After implementing a new pain management protocol, which outcome should the nurse evaluate first?

Patient’s pain level decreased to a manageable score.

Following a stroke, a patient exhibits difficulty swallowing. What is the nurse's first action?

Assess the patient’s gag reflex.

A pt in the ER with sweating, shaking, nervousness & weakness. What action should the nurse take first?

Administer glucose orally if the patient is conscious

A nurse receives report on four patients. Which patient's condition should the nurse address first?

A patient with chest pain and an oxygen saturation of 92%.

A nurse is caring for a post-operative patient who reports severe pain. What should the nurse do first?

Assess the patient's pain level using a scale.

Pt w/abdominal pain and discovers elevated white blood cell count, fever, and localized tenderness in the RLQ

The elevated WBC count suggests an inflammatory response.

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Test taking Strategies

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Answers

1
After implementing a new pain management protocol, which outcome should the nurse evaluate first?
Increased frequency of routine pain assessments.
Patient verbalizes understanding of the plan.
Patient reports fewer medication side effects.
Patient’s pain level decreased to a manageable score.
2
RN assesses a pt after administering a new htn med. What is the most important outcome for the nurse to evaluate
Blood pressure readings.
Reports of headaches or dizziness.
Patient’s reports of feeling drowsy.
Patient’s understanding of medication purpose.
3
Pt dx with COPD has an exacerbation. What should the nurse prioritize as the initial intervention?
Educate the patient on smoking cessation.
Position the patient upright.
Obtain arterial blood gases (ABGs).
Administer bronchodilator therapy.
4
Following a stroke, a patient exhibits difficulty swallowing. What is the nurse's first action?
Place the patient on a soft food diet.
Document the findings in the medical record.
Assess the patient’s gag reflex.
Provide thickened liquids as ordered.
5
newly admitted pt w/c of sob and wheezing. the pt has a hx of asthma and recent rep infection. prioritize the cues
Family history of asthma
Patient's age
History of respiratory infections
Current respiratory distress
6
A pt in the ER with sweating, shaking, nervousness & weakness. What action should the nurse take first?
Assist the patient to a quiet area to rest.
Give the patient oral hydration
Call the healthcare provider for further orders.
Administer glucose orally if the patient is conscious
7
RN is planning care for a group of pts in a critical care unit. Which patient problem should the nurse address first?
Anxiety
Risk for infection
Acute pain
Impaired gas exchange
8
A nurse receives report on four patients. Which patient's condition should the nurse address first?
A patient with chest pain and an oxygen saturation of 92%.
A patient with a low-grade fever who is post-operative day 2.
A patient with stable vital signs who is due for their pain medication.
A patient exhibiting mild anxiety about their upcoming discharge.
9
VS are HR 130 bpm, bp 90/60 mmHg, temp 101°F. Which cue is the most critical of the PT's deteriorating condition?
The elevated temperature
All findings are significant
The low blood pressure
The elevated heart rate
10
A nurse is caring for a post-operative patient who reports severe pain. What should the nurse do first?
Assess the patient's pain level using a scale.
Administer the prescribed pain medication.
Reposition the patient for comfort.
Inform the healthcare provider about the pain.
11
65y/o male has w/confusion, dehyn, and hypotn. Lab tests reveal elevated blood glucose levels. What's most likely DX
Diabetic ketoacidosis (DKA)
Hypovolemia
UTI
Alzheimer’s disease
12
Pt w/abdominal pain and discovers elevated white blood cell count, fever, and localized tenderness in the RLQ
The elevated WBC count suggests an inflammatory response.
The tenderness indicates a need for more assessment.
The fever may be a normal post-surgical response
The client likely has a viral infection.

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