Tiêu đề RECALLS 9 - NP5 - SC ✅

39. Robin stated that she has been investigating alternative therapies to treat her disease. Which of the following interventions is most appropriate? A. Encourage the therapy if it is not contraindicated by the medical regimen. B. Tell the client only the health-care provider should discuss this with him. C. Ask how his significant other feels about this deviation from the medical regimen. D. Suggest the client research an investigational therapy instead. 40. You enter Robin’s room after her diagnosis of acute exacerbation of MS. You find her crying. Which of the following statements is the most therapeutic response you can make as her nurse? A. “Why are you crying? The medication will help the disease.” B. “You seem upset. I will sit down and we can talk for awhile.” C. “Multiple sclerosis is a disease that has good times and bad times.” D. “I will have the chaplain come and stay with you for a while.” SITUATION: You are caring for patient Luffy who has seizures. You apply your knowledge on concepts of seizures to better assess, diagnose, plan, and evaluate their condition. 41. Luffy is sitting in the chair when suddenly, his entire body went rigid with his arms and legs contracting and relaxing. He is not aware of what’s going on and is making guttural sounds. Which of the following actions should you implement first? A. Push aside any furniture. B. Place the client on his side. C. Assess the client’s vital signs. D. Ease the client to the floor. 42. Luffy is scheduled for an electroencephalogram (EEG) to help diagnose a seizure disorder. Which of the following preprocedure teaching should you implement? A. Tell the client to take any routine antiseizure medication prior to the EEG. B. Tell the client not to eat anything for eight (8) hours prior to the procedure. C. Instruct the client to stay awake for 24 hours prior to the EEG. D. Explain to the client that there will be some discomfort during the procedure. 43. Luffy just had a 3 minute seizure. He has no apparent injuries, is oriented to name, place, and time but he is very lethargic and just wants to sleep. Which of the following interventions should you implement? A. Perform a complete neurological assessment. B. Awaken the client every 30 minutes. C. Turn the client to the side and allow the client to sleep. D. Interview the client to find out what caused the seizure. 44. Which statement by Luffy indicates that he understands factors that may precipitate his seizure activity? A. “It is all right for me to drink coffee for breakfast.” B. “My menstrual cycle will not affect my seizure disorder.” C. “I am going to take a class in stress management.” D. “I should wear dark glasses when I am out in the sun.” 45. Luffy is prescribed the anticonvulsant phenytoin (Dilantin) for his seizure disorder. Which statement indicates that Luffy understands the discharge teaching regarding this medication? A. “I will brush my teeth after every meal.” B. “I will check my Dilantin level daily.” C. “My urine will turn orange while on Dilantin.” D. “I won’t have any seizures while on this medication.” SITUATION: You are a new nurse assigned in the operating room. You will apply your knowledge on perioperative nursing to effectively and safely handle patients in this area. 46. You are preparing your patient for an upcoming surgery. Which of the following interventions should you implement first? A. Check the permit for the spouse’s signature. B. Take and document intake and output. C. Administer the sedative. D. Complete the preoperative checklist. 47. You are conducting an interview with the surgical patient in the holding area. Which of the following information should you report to the anesthesiologist? Select all that apply. I. The client has loose, decayed teeth. II. The client is experiencing anxiety. III. The client smokes two (2) packs of cigarettes a day. IV. The client has had a chest x-ray which does not show infiltrates. V. The client reports using herbs. A. I, II, III, IV B. II, III C. I, III, V D. III, V 48. The circulating nurse intervenes when she notices which of the following violations of surgical asepsis? A. Surgical supplies were cleaned and sterilized prior to the case. B. The circulating nurse is wearing a long sleeve sterile gown. C. Masks covering the mouth and nose are being worn by the surgical team. D. The scrub nurse setting up the sterile field is wearing artificial nails. 49. The following statements are not an expected outcome for the postoperative client who had a general anesthesia, except? A. The client will be able to sit in the chair for 30 minutes. B. The client will have a pulse oximetry reading of 97% on room air. C. The client will have a urine output of 30 mL per hour. D. The client will be able to distinguish sharp from dull sensations. 50. Which of the following problems should you identify as the priority for a patient who one day postoperative? A. Potential for hemorrhaging. B. Potential for injury. C. Potential for fluid volume excess. D. Potential for infection. 51. Antibiotics have limited use in the actual treatment of Mastoiditis because________. A. Tissue destruction is extensive B. It is a long-term treatment C. Antibiotics do not easily penetrate the infected bony structure of the mastoid D. Culture has to be done to identify which antibiotic is most effective for the treatment of Mastoiditis Situation– You are a staff nurse in a government hospital being transferred to the Psychiatric Unit. You were required to equip yourself by attending the enhancement program on Crisis Intervention. To assess your knowledge and skills on the subject you were given a pre-test. 52. A crisis that is acute but temporary and due to an external source is__________. A. Developmental B. Transitional C. Traumatic D. Dispositional 53. The MAIN objective of crisis intervention is to_____________ A. Make the person realize his/her mistakes B. Ensure patient’s safety C. Return the person to the root of the crisis to identify the cause D. Eliminate the stressor 54. Which of the following is NOT an assumption in the concept of crisis? A. Crisis is acute and resolved within a short period of time B. All individuals experience a crisis C. Crisis is a growth-retarding factor to the emotional development of a person D. Specific identifiable events precipitate a crisis 55. Which of the following nursing interventions is the most appropriate for a client who is in the early state of crisis? 4 | Page