1) the nurse is caring for a patient admitted with severehyponatremia. Which priority intervention will the nurse implementin the plan of care.
a) encourage a diet high in sodium content.
b) maintain accurate intake and output records.
c) weigh the patient at the same time daily
d) monitor level of consciousness closely
2)The nurse is caring for a preoperative patient scheduled for acholecystectomy. The patient states, “I don’t feel good”. Whichfinding will be a priority for the nurse to report to the healthcare provider?
a) pain in upper right quadrant of the abdomen
b) lower back pain
c) persistent coughing
d) dizziness and lightheadedness
3) The nurse is planning care for a patient one day after alaparoscopic cholecystectomy. What intervention will the nurseinclude in the care plan? (select all that apply)
a) provide pain relief
b) assess the abdominal distension
c) splint the affected side
d) prompt regular siet
e) assist with early ambulation
4) The nurse is caring for an older adult patient diagnosed withpneumonia. The nurse explains to the patient that in order toreduce or prevent serious complications of Pneumonia:
a) pneumococcal and influenza vaccine is recommended.
b) complete bedrest is recommended
c) nutritionally enriched drinks or shakes should be avoided
d) exercise should be kept to a minimum
5)The nurse is caring for a patient with transurethral resectionof the prostate (TURP) who has continuous bladder irrigation (CBI).The patient is reporting spasm and pain in the abdomen. What is theappropriate nursing intervention?
a) Increase the irrigation fluid to clear the clot
b) Ensure patient that he will feel better soon
c) Check patency of the continuous bladder irrigation
d) Administer pain medication for abdominal discomfort
