Nursing questions Essay

The cling to is performing her admission assessment of a long-suffering. When grading arterial pulses, a 1+ pulse indicates Above habitual perfusion. Absent perfusion. shape perfusion. Diminished perfusion. Murmurs that indicate core group distemper are often go with by other tokens such as Dyspnea on exertion. hypodermic emphysema. Thoracic petechiae. Periorbital edema. Which pregnancy-related physiologic change would place the diligent with a level of cardiac disease at the greatest encounter of developing backbreaking cardiac conundrums? Decrease smell rate change magnitude cardiac siding Increased plasma volumeIncreased blood squash The antecedency nursing diagnosis for the unhurried with cardiomyopathy is Anxiety related to risk of declining health status. Ineffective individual coping related to fear of debilitate illness Fluid volume excess related to altered compensatory mechanisms. diminish cardiac output related to reduced myocardial contractility. A enduring with thrombophlebitis reached her expected outcomes of care. Her affected leg appears pink and warm. Her pedal pulse is open and there is no edema present. Which step in the nursing work out is descri undersurface above?Planning Implementation Analysis Evaluation An fourth-year enduring may mother sustained a basilary skull go bad after slipping and falling on an icy sidewalk. The sustain knows that basilar skull factures Are the least significant type of skull break dance. May have typesetters case cerebro spinal smooth-spoken (CSF) leaks from the nose or ears. Have no feature article findings. Are always surgically repaired. Which of the hobby types of drugs might be addicted to control change magnitude intracranial pressure (ICP)? Barbiturates Carbonic anhydrase inhibitors Anticholinergics Histamine receptor blockersThe cheer is teaching family members of a affected role with a concussion about the untimely signs of increased intracranial pressure (ICP). Which of the following would she cite as an archean sign of increased ICP? Decreased systolic blood pressure concern and vomiting Inability to wake the patient with noxious stimuli Dilated pupils that dont react to light Jessie James is diagnosed with retinal detachment. Which intervention is the just about key for this patient? Admitting him to the hospital on strict bed rest join both of his center of attentions Referring him to an ophthalmologist Preparing him for surgeryDr. Bruce Owen, a chemist, sustained a chemical burn to one eye.Which intervention takes anteriority for a patient with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist. Administer a cycloplegic agent to reduce ciliary spasm. at a time instill a tropical anesthetic, then irrigate the eye with saline solution solution. Administer antibiotics to reduce the risk of transmittance The maintain is assessing a patient and notes a Brudzinskis sign and Kernigs sign. These are two stainless signs of which of the following disorders? Cerebrovascular accident (CVA) MeningitisSeizure disorder Parkinsons disease A patient is admitted to the hospital for a brain biopsy. The nurse knows that the closely common type of primary brain tumor is Meningioma. Angioma. Hemangioblastoma. Glioma. The nurse should larn the patient with Parkinsons disease to avoid which of the following? Walking in an indoor shopping mall sitting on the deck on a cool summer evening Walking to the car on a cold winter mean solar day Sitting on the edge 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 conductivity aphasia Kelly Smith complains that her headaches are occurring more ofttimes despite musics. Patients with a accounting of headaches should be taught to avoid Freshly prepared meats. Citrus fruits. Skim t ake out Chocolate Immediately following rational aneurysm rupture, the patient normally complains of Photophobia Explosive headache Seizures Hemiparesis Which of the following is a cause of embolic brain injury? Persistent hypertension Subarachnoid hemorrhage Atrial fibrillationSkull fracture Although Ms. Priestly has a spinal cord injury, she can still have sexual intercourse. release teaching should make her aware that She essential hire indwelling urinary catheter prior to intercourse. She can no longer accomplish orgasm. Positioning may be awkward. She can still get pregnant. common ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with halo tr meet. When sympathize with for the patient in halo traction, the nurse must Keep a wrench taped to the halo vest for quick removal if cardiopulmonary resuscitation is necessary. get hold of the brace once a day to allow the patient to rest. Encourage the patient to use a pillow under the ring. Remove the br ace 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 motive for oxygen. Nimodipine reduces vasospasm in the brain. Many 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 seeming prevent erection and ejaculation? C5 C7 T4 S4 Cathy Bates, age 36, is a homemaker who frequently forgets to take her carbamazepine (Tegretol). As a result, she has been experiencing seizures. How can the nurse best alleviate the patient remember to take her medication? Tell her take her medication at bedtime. Instruct her to take her medicatio n after one of her favourite television shows.Explain that she should take her medication with breakfast. Tell her to buy an dispirit 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 arcminutes. The nurse told me that my pee and stool are also sources of meningitis bacteria. The rectify is a good colleague of mine and wont keep me in isolation.An early symptom associated with amyotrophic lateral sclerosis (ALS) includes Fatigue while 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 ordinarily stems from Esophageal perforation Pulmonary hypertension Portal hypertension Peptic ulcers Tiffany blue is d iagnosed with type A hepatitis. What special precautions should the nurse take when caring for this patient? Put on a mask and gown before go into the patients room.Wear gloves and a gown when removing the patients bedpan. Prevent the droplet spread of the organism. Use caution when bringing 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 reestablish if He experiences abdominal muscle cramping while the irrigant is inf exploitation 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(prenominal) days subsequently because It prevents urinary tract infection followi ng surgery It prevents water system property and resulting pressure on the perineal wound It minimizes the risk of wound contamination by the water It determines whether the surgery caused vesica 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? bode 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 nutriment is Total parenteral nutrition Peripheral parenteral nutrition enteric nutrition Oral liquid supplements Which type of solution causes piss to fault from the cells into the plasma? Hypertonic Hypotonic Isotonic Alkaline Particles move from an field of operation of greater osmelarity to one of lesser osmolarity through Active transportOsmosis spreading Filtration Which assessment finding indicates dehydration? Tenting of chest skin when twinge Rapid filling of hand veins A pulse that isnt tardily obliterated 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 clear Encouraging the patient with excessive travail 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 pain and burning on u rination Which nursing action is appropriate to prevent infection when get holding a sterile urine exemplar from an indwelling urinary catheter?Aspirate urine from the tubing port using a sterile syringe and needle Disconnect the catheter from the tubing and obtain urine Open the drainage bag and pour out nigh urine Wear sterile gloves when obtaining urine after(prenominal) undergoing a transurethral resection of the prostatic to treat benign prostatic hypertrophy, a patient is retuned to the room with close to-the-clock bladder irrigation in place. One day later, the patient reports bladder pain. What should the nurse do first? Increase the I. V. flow 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 incursion of sharp, severe pain originating in the lumbar region and radiating around the side and toward the bladder. The patient also re ports nausea and vomiting and appears pale, diaphoretic, and anxious. The doctor tentatively diagnoses renal calculi and orders flat-plate abdominal X-rays. 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 wing flank, nausea, and vomiting. The doctor tentatively diagnoses right ureter-olithiasis (renal calculi).When planning this patients care, the nurse should assign highest priority to which nursing diagnosis? Pain Risk of infection Altered urinary elimination Altered nutrition less than consistence 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 water supply pH of 3 Absence of protein Absence of glucose A patient with hazard renal insufficiency is scheduled for a comprehensive diagnostic 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 capsule The nephron The tubular system During a daze state, the renin-angiotensin-aldosterone system exerts which of the following effects on renal function? Decreased urine output, increased resorption of sodium and water Decreased urine output, decreased 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 findi ng is most symptomatic of pericarditis? Pericardial friction rub Bilateral crackles auscultated at the lung bases Pain unmitigated by a change in position 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 position 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 punishing 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?