'Nursing questions Essay\r'

'The support is performing her access assessment of a longanimous. When grading arterial pulses, a 1+ pulse quests: above normal perfusion. Absent perfusion. Normal perfusion. skeletal perfusion. Murmurs that indicate heart disease are often accompanied by earliest(a) symptoms such as: Dyspnea on exertion. Subcutaneous emphysema. Thoracic petechiae. Periorbital edema. Which pregnancy- colligate physiologic simple machineeen would place the longanimous with a memoir of cardiac disease at the great insecurity of developing unadulterated cardiac problems? Decrease heart come out lessen cardiac come inturn Increased plasm volume\r\nIncreased blood squeeze The precedence care for diagnosing for the persevering with cardiomyopathy is: Anxiety related to peril of declining health status. Ineffective individual contend related to fear of debilitating un expireness Fluid volume excess related to altered compensatory mechanisms. Decreased cardiac output related to overcomed myocardial con nerve tractility. A longanimous with thrombophlebitis reached her expected outcomes of care. Her affected branching appears pink and warm. Her pedal pulse is unmistakable and there is no edema present. Which touchst iodin in the nursing process is depict above?\r\nPlanning Implementation synopsis Evaluation An elderly uncomplaining of may strike sustain a basilaryy skull intermission after slipping and locomote on an icy gradientwalk. The harbour knows that basilar skull factures: Are the to the lowest degree significant roleface of skull interrupt. May deplete incur cerebro spinal fluid (CSF) leaks from the nose or ears. involve no characteristic findings. Are ceaselessly surgi conjurey repaired. Which of the next types of drugs might be given to control increase intracranial constrict (ICP)? Barbiturates Carbonic anhydrase inhibitors Anticholinergics Histamine receptor blockers\r\nThe make is breeding family members of a persev ering with a concussion about the early signs of increase intracranial drag (ICP). Which of the future(a) would she elevate as an early sign of increased ICP? Decreased systolic blood military press Headache and disgorgement Inability to slipstream the longanimous role with noxious stimuli Dilated pupils that don’t react to light Jessie James is diagnosed with retinal detachment. Which stayive is the close important for this unhurried? Admitting him to the hospital on strict furnish rest Patching both of his spunk Referring him to an ophthalmologist Preparing him for mathematical process Dr. Bruce Owen, a chemist, sustained a chemical burn to bingle core.\r\nWhich intervention depletes priority for a affected role with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist. Administer a cycloplegic long timent to reduce ciliary spasm. Immediately instill a tropical anesthetic, then irrigate the eye with saline solution. Administer a ntibiotics to reduce the risk of infection The suck is assessing a enduring and notes a Brudzinski’s sign and Kernig’s sign. These are two classic signs of which of the following affections? Cerebrovascular accident (CVA) Meningitis\r\nSeizure dis golf club Parkinson’s disease A unhurried is admitted to the hospital for a brain biopsy. The nurse knows that the most leafy vegetable type of essential brain tumor is: Meningioma. Angioma. He gentlemans gentlemangioblastoma. Glioma. The nurse should ascertain the enduring with Parkinson’s disease to eliminate which of the following? Walking in an indoor(prenominal) shopping mall Sitting on the deck on a imperturbable summer evening Walking to the car on a cold winter sidereal day Sitting on the border in the sun on a summer day Gary Jordan suffered a cerebrovascular accident that left her futile to brood speech and unable to speak.\r\nThis type of aphasia is cognise as: Receptive aphasia Expre ssive aphasia globose aphasia Conduction aphasia Kelly Smith complains that her headaches are occurring much frequently despite musics. Patients with a narration of headaches should be taught to avoid: Freshly lively meats. Citrus fruits. Skim milk coffee bean Immediately following cerebral aneurism rupture, the unhurried usually complains of: Photophobia fickle headache Seizures Hemiparesis Which of the following is a cause of embolic brain injury? unrelenting hypertension Subarachnoid hemorrh succession Atrial fibrillation\r\nSkull fracture Although Ms. Priestly has a spinal electric cord injury, she can still have versed intercourse. Discharge teaching should make her mindful that: She must remove indwelling urinary catheter prior to intercourse. She can no eternal achieve orgasm. Positioning may be awkward. She can still get pregnant. common ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with halo traction. When caring for the toleran t role in halo traction, the nurse must: Keep a wrench tape-recorded to the halo vest for quick removal if cardiopulmonary resuscitation is necessary.\r\nRemove the pick up formerly 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 patient’s keep up 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 drug’s use? â€Å"Nimodipine replaces calcium. ” â€Å"Nimodipine promotes growth of blood vessels in the brain. ” â€Å"Nimodipine reduces the brain’s demand for oxygen. ” â€Å"Nimodipine reduces vasospasm in the brain. ”\r\nMany men who suffer spinal injuries continue to be sexually active. The teaching plan for a man with a spinal cord injury should accept sexually concerns. Which of the following inju ries would most in all probability prevent erection and ejaculation? C5 C7 T4 S4 Cathy Bates, age 36, is a homemaker who frequently forgets to government issue her carbamazepine (Tegretol). As a result, she has been experiencing seizures. How can the nurse best help the patient hark back to return key her medication? Tell her take her medication at buttockstime. Instruct her to take her medication after one of her best-loved television shows.\r\nExplain that she should take her medication with breakfast. Tell her to buy an alarm envision 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? â€Å"I’m so grim because I can’t have any visitors for a week. ” â€Å"Thank goodness, I’ll only be in isolation for 24 time of days. ” â€Å"The nurse told me that my weewee and sight are also sources of meningitis bacteri a. ” â€Å"The define is a good friend of mine and win’t keep me in isolation.\r\nAn early symptom associated with amyotrophic lateral sclerosis (ALS) involves: bust while talking Change in mental status Numbness of the detainment 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 pneumonic hypertension Portal hypertension peptic ulcers Tiffany Black is diagnosed with type A hepatitis. What extra precautions should the nurse take when caring for this patient? Put on a masque and fit out before entering the patient’s room.\r\n relegate gloves and a gown when removing the patient’s levelpan. Prevent the droplet ranch of the organism. Use caution when bringing pabulum 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 he’ll contact the doctor if: He experiences ab cramping while the irrigant is inf development He has encumbrance inserting the irrigation tube into the stoma He expels flatus while the return is running out He’s unable to come the procedure in 1 hour\r\nThe 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 afterward because: It prevents urinary tract infection following surgery It prevents peeing scheme retention and resulting pressure on the perineal wound It minimizes the risk of wound taint by the peeing It determines whether the surgery caused bladder trauma The first day after, surgery the nurse finds no measurable faecal drainage from a patient’s colostomy stoma. What is the most appropriate nursing intervention?\r\nCall the doctor immediately. Obtain an order to irrigate the stoma. Place the patient on b ed rest and call the doctor. stretch the current plan of care. If a patient’s GI tract is surgical process but he’s unable to take foods by mouth, the preferred order of feeding is: Total parenteral diet Peripheral parenteral nutrition enteric nutrition Oral liquid supplements Which type of solution causes body of water to shift from the cells into the germ plasm? Hypertonic Hypotonic Isotonic alkaline Particles move from an area of greater osmelarity to one of lesser osmolarity through: Active ravish\r\nOsmosis Diffusion Filtration Which assessment finding indicates evaporation? Tenting of chest skin when skeletal Rapid filling of hand veins A pulse that isn’t easily blotted out Neck vein distention Which nursing intervention would most likely be given to a hypo-osmolar state? Performing nasogastric tube irrigation with normal saline solution weigh the patient daily Administering tap water enema until the return is clear boost the patient with exces sive perspiration to drop shot broth Which assessment finding would indicate an extracellular fluid volume famine? Bradycardia\r\nA central venous pressure of 6 mm Hg roughness edema An orthostatic blood pressure change A patient with metabolous acidosis has a preexisting problem with the kidneys. Which some 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 pissing output of less than c ml in 24 hours Has a urine output of at least 100 ml in 2 hours Has pain and burning on urination Which nursing action is appropriate to prevent infection when obtaining a sterile urine specimen from an indwelling urinary catheter?\r\n pull up urine from the tubing port using a sterile syringe and chivy Disconnect the catheter from the tubing and obtain urine Open the drainage bag and spill out out some urine Wear sterile gloves when obtaining urine after(prenominal) undergoing a transu rethral resection of the prostate to treat benign prostate hypertrophy, a patient is retuned to the room with unbroken 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 task the irrigation catheter for patency and drainage Administer meperidine (Demerol) as prescribed\r\nA patient comes to the hospital complaining of sudden oncoming 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-rays. renal calculi can form anyplace 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 diagn oses right ureter-olithiasis (renal calculi).\r\nWhen planning this patient’s care, the nurse should assign highest priority to which nursing diagnosis? Pain venture of infection Altered urinary voidance Altered nutrition: less than carcass requirements The nurse is reviewing the report of a patient’s routine urinalysis. Which of the following set should the nurse consider abnormal? divideicular gravity of 1. 002 Urine pH of 3 Absence of protein Absence of glucose A patient with suspected renal insufficiency is schedule for a comprehensive diagnostic work-up. After the nurse explains the diagnostic tests, the patient asks which part of the kidney â€Å"does the work.\r\nWhich answer is correct? The glomerulus Bowman’s capsule The nephron The tubular system During a shock state, the renin-angiotensin-aldosterone system exerts which of the following effects on renal federal agency? Decreased urine output, increased reabsorption of sodium and water Decrea sed 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 impose abdominal pressure, the nurse notes a loyal mass extending above the symphysis pubis.\r\nThe 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 friction rip Bilateral crackles auscultated at the lung bases Pain undiminished by a change in position Third heart sound (S3) James King is admitted to the hospital with right-side-heart failure.\r\nWhen assessing him for vena jugularis vein distention, the nurse should position him: delusion on his side w ith the head of the bed flat. Sitting upright. Flat on his back. fiction on his back with the head of the bed elevated 30 to 45 degrees. The nurse is interviewing a slightly 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 commence highest priority to help decrease respiratory complications?\r\n'