Question 1
1 out of 1 points
The patient is receiving tube feedings due to a jaw surgery. What
change in assessment findings should prompt the nurse to
... [Show More] request
an order for serum sodium concentration?
Selected
Answer: a.
Decreased level of
consciousness
Answers: a.
Decreased level of
consciousness
b.
Increased skin tenting and dry
mouth
c.
Development of ankle or sacral
edema
d.
Postural hypotension and
tachycardia
Response
Feedback:
Tube feedings pose a risk for hypernatremia unless
adequate water is administered between tube feedings.
Hypernatremia causes the level of consciousness to
decrease. The serum sodium concentration is a
laboratory measure for osmolality imbalances, not ECV
imbalances. Edema is a sign of ECV excess, not
hypernatremia. Skin tenting, dry mouth, postural
hypotension, and tachycardia all can be signs of ECV
deficit.
Question 2
1 out of 1 points
A patient who has just been admitted with community-acquired
pneumococcal pneumonia has a temperature of 101.6° F with a
frequent cough and is complaining of severe pleuritic chest pain.
Which prescribed medication should the nurse give first?
Selected
Answer: d.
Piperacillin/tazobactam
(Zosyn)
Answers: a.
Codeine
b.
Guaifenesin
c.
Acetaminophen (Tylenol)
d.
Piperacillin/tazobactam
(Zosyn)
Response
Feedback:
Early initiation of antibiotic therapy has been
demonstrated to reduce mortality. The other
medications are also appropriate and should be given
as soon as possible, but the priority is to start antibiotic
therapy.
Question 3
1 out of 1 points
A patient has been hospitalized with tuberculosis (TB). The patient’s
spouse is fearful of entering the room where the patient is in
isolation and refuses to visit. What action by the nurse is best?
Selected
Answer: b.
Show the spouse how to follow the isolation
precautions to avoid illness.
Answers: a.
Inform the spouse that the precautions are meant to
keep other patients safe.
b.
Show the spouse how to follow the isolation
precautions to avoid illness.
c.
Ask the spouse to explain the fear of visiting in further
detail.
d.
Tell the spouse that he or she has already been
exposed, so it’s safe to visit.
Response
Feedback:
The nurse needs to obtain further information about the
spouse’s specific fears so they can be addressed. This [Show Less]