1. A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members.What should the nurse first response be?
A) Create an atmosphere of seclusion for the boy according to procedures.
B) Remove other patients from the area via wheelchairs for added speed.
C) Ask the patient, 'What is making you mad?'
D) Ask the patient, 'Why are you doing this, have you thought about what your parents might say?'
2. A young female teenager describes a brutal assault and rape to the nurse on duty. Which of the following actions should the nurse take first?
A) Check with case manager on duty about possible police intervention.
B) Provide an environment of concern and emotional stabilization.
C) Clean the patient - s wounds with normal saline and gauze.
D) Recommend a good attorney to the patient.
3. An nurse is instructing a patient on the order of sensations with the application of an ice water bath for a swollen right ankle. Which of the following is the correct order of sensations experienced with an ice water bath?
A) cold, burning, aching, and numbness
B) burning, aching, cold, and numbness
C) aching, cold, burning and numbness
D) cold, aching, burning and numbness
4. A nurse doing a home health visit consults with a male patient that has a diagnosis of CAD and COPD. The patient is currently taking Ventolin, Azmacort, Aspirin, and Theophylline. The patient complains of upset stomach, nausea and feeling uncomfortable. The nurse should:
A) Contact the patient - s physician immediately
B) Recommend the patient position himself in right sidelying.
C) Recommend the patient schedule a doctor - s visit the next day.
D) Recommend a hold on the drug-Azmacort
5. A nurse reviewed the arterial blood gas reading of a 25 year-old male. The nurse should be able to conclude the patient is experiencing which of the following conditions?Bicarbonate ion-25 mEq/l -PH-7.41 -PaCO2-29 mmHg -PaO2-54 mmHg -(FiO2)-.22
A) metabolic acidosis
B) respiratory acidosis
C) metabolic alkalosis
D) respiratory alkalosis
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