Lifestyle Choices and High Risk Behavior

The nurse is caring for a 55-year-old female patient who is scheduled for a Venous Doppler examination. Which of the following instructions will likely be on the patient instruction sheet?

The nurse is caring for a 40-year-old patient experiencing alcohol withdrawal syndrome and advocates for which medication for the patient?

The nurse is caring for a 50-year-old male patient with osteoarthritis who is prescribed a non-steroidal anti-inflammatory drug for pain. Which instruction does the nurse provide to the patient?

For which of the following patients would the emergency department nurse suspect abuse?

An 18-year-old patient asks the nurse for assistance in choosing a birth control method. She tells the nurse that she smokes infrequently and has trouble remembering to take her daily vitamins. Which method does the nurse recommend to the patient?

The 18-year-old female patient presents to a women’s health clinic following unprotected sexual intercourse one week ago. Per the patient’s report, she has painful lesions on her genitals. On physical exam, the nurse notes blisters and ulcerations on the patient’s labia minora and vulva. The nurse anticipates testing will reveal which microorganism to explain this patient’s symptoms?

Which individual is at the highest risk for hepatitis C infection?

The nurse is reviewing patient charts for risk factors for hypertension. Which characteristics does the nurse include in the search? Select all that apply.

The patient in the clinic requests information on preventing pregnancy and sexually transmitted infections. The nurse advises the patient about which strategy?

The nurse is providing education to parents of young children regarding car seat safety. Which statement by the parent indicates the teaching was effective?

A 23-year-old patient presents with chest pain. Which additional finding would point to cocaine abuse as the cause of the chest pain?

The unresponsive patient is brought to the emergency department with pinpoint pupils and a respiratory rate of 8 breaths per minute. The nurse anticipates the patient’s toxicology results will be positive for which substance?

A patient with a substance abuse disorder tells the nurse that the only reason that he uses drugs is because his family and job are so stressful and suffocating. Which defense mechanism describes the patient’s statement?

The nurse is caring for an elderly patient who accidentally got shot in the leg when his dog knocked his gun to the floor and it misfired. The patient mentions that he wants to get better quickly because he is anticipating a visit from his grandchildren soon. Which response by the nurse is most appropriate?

The patient has consistently reported 8/10 pain levels despite large doses of morphine being supplied. The nurse brings the patient’s IV morphine dose to the room to administer it. The patient states, “That is way more medication than the nurse gave me all night.” The nurse verifies the dose and amount and finds it consistent with the order and the amount that has been removed from the Pyxis. Which action by the nurse is appropriate?

The nurse is asked to assist with a 38-year-old woman who desires oral birth control pills. The patient decides on an estrogen-progesterone formulation because she still desires to get her monthly periods. The patient states she is a heavy smoker. Which of the following is the most accurate statement about the smoking and this medication?

The nurse is getting the history of a patient with a history of long heavy sun exposure who presents with multiple lesions concerning for skin cancer. The lesions are pearly white, almost translucent, with a central depression. The patient remembers plenty of days of sun exposure as a child with frequent sunburns and says she has kept up the same habits as an adult. Which of the following statements is most correct regarding this patient’s condition?

A nurse is reviewing the orders of a patient who presented to the emergency department with symptoms of a stroke and notes a toxicology screening has been ordered. Which is the most likely rationale for this test?

A nurse is performing tests to aid in the confirmation or exclusion of a stroke. Which tests may indicate the patient is experiencing a stroke mimic? Select all that apply.

The nurse is counseling a patient with a deep wound and delayed wound healing due to uncontrolled hypertension about the importance of nutrition for wound healing. Which food is most appropriate for the nurse to teach the patient?

The patient with a long history of intravenous drug abuse presents to the emergency department with white lesions on both sides of the tongue that change appearance every couple of days. Despite fatigue and recent weight loss, the patient’s assessment is normal. Which type of precautions does the nurse use for this patient?

The patient tells the nurse, “I fall asleep easily but wake up during the night and can’t go back to sleep.” Which question by the nurse is most helpful in determining the cause of the patient’s difficulty sleeping?

The patient who has been abusing benzodiazepines for 4 years tells the nurse, “I can’t let this drug control my life any longer. Take my pills; I’m quitting today.” Which response by the nurse is most appropriate?

An unconscious patient presents to the emergency department following a benzodiazepine overdose and is noted to have the words, “Do Not Resuscitate,” tattooed across the chest. Which action by the medical team is most appropriate?

A terminally ill patient has attempted to commit suicide by swallowing an entire bottle of opioid pain medication.The patient is brought to the emergency department and found to have a “Do Not Resuscitate” tattoo on her chest along with a handwritten note that states that she is tired of suffering and wishes her life to end. Which next step by the medical team is most appropriate?

The nurse is assigned to care for a patient with human immunodeficiency virus (HIV) with an infected boil that requires lancing. Which personal protective equipment does the nurse don? Select all that apply.

A nurse is assigned to care for a 45-year-old male who is admitted for alcohol withdrawal. On the second day of admission, the patient becomes disoriented and combative, and the provider places him in bilateral wrist restraints. Which physical exam finding is most important for this patient?

A nurse is assigned to care for a 28-year-old patient with seizures and neuropsychiatric symptoms secondary to cocaine abuse. The patient is combative and prone to hurting himself despite a 24-hour bedside sitter, so the provider writes for physical restraints. Which options are included in this order? Select all that apply.

A 12-year-old male patient has received the first dose of the human papillomavirus vaccine in May of this year. When will the nurse schedule an appointment for him to come back to receive his second and third doses?

The nurse has counseled the patient who has been admitted for an exacerbation of chronic obstructive pulmonary disease about the dangers of smoking tobacco. Which statement by the patient indicates a need for further teaching? 

A 14-year-old patient presents to the clinic complaining of right outer ear pain. Which characteristic most likely explains the cause of the pain?

The patient reports being hungry prior to the breakfast tray delivery. When the nurse checks on the patient an hour after the tray was delivered, the nurse notes the patient has not eaten any of the food. Which initial nursing action is most appropriate? 

Which is an example of the mitigation phase of disaster planning?

The patient tells the nurse “I drink three cups of black coffee a day. Is that okay?” Which response by the nurse is best?

Which signs indicate that a patient with chronic depression may be planning to commit suicide? Select all that apply.

The patient is brought to the emergency department following a serious motor vehicular accident (MVA). List the assessments the nurse performs in order from highest to lowest priority.

The emergency department nurse is assessing the unconscious patient following a fall from the ladder while he was doing home improvement work. Which assessment is performed first?

A nurse suspects that a co-worker is abusing drugs and is under the influence while at work. Which action does the nurse take?

The provider orders physical restraints for a patient in alcohol withdrawal who is delirious, combative, and a fall risk. Which statement is true regarding use of physical restraints for this patient?

The nurse is the first responder to a 3-year-old male who is with his mother, having recently ingested a large quantity of household cleaner. The patient is unconscious but is hemodynamically stable and breathing. An ambulance has already been called. Which action by the nurse is appropriate?

The patient with neurosyphilis who has attempted to stab the nurse with scissors, pulled out several IVs, and is a fall risk is placed in wrist restraints per physician order. How frequently does the nurse assess the patient’s skin integrity?

The nurse is providing dietary education for a patient with chronic alcoholism complicated by iron deficiency anemia and Wernicke encephalopathy. Which statement by the patient indicates a need for further teaching?

Which statement by a patient newly diagnosed with type 1 diabetes mellitus indicates understanding of the nurse’s discharge teaching?

A patient presents to the ER after having impaled his hand with a nail from a pneumatic nail gun at work. His friend removed the nail at the scene. Which statement indicates the patient understands the teaching provided by the nurse?

The nurse instructs parents on which type of diet to decrease the risk for lead poisoning in their children? 

The nurse uses which technique to counsel a patient with chronic obstructive pulmonary disorder (COPD) about quitting smoking? 

The 17-year-old pregnant female patient presents for her first prenatal visit. The nurse plans care based on which understanding of recommended screening?

The patient brought to the emergency department by police was found in the middle of traffic, alternating between grandiose declarations and expressing a desire to commit suicide. On physical assessment, the patient is tachycardic and hypertensive. The nurse suspects which diagnosis will be made?

The unresponsive patient is brought via ambulance to the emergency department.  On physical assessment, the patient has a respiratory rate of 8 breaths per minute and pinpoint pupils. The nurse suspects which cause of the patient's condition?

A confused, minimally arousable patient is brought to the emergency department via ambulance. The patient is hypotensive and bradypneic. Paramedics report finding an empty bottle of diazepam next to the patient. The nurse prepares which therapy?