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    Exam Review

    1. A nurse is providing postoperative teaching to a client who is scheduled for cataract surgery. Which of the following information should the nurse include?
      A)"Warm compresses should be applied to the eye three times daily."
      B)"Bloodshot eyes on the day of surgery should be reported to the provider."
      C)"Photophobia is expected for 2 to 3 days."
      D)"Vision will be greatly improved on the day of surgery."
    2. A nurse is administering morphine 2 mg IV every 2 to 4 hr to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects?
      A)Diarrhea
      B)Hiccups
      C)Orthostatic hypotension
      D)Heartburn
    3. The nurse reviews the medication orders for an older patient with arthritis in both hips who reports level 3 (0 to 10 scale) hip pain while ambulating. Which medication should the nurse offer as initial therapy?
      A)Aspirin (acetylsalicylic acid) 650 mg orally
      B)Oxycodone 5 mg orally
      C)Naproxen 200 mg orally
      D)Acetaminophen 650 mg orally
    4. A nurse is teaching a client about how to use a patient-controlled analgesia (PCA) pump. Which of the following instructions should the nurse include in the teaching?
      A)"Ask a family member to push the patient-control button when the client is sleeping."
      B)"Several bolus doses are infused if the button is pushed repeatedly within a 5 to 10 minute timeframe before lock-out."
      C)"There is a 30 minute lock-out limit programmed on your PCA pump."
      D)"Use the pain scale to determine if you need to self-administer."
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    Exam Review

    1. A nurse is caring for an unconscious client who has a loss of the corneal reflex. Which of the following actions should the nurse take?
      A)Clean the eyes with a mild soap.
      B)Alternate warm saline compresses to the eyes.
      C)Keep the room darkened.
      D)Apply lubricating eye drops.
    2. The nurse working in the clinic receives telephone calls from several patients who want appointments as soon as possible. Which patient should be seen first?
      A)64-yr-old who states that it is becoming difficult to read newsprint
      B)74-yr-old who has difficulty seeing well enough to drive at night
      C)71-yr-old who has noticed increasing loss of peripheral vision
      D)60-yr-old who is reporting dry eyes with decreased tear formation
    3. A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?
      A)The client who is 24 hr postoperative following hip arthroplasty.
      B)The client has a paralytic ileus.
      C)The client is experiencing a myocardial infarction.
      D)The client who has bronchitis pleurisy.
    4. Which action will the nurse take when performing ear irrigation for a patient with cerumen impaction?
      A)Fill the irrigation syringe with body-temperature solution.
      B)Occlude the ear canal completely with the syringe while irrigating.
      C)Use a sterile applicator to clean the ear canal before irrigating.
      D)Assist the patient to a supine position for the irrigation.
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    Exam Review

    1. A nurse assesses a postoperative patient 2 days after chest surgery. What findings indicate that the patient requires better pain management? (Select all that apply)(SATA)
      A)Shallow breathing
      B)Hypoglycemia
      C)Elevated temperature
      D)Confusion
      E)Poor cough effort
    2. A patient with a deep partial thickness burn has been receiving hydromorphone through patient-controlled analgesia (PCA) for 1 week. The nurse caring for the patient during the previous shift reports that the patient wakes up frequently during the night reporting pain. What action by the nurse is appropriate?
      A)Teach the patient to push the button every 10 minutes for an hour before going to sleep, even if the pain is minimal.
      B)Request that the health care provider order a bolus dose of morphine to be given when the patient awakens with pain.
      C)Administer a dose of morphine every 1 to 2 hours from the PCA machine while the patient is sleeping.
      D)Consult with the health care provider about using a different treatment protocol to control the patient's pain.
    3. A nurse at an outpatient surgery center is providing discharge teaching to a client and his spouse following surgical removal of a cataract. Which of the following should the nurse include in the teaching?
      A)Take ibuprofen for eye discomfort.
      B)The client should wear dark glasses while outdoors.
      C)Notify the provider immediately if the operative eye itches.
      D)Creamy white drainage is an indication of infection.
    4. A nurse is caring for a client who has full-thickness burns over 75% of his body. The nurse should use which of the following methods to monitor the cardiovascular system?
      A)Auscultate cuff blood pressure.
      B)Palpate pulse pressure.
      C)Monitor the pulmonary artery pressure.
      D)Obtain a central venous pressure.
    Page 3 of 5

    Exam Review

    1. A nurse is completing discharge teaching to a client about nutrition therapy for wound healing following major surgery. Which of the following vitamins that promote wound healing should the nurse include in the teaching? (Select all that apply.)(SATA)
      A)Vitamin A
      B)Vitamin B12
      C)Vitamin K
      D)Vitamin D
      E)Vitamin C
    2. A nurse in the emergency department is caring for a client who has a 30% burn injury to her lower extremities. Which of the following interventions should the nurse perform first?
      A)Administer pain medication.
      B)Administer IV fluids.
      C)Clean and dress the wound.
      D)Administer a tetanus booster.
    3. A nurse notices a stringy clear discharge from the patient's eyes. The patient complains of redness as well and teary in the morning. What is the best appropriate intervention for the patient?
      A)Consult with an ophthalmologist
      B)Avoid crowds
      C)Apply cold pack on the eyes
      D)Prepare eye antibiotics
    4. A patient with terminal cancer-related pain and a history of opioid abuse reports breakthrough pain 2 hours before the next dose of sustained-release morphine sulfate (MS Contin) is due. Which action should the nurse take first?
      A)Use distraction by talking about things the patient enjoys.
      B)Consult with the doctor about increasing the MS Contin dose.
      C)Suggest the use of alternative therapies such as heat or cold.
      D)Administer the prescribed PRN immediate-acting morphine.
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    Exam Review

    1. A nurse is providing discharge teaching to a female client who has neuropathy and a new prescription for gabapentin. Which of the following statements should the nurse include in the teaching?
      A)"You may experience drowsiness while taking this medication."
      B)"You may continue to breastfeed while taking this medication."
      C)"Take this medication with an antacid to reduce gastric irritation."
      D)"You should take this medication with meals."
    2. A nurse is educating a client in a surgical unit. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
      ✓Educate the client about the lockout mechanism
      ✓Administer supplemental analgesics
      ✓Post-operative pain
      ✓Pain level
      ✓Respiratory rate
      Actions to Take Choices
      ✕Disconnect the PCA pump
      ✓Educate the client about the lockout mechanism
      ✕Apply a cold compress to the surgical site
      ✕Increase the basal rate of the PCA pump
      ✓Administer supplemental analgesics
      Potential Conditions Choices
      ✕Opioid overdose
      ✕Respiratory depression
      ✓Post-operative pain
      ✕Allergic reaction to opioids
      Parameters to Monitor Choices
      ✓Pain level
      ✕Temperature
      ✕Blood pressure
      ✕Heart rate
      ✓Respiratory rate
    3. A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?
      A)Administer the medications by touching the tip of the dropper to the sclera of the eye.
      B)Administer the medications 5 min apart.
      C)Hold pressure on the conjunctiva sac for 2 min following application of drops.
      D)It is not necessary to remove contact lenses before administering medications.
    4. A nurse is preparing to administer desipramine 150 mg PO daily to a client to treat diabetic neuropathy. The amount available is desipramine 100 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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