Extract:

Question 1 of 5

The nurse is aware that a common adverse effect of anesthetic agents experienced by the client is:

A. Tachycardia.B. Decreased respirations.C. Malignant hyperthermia.D. Hypokalemia.

Correct Answer: C

Rationale: Malignant hyperthermia (
C) is a rare but serious anesthetic reaction. Tachycardia (
A) and decreased respirations (
B) are less severe, and hypokalemia (
D) is unrelated.

Question 2 of 5

A client with osteoarthritis of the left knee will undergo an injection of corticosteroids into the joint. The nurse notes that the primary reason for this injection is to:

A. reduce edema.B. reduce Inflammation and pain.C. prevent ankylosing of the joint.D. repair the cartilage.

Correct Answer: B

Rationale: While corticosteroids can reduce inflammation and pain, they do not directly target edema. The primary purpose of corticosteroid injections into a joint affected by osteoarthritis is to reduce inflammation and pain, providing relief from the symptoms. Corticosteroids do not prevent ankylosis (joint stiffness), which may occur with long-term osteoarthritis. Corticosteroids do not repair cartilage but can help alleviate symptoms related to cartilage degradation.

Question 3 of 5

A client who receives an antihypertensive medication daily is NPO except medications for surgery. The most recent blood pressure recording is 174/88. What action should the nurse take first?

A. Notify the surgeon of the blood pressure.B. Document the blood pressure on the pre-op checklist.C. Have the client relax and take deep breaths.D. Administer the antihypertensive medication.

Correct Answer: D

Rationale: Administering antihypertensive (
D) addresses high blood pressure. Notifying (
A), documenting (
B), and relaxation (
C) are secondary.

Question 4 of 5

A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?

A. Compare these findings with preoperative assessment findings.B. Document the finding and continue to monitor status.C. Draw blood for serum calcium.D. Tell the client that this is a normal finding and should go away with time.

Correct Answer: A

Rationale: The first priority is to assess whether the numbness and tingling in the left leg are new or a preexisting symptom. This helps identify if there are complications like nerve injury or issues with the surgical site. While documenting the findings is important, it's more critical to compare these new symptoms with preoperative findings to identify potential complications. Drawing blood for serum calcium is not directly relevant to the immediate issue of nerve symptoms after a laminectomy. Telling the client that the symptoms are normal could lead to delayed intervention if there is a more serious issue, like nerve damage or surgical complications.

Question 5 of 5

The nurse is planning the care of a client diagnosed with emphysema. The client is not currently reporting increased dyspnea, but the nurse has noted the client is anxious. Which nursing intervention(s) should be implemented?

A. Administer their inhaler medications and increase the oxygen.B. Notify the physician and administer lorazepam.C. Dim the lights and encourage the client to take a nap.D. Sit with the client and provide comfort measures.

Correct Answer: D

Rationale: Comfort measures (
D) address anxiety non-pharmacologically. Inhalers/oxygen (
A), lorazepam (
B), or napping (
C) are less immediate.