Blog

A patient is being discharged home following abdominal surgery with a 1-week supply of oxycodone for pain management. Which instruction is most important for the nurse to include in the discharge teaching?

Jane, a nurse, is caring for a patient whose cultural beliefs conflict with her personal values. The nurse feels emotionally uncomfortable but wants to maintain culturally congruent care. Which action is most appropriate?  

A nurse is caring for a 78-year-old patient with dementia who is refusing to eat. The patient’s daughter insists the nurse “make him eat” and states, “I have medical power of attorney, so you have to do what I say.” The patient continues to turn his head away and clench his teeth when food is offered. What should be the nurse’s priority action?

A nurse is planning care to promote sleep for patients on a medical-surgical unit. Which interventions should the nurse implement to improve sleep quality in the hospital setting? Select all that apply.  

A patient who has been taking oxycodone (an opioid) for chronic back pain for 6 months tells the nurse, “My doctor wants to switch my pain medication, but I’m afraid I’ll have withdrawal symptoms.” Which response by the nurse demonstrates understanding of physical dependence?  

A nurse is developing a care plan for a patient who has expressed spiritual distress related to feeling disconnected from their faith community since being hospitalized for three weeks following a stroke. Which nursing intervention would be most appropriate to include in the plan of care?  

A patient dies in the hospital following a motor vehicle accident. The patient arrived at the emergency department two hours ago. Which action should the nurse take when providing postmortem care?  

The provider orders D5W 500 mL plus calcium chloride 10 mEq at 10 mL per hour IV. Calcium chloride is supplied in a 10-mL ampule containing 13.6 mEq. How may mL of calcium chloride will be added to the 500 mL of D5W?  Round to the nearest tenths place if applicable. ____________________mL

A nurse is caring for a 35-year-old Chinese patient admitted with bacterial pneumonia. The family brings traditional herbal tea and asks if the patient can drink it with prescribed antibiotics. The patient states, “In my culture, this tea helps clear the lungs and strengthen healing.” Which response by the nurse best demonstrates culturally congruent care?  

A nurse is caring for a patient who is in the terminal stage of cancer. The patient’s family asks the nurse to avoid discussing the prognosis with the patient because “we don’t want to upset him.” Which rights from the Dying Patient’s Bill of Rights should guide the nurse’s response? Select all that apply.