture. He had surgery to repair it and is currently in a cast. During your assessment, you note that pallor and paresthesia, and he reports increasing pain despite pain medications or elevation. What is your main concern with this patient?...
You are caring for a 4 year-old female patient, with nausea and vomiting. She is lethargic, reporting that her stomach hurts and that she’s really tired, and has just vomited. What is your main concern with this patient?...
You are observing a new nurse assess a 7 year old male with nephroblastoma. Which of the following interventions is contraindicated?...
Your patient is being treated for advanced lung cancer. Which of the following dietary considerations is the most appropriate for this diagnosis?...
You are providing discharge education to your patient who has been diagnosed with tuberculosis. Which of the following patient statements indicates more teaching is necessary?...
You are working in the ED and have just recieved a patient with an asthma exacerbation. Which of the following patient positions would be the most conducive to gas exchange?...
You believe your patient has cholescystitis. You’ve called the physician to let them know, and she asks you if the patient has a positive Murphy’s sign. What will you need to do to find out if the patient has a positive Murphy’s sign?...
Your patient is 46 year-old, post-op day 1 after a right lower lobe thoracotomy. He has told you he is in terrible pain. What would be the first appropriate response?...
Your patient was admitted with pneumonia 2 weeks ago. She was intubated and sedated for the first 48 hours, a Foley catheter was inserted, and a central venous catheter. She was weaned off of all of her vasoactive medications after the first 96 hours. She has normal saline infusing at 75 ml/hr and intermittent antibiotics (Zosyn) ordered. She has begun working with PT/OT and has been up in the chair for her all meals. Case management is looking for a rehab facility to transfer the patient to in the next few days. Appropriate foley care has been documented and her central line dressing was changed yesterday per protocol. What is your primary concern for this patient?...
You have an order to insert a Foley catheter on your male patient with an enlarged prostate with urinary retention. You have attempted to advance the catheter up the urthetra, however you cannot advance any further. What would be your next step in addressing this?...
The physician just called you to let you know she will be performing a thoracentesis on your patient and would like you to get him into position for this procedure, as she is on her way to the unit now. What does she mean by this?...
A trauma has just been brought into the emergency department and you are the primary nurse. You are completing your trauma assessment, and have ensured the airway is patent, breathing is within normal limits, and appropriate circulation is occuring. What should you do next?...
It’s 0700 and you just got report on your patient. You are caring for a toddler who is going to have a chest x-ray later this afternoon to evaluate treatment. When should you tell the child about this procedure to make it go as smoothly as possible?...
You are giving a bed bath to your intubated patient. The ventilator begins alarming loudly. After identifying your patient is not in distress, what should your next action be?...
A client has a kidney stone, what types of food should the nurse teach the client to avoid?...