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NEW QUESTION 40
You are the nurse providing post-operative care for a 9 year old boy who is 6 hours post-tonsillectomy. He is sleeping, but on routine observation you notice that his pulse has increased, he seems to be restless and trying to swallow frequently. Your immediate action would be:
- A. Apply an ice collar to reduce discomfort
- B. Wake him and offer some ice chips to suck
- C. Allow child to keep sleeping and record observations
- D. Check inside his mouth for any signs of bleeding and notify the physician
Answer: D
NEW QUESTION 41
A nurse is not familiar with a particular solution ordered to irrigate a patient's wound. The appropriate action would be to:
- A. Put a neat line through the order and re-write the solution more commonly used
- B. Check if the solution is available on the ward, and if so, use it to clean the wound
- C. Check with the Pharmacist about the uses of the solution ordered
- D. Ask the patient what solution he would prefer to be used
Answer: C
NEW QUESTION 42
When caring for a patient with acute pancreatitis, the patient is most likely to complain of pain which is:
- A. Severe and located in the left lower quadrant and radiating to the groin
- B. Burning and located in the epigastric area and radiating to the groin
- C. Severe and located in the epigastric area and radiating to the back
- D. Burning and located in the left lower quadrant and radiating to the back
Answer: C
NEW QUESTION 43
A young patient is extremely irritable due to meningitis. It would be most important for the nurse to:
- A. Ventilate the room
- B. Use low-level lighting in the room
- C. Eliminate strong odors
- D. Allow frequent visitors
Answer: B
NEW QUESTION 44
A patient who sustained a chest injury has a chest tube inserted which is connected to an under water seal drainage system. When caring for this patient the nurse will:
- A. Clamp the tube when needed
- B. Observe for fluctuation of the water level
- C. Instruct the patient to limit movement of the affected shoulder
- D. Administer hourly analgesia
Answer: B
NEW QUESTION 45
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