CCRN Nursing Exam Prep - Adult Critical Care - Question List

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86. Mr. HP recently undergone a colostomy. During his first day post-operative, the nurse does not find any measurable fecal drainage from the colostomy. What should the nurse do?
  1. Continue the current plan of care
  2. Call the doctor immediately
  3. Irrigate the stoma
  4. Encourage the patient to increase fluid intake
87. Marcus Pinel, 43-years-old, is brought back to the nursing unit following a thyroidectomy. Which of the following methods should the nurse use to assess for bleeding?
  1. Inspect the dressing for signs of hemorrhage
  2. Change the dressing applied in the operating room
  3. Check the latest hemoglobin to determine if there has been a drop in value
  4. Palpate the back of the neck and shoulders for evidence of bleeding
88.

Julie Johnson is receiving total parenteral nutrition (TPN). The nurse reviews the following lab values:

Glucose = 72 mg/dL
Chloride = 98 mg/dL
Sodium = 138 mEq/L
Potassium = 3.0 mEq/L

Based on the nurse's review of the lab values, which nursing action is appropriate?

  1. Discontinue the TPN administration
  2. Notify the physician and discuss the need for potassium replacement
  3. Administer 50% dextrose immediately
  4. Assess the patient's vital signs and perform a physical assessment
89. Mr. Chandler has trouble remembering to rotate his sites for insulin injections. In the past week he has self-injected into the right abdomen, left abdomen, right upper arm, left thigh, and right thigh. Into which site should he self-inject his insulin next?
  1. Left ankle
  2. Right abdomen
  3. Left midback
  4. Left upper arm
90.

After her gastrectomy, actress Sandra Newton asks the nurse when the nasogastric tube will be removed. The nurse responds ______________.

  1. "According to standard procedures only, it will be removed on the fourth postoperative day."
  2. "When bowel sounds are established and you have passed flatus or stool."
  3. "Thirty-six hours after the cessation of bloody drainage."
  4. "After two days of alternate clamping and unclamping of the tube."

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