A nurse is providing care to a group of patients.Which situation will require the nurse to obtain a telephone order?- Skildor

Question 1 of 5

A nurse is providing care to a group of patients.Which situation will require the nurse to obtain a telephone order?

A. As the nurse and health care provider leave a patient�s room, the primary care provider gives the nurse an order. B. At 0100, a patient�s blood pressure drops from 120/80 to 90/50, and the incision dressing is saturated with blood. C. At 0800, the nurse and health care provider make rounds, and the primary care provider tells the nurse a diet order. D. A nurse reads an order correctly as written by the health care provider in the patient�s medical record

Correct Answer: B

Rationale: In this situation, the nurse needs to obtain a telephone order because the patient's condition has changed significantly. The drop in blood pressure from 120/80 to 90/50 along with the saturated incision dressing indicates a potential complication or need for immediate intervention. The nurse must act quickly to address the situation and may require additional orders from the primary care provider over the phone to manage the patient's condition effectively. The urgency and critical nature of the situation necessitate obtaining a telephone order promptly to ensure the best outcome for the patient.

Question 2 of 5

A nurse is assessing a patient with an acoustic neuroma who has been recently admitted to an oncology unit. What symptoms is the nurse likely to find during the initial assessment?

A. Loss of hearing, tinnitus, and vertigo B. Loss of vision, change in mental status, and hyperthermia C. Loss of hearing, increased sodium retention, and hypertension D. Loss of vision, headache, and tachycardia

Correct Answer: A

Rationale: A nurse assessing a patient with an acoustic neuroma would likely find symptoms such as loss of hearing, tinnitus, and vertigo. Acoustic neuroma, also known as vestibular schwannoma, is a noncancerous tumor that develops on the vestibulocochlear nerve, which carries sound and balance signals from the inner ear to the brain. The most common symptoms of an acoustic neuroma include progressive hearing loss, ringing in the ears (tinnitus), and dizziness or imbalance (vertigo). Therefore, option A is the most appropriate choice for the symptoms that the nurse is likely to find in a patient with an acoustic neuroma.

Question 3 of 5

A physician explains to the patient that he has an inflammation of the Cowper glands. Where are the Cowper glands located?

A. Within the epididymis B. Below the prostate, within the posterior aspect of the urethra C. On the inner epithelium lining the scrotum, lateral to the testes D. Medial to the vas deferens

Correct Answer: B

Rationale: The Cowper glands, also known as bulbourethral glands, are a pair of small exocrine glands located below the prostate gland, within the posterior aspect of the male urethra. These glands are responsible for producing a clear, viscous fluid that helps lubricate the urethra, neutralize acidic urine remnants, and provide a conducive environment for sperm to survive in the urethra. Inflammation of the Cowper glands can result in conditions such as urethritis or other discomfort related to the male reproductive system.

Question 4 of 5

The nurse is planning the care of a patient who is adapting to the use of a hearing aid for the first time. What is the most significant challenge experienced by a patient with hearing loss who is adapting to using a hearing aid for the first time?

A. Regulating the tone and volume B. Learning to cope with amplification of background noise C. Constant irritation of the external auditory canal D. Challenges in keeping the hearing aid clean while minimizing exposure to moisture

Correct Answer: B

Rationale: One of the most significant challenges experienced by patients with hearing loss who are adapting to using a hearing aid for the first time is learning to cope with the amplification of background noise. When a person starts using a hearing aid after experiencing hearing loss, they may find that the device picks up not only the sounds they want to hear but also surrounding noises, such as background chatter, traffic noise, or ambient sounds. This sudden increase in volume and clarity of background noise can be overwhelming and challenging for the individual to adjust to. It can affect their ability to focus on conversations or specific sounds they are trying to hear, leading to frustration and potentially causing them to avoid using the hearing aid altogether. Supporting the patient in gradually acclimating to these new sounds and providing strategies for managing background noise can help improve their overall experience with the hearing aid.

Question 5 of 5

A nurse is providing care to a group of patients.Which situation will require the nurse to obtain a telephone order?

A. As the nurse and health care provider leave a patient�s room, the primary care provider gives the nurse an order. B. At 0100, a patient�s blood pressure drops from 120/80 to 90/50, and the incision dressing is saturated with blood. C. At 0800, the nurse and health care provider make rounds, and the primary care provider tells the nurse a diet order. D. A nurse reads an order correctly as written by the health care provider in the patient�s medical record

Correct Answer: B

Rationale: In this situation, the nurse needs to obtain a telephone order because the patient's condition has changed significantly. The drop in blood pressure from 120/80 to 90/50 along with the saturated incision dressing indicates a potential complication or need for immediate intervention. The nurse must act quickly to address the situation and may require additional orders from the primary care provider over the phone to manage the patient's condition effectively. The urgency and critical nature of the situation necessitate obtaining a telephone order promptly to ensure the best outcome for the patient.

foundation of nursing practice questions

Skildor

ATI RN

ATI RN

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