Title RECALLS 1 - NP3 - SC ✅

B. Trauma C. Infections D. Gallstones 28. Nurse Delly is aware that the treatment of acute pancreatitis consist of pain relief and “putting the pancreas to rest”. This is BEST accomplished by which of the following? A. Serving clear liquid diet B. Following a frequent but small feeding C. Feeding by nasogastric tube D. Parenteral nutrition administration as prescribed 29. The client has a standing order of Meperidine HCL (Demerol) 100mg intramuscularly (IM) every 4 hours. At 8am, nurse Delly administered Demerol as prescribed. At 10am, the client asked for the next dose. The nurse verified the intensity of pain and the client said, it is not so painful. I just don’t want to feel any sort of pain”. What would be the MOST appropriate action of the nurse? A. Apply warm compress over the painful area B. Inject the prescribed dose and the other half at 12 noon C. Change patient’s position and implement diversional activity D. Administer the full dose of Demerol now. 30. When the client said, “it is not so painful”. What is the client trying to describe? A. Unrelieved pain B. Location of pain C. Pain tolerance D. Quality of pain Situation: Communication is one of the best tools in patient -nurse interaction towards safe delivery cure. 31. Mrs. Gomez told the nurse that she was concerned about her husband. Which of the following responses of the nurse would encourage Mrs. Gomez to open the discussion A. “Would you like to talk about the reason for your visit?” B. “Would it help to discuss your feelings? C. “What brought you to the hospital?” D. “Does it concern you on what happen to your husband?” 32. While Listening to your patient about his near death experience during his last surgery, you crossed your arms on your chest. What message is the nurse conveying to the client? A. Trying to end the conversation with your client B. Conveying that you have ample time to listen to the client C. Pretending to listen to what the client is narrating D. Uninterested to hear what the client has to say 33. Another client told you that he was not looking forward to having this hemorrhoids removed. Which statement of the nurse would MOST likely stir up an expression of fear to the client? A. “are you implying that surgery is frightening?” B. “why don’t you just look forward to your surgery to relieve you of the present discomfort?” C. “don’t you think your surgeon is competent enough?” D. “have you ever bad surgery before?” 34. You are assessing a 60 year old client who lives alone by herself and with permanent colostomy. Which of the following statements of the client indicate that she has fully accepted her-present condition? A. “My children no longer visit me. I’m just waiting for my Creator to take me” B. “My life is slowly deteriorating each day” C. “I was a good O.R. nurse when I was younger. Now I’m just client” D. “I had a good life and I intend to enjoy it” 35. Mrs. Orchard, a post hysterectomy client with 7 children, made no comment about the recent death of her 13 year old daughter in a tragic car accident. She shifted topics quickly when asked about how her other children were adjusting to the loss of their sister. Which of the following interpretation of her actuation should receive your PRIORITY nursing intervention for Mrs. Orchard? A. Need of support system B. Changing life roles C. Avoiding a painful subject D. Resolved grief SITUATION: Peptic Ulcer Disease prevalence in urban-based hospitals is 15-30%. The following questions are related to PUD. 36. Ciara presents to the hospital stating she is having gastric ulcer. Which of the following assessment data supports the diagnosis? A. The client is experiencing blood in his stool for the past month B. After eating a heavy fatty meal, the patient experiences upper abdominal pain. C. The patient reports wave-like burning sensation D. After ingesting food, the patient complains epigastric pain 30 to 60 minutes. 37. The nurses performs physical examination to the client. The nurse is knowledgeable when she implements which among the following first? A. Examine the abdominal area for tenderness using fingertips B. Listening to each of the quadrants using a stethoscope C. Use plexor and pleximeter in assessing the abdominal borders to identify organs D. Assess the tender area from progressing to nontender 38. Ciara was referred to a gastrointestinal doctor and was informed that she should undergo diagnostic test. What tests confirms the diagnosis? A. MRI B. CTSCAN C. FOBT D. EGD 39. Which physiological complications is expected for the nurse to consider in creating plan of care for patient diagnosed with PUD? A. Knowledge deficit in the causes of ulcers B. Inability to cope in bowel elimination C. Potential for alteration in gastric emptying D. Alteration in bowel elimination patterns. 40. Ciara was discharged and was given home instructions. Which among the following statements means that Ciara learned the expected outcome? A. She should not present any signs and symptoms of hemoptysis B. She should take antacids with each meal to prevent excessive gastric acid. C. She controls her pain by taking NSAIDs D. She maintains modifications in her lifestyle Situation: A G4 P5 client who is in labor pains is transferred from the delivery room to the Operating Room for emergency Cesarean section (CS). 41. As you reviewed the client’s chart, you found out that the reason for the emergency CS is “fetal distress”. Which of the following assessment findings would confirm the indication of emergency CS? A. Fetal heart rate of 180 beats per minute B. Multiple pregnancy C. Non-progressing labor D. A 6 to 6.7 lbs baby 42. The circulation nurse prepares the client to which of the following positions? A. Supine with wedge support under the right hip B. Supine with pillows for head support C. Lithotomy with padded stirrups D. Semi -Fowler’s position with one pillow under the knees 43. As soon as the baby is out, the scrub nurse must focus FIRST on which of the following nursing action? A. Slap the newborn to induce crying B. Wipe the mouth, nose and eyes with a sterile operating sponge (OS) C. Attach the name tag D. Suction the mouth and nose of the newborn 44. Prior to the closure of the endometrium, the scrub and circulating nurses should perform which of the MOST critical 3 | Page