Adult 1 Quiz questions

A postoperative client has just been admitted to the postanesthesia care unit (PACU). What assessment by the PACU nurse takes priority? Select one: a. Cardiac rhythm b. Airway c. Breathing d. Bleeding

B. Airway

A postoperative patient has just been admitted to the post-anesthesia care unit (PACU). What assessment by the PACU nurse takes priority? Select one: a. Breathing b. Cardiac rhythm c. Bleeding d. Airway

D. Airway

After providing discharge teaching, a nurse assesses the patient's understanding regarding increased risk for metabolic alkalosis. Which statement indicates that the patient needs additional teaching? Select one: a. "I take sodium bicarbonate after every meal to prevent heartburn." b. "In hot weather, I sweat so much that I drink six glasses of water each day." c. "I don't drink milk because it gives me gas and diarrhea." d. "I have been taking digoxin every day for the last 15 years."

a. "I take sodium bicarbonate after every meal to prevent heartburn."

A nurse is planning interventions that regulate acid-base balance to ensure that the pH of a patient's blood remains within the normal range. Which abnormal physiologic functions may occur if the patient experiences an acid-base imbalance? (Select all that apply.) Select one or more: a. Affecting the excitable cardiac muscle membranes b. Increase in the effectiveness of many drugs c. Increase in the function of selected enzymes d. Fluid and electrolyte imbalances e. Reduction in the function of hormones

a. Affecting the excitable cardiac muscle membranes d. Fluid and electrolyte imbalances e. Reduction in the function of hormones

A nurse is caring for a patient who exhibits dehydration-induced confusion. Which intervention does the nurse implement first? Select one: a. Apply oxygen by mask or nasal cannula. b. Increase the IV flow rate to 250 mL/hr. c. Place the patient in a high-Fowler's position. d. Measure intake and output every 4 hours.

a. Apply oxygen by mask or nasal cannula.

A nurse recently hired to the preoperative area learns that certain clients are at higher risk for venous thromboembolism (VTE). Which clients are considered to be at high risk? (Select all that apply.) Select one or more: a.Wheelchair-bound client b.Morbidly obese client c.Client with severe heart failure d.Client with a humerus fracture e.Client who smokes

a.Wheelchair-bound client b.Morbidly obese client c.Client with severe heart failure e.Client who smokes

A patient has received an opioid analgesic for pain. The nurse assesses that the patient is lethargic and has a respiratory rate of 7 shallow breaths/min. The patient's oxygen saturation is 87%. Which action would the nurse perform first? Select one: a. Attempt to arouse the patient. b. Apply oxygen at 4 L/min. c. Notify the Rapid Response Team. d. Give naloxone (Narcan).

a. Attempt to arouse the patient.

A patient is going to be admitted for a scheduled surgical procedure. Which action does the nurse explain is the most important thing the patient can do to protect against errors? Select one: a. Bring a list of all medications and what they are for. b. Make sure that all providers wash hands before entering the room. c. Write down the name of each caregiver who comes in the room. d. Keep the doctor's phone number by the telephone.

a. Bring a list of all medications and what they are for.

A nurse is caring for a patient who has the following arterial blood values: pH 7.12, PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3- 22 mEq/L (22 mmol/L). Which clinical situation does the nurse correlate with these values? Select one: a. Bronchial obstruction related to aspiration of a hot dog b. Anxiety-induced hyperventilation in an adolescent c. Diabetic ketoacidosis in a person with emphysema d. Diarrhea for 36 hours in an older, frail woman

a. Bronchial obstruction related to aspiration of a hot dog

A nurse assesses a patient in the preoperative holding area and finds brittle nails and hair, dry skin turgor, and muscle wasting. What action by the nurse is best? Select one: a. Consult the surgeon about a postoperative dietitian referral. b. Document the findings thoroughly in the patient's chart. c. Refer the patient to Meals on Wheels after discharge. d. Encourage the patient to eat more after recovering from surgery.

a. Consult the surgeon about a postoperative dietitian referral.

A nurse is caring for an older adult patient who is admitted with moderate dehydration. Which intervention will the nurse implement to prevent injury while in the hospital? Select one: a. Dangle the patient on the bedside before ambulating. b. Encourage the patient to drink at least 1 liter of fluids each shift. c. Assess urine color, amount, and specific gravity each day. d. Ask family members to speak quietly to keep the patient calm.

a. Dangle the patient on the bedside before ambulating.

A nurse assesses a patient with diabetes mellitus who is admitted with an acid-base imbalance. The patient's arterial blood gas values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3- 18 mEq/L (18 mmol/L). Which manifestation does the nurse identify as an example of the patient's compensation mechanism? Select one: a. Increased rate and depth of respirations b. Increased release of acids from the kidneys c. Increased urinary output d. Increased thirst and hunger

a. Increased rate and depth of respirations

A student asks the nurse, "What is the best way to assess a patient's pain?" Which response by the nurse is best? Select one: a. Patient's self-report b. Objective observation c. Numeric pain scale d. Behavioral assessment

a. Patient's self-report

A nurse cares for a patient who has a serum potassium of 7.5 mEq/L (7.5 mmol/L) and is exhibiting cardiovascular changes. Which prescription will the nurse implement first? Select one: a. Prepare to administer dextrose 20% and 10 units of regular insulin IV push. b. Prepare the patient for hemodialysis treatment. c. Prepare to administer sodium polystyrene sulfate (Kayexalate) 15 g by mouth. d. Provide a heart-healthy, low-potassium diet.

a. Prepare to administer dextrose 20% and 10 units of regular insulin IV push.

A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes that the patient's blood pressure is much higher than previous readings, and the patient's mental status has changed. What action by the nurse would most likely have prevented this negative outcome? Select one: a. Providing more appropriate supervision of the UAP b. Determining if the UAP knew how to take blood pressure c. Taking the blood pressure instead of delegating the task d. Double-checking the UAP by taking another blood pressure

a. Providing more appropriate supervision of the UAP

An older patient who lives alone is being discharged on opioid analgesics. Which action by the nurse is most important? Select one: a. Request a home safety assessment. b. Discuss the need for home health care. c. Provide written discharge instructions. d. Give the patient follow-up information.

a. Request a home safety assessment.

A nurse is caring for a patient who has a serum calcium level of 14 mg/dL (3.5 mmol/L). Which provider order does the nurse implement first? Select one: a. Encourage oral fluid intake. b. Administer oral calcitonin (Calcimar). c. Assess urinary output. d. Connect the patient to a cardiac monitor.

d. Connect the patient to a cardiac monitor.

A nurse is giving a client instructions for showering the night before surgery. What instruction is most appropriate? Select one: a."Use the prescribed solution and wash the area where you will have surgery very thoroughly." b."Use a washcloth to wash the surgical site; do not take a full shower or bath." c."After you wash the surgical site, shave that area with your own razor." d."Use warm water and scrub the surgical area vigorously."

a."Use the prescribed solution and wash the area where you will have surgery very thoroughly"

A postoperative patient is being discharged with a prescription for oxycodone hydrochloride with acetaminophen (Percocet). What instructions does the nurse give the patient? (Select all that apply.) Select one or more: a."You shouldn't drive while you are taking this medication." b."Eat a diet that is high in fiber and drink lots of water." c."If this gives you diarrhea, loperamide (Imodium) can help." d."Check all over-the-counter medications for acetaminophen." e."Do not take more pills each day than you are prescribed."

a."You shouldn't drive while you are taking this medication." b."Eat a diet that is high in fiber and drink lots of water." d."Check all over-the-counter medications for acetaminophen." e."Do not take more pills each day than you are prescribed."

A nurse develops a plan of care for a patient who has a history of hypocalcemia. What interventions will the nurse include in this patient's care plan? (Select all that apply.) Select one or more: a.Provide nonslip footwear for the patient to use when out of bed. b.Use a draw sheet to reposition the patient in bed. c.Encourage oral fluid intake of at least 2 L/day. d.Rotate the patient from side to side every 1 hours. e.Strain all urine output and assess for urinary stones.

a.Provide nonslip footwear for the patient to use when out of bed. b.Use a draw sheet to reposition the patient in bed.

A nurse on the postoperative unit administers many opioid analgesics. Which actions by the nurse are best to prevent unwanted sedation as a complication of these medications? (Select all that apply.) Select one or more: a.Use an oximeter to monitor patients receiving analgesia. b.Avoid using other medications that cause sedation. c.Give the lowest dose that produces good control. d.Identify patients at high risk for unwanted sedation. e.Delay giving medication if the patient is sleeping.

a.Use an oximeter to monitor patients receiving analgesia. b.Avoid using other medications that cause sedation. c.Give the lowest dose that produces good control. d.Identify patients at high risk for unwanted sedation.

A patient tells the nurse that even though it has been 4 months since her sister's death, she frequently finds herself crying uncontrollably. How does the nurse respond? Select one: a. "You should try not to cry. I'm sure your sister is in a better place now." b. "Your feelings are completely normal and may continue for a long time." c. "Whenever you start to cry, distract yourself from thoughts of your sister." d. "Most people move on within a few months. You should see a grief counselor."

b. "Your feelings are completely normal and may continue for a long time."

A nurse caring for an older patient in the hospital is concerned the patient is not competent to give consent for upcoming surgery. What action by the nurse is best? Select one: a. Have the patient's family sign the consent. b. Discuss concerns with the healthcare team. c. Do not allow the patient to sign the consent. d. Call Adult Protective Services.

b. Discuss concerns with the healthcare team.

A nurse is caring for a patient on an epidural patient-controlled analgesia (PCA) pump. Which action by the nurse is most important to ensure patient safety? Select one: a. Monitor for numbness and tingling in the legs. b. Have another nurse double-check the pump settings. c. Assess and record vital signs every 2 hours. d. Instruct the patient to report any unrelieved pain.

b. Have another nurse double-check the pump settings.

A nurse admits an older patient to the hospital who lives at home with family. The nurse assesses that the patient is malnourished. What actions by the nurse are best? (Select all that apply.) Select one or more: a. Notify the provider that the patient needs a tube feeding. b. Perform and document results of a Braden Scale assessment. c. Request a dietary consultation from the healthcare provider. d. Suggest a high-protein oral supplement between meals. e. Contact Adult Protective Services or hospital social work

b. Perform and document results of a Braden Scale assessment c. Request a dietary consultation from the healthcare provider. d. Suggest a high-protein oral supplement between meals.

A nurse answers a call light on the postoperative nursing unit. The patient states there was a sudden gush of blood from the incision, and the nurse sees a blood spot on the sheet. What action does the nurse take first? Select one: a. Assess the patient's blood pressure. b. Perform hand hygiene and apply gloves. c. Reinforce the dressing with a clean one. d. Remove the dressing to assess the wound.

b. Perform hand hygiene and apply gloves.

A preoperative nurse is reviewing morning laboratory values on four patients waiting for surgery. Which result warrants immediate communication with the surgical team? Select one: a. Sodium: 134 mEq/L (134 mmol/l) b. Potassium: 2.9 mEq/L (2.9 mmol/l) c. Hemoglobin: 14.8 mg/dL (148 mmol/L) d. Creatinine: 1.2 mg/dL(106.1 umol/l)

b. Potassium: 2.9 mEq/L (2.9 mmol/l)

A patient with a broken arm has had ice placed on it for 20 minutes. A short time after the ice was removed, the patient reports that the effect has worn off and requests pain medication, which cannot be given yet. Which actions by the nurse are most appropriate? (Select all that apply.) Select one or more: a.Ask for a physical therapy consult. b.Repeat the ice application. c.Offer to provide a heating pad. d.Educate the patient on cold therapy. e.Teach the patient relaxation techniques.

b. Repeat the ice application. d. Educate the patient on cold therapy. e. Teach the patient relaxation techniques.

A patient who had surgery has extreme postoperative pain that is worsened when trying to participate in physical therapy. Which intervention for pain management does the nurse include in the patient's care plan? Select one: a. Pain medications prior to therapy only b. Round-the-clock analgesia with PRN analgesics c. As-needed pain medication after therapy d. Patient-controlled analgesia with a basal rate

b. Round-the-clock analgesia with PRN analgesics

A nurse is assessing pain in an older adult. Which action by the nurse is best? Select one: a. Question the patient about new pain only, not normal pain from aging. b. Sit down, ask one question at a time, and allow the patient to answer. c. Ask only "yes-or-no" questions so the patient doesn't get too tired. d. Give the patient a picture of the pain scale and come back later.

b. Sit down, ask one question at a time, and allow the patient to answer.

A hospitalized older adult has been assessed at high risk for skin breakdown. Which actions does the registered nurse (RN) delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.) elect one or more: a.Document Braden Scale results. b.Turn the patient every 2 hours. c.Keep the patient's skin dry. d.Assess skin redness when turning.

b.Turn the patient every 2 hours. c.Keep the patient's skin dry.

After teaching a patient about advance directives, a nurse assesses the patient's understanding. Which statement indicates that the patient correctly understands the teaching? Select one: a. "An advance directive will keep my children from selling my home when I'm old." b. "An advance directive will allow me to keep my money out of the reach of my family." c. "An advance directive will specify what I want done when I can no longer make decisions about health care." d. "An advance directive will be completed as soon as I'm incapacitated and can't think for myself."

c. "An advance directive will specify what I want done when I can no longer make decisions about health care."

A new nurse reports to the nurse preceptor that a patient requested pain medication, and when the nurse brought it, the patient was sound asleep. The nurse states the patient cannot possibly sleep with the severe pain the patient described. Which response by the experienced nurse is best? Select one: a. "You're right; I would put the medication back." b. "Have you ever experienced any type of pain?" c. "Being able to sleep doesn't mean pain doesn't exist." d. "The patient should be assessed for drug addiction."

c. "Being able to sleep doesn't mean pain doesn't exist."

A newly graduated nurse in the hospital states that, since she is so new, she cannot participate in quality improvement (QI) projects. What response by the precepting nurse is best? Select one: a. "It's easy to identify what indicators should be used to measure quality." b. "All staff nurses are required to participate in quality improvement here." c. "Even being new, you can implement activities designed to improve care." d. "You should ask to be assigned to the research and quality committee."

c. "Even being new, you can implement activities designed to improve care."

A nurse is assessing coping in older women in a support group for recent widows. Which statement by a participant best indicates potential for successful coping? Select one: a. "Oh, I have lots of friends at the senior center." b. "My kids come to see me every weekend." c. "I have had the same best friend for decades." d. "I think I am coping very well on my own."

c. "I have had the same best friend for decades."

A nurse teaches a patient who is at risk for mild hypernatremia. Which statement does the nurse include in this patient's teaching? Select one: a. "Check your radial pulse twice a day." b. "Weigh yourself every morning and every night." c. "Read food labels to determine sodium content." d. "Bake or grill the meat rather than frying it."

c. "Read food labels to determine sodium content."

A nurse is preparing a patient for discharge after surgery. The patient needs to change a large dressing and manage a drain at home. What instruction by the nurse is most important? Select one: a. "Eat a diet high in protein, iron, zinc, and vitamin C." b. "Be sure you keep all your postoperative appointments." c. "Wash your hands before touching the drain or dressing." d. "Call your surgeon if you have any questions at home."

c. "Wash your hands before touching the drain or dressing."

A postoperative nurse is caring for a patient who receives a neuromuscular blocking agent during surgery. Which assessment by the nurse is most important? Select one: a. Blood pressure within 20 points of preanesthetic level b. Inability to raise head off the bed c. Abdominal breathing pattern d. Weak hand grasp

c. Abdominal breathing pattern

A nurse is assessing patients on a medical-surgical unit. Which adult patient does the nurse identify as being at greatest risk for insensible water loss? Select one: a. Patient taking furosemide (Lasix) b. Patient who is on fluid restrictions c. Anxious patient who has tachypnea d. Patient who is constipated with abdominal pain

c. Anxious patient who has tachypnea

A nurse evaluates a patient's arterial blood gas values (ABGs): pH 7.30, PaO2 86 mm Hg, PaCO2 55 mm Hg, and HCO3- 22 mEq/L (22 mmol/L). Which intervention does the nurse implement first? Select one: a. Administer prescribed bronchodilators. b. Administer prescribed mucolytics. c. Assess the airway. d. Provide oxygen

c. Assess the airway.

A nurse wishes to provide patient-centered care in all interactions. Which action by the nurse best demonstrates this concept? Select one: a. Tells the patient and family about all upcoming tests b. Ensures that all the patients' basic needs are met c. Assesses for cultural influences affecting health care d. Thoroughly orients the patient and family to the room

c. Assesses for cultural influences affecting health care

An older adult is brought to the emergency department because of sudden onset of confusion. After the patient is stabilized and comfortable, what assessment by the nurse is most important? Select one: a. Assess for orthostatic hypotension. b. Evaluate the patient for gait abnormalities. c. Determine if there are new medications. d. Perform a delirium screening test.

c. Determine if there are new medications.

A nurse is orienting a new patient and family to the inpatient unit. What information does the nurse provide to help the patient promote his or her own safety? Select one: a. Tell the patient to always wear his or her armband. b. Have the patient monitor hand hygiene in caregivers. c. Encourage the patient and family to be active partners. d. Offer the family the opportunity to stay with the patient.

c. Encourage the patient and family to be active partners.

A nurse is assessing a patient who has acute pancreatitis and is at risk for an acid-base imbalance. For which manifestation of this acid-base imbalance would the nurse assess? Select one: a. Positive Chvostek's sign b. Seizures c. Kussmaul respirations d. Agitation

c. Kussmaul respirations

A nurse works on the postoperative floor and has four patients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the healthcare team for postdischarge care? Select one: a. Married young adult who is the primary caregiver for children b. Young patient who lives alone, and has family and friends nearby c. Older adult who lives at home despite some memory loss d. Middle-aged patient who is post-knee replacement, and needs physical therapy

c. Older adult who lives at home despite some memory loss

A nurse admits an older patient from a home environment where she lives with her adult son and daughter-in-law. The patient has urine burns on her skin, no dentures, and several pressure ulcers. What action by the nurse is most appropriate? Select one: a. Notify Adult Protective Services. b. Ask the family how these problems occurred. c. Report the findings as per agency policy. d. Call the police department and file a report.

c. Report the findings as per agency policy.

A nurse is preparing to give a patient ketorolac (Toradol) intravenously for pain. Which assessment findings would lead the nurse to consult with the provider? Select one: a. Hypoactive bowel sounds b. Self-reported pain of 3/10 c. Urine output of 20 mL/2 hr d. Bilateral lung crackles

c. Urine output of 20 mL/2 hr

A nurse is working with an older patient admitted with mild dehydration. What teaching does the nurse provide to best address this issue? Select one: a. "Cut some sodium out of your diet." b. "Dehydration can cause incontinence." c. "Take your diuretic in the morning." d. "Have something to drink every 1 to 2 hours."

d. "Have something to drink every 1 to 2 hours."

After teaching a patient who is being treated for dehydration, a nurse assesses the patient's understanding. Which statement indicates that the patient correctly understood the teaching? Select one: a. "I will not drink liquids after 6 PM so I won't have to get up at night." b. "I must drink a quart (liter) of water or other liquid each day." c. "I will use a salt substitute when making and eating my meals." d. "I will weigh myself each morning before I eat or drink."

d. "I will weigh myself each morning before I eat or drink."

A nurse evaluates the following arterial blood gas values in a patient: pH 7.48, PaO2 98 mm Hg, PaCO2 28 mm Hg, and HCO3- 22 mEq/L (22 mmol/L). Which patient condition does the nurse correlate with these results? Select one: a. Diarrhea and vomiting for 36 hours b. Chronic obstructive pulmonary disease (COPD) c. Diabetic ketoacidosis and emphysema d. Anxiety-induced hyperventilation

d. Anxiety-induced hyperventilation

A nurse is caring for a patient who has just experienced a 90-second tonic-clonic seizure. The patient's arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and HCO3- 22 mEq/L (22 mmol/L). What action would the nurse take first? Select one: a. Administer 50 mL of sodium bicarbonate intravenously. b. Administer 50 mL of 20% glucose and 20 units of regular insulin. c. Apply a paper bag over the patient's nose and mouth. d. Apply oxygen by mask or nasal cannula.

d. Apply oxygen by mask or nasal cannula.

A nurse is caring for a terminally ill patient who has just died in a hospital setting with family members at the bedside. Which action will the nurse take first? Select one: a. Ensure that a death certificate has been completed by the physician. b. Request family members to prepare the patient's body for the funeral home. c. Call for emergency assistance so that resuscitation procedures can begin. d. Ask family members if they would like to spend time alone with the patient.

d. Ask family members if they would like to spend time alone with the patient.

A client in hospice is deteriorating and the family is concerned about restlessness. which are the best actions for the nurse to perform? Select one: a.Encourage family members to assist the client to eat in order to gain energy. b.Initiate intravenous hydration to provide the client with necessary fluids. c.Notify the health care provider and request an order for transfer to the hospital. d. Assess for pain, provide analgesics, and make the client as comfortable as possible.

d. Assess for pain, provide analgesics, and make the client as comfortable as possible.

A nurse is caring for a postoperative patient who reports discomfort, but denies serious pain and does not want medication. What action by the nurse is best to promote comfort? Select one: a. Tell the patient when pain medication is due. b. Assess the patient's pain on a 0-to-10 scale. c. Have the patient sit up in a recliner. d. Assist the patient into a position of comfort.

d. Assist the patient into a position of comfort.

A nurse caring for an older patient on a medical-surgical unit notices the patient reports frequent constipation and only wants to eat softer foods such as rice, bread, and puddings. What assessment should the nurse perform first? Select one: a. Weigh the patient. b. Perform an oral assessment. c. Check skin turgor. d. Auscultate bowel sounds.

d. Auscultate bowel sounds.

A home healthcare nurse is planning an exercise program with an older patient who lives at home independently but whose mobility issues prevent much activity outside the home. Which exercise regimen would be most beneficial to this adult? Select one: a. Improving exercise endurance b. Increasing aerobic capacity c. Providing personal training d. Building strength and flexibility

d. Building strength and flexibility

A nurse assesses a patient who is experiencing an acid-base imbalance. The patient's arterial blood gas values are pH 7.34, PaO2 88 mm Hg, PaCO2 38 mm Hg, and HCO3- 19 mEq/L (19 mmol/L). Which assessment would the nurse perform first? Select one: a. Musculoskeletal strength b. Level of orientation c. Skin and mucous membranes d. Cardiac rate and rhythm

d. Cardiac rate and rhythm

An older patient is hospitalized after an operation. When assessing the patient for postoperative infection, the nurse places priority on which assessment? Select one: a. Daily white blood cell count b. Tolerance of increasing activity c. Presence of fever and chills d. Change in behavior

d. Change in behavior

A student nurse asks the faculty to explain best practices when communicating with a person from the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer by the faculty is most accurate? Select one: a. Most LGBTQ people do not want to share information. b. No differences exist in communicating with this population. c. Avoid embarrassing the patient by asking questions. d. Don't make assumptions about his or her health needs.

d. Don't make assumptions about his or her health needs.

A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which is the priority when working as a professional nurse? Select one: a. Attending to holistic patient needs b. Not making medication errors c. Providing patient-focused care d. Ensuring patient safety

d. Ensuring patient safety

A postoperative patient has respiratory depression after receiving midazolam (Versed) for sedation. Which IV-push medication and dose does the nurse prepare to administer? Select one: a. Naloxone (Narcan) 4 to 20 mg b. Naloxone (Narcan) 0.4 to 2 mg c. Flumazenil (Romazicon) 2 to 10 mg d. Flumazenil (Romazicon) 0.2 to 1 mg

d. Flumazenil (Romazicon) 0.2 to 1 mg

An older adult has diabetic neuropathy and often reports unbearable foot pain. About which medication would the nurse plan to educate the patient? Select one: a. Morphine sulfate b. Desipramine (Norpramin) c. Nortriptyline (Pamelor) d. Gabapentin (Neurontin)

d. Gabapentin (Neurontin)

A nurse plans care for a patient who is bedridden. Which assessment would the nurse complete to ensure to prevent pressure ulcer formation? Select one: a. Pressure ulcer diameter and depth b. Dressing site and antibiotic ointment application c. Wound drainage, including color, odor, and consistency d. Nutritional intake and serum albumin levels

d. Nutritional intake and serum albumin levels

A patient has arrived in the inpatient postoperative unit. What action by the inpatient nurse takes priority? Select one: a. Checking the surgical dressings b. Assessing fluid and blood output c. Ensuring the patient is warm d. Participating in hand-off report

d. Participating in hand-off report

A nurse on the postoperative inpatient unit receives a hand-off report on four patients using patient-controlled analgesia (PCA) pumps. Which patient would the nurse see first? Select one: a. Patient who is pressing the button every 10 minutes b. Patient with no bolus request in 6 hours c. Patient who appears to be sleeping soundly d. Patient with a respiratory rate of 6 breaths/min

d. Patient with a respiratory rate of 6 breaths/min

A hospitalized patient uses a transdermal fentanyl (Duragesic) patch for chronic pain. Which action by the nurse is most important for patient safety? Select one: a. Monitor the patient's bowel function every shift. b. Assess and record the patient's pain every 4 hours. c. Ensure that the patient is eating a high-fiber diet. d. Remove the old patch when applying the new one.

d. Remove the old patch when applying the new one.