Physiological Integrity
1. A 65-year-old patient with pneumonia is receiving garamycin
(Gentamicin). It would be MOST important for a nurse to monitor
which of the following laboratory values in this patient?
(A) Hemoglobin and hematocrit.
(B) BUN and creatinine.
(C) Platelet count and clotting time.
(D) Sodium and potassium.
2. A 22-year-old man is admitted to the hospital with complaints
of fatigue and weight loss. Physical examination reveals pallor
and multiple bruises on his arms and legs. The results of the
patients tests reveal acute lymphocytic leukemia and
thrombocytopenia. Which of the following nursing diagnoses MOST
accurately reflects his condition?
(A) Potential for injury.
(B) Self-care deficit.
(C) Potential for self-harm.
(D) Alteration in comfort.
3. To enhance the percutaneous absorption of nitroglycerine
ointment, it would be MOST important for the nurse to select a
site that is
(A) muscular.
(B) near the heart.
(C) non-hairy.
(D) over a bony prominence.
4. A man is admitted to the Telemetry Unit for evaluation of
complaints of chest pain. Eight hours after admission, the
patient goes into ventricular fibrillation. The physician
defibrillates the patient. The nurse understands that the purpose
of defibrillation is to:
(A) increase cardiac contractility and cardiac output.
(B) cause asystole so the normal pacemaker can recapture.
(C) reduce cardiac ischemia and acidosis.
(D) provide energy for depleted myocardial cells.
5. A patient is to receive 3,000 ml of 0.9% NaCl IV in 24 hours.
The intravenous set delivers 15 drops per milliliter. The nurse
should regulate the flow rate so that the patient receives how
many drops of fluid per minute?
(A) 21
(B) 28
(C) 31
(D) 42
