Friday, May 17, 2019
Nursing questions Essay
The book is performing her admission assessment of a tolerant. When grade arterial pulses, a 1+ pulse forecasts Above frequent perfusion. Absent perfusion. Normal perfusion. Diminished perfusion. Murmurs that indicate heart disease argon often accompanied by other symptoms such as dyspnea on exertion. Subcutaneous emphysema. Thoracic petechiae. Periorbital edema. Which pregnancy-related physiologic change would place the uncomplaining with a history of cardiac disease at the greatest risk of developing severe cardiac problems? Decrease heart range Decreased cardiac output increase plasma volumeIncreased filiation pressure The priority nursing diagnosis for the diligent with cardiomyopathy is Anxiety related to risk of declining health status. Ineffective separate coping related to fear of debilitating illness Fluid volume excess related to neutered compensatory mechanisms. Decreased cardiac output related to avoidd myocardial contractility. A patient with thrombophlebitis reached her expected outcomes of care. Her abnormal leg appears pink and warm. Her pedal pulse is palpable and there is no edema pitch. Which step in the nursing process is described above?Planning Implementation Analysis Evaluation An elderly patient whitethorn have sustained a basilar skull fracture after slipping and falling on an icy sidewalk. The foster knows that basilar skull factures Are the least signifi jackpott type of skull fracture. May have birth cerebrospinal anaesthesia fluid (CSF) leaks from the nose or ears. Have no characteristic findings. Are always surgically repaired. Which of the pursuance types of do drugss might be given to control increased intracranial pressure (ICP)? Barbiturates Carbonic anhydrase inhibitors Anticholinergics Hista exploit sensory receptor blockersThe nurse is teaching family members of a patient with a concussion about the early signs of increased intracranial pressure (ICP). Which of the following would she cite as an early sign of increased ICP? Decreased systolic blood pressure Headache and vomiting Inability to wake the patient with noxious stimuli Dilated pupils that dont move to light Jessie James is diagnosed with retinal detachment. Which intervention is the most(prenominal) im lookant for this patient? Admitting him to the hospital on unappeasable bed rest Patching both of his eyes Referring him to an ophthalmologist Preparing him for surgeryDr. Bruce Owen, a chemist, sustained a chemical go ballistic to one eye.Which intervention make ups priority for a patient with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist. Administer a cycloplegic agent to reduce ciliated spasm. Immediately instill a tropical anesthetic, then water the eye with saline solution. Administer antibiotics to reduce the risk of transmission The nurse is assessing a patient and notes a Brudzinskis sign and Kernigs sign. These are two classic signs of which of the following disorders? Cerebro vascular accident (CVA) MeningitisSeizure disorder Parkinsons disease A patient is admitted to the hospital for a mind biopsy. The nurse knows that the most common type of primary brain tumor is Meningioma. Angioma. He valet de chambregioblastoma. Glioma. The nurse should instruct the patient with Parkinsons disease to avoid which of the following? Walking in an indoor shopping mall Sitting on the deck on a cool summertime evening Walking to the car on a cold winter day Sitting on the beach in the sun on a summer day Gary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak.This type of aphasia is known as Receptive aphasia expressive aphasia Global aphasia Conduction aphasia Kelly Smith complains that her headaches are occurring more frequently despite medicaments. Patients with a history of headaches should be taught to avoid Freshly prepared meats. Citrus fruits. Skim milk Chocolate Immediately following rational aneurysm rup ture, the patient usually complains of Photophobia Explosive headache Seizures Hemiparesis Which of the following is a cause of embolic brain injury? Persistent high blood pressure Subarachnoid hemorrhage Atrial fibrillationSkull fracture Although Ms. Priestly has a spinal cord injury, she can still have sexual intercourse. Discharge teaching should make her aware that She mustiness remove indwelling urinary catheter prior to intercourse. She can no longer achieve orgasm. Positioning may be awkward. She can still get pregnant. Ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with halo traction. When fondness for the patient in halo traction, the nurse must Keep a wind taped to the halo vest for quick removal if cardiopulmonary resuscitation is necessary. sequester the brace once a day to allow the patient to rest. Encourage the patient to use a pillow under the ring. Remove the brace so that the patient can shower. The nurse asks a patients husband if he understands why his wife is receiving nimodipine (Nimotop), since she suffered a cerebral aneurysm rupture. Which response by the husband indicates that he understands the drugs use? Nimodipine replaces calcium. Nimodipine promotes growth of blood vessels in the brain. Nimodipine reduces the brains demand for oxygen. Nimodipine reduces vasospasm in the brain. many an(prenominal) men who suffer spinal injuries continue to be sexually active. The teaching plan for a man with a spinal cord injury should include sexually concerns. Which of the following injuries would most likely stay erection and ejaculation? C5 C7 T4 S4 Cathy Bates, age 36, is a homemaker who frequently forgets to plight her carbamazepine (Tegretol). As a result, she has been experiencing seizures. How can the nurse best help the patient remember to take her medication? Tell her take her medication at bedtime. Instruct her to take her medication after one of her favorite television shows.Explain that she should take her medication with breakfast. Tell her to buy an alarm watch to remind her. Richard Barnes was diagnosed with pneumococcal meningitis. What response by the patient indicates that he understands the precautions necessary with this diagnosis? Im so depressed because I cant have any visitors for a week. Thank goodness, Ill only be in isolation for 24 hours. The nurse told me that my urine and stool are also sources of meningitis bacteria. The sophisticate is a good friend of mine and wont keep me in isolation.An early symptom associated with amyotrophic lateral sclerosis (ALS) includes Fatigue tour talking Change in mental status Numbness of the hands and feet Spontaneous fractures When caring for a patient with esophageal varices, the nurse knows that bleeding in this disorder usually stems from Esophageal perforation Pulmonary hypertension Portal hypertension Peptic ulcers Tiffany Black is diagnosed with type A hepatitis. What special precautions should the nurse take whe n caring for this patient? Put on a mask and gown before entering the patients room.Wear gloves and a gown when removing the patients bedpan. Prevent the droplet spread of the organism. Use caution when take food to the patient. Discharge instructions for a patient who has been operated on for colorectal cancer include irrigating the colostomy. The nurse knows her teaching is effective when the patient states hell contact the doctor if He experiences abdominal muscle cramping while the irrigant is infusing He has difficulty inserting the irrigation tube into the stoma He expels flatus while the return is running out Hes unable to complete the procedure in 1 hourThe nurse explains to the patient who has an abdominal perineal resection that an indwelling urinary catheter must be kept in place for several years afterward because It prevents urinary tract transmission following surgery It prevents urine retention and resulting pressure on the perineal wound It minimizes the risk of wound contamination by the urine It determines whether the surgery caused bladder trauma The first day after, surgery the nurse finds no measurable fecal drainage from a patients colostomy stoma. What is the most appropriate nursing intervention?Call the doctor immediately. Obtain an order to irrigate the stoma. Place the patient on bed rest and call the doctor. Continue the current plan of care. If a patients GI tract is functioning but hes unable to take foods by mouth, the preferred method of feeding is Total parenteral viands Peripheral parenteral nutrition Enteral nutrition Oral liquid supplements Which type of solution causes water to shift from the cells into the plasma? hypertonic Hypotonic Isotonic Alkaline Particles move from an area of greater osmelarity to one of lesser osmolarity through busy transportOsmosis Diffusion Filtration Which assessment finding indicates dehydration? Tenting of chest skin when pinched speedy filling of hand veins A pulse that isnt easily o bliterated Neck vein distention Which nursing intervention would most likely lead to a hypo-osmolar state? Performing nasogastric tube irrigation with normal saline solution Weighing the patient daily Administering tap water enema until the return is iron out Encouraging the patient with excessive perspiration to dink broth Which assessment finding would indicate an extracellular fluid volume deficit? BradycardiaA central venous pressure of 6 mm Hg Pitting edema An orthostatic blood pressure change A patient with metabolic acidosis has a preexisting problem with the kidneys. Which other organ helps regulate blood pH? Liver Pancreas Lungs heart The nurse considers the patient anuric if the patient Voids during the nighttime hours Has a urine output of less than 100 ml in 24 hours Has a urine output of at least 100 ml in 2 hours Has annoying and burning on urination Which nursing action is appropriate to prevent infection when obtaining a sterile urine specimen from an indwelling u rinary catheter?Aspirate urine from the tubing port using a sterile syringe and needle Disconnect the catheter from the tubing and obtain urine forthright the drainage bag and pour out some urine Wear sterile gloves when obtaining urine after undergoing a transurethral resection of the prostate to treat benign prostatic hypertrophy, a patient is retuned to the room with continuous bladder irrigation in place. One day later, the patient reports bladder pain. What should the nurse do first? Increase the I. V. draw rate Notify the doctor immediately Assess the irrigation catheter for patency and drainage Administer meperidine (Demerol) as prescribedA patient comes to the hospital complaining of sudden onset of sharp, severe pain originating in the lumbar region and radiating around the side and toward the bladder. The patient also reports nausea and vomiting and appears pale, diaphoretic, and anxious. The doctor tentatively diagnoses renal calculi and orders flat-plate abdominal X-ra ys. Renal calculi can form anywhere in the urinary tract. What is their most common formation site? Kidney Ureter Bladder Urethra A patient comes to the hospital complaining of severe pain in the right flank, nausea, and vomiting. The doctor tentatively diagnoses right ureter-olithiasis (renal calculi).When planning this patients care, the nurse should particularize highest priority to which nursing diagnosis? Pain Risk of infection change urinary elimination Altered nutrition less than body requirements The nurse is reviewing the report of a patients routine urinalysis. Which of the following values should the nurse consider abnormal? Specific gravity of 1. 002 Urine pH of 3 absence seizure of protein Absence of glucose A patient with suspected renal insufficiency is scheduled for a comprehensive symptomatic work-up. After the nurse explains the diagnostic tests, the patient asks which part of the kidney does the work.Which answer is correct? The glomerulus Bowmans space capsule The nephron The tubular system During a shock state, the renin-angiotensin-aldosterone system exerts which of the following effects on renal function? Decreased urine output, increased reabsorption of sodium and water Decreased urine output, rock-bottom reabsorption of sodium and water Increased urine output, increased reabsorption of sodium and water Increased urine output, decreased reabsorption of sodium and water While assessing a patient who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis.The nurse suspects A urinary tract infection Renal calculi An enlarged kidney A distended bladder Gregg Lohan, age 75, is admitted to the medical-surgical floor with weakness and left-sided chest pain. The symptoms have been present for several weeks after a viral illness. Which assessment finding is most symptomatic of pericarditis? Pericardial skirmish rub Bilateral crackles auscultated at the lung bases Pain unrelieved by a change i n lay out Third heart sound (S3) James King is admitted to the hospital with right-side-heart failure.When assessing him for jugular vein distention, the nurse should mail him Lying on his side with the head of the bed flat. Sitting upright. Flat on his back. Lying on his back with the head of the bed elevated 30 to 45 degrees. The nurse is interviewing a slightly fleshy 43-year-old man with mild emphysema and borderline hypertension. He admits to smoking a pack of cigarettes per day. When developing a teaching plan, which of the following should receive highest priority to help decrease respiratory complications?