While preparing for a kidney biopsy the nurse should position the patient:
A. Prone with a sandbag under the abdomen
B. Lateral opposite to biopsy site
C. Supine in bed with knee flexion
D. Lateral flexed knee-chest
To maintain the airway and promote respiratory function, the best position for the nurse to place the unconscious patient in the Post Anesthesia Care Unit (PACU) is:
A. Supine
B. Lateral
C. Trendelenberg
D. Fowler's
A patient is admitted to a hospital with acute renal failure. The patient wakes up complaining of abdominal pain. On assessment, the nurse observes edema to the patient's ankles and distended neck veins. The patient is dyspneic with a blood pressure of 200/96 mmHg. The proper nursing diagnosis for this patient is:
A. Deficient fluid volume related to disease process
B. Excess fluid volume related to decreased glomerular filtration rate
C. Knowledge deficit related to proper medication regimen
D. Acute pain related to renal edema
A trauma patient with open wounds arrives in the emergency department. The nurse would know that a tetanus injection is needed if the patient has:
A. Only received 3 doses of tetanus toxoid
B. Received less than 3 doses of tetanus toxoid
C. Not had a dose of tetanus toxoid in the past 4 years
D. Not had a dose of tetanus toxoid in the past 10 years
Order: Allopurinol 450 mg p.o. daily. Drug availablE.Allopurinol 300 mg scored tablets. Which of the following will you administer?
A. 0.5 tablet
B. 1.5 tablets
C. 2 tablets
D. 2.5 tablets
The patient's pre-operative blood pressure was 120/68 mmHg. On admission to the Post Anesthesia Care Unit, the blood pressure was 124/70 mmHg. Thirty minutes after admission, the patient's blood pressure falls to 112/60 mmHg, pulse to 72 BPM, and the skin appears warm and dry. The most appropriate action by the nurse at this time is to:
A. Raise the head of the bed
B. Notify the anesthetist immediately
C. Increase the rate of IV fluid replacement
D. Continue to monitor the patient
One factor affecting the pharmokinetics of older patients' drug absorption is:
A. Decreased gastrointestinal motility
B. A difficulty in swallowing
C. A prevalence of obesity
D. Numerous medications
A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine (Apresoline) 20mg IV stat for blood pressure greater than 190/100 mmHg. The best response of the nurse to this order is to:
A. Give the dose immediately and once
B. Give medication if patient's blood pressure is > 190/100 mmHg
C. Call the physician because the order is not clear
D. Administer the dose and repeat as necessary
A patient complains of pain in his right arm. The physician orders codeine 45 mg and aspirin 650 mgs every 4 hours PRN. Each codeine tablet contains 15mg of codeine and each aspirin tablet contains 325mg of aspirin. What should the nurse administer?
A. 2 codeine tablets and 4 aspirin tablets
B. 4 codeine tablets and 3 ?aspirin tablets
C. 3 codeine tablets and 2 aspirin tablets
D. 3 codeine tablets and 3 aspirin tablets
Which of the following is the most appropriate first action for the nurse to take for a pre- schooler who has fallen and has a hematoma formed on the temporal bone?
A. Encourage a nap
B. Give pain medication
C. Apply ice and monitor vital signs
D. Allow the child to continue activities