TEST BANK INTRODUCTION T O CRITICAL CARE

TEST BANK INTRODUCTION T O CRITICAL CARE

NURSING 7

TH

EDITION ACTUAL EXAM WITH 240

QUESTIONS AND WELL -VERIFIED CORRECT

ANSWERS | ALREADY GRADED A+ | GUARANTEED

PASS | INTRODUCTION TO CRITICAL CARE

NURSING FINAL LATEST EXAM [BRAND NEW]

The patient is admitted with constipation. In anticipation of treatment, the nurse

prepares to: - ANSWER- provide therapies that will innervate the autonomic

nervous system.

The nurse is assessing the patient and notices that his oral cavity is only slightly moist and contains a scant amount of thick saliva even though the patients fluid intake has been sufficient. The nurses realizes that the condition of the patients mouth is probably caused by - ANSWER- b.sympathetic nerve stimulation.

The nurse is caring for a patient who has a peptic ulcer. To treat the ulcer and

prevent more ulcers from forming, the nurse should be prepared to administer: -

ANSWER- a.H2-histamine receptor blockers.

The nurse is caring for a patient who is receiving several cardiac medications designed to stimulate the sympathetic nervous system, vitamin B12, and an H2 blocker. The nurse should do which of the following? - ANSWER- a.Assess for signs of peptic ulcer.

After gastric bypass surgery, the patient is getting vitamin B12 via injection. The patient asks why he cant get the vitamin by mouth. The nurse explains that: - 1 / 4

ANSWER- a. the patient may not have enough intrinsic factor for normal absorption.

The nurse is assessing the patient admitted with pancreatitis. In doing so, the nurse:

• ANSWER- assesses symptoms that could indicate involvement of the stomach.

The liver plays a major role in homeostasis by: - ANSWER- c. removing active

clotting factors from the circulation.

The liver detoxifies the blood by: - ANSWER- a. converting fat-soluble

compounds to water-soluble compounds.

The patient is being admitted to the hospital. At home, the patient take an over-the- counter supplement of Vitamin D and is concerned because the doctor did not order that vitamin D to be given in the hospital. The nurse explains that - ANSWER- vitamins D is stored in the liver with a 10-month supply to prevent deficiency.

The nurse is caring for a patient with a heart rate of 140 beats/min. The provider orders parasympathetic medications to slow down the heart rate. With this type of medication, the nurse should - ANSWER- observe for diarrhea.

In assessing the patient complaining of abdominal pain, it is important for the

nurse to understand that: - ANSWER- increasing intensity of pain is always

significant.

The nurse is assessing a patient who is admitted with abdominal pain. To detect

abdominal masses, the nurse: - ANSWER- has the patient take a deep breath.

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When assessing the patients bowel sounds, the nurse: - ANSWER- c. listens to

bowel sounds before palpation.

When assessing bowel sounds, the nurse: - ANSWER- listens for 5 minutes before

noting absent bowel sounds.

A patient is having complications from abdominal surgery and remains NPO.Because enteral tube feedings are not possible, the decision is to initiate parenteral feedings. What are the major complications for this therapy? ANSWER- b.Fluidandelectrolyteimbalancesandsepsis

.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithanasogastricsma ll- borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyassesstubeplacem ent? - ANSWER- d. Topreventaspirationofthefeedings

3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhichsiteforcathet erinsertion? - ANSWER- d. Subclavianvein

4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailingaswallowst udy,thepatientisplacedonenteralfeedings.Followingplacementofanasogastrictubefor tubefeeding,whatisthenextcriticalstep? - ANSWER- c. Obtainachestradiograph.

5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewithcontinuou

sflowtubefeeding.Thenurseknowsthatthisapproachwaschosenbecause: - ANSWER-

• theintestinalmucosanormallyreceivesnutrientsfromthestomachinperistalticwaves

6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.Thenursewouldca rryoutwhichinterventiontominimizeaspirationrisk? - ANSWER- Elevatetheheadofthebed30degrees. 3 / 4

7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250mLofmilkyg

reenfluid.Thisisaconcernbecausethismostlikelydemonstratesthatthepatienthas: -

ANSWER- d. tube feeding intolerance.

8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkygreenliquid.Thenurseholdsthetubefeeding,whichhadbeeninfusingat100mL/hr.Thenurseknowsth

atthenextactionshouldbe: - ANSWER- d. recheck the residual in 2hours

9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedingintoleranc e? - ANSWER- a. Abdominal distention

10.Approximately5daysafterstartingtubefeedings,apatientdevelopsextremediarrhea.Astoolspecimeniscollectedtocheckforwhichpossiblecause? - ANSWER- a.Clostridium difficile

11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestudentnurselist edpossibleinterventionsforthispatient.Whichinterventionneedscorrectionbeforefinal izingtheplanofcare? - ANSWER- b. Infuseantibioticsthroughtheintravenousline.

12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodtestasthemosts ensitiveindicatorofproteinsynthesisandcatabolism? - ANSWER- c. Prealbumin

13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug- nutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentialforcausingd rug-nutrientreactions? - ANSWER- d. Phenytoin

14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI)tract? - ANSWER- d. Without nutritional stimulation, mucosal villi atrophy.

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