Question 1

A patient who had a liver resection now has a copious amount of serous drainage from the surgical incision. Which of the following should a nurse anticipate when caring for this patient?

Options :

A : preparing for an incision and debridement of the wound

B : applying several abdominal dressings

C : administering antibiotics

D : applying a drainage pouch to the site

Answer: B

Question 2

A patient has a linear skull fracture with multisystem trauma. The patient's vital signs are as follows: BP 80/50 HR120 CVP2 mm Hg Which of the following is the most appropriate explanation for this patient's condition?

Options :

A : The patient has lost a significant amount of blood because of intracranial hemorrhage.

B : Fluid regulation by the neurohypophysis is impaired because of increased intracranial pressure.

C : Parasympathetic stimulation is causing significant vasodilatation and pooling of blood.

D : Blood loss is occurring from a noncerebral injury.

Answer: D

Question 3

A patient with a sodium level of 114 mEq/L is most likely to develop

Options :

A : tetany.

B : flaccid paralysis.

C : seizures.

D : cardiac arrhythmias.

Answer: C

Question 4

A patient admitted with a diagnosis of pneumonia has a temperature of 103.2° F (39.5° C) and copious pulmonary secretions. ABG results drawn on room air are:The nurse should expect that hemoglobin's affinity for oxygen in this patient to be

Options :

A : unchanged.

B : unpredictable.

C : increased.

D : decreased.

Answer: D

Question 5

The most appropriate therapy for carboxyhemoglobinemia is

Options :

A : 100% O2 administration.

B : inhaled corticosteroids.

C : hyperventilation.

D : aerosolized beta-agonists.

Answer: A

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