Nursing Rehabilitation Quiz
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Questions and Answers

Which finding should be reported to the doctor for a client with an abdominal aortic aneurysm?

  • An abdominal bruit
  • An elevated white blood cell count (correct)
  • Pupils that are equal and reactive to light
  • A negative Babinski reflex
  • What should a nurse instruct a client to do if they are unable to elicit deep tendon reflexes of the patella?

  • Cross the legs at the ankles (correct)
  • Grimace the facial muscles
  • Perform Valsalva maneuver
  • Pull against the palms
  • What does monitoring pulmonary artery pressure evaluate?

  • Pressure in the left ventricle
  • The systolic, diastolic, and mean pressure of the pulmonary artery (correct)
  • The pressure in the pulmonary veins
  • The pressure in the right ventricle
  • If a central venous pressure monitor reads 2cm of water, what should the nurse do?

    <p>Listen to the lungs for rales</p> Signup and view all the answers

    What is the immediate action a nurse should take upon identifying ventricular tachycardia on the heart monitor?

    <p>Prepare to administer an antiarrhythmic such as lidocaine</p> Signup and view all the answers

    What should the nurse tell the client to do when preparing for the removal of chest tubes?

    <p>Hold his breath and bear down</p> Signup and view all the answers

    Which of the following is NOT typically assessed when monitoring a patient’s condition post-surgery for an abdominal aortic aneurysm?

    <p>Skin temperature</p> Signup and view all the answers

    What is the appropriate method for measuring a client for crutches after a motorcycle accident?

    <p>Measure five finger breadths under the axilla</p> Signup and view all the answers

    Which portion of the brain is responsible for taste, smell, and hearing?

    <p>Temporal</p> Signup and view all the answers

    What is the most likely explanation for the elevated temperature of a client after a motor vehicle accident?

    <p>He has an infection from abrasions to the head and face.</p> Signup and view all the answers

    Why is a low-protein diet ordered for a client in chronic renal failure?

    <p>Protein breaks down into blood urea nitrogen and other waste.</p> Signup and view all the answers

    How should heparin be administered to a client with thrombophlebitis?

    <p>Three-way stop-cock</p> Signup and view all the answers

    What will occur if the blood pressure cuff is too small when measuring an obese client?

    <p>A false elevation</p> Signup and view all the answers

    What should the nurse consider when caring for a 4-year-old male with nephrotic syndrome and scrotal edema?

    <p>Apply ice to the scrotum</p> Signup and view all the answers

    Study Notes

    Crutch Measurement

    • Measure crutches five finger breadths under the axilla for proper fit.

    Brain Functions

    • Temporal lobe is responsible for taste, smell, and hearing functions.

    Elevated Temperature After Accident

    • Elevated temperature following a motor vehicle accident may indicate infection from abrasions or damage to the hypothalamus.

    Chronic Renal Failure Diet

    • A low-protein diet is recommended for chronic renal failure because protein breakdown leads to increased blood urea nitrogen and waste products.

    Heparin Administration

    • Heparin should be administered using an intravenous filter to ensure safe delivery of the medication.

    Blood Pressure Cuff Size

    • Using a blood pressure cuff that is too small can cause a false elevation in blood pressure readings.

    Scrotal Edema in Nephrotic Syndrome

    • Elevate the scrotum on a small pillow to alleviate discomfort associated with severe scrotal edema in nephrotic syndrome.

    Abdominal Aortic Aneurysm Signs

    • An elevated white blood cell count should be reported to the doctor when preparing a patient for surgery on an abdominal aortic aneurysm.

    Deep Tendon Reflex

    • If unable to elicit the patellar reflex, the client should cross their legs at the ankles to facilitate response.

    Atropine Administration Calculation

    • To administer 0.4mg of atropine sulfate supplied at 0.8mg/mL, administer 0.5mL of the medication.

    Pulmonary Artery Pressure Evaluation

    • Pulmonary artery pressure evaluation provides data on systolic, diastolic, and mean pressures within the pulmonary artery.

    Central Venous Pressure Monitoring

    • If central venous pressure reads 2cm of water, the nurse should listen for lung rales for potential complications.

    Ventricular Tachycardia Response

    • In case of ventricular tachycardia, prepare to administer antiarrhythmics, like lidocaine, for immediate intervention.

    Chest Tube Removal Instructions

    • The patient should be instructed to hold their breath and bear down when preparing for chest tube removal to prevent air intake.

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    Description

    Test your knowledge on nursing assessment techniques for patients in rehabilitation, including proper methods for measuring for crutches. Additionally, evaluate your understanding of brain functions related to stroke care.

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