Title RECALLS 1 - NP3 - SC ✅

nursing intervention? A. Change drapes B. Have a large basin to contain the placenta C. Report sponge count status to the surgeon D. Prepare chronic cut gut suture for the endometrium 45. One week after surgery, the mother developed high fever and was found out that the cause of infection was a sponge left inside her body. The health care professional most liable for this case is: A. Anesthesiologist B. Surgeon C. Scrub Nurse D. Circulating Nurse Situation: A nurse admitted a 6 year old boy who is dyspneic, tachypneic with respiratory rate of 40 breaths/minute, afebrile, and with paroxysmal, irritative non – productive cough. Physician’s diagnosis is asthma. 46. Which of the following correctly describes asthma? A. Often irreversible B. Inflammatory disorder of the airways C. Characterized by hypoventilation D. Dyspnea with respiratory rate of 40/minute 47. When the nurse examines the patient’s chest on auscultation, which of the following assessment findings would indicated that the obstruction progresses? A. Productive cough B. Audible wheeze C. Silent chest D. Prominent sweating 48. The nurse administered aminophylline as ordered. Which of the following assessment indicates effectiveness of the drug? A. Thinning of the tenacious purulent sputum B. Normal breath sounds C. Normal body temperature D. Decreasing bronchial secretions 49. The client was prescribed with a short term corticosteroid therapy, The nurse knows that the preferred route of administration is through metered-dose inhalation because it: A. Is well tolerated B. Minimizes mucous secretions C. Reduces cushingoid effects D. Enhances absorption of drug 50. Throat irritation is associated with nebulizer use. What nursing intervention is BEST to decrease irritation? A. Taking lozenges B. Drinking ice cold fruit juices C. Sipping or gargling water D. Chewing gum Situation: A woman who underwent hysterectomy 2 days ago is under your care. 51. Which nursing observations would MOST likely predispose the client to develop venous thrombosis in the lower extremity? A. Drinking coffee at least 3 to 5 cups in a day B. Refusing to get out of bed C. Taking soft diet only D. Requesting for analgesics frequently 52. The following are true regarding antiemboli stockings except: A. Too small stockings may cause skin breakdown. B. Apply stockings in the morning. C. The patient who has been ambulating should wait for 1 hour before applying the stockings. D. Antiemboli stockings can prevent edema of the legs and feet. 53. The nurse assesses the client for Homan’s sign. Which of the following is the CORRECT instruction of the nurse? A. Have the client push each foot hard against the mattress B. Tell the client to sit on bed and point to her toes C. Ask the client to contract her tight muscles D. Instruct the client to extent her legs and flex each foot toward the head 54. Which client’s response suggest a positive Homan’s sign? A. Inability of the client to bend her knees B. Sudden numbness while extending the foot C. Tingling sensation throughout the affected leg D. Sharp, immediate calf pain in the legs 55. Based on the findings, the client has been diagnosed with deep vein thrombophlebitis. Which of the following nursing action must be AVOIDED? A. Elevating the client’s leg B. Massaging the affected leg C. Applying warm compress to the affected leg D. Crossing the legs when seated SITUATION: Anemia in the Philippines is prevalent and needs an intervention. There are different types of anemia and the following questions are about it. 56. The nurse is admitting Cloyd, a 26-year-old male. In gathering his past medical history, he stated that he undergone a gastric bypass surgery for his obesity 3 years ago. The following assessment findings includes height 5’7’’, weight 81kg, P112, R26, BP110/70, pale mucous membranes and dyspnea on exertion. Upon assessment, the nurse suspects that the client is having what type of anemia? A. Folic Acid Deficiency B. Vitamin B12 Deficiency C. Sickle cell anemia D. Iron deficiency Anemia 57. The client with a diagnosis of IDA is prescribe FeSO4 orally. The patient should be educated about: A. Taking laxative for diarrhea B. Exercise being limited until tolerance to the supplement is achieved C. Red meats and organ meats are the only foods that should be consumed to increase the level of iron in the body D. The stools may appear dark green-black which may mask blood 58. The anemia of the patient diagnosed with CHF became so severe that requires the HCP to order two units of PRBCs to transfuse. The unit has 250 mL of RBC plus 45mL of additive. The nurse set the IV pump at what rate to infuse each unit of PRBC? A. 74ml/hr B. 62-63ml/hr C. 147ml/hr D. 125ml/hr 59. You are the charge nurse assigned in the ward. Patients with different types of anemia was admitted. As a charge nurse, you assigned which among the patient to the most experienced nurse? A. client with IDA taking supplements B. client with Vitamin B12 deficiency requiring intramuscular administration C. client with Renal problem with deficiency of erythropoietin D. client with aplastic anemia which developed pancytopenia. 60. The client diagnosed with anemia was discharged. Which among the health education given by the nurse is correct? A. Take the prescribed iron until it is consumed B. Checking the vital signs specially pulse and BP at botika weekly C. Performing exercises at least three times a week D. Have a regular blood workup for CBC at HCP’s office. Situation: Many times clients would ask to be admitted to their room of choice. The hospital is not always ready to give client their preferred room but consider other parameters that would nonetheless enhance safe environment while confined in the hospital. 61. The nursing aide is asked to prepare a room for a child with post-operative fever. The room should be equipped with the following EXCEPT: A. Game board B. Bedside rails C. Air conditioning unit D. Call system 4 | Page