Nursing questions Essay

The breastfeed is performing her admission assessment of a diligent. When grading arterial pulses, a 1+ pulse indicatesAbove normal perfusion.Absent perfusion.Normal perfusion.Diminished perfusion.Murmurs that indicate inwardness disease are often accompanied by other symptoms such as Dyspnea on exertion.Subcutaneous emphysema.Thoracic petechiae.Periorbital edema.Which pregnancy-related physiologic change would place the tolerant with a history of cardiac disease at the sterling(prenominal) risk of developing severe cardiac problems? Decrease heart rateDecreased cardiac outputIncreased plasma peopleIncreased affinity cartThe priority nursing diagnosis for the enduring with cardiomyopathy is Anxiety related to risk of declining health status.Ineffective individual coping related to tutel progress of debilitating illness Fluid volume excess related to altered compensatory mechanisms. Decreased cardiac output related to reduced myocardial contractility. A patient with thromb ophlebitis reached her expected outcomes of care. Her affected leg appears pink and warm. Her pedal pulse is palpable and there is no edema present. Which step in the nursing process is exposit above?PlanningImplementationAnalysisEvaluationAn elderly patient may have sustained a basilar skull fracture after slithering and falling on an icy sidewalk. The keep knows that basilar skull factures Are the least hallificant type of skull fracture.May have cause cerebrospinal fluid (CSF) leaks from the schnozzle or ears. Have no characteristic findings.Are always surgically repaired.Which of the followers types of drugs might be given to control increased intracranial pressure (ICP)?BarbituratesCarbonic anhydrase inhibitorsAnticholinergicsHistamine receptor blockersThe control is teaching family members of a patient with a concussion about the early signs of increased intracranial pressure (ICP). Which of the sideline would she quote as an early sign of increased ICP? Decreased syst olic blood pressureHeadache and vomitingInability to wake the patient with noxious stimuliDilated pupils that outweart react to lightJessie James is diagnosed with retinal detachment. Which hitch is the well-nigh important for this patient? Admitting him to the hospital on strict bed rest join both of his eyesReferring him to an ophthalmologistPreparing him for surgeryDr. Bruce Owen, a chemist, sustained a chemical burn to one eye. Which intervention takes priority for a patient with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist.Administer a cycloplegic agent to reduce ciliary spasm. at one time in quiet down a tropical anesthetic, then irrigate the eye with saline solution. Administer antibiotics to reduce the risk of infectionThe nurse is assessing a patient and notes a Brudzinskis sign and Kernigs sign. These are two classic signs of which of the hobby disorders? Cerebrovascular accident (CVA)MeningitisSeizure disorderParkinsons diseaseA pati ent is admitted to the hospital for a brain biopsy. The nurse knows that the most common type of primary brain tumor is Meningioma.Angioma.Hemangiobla stomate.Glioma.The nurse should instruct the patient with Parkinsons disease to avoid which of the following? Walking in an indoor shopping mallSitting on the deck on a cool summer eveningWalking to the car on a cold winter twenty-four hour periodSitting on the beach in the sun on a summer dayGary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. This type of aphasia is known as Receptive aphasiaExpressive aphasiaGlobal aphasiaConduction aphasiaKelly smith complains that her headaches are occurring more frequently despite medications. Patients with a history of headaches should be taught to avoid Freshly prepared meats.Citrus fruits.Skim milkChocolateImmediately following cerebral aneurysm rupture, the patient usually complains of PhotophobiaExplosive headacheSeizuresHemiparesi sWhich of the following is a cause of embolic brain injury? heady hypertensionSubarachnoid hemorrhageAtrial fibrillationSkull fractureAlthough Ms. Priestly has a spinal cord injury, she can still have sexual intercourse. Discharge teaching should realise her awake(predicate) that She must remove indwelling urinary catheter prior to intercourse. She can no longer achieve orgasm.Positioning may be awkward.She can still get pregnant.Ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with halo traction. When caring for the patient in halo traction, the nurse must uphold a wrench taped to the halo vest for quick removal if cardiopulmonary resuscitation is necessary. Remove the brace once 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 patients husband if he understands why his wife is receiving nimodipine (Nimotop), since she suffered a cerebral aneurysm rup ture. Which response by the husband indicates that he understands the drugs use? Nimodipine replaces calcium.Nimodipine promotes growing of blood vessels in the brain. Nimodipine reduces the brains demand for oxygen.Nimodipine reduces vasospasm in the brain.Many men who suffer spinal injuries continue to be sexually active. The teaching curriculum for a man with a spinal cord injury should include sexually concerns. Which of the following injuries would most likely prevent erection and ejaculation? C5C7T4S4Cathy Bates, age 36, is a homemaker who frequently forgets to take her carbamazepine (Tegretol). As a result, she has been experiencing seizures. How can the nurse best help the patient remember to take her medication? promise her take her medication at bedtime.Instruct her to take her medication after one of her favorite television shows. Explain that she should take her medication with breakfast.Tell her to get an alarm watch to remind her.Richard Barnes was diagnosed with p neumococcal meningitis. What response by the patient indicates that he understands the precautions necessary withthis diagnosis? Im so depressed because I cant have any visitors for a week. Thank goodness, Ill only be in isolation for 24 hours. The nurse told me that my urine and chiffonier are in any case sources of meningitis bacteria. The fixate is a good friend of mine and wont keep me in isolation. An early symptom associated with amyotrophic lateral induration (ALS) includes Fatigue while talkingChange in mental statusNumbness of the hands and feetSpontaneous fracturesWhen caring for a patient with esophageal varices, the nurse knows that bleeding in this disorder usually stems from Esophageal perforationPulmonary hypertensionPortal hypertensionPeptic ulcersTiffany Black is diagnosed with type A hepatitis. What special precautions should the nurse take when caring for this patient? Put on a mask and apparel before entering the patients room. Wear gloves and a gown when rem oving the patients bedpan. Prevent the droplet spread of the organism.Use caution when bringing food to the patient.Discharge instructions for a patient who has been operated on for colorectal crab louse include irrigating the colostomy. The nurse knows her teaching is effective when the patient states hell contact the doctor if He experiences abdominal cramping while the irrigant is infusing He has difficulty inserting the irrigation tube into the stoma He expels flatus while the return is running out.Hes unable to complete the procedure in 1 hour.The nurse explains to the patient who has an abdominal perineal resection that an indwelling urinary catheter must be kept in place for several days afterward because It prevents urinary tract infection following surgery.It prevents urine retention and resulting pressure on the perineal wound It minimizes the risk of wound contamination by the urine.It determines whether the surgery caused bladder trauma .The first day after, surgery th e nurse finds no measurable fecal drainage from a patients colostomy stoma. What is the most appropriate nursing intervention? Call the doctor immediately.Obtain an order to irrigate the stoma.Place the patient on bed rest and call the doctor.Continue the current plan of care.If a patients GI tract is functioning but hes unable to take foods by mouth, the preferred method of feeding isTotal parenteral pabulumPeripheral parenteral nutritionEnteral nutritionOral liquid supplementsWhich type of solution causes pissing to shift from the cells into the plasma? HypertonicHypotonic isosmoticAlkalineParticles move from an area of greater osmelarity to one of littleer osmolarity through Active transportOsmosisDiffusionFiltrationWhich assessment finding indicates dehydration?Tenting of titty skin when pinchedRapid filling of hand veinsA pulse that isnt easily obliteratedNeck vein distentionWhich nursing intervention would most likely lead to a hypo-osmolar state? Performing nasogastric tu be irrigation with normal saline solution Weighing the patient dailyAdministering tap water enema until the return is clearEncouraging the patient with excessive perspiration to dink broth Which assessment finding would indicate an extracellular fluid volume deficit? BradycardiaA central venous pressure of 6 mm HgPitting edemaAn orthostatic blood pressure changeA patient with metabolic acidosis has a preexisting problem with the kidneys. Which other organ helps regulate blood pH? LiverPancreasLungsheartThe nurse considers the patient anuric if the patientVoids during the nighttime hoursHas a urine output of less than 100 ml in 24 hoursHas a urine output of at least 100 ml in 2 hoursHas pain and burning on urinationWhich nursing action is appropriate to prevent infection when obtaining a barren urine specimen from an indwelling urinary catheter? Aspirate urine from the furnish port using a sterile syringe and needle Disconnect the catheter from the tubing and obtain urineOpen the drainage bag and pour out some urineWear sterile gloves when obtaining urineAfter undergoing a transurethral resection of the prostatic to treat benign prostatic hypertrophy, a patient is retuned to the room with continuous bladder irrigation in place. One day later, the patient reports bladder pain. What should the nurse do first? Increase the I.V. flow rateNotify the doctor immediatelyAssess the irrigation catheter for patency and drainageAdminister meperidine (Demerol) as prescribedA patient comes to the hospital complaining of sudden onset 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 anywhere in the urinary tract. What is their most common ecesis site? KidneyUreterBladderUrethraA patient comes to the hospital complaini ng of severe pain in the right flank, nausea, and vomiting. The doctor tentatively diagnoses right ureter-olithiasis (renal calculi). When planning this patients care, the nurse should assign highest priority to which nursing diagnosis? PainRisk of infectionAltered urinary eliminationAltered nutrition less than body requirementsThe nurse is reviewing the report of a patients routine urinalysis. Which of the following values should the nurse consider abnormal? Specific gravity of 1.002 piddle pH of 3Absence of proteinAbsence of glucoseA patient with suspected renal insufficiency is scheduled for a comprehensive diagnostic work-up. After the nurse explains the diagnostic tests, the patient asks which part of the kidney does the work. Which answer is correct?The glomerulusBowmans capsuleThe nephronThe tubular systemDuring a shock state, the renin-angiotensin-aldosterone system exerts which of the following effects on renal function? Decreased urine output, increased reabsorption of sod ium and water Decreased 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 lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis.The nurse suspects A urinary tract infectionRenal calculiAn exaggerated kidneyA distended bladderGregg 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 rubBilateral crackles auscultated at the lung basesPain unrelieved by a change in positionThird heart sound (S3)James King is admitted to the hospital with right-side-heart failure. When assessing him for jugular vein distention, the nurse should position him Lying on his side with the head o f the bed flat.Sitting upright. level(p) on his back.Lying 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 flaccid emphysema and borderline hypertension. He admits to smoking a pack of cigarettes per day. When developing a teaching plan, which of the following should receive highest priority to help decrease respiratory complications? Weight reductionDecreasing salt intakeSmoking cessationDecreasing caffeine intakeWhat is the ratio of chest compressions to ventilations when one rescuer performs cardiopulmonary resuscitation (CPR) on an adult? 151152121122When assessing a patient for fluid and electrolyte balance, the nurse is aware that the organs most important in maintaining this balance are thePituitary gland and pancreasLiver and gallbladder.Brain stem and heart.Lungs and kidneys.