Medical Flashcards
(180 cards)
How would you deal with an anxious patient. How would you provide Nursing care?
A) giving him hospital regulations
B) telling him there’s nothing to be afraid of
C) give him information on his condition and forward him onto a website
D) act in a calm reassuring manner and provide information in a way he would understand in regard to the operation he may have and routines
D) because calmness enables us to have a gentle manner, a soothing voice, and display quiet dependability in all that we do. It enables us to have an attitude of composed alertness to the ever-changing needs of patients and practice situations and to have confidence in our ability to meet these needs.
The first management priority for spinal injury is
A) Pain
B) Altered sexuality
C) Spinal Immbolisation
D) Urinary Catherisation
C) Spinal Immbolisation
A client who sustains a fracture dislocation of the cervical spine will most probably have
A) Tetraplegia
B) Hemiplegia
C) Paraplegia
D) Monoplegia
A) Tetraplegia
You find a patient crying after finding out that she has a permanent spinal injury due to a car accident. She says she doesn’t want to live anymore now she can’t walk. What can you do?
A) Tell her to harden up
B) “There are people dealing with worse crap than you”
C) Become worried that she will follow through with her want to end her life, and race to find RN
D) Recognise this as being part of the stages of grief
D)
Denial
Anger
Bargaining
Depression
Acceptance
How to work out the volume when you administer IM:
Strength x Volume of Stock solution / Stock strength= volume required
Before moving a patient, you will find they will cooperate if
A) they are in an agreeable mood
B) Are praised when activities are completed
C) Received enough analgesia (pain relief) to promote freedom from pain
D) Warned about complications if activities are not performed.
C) Received enough analgesia (pain relief) to promote freedom from pain
What is the purpose of an NGT after bowel surgery?
A) Feeding
B) Irrigation
C) Inflation
D) Aspiration
D) Aspiration
Which activity can an EN legally do?
A) Prime the line prior to IV tubing being changed.
B) Report to a registered nurse that the IV fluid is low.
C) Discontinue an IV infusion to dress/undress a client.
D) Change the IV bag if directed by a registered nurse.
A) Prime the line prior to IV tubing being changed.
Sam, aged 20 years, is being assessed following a head injury. The earliest sign of increasing intracranial pressure is
A) a rapid pulse.
B) a change in the level of consciousness
C) Hypertension
D) hypoxaemia.
B) a change in the level of consciousness
During the primary assessment of Sam, the nurse should
A) palpate the abdomen
B) assess the level of consciousness
C) examine the neck for rigidity or stiffness
D) determine whether he has underlying medical conditions
B) assess the level of consciousness
The primary goal of withholding food and fluids before surgery is to prevent
A) aspiration
B) distension
C) infection
D) obstruction.
A) aspiration
Peri-operative instruction that is a legal requirement for all patients is:
A) techniques for deep breathing and coughing.
B) descriptions of the planned surgical procedure
C) physical procedures or preparation required before surgery
D) being nil by mouth after midnight on the day of surgery.
B) descriptions of the planned surgical procedure
You are asked by your RN to assess Mr N who has just arrived back from PACU onto the ward. The priority assessment would be to check
A) bleeding from the wound site
B) vital signs and level of consciousness.
C) if the pain relief medication is due.
D) the IV infusion rate is correct.
B) vital signs and level of consciousness.
Pain assessment is part of an enrolled nurse’s scope of practice. To assess Mr N’s level of pain, you would
A) ask Mr N if he has any severe pain.
B) use a pain scale to assess the pain level.
C) decide by your observation that Mr N has pain.
D) ask Mr N to point to where the pain is.
B) use a pain scale to assess the pain level.
To detect shock, you will observe Mr N for
A) increasing blood pressure, slowing pulse rate.
B) increasing pulse rate, decreasing blood pressure.
C) increasing blood pressure, slowing respiratory rate, slowing pulse rate.
D) increasing respiratory rate, slowing pulse rate, decreasing blood pressure.
B) increasing pulse rate, decreasing blood pressure.
Fifteen minutes after a blood transfusion has begun Mr N complains of difficulty breathing. You should first
A) notify Mr N’s physician.
B) stop the transfusion immediately.
C) assess Mr N’s vital signs.
D) obtain a blood specimen from Mr N.
B) stop the transfusion immediately.
Following surgery for a left total hip replacement Mr N’s left leg should
A) be supported with pillows under the knee.
B) be maintained in abduction.
C) be exercised hourly to prevent DVT from occurring.
D) be maintained in adduction
B) be maintained in abduction.
Mr N, aged 73 years, is admitted to the ward after falling over. A diagnosis of fractured left neck of femur is made. Of the following, which would you expect Mr N to have?
A) Shortening, external rotation, pain.
B) Shortening, abnormal movement, ankle oedema.
C) Pain, flexion deformity, slow venous return.
D) Muscle spasm, slow venous return, external rotation.
A) Shortening, external rotation, pain.
You are performing a basic neurovascular assessment so you can report back to the RN. Which of the following would you assess?
A) Colour, warmth, movement, sensation, verbal response.
B) Pain, sensation, colour, movement, level of consciousness.
C) Warmth, movement, sensation, pain, colour.
D) Colour, degree of shock, pain, sensation, movement.
C) Warmth, movement, sensation, pain, colour.
Mr N can’t feel pressure applied to his toes and complains of tingling. These signs indicate
A) pressure on a nerve.
B) analgesic overdose.
C) improper alignment of the fracture.
D) low pain threshold.
A) pressure on a nerve.
Mr N has been scheduled to undergo surgery for a total hip replacement the next day. 30 31 Mr N’s surgeon asks you to complete the consent form. What would you do?
A) Obtain verbal consent from Mr N and ask the doctor to sign the form.
B) Get consent from Mr N, it is your legal responsibility to obtain consent from your client before the operation.
C) Refuse, stating you are not allowed to obtain written consent for procedures.
D) Ask the registered nurse to do it as you are busy with other clients.
C) Refuse, stating you are not allowed to obtain written consent for procedures.
During a pre-operative nursing assessment, the enrolled nurse is alerted to the possibility of a compromised respiratory function during the peri-operative phase in the patient with
A) obesity.
B) dehydration.
C) enlarged liver.
D) decreased peripheral pulse volume.
A) obesity.
Ten minutes after John has received his preoperative sedative medication by intramuscular injection, he asks to get up to go to the bathroom to urinate. The most appropriate action by the nurse is to
A) offer him a urinal and position him in bed to promote voiding.
B) assist him to the bathroom.
C) tell him to try to “hold on” because he will be catheterised at the beginning of the surgical procedure.
D) allow him up to go to the bathroom because the onset of the effect of the medication takes more than 10 minutes
B) assist him to the bathroom.
Postoperatively you check to ensure John’s vacuum drain is draining properly. The purpose of the redivac/redinom/vacuum drain is to
A) provide for assessment of the quality of the drainage.
B) prevent formation of a hematoma.
C) accurately measures the amount of drainage.
D) provides a closed sterile gravity flow system.
B) prevent formation of a hematoma.
