A 13 year old girl with manifestations of rheumatic heart disease is admitted to hospital. Which of the following laboratory blood findings would confirm that she likely has had a streptococcal infection within the past two weeks?
A. Decreased leukocyte count
B. Elevated hemoglobin count
C. Elevated ASO titer
D. Decreased ESR
To maintain the airway and promote respiratory function, the best position for the nurse to place the unconscious patient in the Post Anesthesia Care Unit (PACU) is:
A. Supine
B. Lateral
C. Trendelenberg
D. Fowler's
When the post-operative patient returns to the surgical unit, the priority is to:
A. Assess the patient's pain
B. Measure the patient's vital signs
C. Monitor the rate of the IV infusion
D. Check the physician's post-operative orders
When taking routine post-operative observations on a patient who underwent an exploratory laparotomy, the nurse plans to monitor which important finding over the next hour?
A. Serosanguinous drainage on the surgical dressing
B. Blood pressure of 105/65 mmHg
C. Urinary output of 20 mls in the last hour
D. Temperature of 37.6 癈
A patient has been taking Aluminum Hydroxide daily for 3 weeks. The nurse should be alert for which of the following side effects?
A. Constipation
B. Flatulence
C. Nausea
D. Vomiting
The best time for the nurse to teach an anxious patient about the patient controlled analgesic (PCA) pump would be during which of the following stages of patient care?
A. Post-operative
B. Pre-operative
C. Intraoperative
D. Post anesthesia
Thirty minutes after starting a blood transfusion a patient develops tachycardia and tachypnea and complains of chills and low back pain. The nurse recognizes these symptoms as characteristic of:
A. Circulatory overload
B. Mild allergy
C. Febrile response
D. Hemolytic reaction
As a part of the treatment given to a child with leukemia the child is placed on reverse barrier isolation to:
A. Protect the child from injury
B. Protect the child from infectious agents
C. Provide the child with a quiet environment
D. Keep the child away from other children
The rationale for having the patient void before an abdominal paracentesis procedure is to:
A. Minimize discomfort
B. Avoid abdominal distention
C. Prevent bladder puncture
D. Reduce infection rate
A construction worker was brought to the emergency department and admitted with the diagnosis of heat
stroke due to strenuous physical activity during hot weather conditions.
Which action should the nurse take?
A. Immediately immerse the patient in cold water to reduce the patient's temperature
B. Administer an antipyretic such as aspirin or acetaminophen
C. Place ice packs to the neck, axillae, scalp and groin
D. Encourage foods and oral fluids that contain carbohydrates and electrolytes
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