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Medical-Surgical Nursing

What Should the Nurse Do?

Medical-Surgical NursingWhat Should the Nurse Do?

What Should the Nurse Do?

1 .
A patient is being treated for a brain tumor and is at risk for a seizure. What steps should the nurse take to implement seizure precautions?
  1. Keep the head of the bed elevated 90 degrees, provide bedside padding, and have a ventilator nearby.
  2. Keep the bed in the lowest position with the side rails up, provide bedside padding, and have suction equipment set up nearby.
  3. Keep the head of the bed elevated 45 degrees, provide bedside padding, and have suction equipment set up nearby.
  4. Keep the bed in a high position with the side rails up, provide bedside padding, and have a ventilator nearby.
2 .
An older adult patient is wandering the hallways and seems confused. The patient is unable to state their name, and they also do not know where they are. While trying to answer questions, the patient becomes agitated. What is the nurse’s first priority with this patient?
  1. Find the patient’s family so they can take the patient home.
  2. Conduct a physical examination of the patient.
  3. Get the patient to a safe, secure location.
  4. Give the patient medicine to help them feel calmer.
3 .
A patient is being treated for a spinal tumor and has just learned that the tumor is benign and cannot be removed. What should the nurse do?
  1. Coordinate with the patient’s primary care physician and help them make end-of-life preparations.
  2. Provide the patient with educational materials and help them learn how to live with the tumor.
  3. Provide the patient with educational materials and help them make end-of-life preparations.
  4. Recommend that the patient seek a second opinion.
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