Nursing Information Hub PDF 2024July03

2024July03 Total points 14/20 Email * [email protected] 0 of 0 point...

2024July03 Total points 14/20 Email * [email protected] 0 of 0 points Last name: * Misa School: * FAR EASTERN UNIVERSITY First name: * Sherry Rose Don't let the fear of losing be greater than the excitement of winning.— 14 of 20 Robert Kiyosaki points https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 1 of 12 : p  In the past, factors to determine whether a woman was likely to have a *1/1 high-risk pregnancy were evaluated primarily from a medical point of view. A broader, more comprehensive approach to high-risk pregnancy has been adopted. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. Which of the options listed here is not included as a category? A. Biophysical B. Psychosocial C. Geographic D. Environmental Feedback The fourth category is correctly referred to as the sociodemographic risk category. Several risk factors for high-risk pregnancy were present before pregnancy, including multiple pregnancies, maternal age under 16 or over 35 years, and interval between pregnancies less than one year. Which of the following meal selections is appropriate for the client with *1/1 Celiac disease? A. Ramen noodles and dumplings B. French croissants and donuts C. Bacon and egg D. Pepperoni pizza and ginger ale Feedback Celiac disease is an autoimmune digestive disease that is characterized by a poor immune response to foods that contain gluten. All types of meat (such as bacon) and eggs are gluten-free so it is permitted to a client with this kind of disease. https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 2 of 12 : p  Which of the following is not included in the care plan of a client with a *1/1 moderate cognitive impairment involving dementia of the Alzheimer’s type? A. Daily structured schedule. B. Positive reinforcement for performing activities of daily living. C. Stimulating environment. D. Use of validation techniques. Feedback A stimulating environment is a source of confusion and anxiety for a client with a moderate level of impairment and, therefore, would not be included in the plan of care. Limit sensory stimuli and independent decision-making. This decreases frustration and distractions from the environment. Decreasing stress of making a choice helps to promote security. Instruct the family to utilize distraction techniques, such as soothing music, going for a walk, or looking at picture albums if the patient has delusions. Distraction may be effective to calm the patient if stressful situations occur. A patient exhibits all of the following symptoms of anorexia nervosa. *1/1 which manifestation should be addressed first in her plan care? A. Cold intolerance B. Electrolyte imbalance C. Amenorrhea D. Sleep disturbance Feedback Electrolyte imbalance can lead to cardiac arrhythmias and death. It should be the priority in the plan of care. A, C and D – cold intolerance, amenorrhea and sleep disturbance are associated with anorexia nervosa but do not pose the safety risk seen with electrolyte imbalance. https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 3 of 12 : p  Which of the following outcome criteria is appropriate for the client with *1/1 dementia? A. The client will return to an adequate level of self-functioning. B. The client will learn new coping mechanisms to handle anxiety. C. The client will seek out resources in the community for support. D. The client will follow an established schedule for activities of daily living. Feedback Following established activity schedules is a realistic expectation for clients with dementia. Maintain a regular daily schedule routine to prevent problems that may result from thirst, hunger, lack of sleep, or inadequate exercise. If the needs of a patient with AD are not met, it may cause the patient to become agitated and anxious. Predictable behavior is less threatening to the patient and does not tax limited ability to function with ADLs. https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 4 of 12 : p  The nurse is designing a diet plan for a 70-year-old with poorly fitting *0/1 dentures who has been recently diagnosed with type 2 diabetes. The nurse knows that which of the following is the LEAST likely risk to the client? A. Malnutrition B. Dehydration C. Hyperglycemia D. Low blood sugar Correct answer C. Hyperglycemia Feedback Hypoglycemia is more likely than hyperglycemia. Often a client with denture problems will only be able to tolerate liquid or pureed foods eaten slowly. This decreases the chances of adequate nutrition. https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 5 of 12 : p  When teaching a client with coronary artery disease about nutrition, the *0/1 nurse should emphasize: A. Eating three (3) balanced meals a day B. Adding complex carbohydrates C. Avoiding very heavy meals D. Limiting sodium to 7 gms per day Correct answer C. Avoiding very heavy meals Feedback Eating large, heavy meals can pull blood away from the heart for digestion and is dangerous for the client with coronary artery disease. Too much plaque may accumulate in the arteries and block the delivery of blood and oxygen in major organs of the body. A patient with diabetic ketoacidosis is on an intravenous (IV) insulin drip. *1/1 Which of the following laboratory results requires immediate intervention? A. Finger stick glucose level of 70 mg/dL B. Serum potassium level of 2.8 mEq/L C. Serum osmolality of 280 mOsm/kg D. Blood ketones of 0.3 mg/dL Feedback A serum potassium level of 2.8 mEq/L indicates hypokalemia and should be addressed immediately. A, C and D – these laboratory values are within normal limits and would not require immediate intervention by the nurse. https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 6 of 12 : p  The nurse has been working with a 45-yearold African American who *1/1 bicycles to work. Lab tests show low serum lipids. The nurse knows that the client’s risk factors for primary (essential) hypertension include which of the following? A. Being under the age of 65 B. Race C. Low serum lipids D. Active lifestyle Feedback African Americans have an increased risk for hypertension. The nurse is preparing to administer an enteral feeding to a client via a *0/1 nasogastric feeding tube. The most important action of the nurse is: A. Verify correct placement of the tube B. Check that the feeding solution matches the dietary order C. Aspirate abdominal contents to determine the amount of last feeding remaining in stomach D. Ensure that feeding solution is at room temperature Correct answer A. Verify correct placement of the tube Feedback Proper placement of the tube prevents aspiration and entrance of food content into the lungs. The deVnitive way to ascertain the position of the nasogastric tube is through visualization by an x-ray. Another method is to aspirate stomach contents and check its pH (usually pH 1 to 5). Aspirated stomach content can also be tested for bilirubin to conVrm it is placed in the stomach. https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 7 of 12 : p  The nurse is speaking at a community meeting about personal *0/1 responsibility for health promotion. A participant asks about chiropractic treatment for illnesses. What should be the focus of the nurse’s response? A. Electrical energy fields B. Spinal column manipulation C. Mind-body balance D. Exercise of joints Correct answer B. Spinal column manipulation Feedback The theory underlying chiropractic is that interference with the transmission of mental impulses between the brain and body organs produces diseases. Such interference is caused by the misalignment of the vertebrae. Manipulation reduces subluxation. The nurse is performing wound care using surgical asepsis. Which of the *1/1 following practices violates surgical asepsis? A. Holding sterile objects above the waist B. Pouring solution onto a sterile field cloth C. Considering a 1″ (2.5-cm) edge around the sterile field contaminated D. Opening the outermost flap of a sterile package away from the body Feedback Pouring solution onto a sterile Veld cloth. Pouring solution onto a sterile Veld cloth violates surgical asepsis because moisture penetrating the cloth can carry microorganisms to the sterile Veld via capillary action. The other options are practices that help ensure surgical asepsis. https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 8 of 12 : p  80-year-old Mr. Stevens is accompanied to the clinic by his son, who tells *1/1 the nurse that the client’s constant confusion, incontinence, and tendency to wander are intolerable. The client was diagnosed with chronic cognitive impairment disorder. Which nursing diagnosis is most appropriate for the client’s son? A. Risk for other-directed violence. B. Disturbed sleep pattern. C. Caregiver role strain. D. Social isolation. Feedback The son’s description exempliVes some of the problems commonly encountered by a primary caregiver who is caring for someone with a cognitive impairment disorder. Assess family’s knowledge of patient’s disease and erratic behaviors and possible violent reactions. Knowledge will enhance the family’s understanding of dementia associated with the disease and development of coping skills and strategies. The nurse is admitting a client with a suspected duodenal ulcer. The *1/1 client will most likely report that his abdominal discomfort lessens when he: A. Skips a meal B. Rests in low fowler’s position C. Eats a meal D. Sits upright after eating Feedback Food stimulates the release of digestive juices, these substances neutralize the acidic ph, as the acidic food reaches the duodenum, it neutralized to normal ph hence relief of pain is experienced. https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 9 of 12 : p  A nurse is teaching a stress-management program for a client. Which of *0/1 the following beliefs will the nurse advocate as a method of coping with stressful life events? A. Avoidance of stress is an important goal for living. B. Control over one’s response to stress is possible. C. Most people have no control over their level of stress. D. Significant others are important to provide care and concern. Correct answer B. Control over one’s response to stress is possible. Feedback When learning to manage stress, it is helpful to believe that one has the ability to control one’s response to stress. You may not be able to completely eliminate stress from your life or even the biggest stressors, but there are areas where you can minimize it and get it to a manageable level. Any stress that you can cut out can minimize your overall stress load. For example, ending even one toxic relationship can help you more effectively deal with other stress you experience because you may feel less overwhelmed. For the adolescent who has been diagnosed with acne, which of the *1/1 following is true? A. Poor hygiene often leads to developing acne. B. Acne causes clinical depression. C. Acne affects males more severely than females. D. Acne can be aggravated by ingesting chocolate. Feedback Acne affects males more severely than females. https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 10 of 12 : p  A woman who is at 36 weeks of gestation is having a nonstress test. *1/1 Which statement indicates her correct understanding of the test? A. "I will need to have a full bladder for the test to be done accurately." B. "I should have my husband drive me home after the test because I may be nauseated." C. "This test will help to determine whether the baby has Down syndrome or a neural tube defect." D. "This test observes for fetal activity and an acceleration of the fetal heart rate to determine the well-being of the baby." Feedback The nonstress test is one of the most widely used techniques to determine fetal well-being and is accomplished by monitoring fetal heart rate in conjunction with fetal activity and movements. The nurse is caring for a client with a serum potassium level of 3.5 *1/1 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq potassium chloride in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued? A. Narrowed QRS complex B. Shortened “PR” interval C. Tall peaked "T" waves D. Prominent “U” waves Feedback A tall peaked T wave is a sign of hyperkalemia. The healthcare provider should be notiVed regarding discontinuing the medication. https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 11 of 12 : p  Patient teaching for the adolescent who has acne should include which *1/1 of the following? Select all that apply. A. Getting adequate rest and hydration B. Scrubbing using an alcohol-based cleanser C. Resist squeezing blemishes D. Using oil-based cosmetics often Feedback The adolescent should develop health-promoting behaviors and resist squeezing blemishes. Scrubbing with drying or abrasive cleansers is not recommended. Using oil- based cosmetics and face creams are to be avoided. Which of these findings indicate that a pump to deliver a basal rate of 10 *0/1 ml per hour plus PRN for pain breakthrough for morphine drip is not working? A. The client complains of discomfort at the IV insertion site B. The client states “I just can’t get relief from my pain.” C. The level of the drug is 100 ml at 8 AM and is 80 ml at noon D. The level of the drug is 100 ml at 8 AM and is 50 ml at noon Correct answer C. The level of the drug is 100 ml at 8 AM and is 80 ml at noon Feedback The minimal dose of 10 mL per hour which would be 40 mL given in a four (4) hour period. Only 60 mL should be left at noon. The pump is not functioning when more than expected medicine is left in the container. This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy Forms https://docs.google.com/forms/d/e/1FAIpQLSflxi0h7vl6Ty2Ec1J RKwSrf2ufc7svxRVL486bfhgWZbncmngjwHbOo7IB_-0rv2iYKug 7/3/24, 11 51 PM Page 12 of 12 : p