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NR324 EXAM 3 /NR324 ADULT HEATH EXAM 3
NEWEST 2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
While in the holding area, a patient reveals to the nurse that his father had a high fever after surgery. What action by the nurse is a priority?
Select one:
- Reassure the patient that there will be close monitoring during
- Place a medical alert sticker on the front of the patient's chart.
- Alert the anesthesia care provider of the family member's
- Administer 650 mg of acetaminophen (Tylenol) per rectum as
and after surgery.
reaction to surgery.
a preventive measure. - CORRECT ANSWER -C. Alert the anesthesia care provider of the family member's reaction to surgery.
After the home health nurse teaches a patient's family member about how to care for a sacral pressure ulcer, which finding indicates that additional teaching is needed?
Select one: 1 / 4
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- The family member uses a lift sheet to reposition the patient.
- The family member uses clean tap water to clean the wound.
- The family member places contaminated dressings in a plastic
- The family member dries the wound using a hair dryer set on
grocery bag.
a low setting. - CORRECT ANSWER -D.The family member dries the wound using a hair dryer set on a low setting.
The nurse should plan to use a wet-to-dry dressing for which patient?
Select one:
- A patient who has a surgical incision with pink, approximated
- A patient who has a wound with purulent drainage and dry
- A patient who has a pressure ulcer with pink granulation tissue
- A patient who has a full-thickness burn filled with dry, black
edges
brown areas
material - CORRECT ANSWER -b. A patient who has a wound with purulent drainage and dry brown areas
A patient with second-degree burns has been receiving hydromorphone through patient-controlled analgesia (PCA) for a week. The patient wakes up frequently during the night 2 / 4
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complaining of pain. What action by the nurse is most appropriate?
Select one:
- Consult with the health care provider about using a different
- Request that the health care provider order a bolus dose of
- Teach the patient to push the button every 10 minutes for an
- Administer a dose of morphine every 1 to 2 hours from the
treatment protocol to control the patient's pain.
morphine to be given when the patient awakens with pain.
hour before going to sleep, even if the pain is minimal.
PCA machine while the patient is sleeping. - CORRECT ANSWER-a. Consult with the health care provider about using a different treatment protocol to control the patient's pain.
A patient who has fibromyalgia tells the nurse, "I feel depressed because I ache too much to play golf." The patient says the pain is usually at a level 7 (0 to 10 scale). Which patient goal has the highest priority when the nurse is developing the treatment plan?
Select one:
- The patient will exhibit fewer signs of depression.
- The patient will be able to play 1 to 2 rounds of golf.
- The patient will say that the aching has decreased.
- The patient will state that pain is at a level 2 of 10. 3 / 4
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Incorrect. - CORRECT ANSWER -b. The patient will be able to play 1 to 2 rounds of golf.
After receiving change-of-shift report about these postoperative patients, which patient should the nurse assess first?
Select one:
- Obese patient who had abdominal surgery 3 days ago and
- Patient who has 30 mL of sanguineous drainage in the wound
- Patient who continues to have incisional pain 15 minutes after
- Patient who has bibasilar crackles and a temperature of 100°F
whose wound edges are separating
drain 10 hours after hip replacement surgery
hydrocodone and acetaminophen (Vicodin) administration
(37.8°C) on the first postoperative day after chest surgery - CORRECT ANSWER -a. Obese patient who had abdominal surgery 3 days ago and whose wound edges are separating
A postoperative patient has not voided for 8 hours after return to the clinical unit. Which action should the nurse take first?
Select one:
- Perform a bladder scan.
- Insert a straight catheter as indicated on the PRN order.
- Encourage increased oral fluid intake.
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