Which of the following nursing interventions would be appropriate for a severely burned patient with a nursing diagnosis of “High risk for infection”? (Select all that apply.)

Change tube feeding supplies every 24 hours

Restrict fresh flowers from the room

Wear sterile gloves for wound care

Change linen and central line dressing

Regular baths and linen changes

In what order should a nurse implement interventions for a patient with extensive second and third degree burns? (Select all that apply.)

Insert a large bore intravenous catheter (2)

Estimate the percentage of TBSA burned (3)

Assess the secondary injuries (5)

Which of the following statements indicates that a patient with stage 3 HIV infection understands the teaching? (Select all that apply.)

I will cook meat and eggs thoroughly before eating them.

I will include calorie items like milkshakes and nutritional supplements in my diet.

I will avoid being around anyone who is ill.

I will stop taking my medication if I feel better.

A patient comes to the clinic with flu-like symptoms and reports a negative HIV antibody test last week. The patient reveals a current practice of IV drug use and needle sharing. What should the nurse inform the patient?

You could still have the virus and not have produced antibodies yet. You need to have another test that detects the actual virus.

You are definitely not infected with HIV.

You should start treatment immediately.

You do not need any further testing.

The nurse is caring for a burn patient who makes the statement, “I’m going to be so ugly. I feel totally worthless and helpless. ” Which of the nursing interventions would be most helpful to the patient? SATA

Remember that withdrawal from treatment is a coping mechanism

Include the patient in treatment decisions.

Encourage the patient to talk about their feelings.

Tell the patient to stop worrying.

Avoid discussing the patient’s appearance.

A nurse gets an accidental needlestick from a needle that was used for a patient diagnosed with HIV. What is the nurse’s first action?

Wash the area with soap and water.

Ignore it if there is no bleeding.

Wait to see if symptoms develop.

A patient is undergoing a lobectomy of the left lung. Which statement indicates correct understanding of the procedure?

I am having one lobe of my left lung removed.

I am having both lungs removed.

I am having my right lung removed.

I am having a biopsy of my lung.

A patient with liver cancer has had a hepatic artery port implanted as a way to deliver chemotherapy after the patient is discharged home. The nurse is providing education to the client and family for the care of the port and the chemotherapy. Which of the following statements by the client indicates understanding of the teaching?

I will return to the infusion center to have the port accessed for each infusion.

I will not need to monitor for fever or chills.

I should avoid any physical activity after the procedure.

I can skip cleaning the port if it looks fine.

A burn patient in the intermediate phase is scheduled to have a xenograft to the leg. Which statement by the nurse is accurate when explaining what a xenograft is?

The graft will probably come from a pig and will only be temporary.

The graft will be permanent and from a human donor.

The graft will be made from synthetic materials.

The graft will be from the patient’s own skin.

A nurse preceptor is supervising a new nurse in the burn unit. When the nurse is providing wound care to a patient, which of the following actions by the nurse would cause the preceptor to intervene?

The nurse prepares to remove a graft dressing that was applied that day

Suggest using a different dressing

Ask the nurse to consult the physician first

A patient with terminal gastric cancer has enacted a Do Not Resuscitate. The client is in severe pain, is restless, and is in and out of consciousness. The client’s vital signs are P 92, RR 8, BP 108/68. The patient has morphine ordered for pain. What is the appropriate action by the nurse?

Give the medication and assess for pain relief.

Call the physician for new orders.

A Patient is admitted to the hospital with protein-calorie malnutrition and wasting syndrome secondary to AIDS. What is an appropriate initial intervention by a nurse?

Perform the admission assessment and dietary history.

Start intravenous fluids immediately.

A client with stage 3 colorectal cancer is receiving combo chemotherapy of 5-fluorouracil, leucovorin, and oxaliplatin (FOLFOX). For which of the following adverse effects would nurse monitor clients? Select All That Apply.

Palmar-plantar erythrodysesthesia

What information should be included in a high school presentation on STD prevention regarding HIV?

Pre-exposure prophylaxis is available to protect against contracting HIV.

There is no way to prevent HIV.

Only abstinence can prevent HIV.

HIV can be cured with antibiotics.

The oncology nurse is giving leucovorin to a patient with lung cancer who is also being treated with methotrexate. When the patient asks the nurse why leucovorin is also being given, how should the nurse respond?

The Leucovorin will protect healthy cells from the effects of methotrexate.

It will increase the effectiveness of methotrexate.

It helps reduce blood pressure.

Which nurse interventions have been associated with improved outcomes in patients with severe burns? (Select All That Apply)

Early mobility, Peer support programs, use of compression garments, providing pain medication around the clock, and Family observation of wound care.

Bed rest, Isolation, Restricting fluids, and Avoiding pain medication.

Only wound dressing changes and antibiotics.

No interventions are necessary.

What is the initial intervention the nurse should implement for a severely burned patient with poor nutritional intake?

Educate the client the importance of eating healthy diet to promote wound healing.

Start physical therapy immediately.

Which topics should be included in a teaching session for parents about burn prevention in children? (Select All That Apply)

Select All Do not leave children unattended near hot surfaces, Use safety covers on electrical outlets, Set water heater temperature below 120°F, and Keep hot liquids out of reach.

Teach only about kitchen safety.

Nursing Practice and Patient Care Quiz

Authored by TEE S

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103 questions

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MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Which nursing diagnosis would be appropriate for a burn patient in the emergent resuscitative phase?

Deficient fluid volume

Impaired mobility

Chronic pain

Risk for infection

MULTIPLE SELECT QUESTION

45 sec • 1 pt

Which of the following are risk factors for HIV? (Select all that apply.)

Being a bisexual man

Receiving an organ transplant

Breastfeeding an infant of HIV-positive mother

Being a heterosexual man

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A patient with stage 2 colon cancer asks why the doctor ordered blood work to check the liver. What is the nurse’s best response?

It is routine to check other areas that are close by to see if they are ok.

The doctor is worried about liver failure.

You should ask the doctor directly.

It is not necessary to check the liver.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A patient with full-thickness burns of the face, neck, and upper extremities is hoarse, wheezing, and having trouble speaking. Which condition should the nurse suspect?

Inhalation injury

Sepsis

Dehydration

Hypothermia

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

What is the highest risk factor for gastric cancer?

H. pylori infection

Smoking

Alcohol use

High salt diet

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A nurse is caring for a patient with pneumocystis pneumonia being treated with trimethoprim sulfamethoxazole. Which adverse effects should the nurse monitor for?

Fever, rash

Nausea, vomiting

Headache, dizziness

Constipation, dry mouth

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A client with AIDS is placed on airborne precautions for fever, cough, night sweats, and hemoptysis. Which additional order should the nurse expect?

Rifampin

Aspirin

Metformin

Ibuprofen

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Nursing Practice and Patient Care Quiz

Which nursing diagnosis would be appropriate for a burn patient in the emergent resuscitative phase?

Which of the following are risk factors for HIV? (Select all that apply.)

A patient with stage 2 colon cancer asks why the doctor ordered blood work to check the liver. What is the nurse’s best response?

A patient with full-thickness burns of the face, neck, and upper extremities is hoarse, wheezing, and having trouble speaking. Which condition should the nurse suspect?

What is the highest risk factor for gastric cancer?

A nurse is caring for a patient with pneumocystis pneumonia being treated with trimethoprim sulfamethoxazole. Which adverse effects should the nurse monitor for?

A client with AIDS is placed on airborne precautions for fever, cough, night sweats, and hemoptysis. Which additional order should the nurse expect?

Which medication is prescribed for targeted therapy in a patient with advanced gastric cancer? SATA

After initiating ART, which therapeutic response should the nurse assess in a client with HIV?

According to the American Burn Association, what is the total fluid replacement needed in the first 8 hours for a 198 lb patient with chemical burns over 20% of the body?

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