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- A patient is admitted with a diagnosis of Guillain-Barre syndrome (GBS). Which of the following findings on physical examination would be MOST concerning for the nurse? a) Decreased muscle strength b) Absent deep tendon reflexes c) Sensory disturbances in the extremities d) Difficulty swallowingWhich of the following nursing interventions is appropriate for a patient with impaired mobility? a) Encouraging the patient to remain in bed at all times b) Assisting with range-of-motion exercises c) Restraining the patient to prevent falls d) Administering sedatives to keep the patient calmThe first priority of providing CPR or first aid is which: a) Control any bleeding immediately with a clean dressing b) Ensure that there are no immediate hazards/dangers to the rescuer before approaching the patient c) Ensure that EMS ( ambulance ) has been called d) Ensure the patient has an open airway , is breathing, and has signs of circulation.
- The nurse is reviewing a patient’s medication orders for prn (as necessary) medications that can be given to a patient who has bronchitis with a productive cough. Which drug will the nurse choose? a )An antitussiveb )An expectorantc) An antihistamined )A decongestantThe nurse is assessing a patient for possible substance abuse. Which assessment finding indicates possible use of amphetamines? a )Lethargy and fatigueb) Cardiovascular depressionc )Talkativeness and euphoriad )Difficulty swallowing and constipationA patient is receiving dobutamine for shock and is complaining of feeling more “skipping beats” than yesterday. What will the nurse do next? a) Monitor for other signs of a therapeutic response to the drug.b) Titrate the drug to a higher dose to reduce the palpitations.c) Discontinue the dobutamine immediately.d) Assess the patient’s vital signs and cardiac rhythm.
- a patient with a history of hypertensionasks the nurse if they could take psudoephedrie(sudafed) for a cold. For which health conditions are decongestants contraindicated? a)hypertension b)narrow angle glaucoma c)uncontrolled cardiovascular disease d)history of cva(cerebrovascular accident) e)diabetesWhen giving metronidazole, the nurse implements appropriate administration techniques, including which of these? (Select all that apply.) a )Giving oral forms with foodb )Giving oral forms on an empty stomach with a full glass of waterc )Infusing intravenous doses over 30 to 60 minutesd )Administering intravenous doses by bolus over 5 minutes e) Obtaining ordered specimens before starting the medication5. The nurse is caring for an elderly client just admitted with bronchopneumonia. Which client assessment finding is of greatest concern? a) Acute confusion b) Respirations 26 c) Bilateral Ronchi d) Yellow-colored sputum
- A hospitalized patient is complaining of having difficulty sleeping. Which action will the nurse take first to address this problem?a )Administer a sedative-hypnotic drug if ordered.b )Offer tea made with the herbal preparation valerian.c )Encourage the patient to exercise by walking up and down the halls a few times if tolerated.d )Provide an environment that is restful, and reduce loud noises.Which technique would be most appropriate to use when the nurse is teaching a patient with a language barrier?a )Obtain an interpreter who can speak in the patient’s native tongue for teaching sessions.b) Use detailed explanations, speaking slowly and clearly.c) Assume that the patient understands the information presented if the patient has no questions.d )Provide only written instructions.The nurse is reviewing the medication list for a patient who will be starting therapy with somatropin. Which type of drug would raise a concern that needs to be addressed before the patient starts the somatropin? a )Nonsteroidal antiinflammatory drug for arthritisb) Antidepressant drugc )Penicillind )Glucocorticoid