Questions and Answers
Which finding should be reported to the doctor for a client with an abdominal aortic aneurysm?
What should a nurse instruct a client to do if they are unable to elicit deep tendon reflexes of the patella?
What does monitoring pulmonary artery pressure evaluate?
If a central venous pressure monitor reads 2cm of water, what should the nurse do?
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What is the immediate action a nurse should take upon identifying ventricular tachycardia on the heart monitor?
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What should the nurse tell the client to do when preparing for the removal of chest tubes?
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Which of the following is NOT typically assessed when monitoring a patient’s condition post-surgery for an abdominal aortic aneurysm?
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What is the appropriate method for measuring a client for crutches after a motorcycle accident?
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Which portion of the brain is responsible for taste, smell, and hearing?
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What is the most likely explanation for the elevated temperature of a client after a motor vehicle accident?
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Why is a low-protein diet ordered for a client in chronic renal failure?
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How should heparin be administered to a client with thrombophlebitis?
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What will occur if the blood pressure cuff is too small when measuring an obese client?
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What should the nurse consider when caring for a 4-year-old male with nephrotic syndrome and scrotal edema?
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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.
