MED-SURG (ALL 1ST 3 QUIZZES)
Which assessment question would the nurse ask a postoperative patient before administering a prescribed pain medication that is prescribed every 4 hours PRN?
"Is your pain controlled between doses?"
A registered nurse is explaining the Quality and Safety Education for Nurses (QSEN) competencies to a nursing student. Which information would the nurse provide about the competency teamwork and collaboration?
"Work effectively within nursing and interprofessional teams by promoting open communication and shared decision-making to provide client care."
Which serum calcium level puts a patient at high risk for coma?
14 mg/dL
As a patient advocate, which action is the primary role of the nurse in pain management?
Accepting the patient's report of pain
When caring for a patient receiving an opioid analgesic medication via patient-controlled analgesia (PCA), which action will the nurse implement immediately when witnessing the patient's spouse activate the PCA button?
Advise the patient and the spouse that only the patient may activate the PCA.
Which substance causes the collecting tubules in the kidneys to reabsorb sodium as part of a blood pressure (BP) control system?
Aldosterone
Which term would the nurse use to reflect that a patient's arterial blood pH is greater than 7.45 in the patient's electronic health record?
Alkalosis
Which parameter would the nurse examine to assess a patient's acid-base balance?
Bicarbonate level
A client receiving morphine is being monitored by the nurse for adverse effects of the medication. Which clinical finding warrants immediate action by the nurse? Select all that apply. One, some, or all responses may be correct.
Bradypnea Bradycardia Unconsciousness
Which two components combine to produce the carbonic acid responsible for an acid-base imbalance in a patient with pneumonia and a decreased blood pH?
Carbon dioxide and water
Which clinical indicators would the nurse expect when an intravenous (IV) line has infiltrated? Select all that apply. One, some, or all responses may be correct.
Decreased flow rate Pallor Edema
Which assessment would the nurse make immediately if a patient's serum potassium is reported to be 5.6 mEq/L?
Heart rate
Which electrolyte abnormality would the nurse anticipate when reviewing laboratory data for a patient admitted with metabolic acidosis?
Hyperkalemia
Which central vascular access device (CVAD) is indicated in patients who require IV therapy for more than a year?
Implanted port
The nurse is performing nursing care therapies and including the client as an active participant in the care. Which step in the nursing process is involved in this situation?
Implementation
Which organs play a major role in maintaining pH balance in the body? Select all that apply. One, some, or all responses may be correct.
Kidneys Lungs
Deep and rapid breaths consistent with Kussmaul respiration are found in patients with which type of acid-base imbalance?
Metabolic acidosis
Which acid-base imbalance would be expected in a patient who has been having acute diarrhea for more than 24 hours?
Metabolic acidosis
Which parameter would the nurse monitor to assess a patient's response to fluid replacement therapy? Select all that apply. One, some, or all responses may be correct.
Monitoring urine output Monitoring pulse quality Monitoring weight change
Which information does the nurse educator include when giving a classroom presentation about neuropathic pain? Select all that apply.
Neuropathic pain involves the abnormal processing of stimuli Neuropathic pain may occur in the absence of tissue damage or inflammation
When evaluating the laboratory results of a patient with diabetic ketoacidosis, which laboratory value indicates the body has fully compensated from this acid-base imbalance?
Normal pH on arterial blood gases
When obtaining a health history from the newly admitted client who has chronic pain in the right knee, which pain assessment data would the nurse include? Select all that apply. One, some, or all responses may be correct.
Pain pattern, including precipitating and alleviating factors Pain history, including location, and quality of pain
Which assessment data provide the nurse with the best indicator of pain the patient is experiencing?
Pain rating of 6 on a scale of 0 to 10
A laboratory report for a patient shows the following results: pH 7.32 PaO 2 77 mm Hg; PaCO 2 50 mm Hg. Bicarbonate 24 mEq/L These findings are consistent with which acid-base imbalance?
Respiratory acidosis
Which manifestation in a client who has syndrome of inappropriate antidiuretic hormone (SIADH) would the nurse expect to find upon assessment?
Retention of water
The laboratory report of a patient with cancer shows serum sodium levels of 108 mEq/L. Which complication would the nurse anticipate in the patient?
Seizures
Which definition is correct to explain the nursing process?
Sequence of steps to meet the client's needs
A patient on IV therapy reports shortness of breath. The nurse finds that the patient has elevated blood pressure, puffiness around the eyes, and distended neck veins. Which situation would the nurse suspect?
The patient is showing signs of circulatory overload.
The nurse is assessing a patient's peripheral IV site. Which assessment data indicates the need for nursing intervention?
The vein feels hard and cordlike above the insertion site.
Which arterial blood gas laboratory values would be seen in metabolic alkalosis?
pH 7.49, bicarbonate 32
