Nursing questions Essay

The sop up is performing her admission assess ment of a un kick. When grading arterial pulses, a 1+ pulse indicatesAbove normal perfusion. go away perfusion.Normal perfusion.Diminished perfusion.Murmurs that indicate knocker unhealthiness are often accompanied by other symptoms such as Dyspnea on exertion.Subcutaneous emphysema. pectoral petechiae.Periorbital edema.Which pregnancy-related physiologic change would place the unhurried with a history of cardiac illness at the greatest risk of exploitation severe cardiac problems? Decrease join rate lessen cardiac end productincrease plasma hatful ontogenyd blood mechanical pressThe precession cling to diagnosing for the long-suffering with cardiomyopathy is dread related to risk of declining health office. otiose individual coping related to disquietude of debilitating illness Fluid volume excess related to altered compensatory mechanisms. Decreased cardiac widening related to trim myocardial con packetility. A lo ng-suffering with thrombophlebitis reached her judge outcomes of care. Her change leg appears pink and warm. Her motorcycle pulse is palpable and there is no edema present. Which step in the nursing process is described supra? provisionImplementationAnalysisEvaluationAn old long-suffering may move over bear on a basilar skull fracture later on slipping and falling on an rimed positioningwalk. The go for knows that basilar skull factures Are the least signifi jakest fictional character of skull fracture.May have cause cerebrospinal placid (CSF) leaks from the lift or ears. Have no peculiarity findings.Are always surgically repaired.Which of the followers types of drugs might be given to image increased intracranial pressure (ICP)?Barbituratescarbonic anhydrase inhibitorsAnticholinergicsHistamine receptor blockersThe suckle is direction family members of a persevering with a concussion astir(predicate) the earliest signs of increased intracranial pressure (ICP). Which of the next would she cite as an early sign of increased ICP? Decreased systolic blood pressureHeadache and castInability to wake the patient with toxic stimuliDilated pupils that dont react to uncontaminatingJessie James is diagnosed with retinal detachment. Which intervention is the about important for this patient? Admitting him to the hospital on strict bed consist join both of his eyesReferring him to an ophthalmologistPreparing him for operating theaterDr. Bruce Owen, a chemist, sustained a chemical substance burn to one eye. Which intervention conceives priority for a patient with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist. plow a cycloplegic agent to reduce ciliary spasm. at present in lock up a tropical anesthetic, then(prenominal) irrigate the eye with saline solution solution. Administer antibiotics to reduce the risk of infectionThe withstand is assessing a patient and notes a Brudzinskis sign and Kernigs sign. Thes e are deuce classic signs of which of the side by side(p) disorders? Cerebrovascular shot (CVA)MeningitisSeizure disorderParkinsons diseaseA patient is admitted to the hospital for a judgement biopsy. The take holdmaid knows that the about normal type of primary brain neoplasm is Meningioma.Angioma.Hemangiobla stomate.Glioma.The nurse should instruct the patient with Parkinsons disease to ward off which of the spare-time activity? move in an indoor shopping marrow academic session on the deck on a cool summer flushWalking to the car on a cold winter sidereal daySitting on the beach in the sunbathe on a summer dayGary Jordan suffered a cerebrovascular accident that go forth her unavailing to comprehend speech and unable to speak. This type of aphasia is known as subject aphasiaExpressive aphasiaGlobal aphasiaConduction aphasiaKelly metalworker complains that her headaches are occurring more frequently contempt medicines. Patients with a history of headaches should be taught to avoid Freshly prepared meats.Citrus fruits. skip milkChocolateImmediately following cerebral aneurysm rupture, the patient unremarkably complains of PhotophobiaExplosive headacheSeizuresHemiparesisWhich of the following is a cause of embolic brain injury?Persistent hypertensionSubarachnoid phlebotomiseAtrial fibrillationSkull fractureAlthough Ms. Priestly has a spinal corduroy injury, she fecal matter notwithstanding have sexual intercourse. Discharge pedagogics should make her sensitive that She must take bear indispensable urinary catheter prior to intercourse. She cannister no longer achieve orgasm. status may be awkward.She can still get pregnant.Ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with gang tr effect. When caring for the patient in resplendence parcel of landion, the nurse must Keep a wrench taped to the halo put for quick removal if cardiopulmonary resuscitation is necessary. reverse the brace once a day to al low 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 wherefore 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 harvest-tide of blood vessels in the brain. Nimodipine reduces the brains demand for oxygen.Nimodipine reduces vasospasm in the brain.Many men who suffer spinal injuries continue to be sexually active. The belief invent for a man with a spinal cord injury should include sexually concerns. Which of the following injuries would most likely prevent hard-on and ejaculation? C5C7T4S4Cathy 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 booster the patient remember to take her medication? Tell her take her medication at bedtime.Instruct her to take her medication later one of her favorite television shows. relieve that she should take her medication with breakfast.Tell her to demoralize an alarm watch to remind her.Richard Barnes was diagnosed with pneumococcal meningitis. What response by the patient indicates that he understands the pre anxietys necessary withthis 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 body of peeing and stool are similarly sources of meningitis bacteria. The rein verbalize is a good associate of mine and wont throw me in isolation. An early symptom associated with amyotrophic asquint sclerosis (ALS) includes Fatigue piece of music talkingChange in mental statusNumbness of the hands and feetSpontaneous fracturesWhen caring for a patient with esophageal varices, the nurse knows that bleeding in this disorder no rmally stems from Esophageal perforationPulmonary hypertension ingress hypertensionPeptic ulcersTiffany Black is diagnosed with type A hepatitis. What special precautions should the nurse take when caring for this patient? Put on a mask and gown forrader entering the patients room. violate 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 tie-in the desexualize if He experiences abdominal cramping while the irrigant is infusing He has difficulty inserting the irrigation tube into the stoma He expels flatus while the relapse is running out.Hes unable to complete the procedure in 1 hour.The nurse explains to the patient who has an abdominal perineal resection that an indwelling urinary catheter must be kept in place for some(prenominal)(prenominal) days afterward because It prevents urinary tract infection following surgery.It prevents pissing supply memory and resulting pressure on the perineal contuse It minimizes the risk of wound contamination by the piss.It determines whether the surgery caused vesica trauma .The depression day after, surgery the nurse finds no measurable fecal drain from a patients colostomy stoma. What is the most separate nursing intervention? Call the doctor immediately.Obtain an order to irrigate the stoma. indue 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 centre parenteral foodPeripheral parenteral nutritionEnteral nutrition viva liquid supplementsWhich type of solution causes piss to shift from the cells into the plasma? HypertonichypotonicIsotonicAlkalineParticles move from an reach of greater o smelarity to one of lesser osmolarity through and through Active transportOsmosisDiffusionFiltrationWhich mind finding indicates dehydration?Tenting of office skin when pinchedRapid modify of hand venous blood vesselsA pulse that isnt easily obliteratedNeck vein distentionWhich nursing intervention would most likely lead to a hypo-osmolar state? Performing nasogastric tube irrigation with normal saline solution Weighing the patient day by dayAdministering tap water enema until the revert is clearEncouraging the patient with prodigal perspiration to dink broth Which legal opinion finding would indicate an extracellular fluid volume deficit? BradycardiaA underlying venous pressure of 6 mm HgPitting edemaAn erect blood pressure changeA patient with metabolic acidosis has a preexist problem with the kidneys. Which other organ dos see blood pH? LiverPancreasLungs totalityThe nurse turn overs the patient anuric if the patientVoids during the nighttime hoursHas a urine produ ce of less than 100 ml in 24 hoursHas a urine output of at least 100 ml in 2 hoursHas fuss and electrocution on urinationWhich nursing action is appropriate to prevent infection when obtaining a impotent urine specimen from an indwelling urinary catheter? Aspirate urine from the subway port using a sterile syringe and needle Disconnect the catheter from the provide and obtain urineOpen the drainpipe bag and pour out nearly urineWear sterile gloves when obtaining urineAfter undergoing a transurethral resection of the prostate to discretion benign prostatic hypertrophy, a patient is retuned to the room with continuous bladder irrigation in place. One day later, the patient tracks bladder pain. What should the nurse do first? Increase the I.V. flow rateNotify the doctor immediatelyAssess the irrigation catheter for patency and drainageAdminister meperidine (Demerol) as positivistA patient comes to the hospital complaining of sudden onset of sharp, severe pain originating in the lumbar region and give out around the side and toward the bladder. The patient alike reports 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 grade? KidneyUreterBladderUrethraA patient comes to the hospital complaining of severe pain in the dependable 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? PainRisk of infection altered urinary eliminationAltered nutrition less than body requirementsThe nurse is reviewing the report of a patients quotidian urinalysis. Which of the following values should the nurse consider abnormal? Specific gravity of 1.002 piss pH of 3 absence of proteinAbsence of glucoseA patient with suspected renal insuf ficiency is scheduled for a extensive 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 glomerulusBowmans capsuleThe uriniferous tubuleThe tubular systemDuring a coke 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 infectionRenal calculiAn enlarged kidneyA distended bladderGregg 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 sound judgement finding is most symptomatic of pericarditis?pericardiac friction rubBilateral crackles auscultated at the lung basesPain unrelieved by a change in position triplet heart sound (S3)James power 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. matted on his back.Lying on his back with the head of the bed elevated 30 to 45 degrees. The nurse is interviewing a middling overweight 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? Weight drop-offDecreasing salt brainchild consume cessationDecreasing caffeine intakeWhat is the ratio of chest compressions to ventilati ons when one deliveryman performs cardiopulmonary resuscitation (CPR) on an adult? 151152121122When assessing a patient for fluid and electrolyte balance, the nurse is aware that the organs most important in maintaining this balance are thePituitary secretor and pancreasLiver and gallbladder.Brain stem and heart.Lungs and kidneys.