WorksheetsWriting Questions in Other Formats Template
Total questions: 10
Worksheet time: 9mins
A change in lung sounds from wheezing to absent in a patient with croup indicates that the infection is improving.
True
False
When a patient’s SpO2 reads 85% on room air, which additional data is the priority to obtain? (Select 2)
Review the MAR for the last opioid medication administration.
Assess the patient’s surgical site incision.
Review the intake and outputs in the patient’s chart.
Assess the patient’s level of consciousness.
The nurse assesses a patient who is zero days postoperative from a small bowel resection. Which of these findings require immediate follow-up by the nurse? (Select all that apply)
Vital signs reading 88/54 mmHg, 8 breaths per minute, SpO2 85% on room air.
No bowel sounds are heard on the bell of the stethoscope.
Patient has been NPO for over 24 hours with maintenance IV fluid running at 75ml/hr.
Patient is somnolent but arousable to repeated deep pain stimuli.
Patient received 1mg/1ml Morphine IV push at 1300 & 0.5mg/0.25ml Hydromorphone (Dilaudid) IV push at 1330.
After administering naloxone (Narcan) 0.04mg/1ml IVP to a patient, which of these vital signs should the nurse prioritize checking? (Select all that apply)
Heart rate
Temperature
SpO2
Respiratory rate
What initial interventions should a nurse take after administering naloxone (Narcan) to a patient experiencing respiratory depression?
Monitoring the patient's airway, breathing, and level of consciousness
Administering additional opioids to reverse Narcan's effects
Encouraging the patient to sleep to recover
Restricting fluids to prevent aspiration
Which two early clinical signs should a nurse determine are indicative of respiratory decompensation following opioid administration?
Decreased respiratory rate and decreased SpO2
Increased heart rate and hypertension
Fever and chills
Nausea and vomiting
Which of the following clinical manifestations would most likely lead a nurse to suspect acute respiratory distress syndrome in a patient?
A temp of 100.4°F (38°C), shortness of breath, chest pain, cough, and a chest x-ray showing a white density that obscures lung markings
PaO2/FiO2 ratio <300 mmHg, severe hypoxemia, bilateral pulmonary infiltrates on chest x-ray, and alveolar edema
Tachycardia 130 BPM, sudden onset of shortness of breath, hemoptysis, and enlarged pulmonary artery on chest x-ray.
Lactic acid blood level of 3.0mmol/L, difficulty breathing, bilateral pulmonary infiltrates on chest x-ray, and loss of taste and smell.
A patient presents to the ED after being prescribed Penicillin. Upon assessment, a nurse notes the client has urticaria, dyspnea, stridor, and the percent oxygen saturation (SpO2) reading is 88% on room air. Which of these priority actions should the nurse take?
Administer oral diphenhydramine (Benadryl)
Apply 2L O2 via nasal cannula
Administer intramuscular epinephrine
Notify the provider to change the antibiotic order to a Sulfonamide
A client who has asthma is experiencing increased wheezing and a SpO2 of 90%. Which medication should the nurse prioritize administering when a client develops wheezing and mild hypoxia?
Alupent (Metaproterenol)
Flovent (Fluticasone)
Zyrtec (Cetirizine)
ProAir (Albuterol)
A client is being discharged after a recent total knee arthroplasty. Which of these statements, if made by the client, indicates the client needs further instruction from the discharge nurse?
“If I become short of breath and develop a cough, it is because I have overdone my physical therapy, and I should just take a break.”
“If I have increased swelling and it becomes hot around my incision, I should call the triage nurse for further instructions.”
“I should not remove my surgical dressing until my surgeon sees me in 10 days.”
“If I experience pain and swelling in my operative leg. I can elevate it and apply ice to reduce the pain and inflammation.”
