final quiz med surg 3

Which diuretic is the most effective in the reduction of increased intracranial pressure (ICP)?

Mannitol

Using a therapy such as accupuncture or cryotherapy instead of chemotherapy for breast cancer is an example of what type of treatment?

alternative

What element of malpractice is based on the existence of a nurse-patient relationship?

duty

A nurse is caring for a patient with paraplegia who is scheduled to participate in a rehabilitation program. The patient states, "I do not understand the need for rehabilitation; the paralysis will not go away and it will not get better." How would the nurse respond?

"The rehabilitation program will teach you how to maintain the functional ability you have and prevent further disability."

A hospitalized patient with heart failure is on a 1000 mL fluid restriction each 24 hours. During the 7 a.m. to 7 p.m. shift, he has three meals, consuming 1/2 cup of coffee with each. He also has 50 mL of water each time he takes his medications at 7 a.m., noon, and 5 p.m. Mid Afternoon, he drinks 240 mL of soda. How many milliliters may he consume during the 7 p.m. to 7 a.m. shift? ______________mL

250 ml

ideally fibrinolytic therapy should be administered within how many hours of the onset of stroke symptoms?

3

Which nursing intervention will help prevent spikes in intracranial pressure in the post-neurosurgical patient?

Administer an antiemetic to prevent vomiting.

A patient has been taking benzodiazepines and suddenly develops respiratory depression and hypotension. After careful assessment, the nurse determines that the patient is experiencing benzodiazepine overdose. What is the nurse's next action?

Administer flumazenil (Romazicon).

You have just received your patient to the postanesthesia care unit after repair of a abdominal aortic aneurysm, the nurse obtains the following data. Which finding has the most immediate implications for the client's care?

Arterial line indicates a blood pressure of 190/112 mm Hg

An older patient is hospitalized with Guillain-Barré syndrome. A family member tells the nurse that the patient is restless and seems confused. What action by the nurse is best?

Assess the patient's oxygen saturation.

The patient is sedated and breathing with the use of mechanical ventilation. The patient is unable to communicate any aspects of his pain to the nurse. What tool should the nurse use to assess the patient's pain?

BPS

A patient is admitted with an acute myocardial infarction (MI). The student knows she must assess for and prepare for the following common complication.

Dysrhythmias

Which treatment interventon applies to a patient with infective endocarditis?

Hospitalization for initial IV antibiotics possibly with a central line

A patient's wife has been informed by the practitioner that her spouse has permanent quadriplegia. The wife states that she does not want anyone to tell the patient about his injury. The patient asks the nurse about what has happened. The nurse has conflicting emotions about how to handle the situation. What is the nurse experiencing?

Moral distress

A nurse assesses a patient's electrocardiogram (ECG) and observes the reading shown below:How would the nurse document this patient's ECG strip?

PVC

A nurse assesses a patient with a spinal cord injury at level T5. The patient's blood pressure is 184/95 mm Hg, and the patient presents with a flushed face and blurred vision. What action would the nurse take first?

Palpate the bladder for distention.

A nursing student is caring for a patient with an abdominal aneurysm. What action by the student requires the registered nurse to intervene?

Palpates the abdomen in four quadrants

Due to a call in, the ICU nurse has 4 patients all receiving opiods for pain. Which patient should she assess first?

Patient who is snoring

Which intervention is an essential aspect of the patient teaching plan for the patient with chronic heart failure?

Stressing the importance of compliance with diuretic therapy

Your patient would like to try accupuncture first before scheduling his CABG. Which would be accurate information to relay to the physician.

The patient would like to try and alternative therapy, accupuncture.

A nurse assists with the cardioversion of a patient experiencing acute atrial fibrillation. What action would the nurse take prior to the initiation of cardioversion?

turn off oxygen therapy