CCRN Nursing Exam Prep - Adult Critical Care - Question List

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66. Luis, 32 years old, obtained a third-degree circumferential arm burn after a pot of boiling oil was accidentally turned over. Escharotomy procedure was ordered for Luis. The nurse understands that the anticipated therapeutic outcome of the escharotomy is:
  1. Return of distal pulses
  2. Brisk bleeding from the site
  3. Decreasing edema formation
  4. Formation of granulation tissue
67. Mr. Rodriguez is to undergo a vasectomy the next day. The nurse discussed with him important points after the operation is done. Which of the following instructions should the nurse include in her health teaching?
  1. No sexual activity for 2 weeks
  2. Application of ice for pain or swelling
  3. Bed rest for several days
  4. Returning for suture removal in 1 week
68. Romeo Diaz, age 78, is admitted to the hospital with the diagnosis of benign prostatic hyperplasia (BPH). He is scheduled for a transurethral resection of the prostate (TURP). It would be inappropriate to include which of the following points in the preoperative teaching?
  1. TURP is the most common operation for BPH.
  2. Explain the purpose and function of a two-way irrigation system
  3. Expect bloody urine, which will clear as healing takes place
  4. He will be pain free.
69. Mr. Gregory, a 55-year-old tailor, is admitted to the hospital complaining of difficulty holding objects. He states that his condition progressively worsened. Based on the initial examination, the physician suspects Amyotrophic Lateral Sclerosis (ALS). The nurse is aware that characteristics of ALS are the following except:
  1. Loss of bowel and urine control
  2. Uncontrolled outburst of crying
  3. Aphagia and dysartria
  4. Fasciculation of the involved muscles
70.

Forty-eight hours after a nephrectomy, a client complains of increasing nausea and abdominal pressure. The nurse's first nursing action is to:

  1. Change the client's position to relieve abdominal pressure
  2. Auscultate bowel sounds
  3. Insert a rectal tube to relieve flatus
  4. Administer morphine SO4, 6 mg, as ordered for the relief of discomfort

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