NURS 5328 Fall 14 BD

Demonstrate the steps to MCI development by revising/updating a basic question to a critical thinking
question using the Quick Reference Guide
Revise these questions to a higher cognitive level
Enter your revised questions directly below the question and submit in the assignment area
1. Which of these measures would a nurse include in her patients care plan for a patient who is
taking a beta-adrenergic blocker?
a. Check the patients heart rate prior the administration*
b. Monitor the patients urine output after administration
c. Restrict carbohydrates to decrease risk of hyperglycemia
d. Assess potassium and magnesium levels twice daily
2. A nurse is planning teaching points for a patient recently diagnosed with gallbladder disease.
Which of the following would be included in the patients care plan?
a. Monitor the patients weight daily
b. Educate the patient about possible nerve damage
c. Monitor strict intake and output records*
d. Advise the patient to schedule a colonoscopy
3. A nurse is assessing her 68-year old patient who has decreased cardiac output due to congestive
heart failure. Which of these findings would indicate that the patients conditioning is
deteriorating?
a. Sudden onset of flushed and warm skin without fever
b. Increasing bradypnea throughout the shift
c. Heart rate that increases >30bpm from baseline*
d. Hypertension in addition of a frontal lobe headache
4. A client is recovering from peritonitis following a ruptured appendix. The nurse should include
which of the following in the patients care plan?
a. Monitor the patient white blood cell count*
b. Assess the patient for a positive Dance sign
c. Apply pressure to the surgical dressing
d. Monitor strict intake and output records
5. Your client is receiving furosemide (Lasix) 40 mg BID to treat fluid overload. The nurse would
identify that the medication is having the desired effect if the client develops an increase in
which of these assessment parameters?
a. Urine output*
b. Blood pressure
c. Blood sugar
d. Mobility/Strength
6. A patient is admitted from the emergency room for dehydration. Which of these measures
should the nurse include in the patients care plan?
a. Monitor the patients blood sugar
b. Assess the patients blood pressure*
NURS 5328 Fall 14 BD
c. Provide patient range of motion activity
d. Assess the patient for dependent edema
7. A nurse creating an education program on admission assessment data for her colleagues. Which
of the following statements from the nurses in the class would identify a correct understanding
of objective data?
a. The patient states, I am shaky and nervous.
b. The patient has a blood pressure of 158/80.*
c. The patient reports, I am a happy person.
d. The patient reports episodes of fainting.