Nokea
The health care provider has ordered IV morphine q2-4hr PRN for a patient following major abdominal surgery. When should the nurse plan to administer the morphine?
- A. Before all planned painful activities
- B. Every 2 to 4 hours during the first 48 hours
- C. Every 4 hours as the patient requests the medication
- D. After assessing the nature and intensity of the patient's pain
Correct Answer: D
Rationale: Pain assessment guides the timing and dosage of analgesics, ensuring effective pain management.
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Upon hearing that he has acute pericarditis, the patient asks how he could have contracted the disease. The best response is
- A. The upper respiratory viral infection that you experienced a couple of weeks ago could have led to acute pericarditis.
- B. It is a genetic condition that you received from your father.
- C. It is a genetic condition that you received from your mother.
- D. It is the weakening of the left side of your heart.
Correct Answer: A
Rationale: Viral infections are a common cause of acute pericarditis.
A patient with a breast biopsy positive for cancer tells the nurse that she has been using information from the Internet to try to make a decision about her treatment choices. In counseling the patient, the nurse knows that (select all that apply)
- A. the patient should be taught how to identify reliable and accurate information available online.
- B. all sites used by the patient should be evaluated by the nurse for accuracy and appropriateness of the information.
- C. most information from the Internet is incomplete and inaccurate and should not be used to make important decisions regarding treatment.
- D. the Internet is an excellent source of health information, and online education programs can provide patients with better instruction than is available at clinics.
Correct Answer: A
Rationale: The correct answers are 'the patient should be taught how to identify reliable and accurate information available online' and 'the patient should be encouraged to use sites established by universities, the government, or reputable health organizations, such as the American Cancer Society, to access reliable information.' These options promote the use of credible sources while discouraging reliance on potentially unreliable information.
Which actions are done primarily by an informatics nurse (select all that apply)?
- A. Designs and builds computer systems
- B. Studies the validity of nursing information
- C. Trains health care providers to provide nursing care
- D. Communicates and accesses information for nursing staff
Correct Answer: A
Rationale: Informatics nurses focus on designing systems, validating information, and building tools to support nursing processes.
Why should the nurse closely monitor older adults when they are receiving IV therapy?
- A. Because their defense mechanisms are less efficient.
- B. Because they are prone to fluid overload.
- C. Because they are prone to increased renal efficiency.
- D. Because they have inadequate intake of dietary fiber.
Correct Answer: B
Rationale: The correct answer is B because older adults are more susceptible to fluid overload due to decreased kidney function and other physiological changes.
What is your evaluation of Mr. Smith’s skin rash and slight fever after taking INH for 3 months?
- A. Is developing hepatitis
- B. Has not been taking INH
- C. Is having a normal response to the medication
- D. Is demonstrating early signs of drug hypersensitivity
Correct Answer: D
Rationale: The correct answer is D because Mr. Smith's skin rash and slight fever after taking INH for 3 months indicate early signs of drug hypersensitivity. This is supported by the timing of symptoms appearing after prolonged use, which is typical for drug hypersensitivity reactions. Other choices are incorrect: A, developing hepatitis would show different symptoms; B, not taking INH would not explain the symptoms; C, a normal response would not involve rash and fever.