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Questions and Answers
Which factor is most likely to contribute to sensory deprivation in the elderly?
Which factor is most likely to contribute to sensory deprivation in the elderly?
What is the primary benefit of pursed-lip breathing for a patient with chronic emphysema?
What is the primary benefit of pursed-lip breathing for a patient with chronic emphysema?
Which symptom would most likely indicate organ rejection in a kidney transplant patient?
Which symptom would most likely indicate organ rejection in a kidney transplant patient?
Why is it inappropriate to check a patient's temperature when they are restless and confused?
Why is it inappropriate to check a patient's temperature when they are restless and confused?
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What is a common misconception regarding the effects of chronic pulmonary conditions on potassium levels?
What is a common misconception regarding the effects of chronic pulmonary conditions on potassium levels?
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What complication is most concerning in a post-operative kidney transplant patient who feels generally unwell?
What complication is most concerning in a post-operative kidney transplant patient who feels generally unwell?
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What should be the nurse's immediate response to increased restlessness and confusion in a patients with emphysema?
What should be the nurse's immediate response to increased restlessness and confusion in a patients with emphysema?
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Which of the following is a common complication noted after kidney transplantation?
Which of the following is a common complication noted after kidney transplantation?
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What should the nurse set the flow rate for Mario's IV fluid administration?
What should the nurse set the flow rate for Mario's IV fluid administration?
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Using the rule of nines, which area of the body accounts for the largest percentage of burns in a patient with burns on the face, neck, right upper arm, and upper trunk?
Using the rule of nines, which area of the body accounts for the largest percentage of burns in a patient with burns on the face, neck, right upper arm, and upper trunk?
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What is the total percentage of body surface area affected if a burn covers a patient's face and neck according to the rule of nines?
What is the total percentage of body surface area affected if a burn covers a patient's face and neck according to the rule of nines?
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In the event of Mario's IV fluid administration, how many total minutes does the nurse need to consider for the flow rate calculations?
In the event of Mario's IV fluid administration, how many total minutes does the nurse need to consider for the flow rate calculations?
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What is the combined percentage of burns for Mario's right upper arm and the penis according to the rule of nines?
What is the combined percentage of burns for Mario's right upper arm and the penis according to the rule of nines?
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For a patient who is unconscious after a fall, what is the priority for immediate assessment?
For a patient who is unconscious after a fall, what is the priority for immediate assessment?
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What is the importance of the drop factor in IV fluid calculations?
What is the importance of the drop factor in IV fluid calculations?
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Which of the following injuries did the patient suffer in the construction accident?
Which of the following injuries did the patient suffer in the construction accident?
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What is essential to maintain during the logrolling of a client after a laminectomy?
What is essential to maintain during the logrolling of a client after a laminectomy?
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What should be avoided to prevent damage to the surgical site after a laminectomy?
What should be avoided to prevent damage to the surgical site after a laminectomy?
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Which discharge instruction is appropriate for a client post-cataract removal surgery?
Which discharge instruction is appropriate for a client post-cataract removal surgery?
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What is the recommended weight limit for objects a client post-cataract surgery should avoid lifting?
What is the recommended weight limit for objects a client post-cataract surgery should avoid lifting?
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In what position should a client avoid resting to facilitate healing after cataract surgery?
In what position should a client avoid resting to facilitate healing after cataract surgery?
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What does increasing intraocular pressure potentially affect after cataract surgery?
What does increasing intraocular pressure potentially affect after cataract surgery?
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Which of the following activities is appropriate for a client recovering from cataract surgery?
Which of the following activities is appropriate for a client recovering from cataract surgery?
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Why should clients keep their living spaces dimly lit after cataract surgery?
Why should clients keep their living spaces dimly lit after cataract surgery?
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At what age should George be encouraged to start regular testicular self-examinations?
At what age should George be encouraged to start regular testicular self-examinations?
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Why is it important for young adults like George to learn about testicular self-examinations?
Why is it important for young adults like George to learn about testicular self-examinations?
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What common misconception might individuals have about the timing of testicular self-examinations?
What common misconception might individuals have about the timing of testicular self-examinations?
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What is the peak age range for the incidence of testicular cancer in men?
What is the peak age range for the incidence of testicular cancer in men?
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Which option correctly emphasizes the importance of initiating self-examination habits at a young age?
Which option correctly emphasizes the importance of initiating self-examination habits at a young age?
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What is a recommended practice when educating young males about self-examinations?
What is a recommended practice when educating young males about self-examinations?
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What is a common misconception about the necessity of testicular self-examinations?
What is a common misconception about the necessity of testicular self-examinations?
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What role does family history play in the discussion of testicular self-examinations?
What role does family history play in the discussion of testicular self-examinations?
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What specific assessment finding indicates a potential basal skull fracture?
What specific assessment finding indicates a potential basal skull fracture?
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Which assessment finding is least associated with increased intracranial pressure?
Which assessment finding is least associated with increased intracranial pressure?
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Which of the following is a critical consideration for the nurse when assessing a patient post-fall?
Which of the following is a critical consideration for the nurse when assessing a patient post-fall?
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What is the primary concern if a nurse observes bleeding from the patient's ears?
What is the primary concern if a nurse observes bleeding from the patient's ears?
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How can hypothermia affect trauma patients?
How can hypothermia affect trauma patients?
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What is the potential significance of a depressed fontanel in a pediatric patient?
What is the potential significance of a depressed fontanel in a pediatric patient?
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Which symptom may show changes due to alterations in cerebral function from a head injury?
Which symptom may show changes due to alterations in cerebral function from a head injury?
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Which timeframe is typical for the anterior fontanel to remain soft in infants?
Which timeframe is typical for the anterior fontanel to remain soft in infants?
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Study Notes
Sensory Deprivation
- Decreased visual, auditory, and gustatory abilities can interfere with normal functioning.
- The side effects of medications do not usually affect the senses in the elderly.
- Isolation is not the reason for developing sensory deprivation.
- Decreased mobility and functioning do not cause sensory deprivation.
Chronic Emphysema
- Signs and Symptoms: Restlessness, confusion, difficulty breathing
- Nursing Interventions: Encourage pursed-lip breathing to prevent lung collapse and regulate breathing rate.
- Incorrect Interventions: Checking temperature is unnecessary, emphysema does not affect potassium levels, and increasing oxygen flow rate is not recommended for clients with emphysema.
Kidney Transplant
- Signs of Organ Rejection: Hypertension, fever, and tenderness over the grafted kidney.
- Other potential signs of rejection: Sudden weight loss, polyuria, and shock.
Postoperative Laminectomy
- Nursing Interventions: Logroll the client carefully to maintain spinal alignment and prevent damage to the surgical site.
Testicular Self-Examination
- Recommended age to start: Prior to the age of 20 to establish early detection habits during the peak incidence of testicular cancer.
- Why It's Important: Early detection is crucial for early intervention, especially for individuals with a family history of testicular cancer.
Cataract Removal
- Postoperative Instructions: Avoid activities that increase intraocular pressure: straining during bowel movements, bending at the waist, lifting objects heavier than 15 lbs, and engaging in strenuous activities.
- Other Important Points: Appropriate ambient lighting is necessary to prevent accidents and ensure safety.
Burn Injury
- Rule of Nines: The percentage of burns on the body is estimated using a specific system.
- Area with the largest percentage of burns (Rule of Nines): Upper trunk (18%)
- Other burn percentages according to Rule of Nines: Head and neck (9%), Right upper extremity (9%), Left upper extremity (9%), Right lower extremity (18%), Left lower extremity (18%), Perineum (1%)
Head Trauma
- Signs: Bleeding from the ears can indicate a basal skull fracture, which could lead to increased intracranial pressure and brain herniation.
- Other assessment findings: Reactive pupils, depressed fontanel, and elevated temperature.
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Description
This quiz covers essential nursing concepts related to sensory deprivation, chronic emphysema, kidney transplants, and postoperative care. Test your knowledge on symptoms, nursing interventions, and signs of organ rejection. Ideal for nursing students seeking to strengthen their understanding of critical life-saving interventions.
