Exam

A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and is receiving opioid medications to manage discomfort. Aside from managing pain, which of the following desired effects of medications should nurse identify as most important for the client's recovery?

a. It decreases the client's level of anxiety. b. It facilitates the client's deep breathing. c. It enhances the client's ability to sleep. d. It reduces the client's blood pressure. B

As a first-year nursing student, you are assigned to care for a dying patient. To best prepare you for this assignment, you will want to:

A. complete a course on death and dying. B. control your emotions about death and dying. C. compare this experience to the death of a family member. D. develop a personal understanding of your own feelings about grief and death. D

When caring for patients, the nurse must understand the difference between religion and spirituality. Religious care helps individuals:

A. maintain their belief systems and worship practices. B. develop a relationship with a higher being. C. establish a cultural connectedness with the purpose of life. D. achieve the balance needed to maintain health and well-being. A

A patient comes into the emergency department complaining of chest pain. When discussing possible reasons why the chest pain has occurred, the nurse learns that the patient is depressed because of the loss of a job. This type of crisis can be classified as:

A. maturational. B. situational. C. sociocultural. D. posttraumatic. B.

A postoperative patient is using PCA. You will evaluate the effectiveness of the medication when:

A. You compare assessed pain w/baseline pain. B. Body language is incongruent with reports of pain relief. C. Family members report that pain has subsided. D. Vital signs have returned to baseline. A

You are caring for a patient who is depressed because the only child has gone away to college. The nurse will assess this type of depression as:

A. actual loss. B. perceived loss. C. situational loss. D. maturational loss. D.

A patient suffers from sleep pattern disturbance. To promote adequate sleep, the most important nursing intervention is which of the following?:

A. administering a sleep aid. B. synchronizing the medication, treatment, and vital signs schedule. C. encouraging the patient to exercise immediately before sleep. D. discussing with the patient the benefits of beginning a long-term night time medication regimen. B

You are a nurse working in the college student health center. You receive a call that an athlete has just fallen and has been injured. You know that according to the general adaptation syndrome, the athlete will be exhibiting:

A. an increased appetite. B. an increased heart rate. C. a decrease in perspiration. D. a decrease in respiratory rate. B.

To assess, evaluate, and support a patient's spirituality, the best action a nurse can take is to:

A. assist the patient to use faith to get well. B. refer the patient to the health care facility chaplain. C. provide the patient with a variety of religious literature. D. determine the patient's perceptions and belief system. D.

During rounds on the night shift, you note that a patient stops breathing for 1 to 2 minutes several times during the shift. This condition is known as which of the following?

cataplexy insomnia narcolepsy Sleep apnea

When a smiling and cooperative patient complains of discomfort, nurses caring for this patient often harbor misconceptions about the patient's pain. Which of the following is true?

A. Chronic pain is psychological in nature. B. Patients are the best judges of their pain. C. Regular use of narcotic analgesics leads to drug addiction. D. Amount of pain is reflective of actual tissue damage. B

A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level?

a. Pulse and blood pressure findings. (D. Best answer-subjective b. Behavioral indications and effect. Report) c. Scheduled treatments and client illness. d. A self-report pain rating scale. D.

A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?

a. Tinnitus. (Usually taking aspirin) b. Muscle pain. c. Hyperglycemia. d. Jaundice. D