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Adult Health Nursing is a comprehensive course designed to equip students with the knowledge and skills necessary to provide holistic nursing care to adults experiencing various health challenges. Emphasizing a patient-centered approach, the course covers assessment, planning, implementation, and evaluation of care for individuals with acute and chronic medical-surgical conditions. Students learn to apply evidence-based practices in collaborating with interdisciplinary teams to address the physical, psychological, and social needs of adult patients. The curriculum integrates concepts of health promotion, disease prevention, and management of complex health problems, preparing students to deliver safe, ethical, and culturally sensitive care across diverse healthcare settings.
Recommended Textbook
Introduction to Medical Surgical Nursing 6th Edition by Linton
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56 Chapters
1705 Verified Questions
1705 Flashcards
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/25231
Sample Questions
Q1) The nurse assures the parents of a newborn with a congenital heart defect that the home care for their child is eased and supported by:
A) Availability of smaller and more compact equipment
B) Specialized DRGs for home care of children
C) Medicaid-funded home care services
D) Home care services funded by private insurance
E) Grants and stipends from various drug manufacturers
Answer: A,B,C,D
Q2) A voluntary health care agency is one that:
A) Is supported by tax dollars.
B) Is governed by boards made up of community members.
C) Receives no fee for its services.
D) Uses volunteers as health care providers.
Answer: B
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25232
Sample Questions
Q1) The nurse explains to the home health patient that most quality-of-care problems are a result of:
A) Patient's noncompliance
B) Family's reluctance to participate in the care
C) Inadequate documentation
D) Limited funding
E) Defective communication among care team members
Answer: C,E
Q2) The nursing care plan in a long-term care facility calls for the documentation of regressive behavior of a newly admitted 82-year-old resident,who has had congestive heart failure and osteoarthritis.Of these behaviors observed by the nurse,the ones documented as regression are:
A) Talks nonstop to staff and other residents.
B) Wets and soils self several times a day.
C) Wakes in the middle of the night and is unable return to sleep.
D) Wears the same clothes day after day.
E) Cries frequently for no apparent reason.
Answer: B,D,E
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25233
Sample Questions
Q1) The physician has written an order for Synthroid,137 mg.The LPN/LVN is aware that the drug is measured in micrograms.The nurse should:
A) Transcribe the order as if it were written in micrograms.
B) Notify the nursing supervisor.
C) Transcribe the order as written.
D) Call the prescribing physician.
Answer: D
Q2) The physician has written an order for morphine sulfate,100 mg.The LPN/LVN inquires if he meant to write 10 mg.The physician confirms that he meant 100 mg.The LPN/LVN should:
A) Call a member of the hospital administration.
B) Refuse to transcribe the order.
C) Call the pharmacist.
D) Notify the nursing supervisor.
Answer: D
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Sample Questions
Q1) Some characteristics of both leaders and managers are the same.Such a characteristic is:
A) Motivational skills
B) Sympathy skills
C) Authoritarian style
D) Participative style
Q2) To meet patient care needs,the LPN/LVN receives authority to delegate care to unlicensed personnel from the:
A) Physician or registered nurse (RN) who hired them
B) National Nurse Practice Act
C) 1994 Entry Level Competencies Report
D) Nurse Practice Act of the individual state
Q3) When staff members complain about being pulled to other areas to work without prior notice,the leader agrees with their request to develop a more effective system and does so with assistance and input from the entire staff.This is an example of leadership theory:
A) X
B) Y
C) Z
D) Not representative of any theory
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Sample Questions
Q1) If the nurse communicates in an open,honest,and nonjudgmental manner,this approach is characteristic of:
A) Therapeutic communication
B) Democratic communication
C) "I" statements
D) Autocratic communication
Q2) According to the pamphlet "Patient Care Partnership," the nurse clarifies that patients will have:
A) Provision of respectful care
B) Protection of privacy
C) Access to medical records
D) Reasonable fees for service
E) Information concerning current condition
Q3) As the nurse discusses the discharge plan with a recovering patient,the most effective communication technique is to:
A) Assess nonverbal clues.
B) Allow communication to focus on whatever topic the patient desires.
C) Insist on postrecovery activities as stated in the care plan.
D) Reduce eye contact to convey nondirective attitudes.
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/25236
Sample Questions
Q1) When many cultures and subcultures exist within the same society,as they do in the large cities of the United States,these groups are referred to as:
A) Cultural diversity
B) Cultural ethnicity
C) Mixed society
D) Cultural immigration
Q2) The nursing assistant reports to the nurse,"That Hindu guy in room 4 doesn't respond,but he is breathing and his skin is warm and dry." The culturally sensitive nurse recognizes this event as a probable:
A) Karma
B) Yoga trance
C) Moksha
D) Caste atonement
Q3) The process in which children mature and take on the values of their families and their society is called ____________________.
Q4) The Asian theory of hot and cold as a source of illness is based on the imbalance of the four ____________________.
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse reminds the patient that functional patterns of communication in the family setting provide a means of:
A) Nurturing
B) Information
C) Closeness
D) Openness
Q2) The nurse explains that children assume roles in family interaction based on:
A) Obligation
B) Instinct
C) Observation
D) Rewards
Q3) The nurse counsels a family that during the stage of families with adolescents,one of the developmental tasks is to:
A) Maintain relationships with the extended family.
B) Develop parental roles to meet the needs of children.
C) Maintain a satisfying marital relationship.
D) Communicate openly between parent and children.
Q4) The nurse includes the family in patient care to maintain the family's
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Sample Questions
Q1) The nurse points out that a physiologic response to stress involves the total body and is referred to as which syndrome?
A) General adaptation
B) Local adaptation
C) Negative feedback
D) Total adaptation
Q2) The term that the nurse uses to refer to persons who fail to maintain treatment protocols is ____________________.
Q3) The home health nurse helps a patient who is chronically ill with congestive heart failure to reorder time by:
A) Encouraging the patient to get up earlier or to go to sleep later
B) Developing a daily schedule that allows time for activities, as well as for medical regimens
C) Giving up time-consuming activities such as watching television or answering e-mail messages
D) Encouraging the patient to complete only one task a day
Q4) The nurse describes yoga as an alternative therapy that creates a __________________ intervention.
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The nurse outlining the characteristics of fat metabolism points out that they:
A) Are soluble in water.
B) Use more oxygen than carbohydrates.
C) Are stored more compactly in the body.
D) Release more energy than carbohydrates.
E) Are rich in vitamin A.
Q2) The carrier protein responsible for absorption of vitamin B12 is:
A) Pepsin
B) Intrinsic factor
C) Hydrochloric acid
D) Gastrin
Q3) The major portion of fat is digested in the:
A) Mouth
B) Stomach
C) Small intestine
D) Large intestine
Q4) The nurse calculates the needed kilocalories (kcal)for a 150-pound moderately active person to be ____________________.
Q5) The nurse points out that the cellulose found in celery and lettuce is a source of
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Sample Questions
Q1) The nurse observes all of the following behaviors in a 30-year-old man.The behavior that is not characteristic of a young adult's developmental task is:
A) Living in his or her own apartment.
B) Accepting a place on the board of a community agency.
C) Interacting with a large group of friends.
D) Dating many different young women.
Q2) The older person's ability to remember,dream,and exercise behavioral control is a factor most related to:
A) Biologic age
B) Psychologic age
C) Social age
D) Chronologic age
Q3) The leading causes of death in the older aged adult include:
A) Vehicular accidents and suicide
B) Cardiovascular disease and diabetes mellitus
C) Alcoholism and cirrhosis
D) Cancer and strokes
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) To relieve the discomfort of pruritus related to dry skin,the nurse should focus on:
A) Encourage the patient to talk to the primary care physician about the problem.
B) Encourage the patient to take a tepid bath and use moisturizers.
C) Teach the patient that pruritus is an expected consequence of aging.
D) Establishing a medication regimen to control the discomfort.
Q2) The nurse assesses a major sign of renal changes related to age,which is:
A) Hematuria
B) Nocturia
C) Urgency incontinence
D) Renal calculi
Q3) For most older adults,facts are that are generally accepted include:
A) Intellectual capabilities are impaired.
B) Functional brain activities decrease.
C) Functional intellectual capability is maintained.
D) Creativity and judgment are severely impaired.
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The patient will maintain an adequate nutritional state without nausea or vomiting is an example of a nursing:
A) Intervention
B) Process
C) Diagnosis
D) Goal
Q2) When percussing the patient's abdomen,the nurse anticipates a note that is:
A) Flat
B) Dull
C) Tympanic
D) Resonant
Q3) In PIE documentation,a type of POMR,the acronym PIE stands for ____________________,____________________ and
Q4) Nursing outcome classification (NOC)is a method of classifying a nursing:
A) Process
B) Care plan
C) Goal
D) Intervention outcome
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32 Flashcards
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Sample Questions
Q1) The nurse assesses a high eosinophil count in a pediatric patient.The nurse recognizes that this elevation is an indicator of ____________________.
Q2) The patient with the diagnosis of Clostridium difficile infection asks what has caused the diarrhea.The nurse responds that it is caused by:
A) Protozoal infection
B) Fecal-oral contamination
C) Inflammatory response
D) Long-term antibiotic therapy
Q3) The home health nurse is teaching the family that the most effective method to control the spread of communicable disease is to:
A) Isolate the infected person from all contact with noninfected persons.
B) Vigorously petition the community health department to increase spraying.
C) Administer prophylactic antibiotics to the rest of the family.
D) Demonstrate and monitor a return demonstration of a good hand-washing technique by the family.
Q4) Persons with human immunodeficiency virus (HIV)have acquired Pneumocystis jiroveci (PCP),a serious pulmonary infection caused by ____________________.
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25244
Sample Questions
Q1) The nurse cautions a group of high school athletes about fluid loss in hot,dry weather,because the normal loss from respiration,which is ____________________ to ____________________ mL/day,is doubled.
Q2) Both the intracellular and extracellular fluids are made up of many different electrolytes,but the most abundant intracellular positively charged electrolyte is:
A) Calcium
B) Chloride
C) K+
D) Sodium
Q3) The nurse assesses that the patient's urine has become much more concentrated,which results from the effect of:
A) Adrenaline
B) Aldosterone
C) Antidiuretic hormone (ADH)
D) Insulin
Q4) The nurse would anticipate in a patient with respiratory acidosis that the blood pH reading would be lower than ____________________.
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) ____________________ and ____________________ are natural opioid-like substances that block pain perception.
Q2) Two patients are hospitalized with the same diagnosis,but one is 23 years old,with acute recent pain from an injury,and the other is 64 years old,with pain of long-standing duration of several years.The difference in anticipated assessment is which of the following?
A) Acute pain for young patients is more intense at the same level, but these patients experience few changes in vital signs.
B) Young patients with acute pain exhibit fewer changes in vital signs but still report true levels of pain at levels 8 to 10.
C) Older adult patients with chronic pain exhibit increased changes in vital signs and report levels of pain lower than reality.
D) Older adult patients with chronic pain usually report lower levels of pain much less severe than they really are.
Q3) The nurse explains that afferent pathways are activated by pain receptors called ____________________.
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Standing in a fast-food line,the person in front,while munching on a cookie,begins to cough heavily,takes deep inspirations,and waves his arms around wildly.The nurse should immediately:
A) Start rescue breathing as quickly as possible.
B) Start chest compressions as quickly as possible.
C) Perform the Heimlich maneuver.
D) Do nothing at this point as long air is exchanged.
Q2) As an immediate treatment for epistaxis,the nurse should give the following instructions:
A) "Stand still, lean your head back so that the blood won't get all over everything, and pinch your nose shut for at least 10 minutes."
B) "Stand still, lean your head forward, and pinch your nose tightly for at least 10 minutes."
C) "Sit down on a solid surface, lean your head forward to let the blood run out, and then pinch your nose closed for at least 30 minutes."
D) "Sit down on a solid surface, lean your head forward so that you don't choke on the blood, and pinch your nose shut for at least 10 minutes."
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32 Flashcards
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Sample Questions
Q1) When obtaining the patient's signature on the surgical consent form,the patient seems confused about the procedure to be performed.The appropriate response by the nurse is to:
A) Tell the patient to talk to the physician after he gets to the surgical department.
B) Ask the patient to go ahead and sign the consent.
C) Ask the patient what the physician told him, and then call the physician, if necessary.
D) Encourage the patient to ask his family what the physician told them.
Q2) The nurse modifies postoperative care for a patient who has had cataract surgery from that given most general surgical patients as follows:
A) Early ambulation is not necessary.
B) Remove dressing immediately
C) Omit instructions relative to coughing.
D) Omit use of incentive spirometer for deep breathing.
Q3) The nurse discovers on the preoperative assessment that the patient has a condition that would require increased amounts of general anesthesia.The condition is
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Sample Questions
Q1) The nurse explains to the patient that,in the event of an accidental needle stick,the nurse should adhere to hospital policy,the usual directives of which are:
A) Antibiotics are taken if infection is present.
B) Blood is drawn from both the nurse and the patient.
C) Repeat blood draws are performed 4 weeks after the stick.
D) Obtain the physician's permission to return to work.
E) An incident report is initiated.
Q2) Using an IV infusion system that delivers 60 drops/ml,the nurse hangs a 1000-ml bag of 5% dextrose in water (D?W),which the physician has ordered to infuse at 80 ml/hr.It is now 10 AM.The nurse anticipates that the IV will need to be changed at:
A) 6 PM
B) 8 PM
C) 8:30 PM
D) 10:30 PM
Q3) The nurse explains to the patient that the peripheral IV tubing administration set and dressing should be changed every __________ hours.
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29 Flashcards
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Sample Questions
Q1) The cool,damp skin of patients in compensatory shock is caused by:
A) Constriction of peripheral blood vessels because of the shunting of blood to the vital organs.
B) Action of the antidiuretic hormone released in shock by the adrenal glands.
C) Decreasing levels of arterial carbon dioxide, which are pooling in the arms and legs.
D) Activation of the baroreceptors in the renal arteries.
Q2) The nurse explains to a concerned family member about the purpose of some of the interventions for systemic inflammatory response syndrome (SIRS),which is:
A) Applying a MAST garment to promote and conserve body heat.
B) Inserting an IABP to decrease fluid leaking into the extravascular space.
C) Maintaining strict isolation to prevent an overlying bacterial infection.
D) Aggressively treating to support the multiple failing organs.
Q3) The nurse explains that the minimal acceptable hourly urine output for the patient in shock who weighs 220 pounds is ____________________.
Q4) The nurse is aware that immobility and insertion of urinary catheters,although therapeutic,also places the patient at risk for _________________________.
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33 Verified Questions
33 Flashcards
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Q1) The nurse is talking to the family of a patient who has fallen several times.She knows that her teaching should be aimed toward the most important intervention for falls,which is:
A) Prevention
B) Hospitalization
C) Continuous observation
D) Restraint
Q2) The patient has asked the nurse to assist him to ambulate to the bathroom.The nurse is aware that the patient is currently taking an antidepressant medication,so she should:
A) Never leave the patient alone in his room.
B) Ask the patient if he could use the bedside commode instead of going to the bathroom.
C) Make suicidal precautions as part of the care plan.
D) Ask the patient to sit on the side of the bed for a minute or two before standing, and then stand slowly.
Q3) The nurse is aware that of all the reported falls in the United States,only 1% to 5% result in a ____________________.
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Sample Questions
Q1) On a newly discovered pressure ulcer,the nurse should document which of the following?
A) Precise measurement of the ulcer
B) Location of the wound and its description
C) Color of the ulcer
D) Amount and characteristics of the drainage
E) Probable cause of the ulcer
Q2) A nurse caring for a patient who has been prescribed bedrest for 1 week notices a reddened area on the patient's left hip.The skin is intact but,when the nurse presses on the area,the redness does not fade.The nurse recognizes this pressure ulcer as:
A) Stage I
B) Stage II
C) Stage III
D) Stage IV
Q3) The nurse takes into consideration that such emotions as worry,anxiety and depression can contribute to the common nutritional problem of ______.
Q4) When a bacteria is localized at the site of a Stage III pressure ulcer,it is said to be_____________.
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30 Flashcards
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Sample Questions
Q1) Although unclear,it is believed that Alzheimer disease is caused by:
A) Amyloid deposits in the brain
B) Excess of acetylcholine
C) Neurofibrillary tangles
D) Infiltration of Lewy bodies
E) Series of small strokes
Q2) The nurse is discussing home care of the patient with dementia with the patient's family.The nurse should advise the family to prevent the patient from wandering by:
A) Applying a vest restraint to keep the patient in bed or in a chair.
B) Putting locks on any doors that it would be dangerous for the patient to open (e.g., outside doors, medicine cabinet).
C) Having someone remind the patient at least every 2 hours that he or she must not go outside by him or herself.
D) Setting up a reward system for the times the patient stays where the family has requested.
Q3) When a normally oriented 87-year-old resident in a long-term care facility exhibits acute confusion,the nurse should first assess for a(n)____________________.
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34 Flashcards
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Sample Questions
Q1) The nurse is cleaning the patient with fecal incontinence when he says,"This is so embarrassing,and it makes me really angry." The nurse's best response would be:
A) "Don't worry about it, it's my job to clean you up."
B) "If you would have called me sooner, this wouldn't have happened."
C) "Do you feel angry and embarrassed?"
D) "Would you rather let your family clean you up?"
Q2) To protect the skin integrity of an incontinent patient,the nurse would include in the plan of care:
A) Immediately remove wet garments and linens.
B) Wash skin with an antiseptic, and towel dry.
C) Inspect for areas of redness and breakdown every morning.
D) Apply cornstarch to the perineum to absorb moisture.
E) Apply protective creams per agency policy.
Q3) The nurse informs the patient that the uroflowmetry diagnostic tool measures:
A) Voiding duration
B) Specific gravity of urine
C) Effectiveness of the detrusor muscle
D) General bladder tone
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Sample Questions
Q1) When caring for the patient who is experiencing dysfunctional grieving,the nurse's primary goal should be for:
A) Enhancement of self-esteem
B) Resolution of grief
C) Provision of safety measures
D) Prevention of complications
Q2) The nurse counsels a family not to shield their 6-year-old child from the death of his grandfather because children who are protected from the pain of bereavement frequently develop feelings of:
A) Fear
B) Anger
C) Abandonment
D) Blame
E) Inability to express feelings
Q3) The nurse caring for the dying patient should understand the importance of:
A) Frequent, thorough physical assessments
B) Not imposing repeated and unnecessary assessments
C) Current, updated health history from the patient
D) Limiting the amount of visitors allowed
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Sample Questions
Q1) A patient is close to death with terminal liver cancer with widespread metastases and calls the nursing staff to his room every 5 minutes.The interventions that will be most supportive and in the best interest of the patient are to:
A) Encourage and insist that the family request a transfer to hospice care, because the general hospital does not have enough staff members to keep responding to the patient's end-stage frequent calling and requests for minor help.
B) Use fixed interval and cocktail medication administration. Frequently evaluate for breakthrough pain and anxieties. Answer the call bell quickly on the intercom or in person.
C) Tell the family that as of this afternoon, all the patient's questions, comments, and expressed fears of dying and financial worries will be referred to the social worker, physician, or clergy. Otherwise, one of them can come in and sit beside the bed.
D) Plan to limit strictly the time spent with the patient, because the nurse cannot do much that could be beneficial at this point.
Q2) The nurse clarifies that cells that change from their tissues of origin and have multiple nuclei are categorized as ____________________.
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Sample Questions
Q1) Because the colostomy patient continues to worry about odor,the nurse can allay those concerns by explaining that odor can be diminished by:
A) Piercing the top of the appliance bag with a pin to allow gas to escape
B) Rinsing the pouch in a vinegar solution
C) Wearing tight-fitting underwear
D) Improving personal hygiene
Q2) The 1-day postoperative ileostomy patient is concerned about the fact that no drainage has occurred from the ileostomy.The nurse reminds the patient that:
A) The drainage does not start until approximately 24 to 48 hours after surgery.
B) The first drainage will have blood in it.
C) Mucus will be obvious in the early drainage.
D) The first drainage is expelled with a great deal of force.
E) A large amount of flatus will accompany the first drainage.
Q3) To ensure a good fit of the appliance to avoid leakage,the nurse would instruct the patient to:
A) Place the pouch only when lying down.
B) Check pouch placement to ensure a firm seal.
C) Confirm that the pouch fits tightly to the edges of the stoma.
D) Confirm that the pouch covers the entire abdomen.
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Sample Questions
Q1) To prevent a headache after lumbar puncture,the nurse instructs the patient to:
A) Lie flat
B) Lie on left side
C) Stay in semi-Fowler position
D) Ambulate in the room with assistance
Q2) The nurse should assess the patient scheduled for an angiogram for:
A) Dizziness
B) Allergy to shrimp
C) Increased BP
D) Irregular heartbeat
Q3) The nurse caring for a 90-year-old patient with a closed head injury would immediately report:
A) Blood pressure change from 147/72 to 176/70 mm Hg
B) Respiration rate increase from 14 to 18 breaths/min
C) Slow pupillary reaction bilaterally
D) Temperature decrease from 100.2° to 97.6° F
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Sample Questions
Q1) The nurse updates the teaching plan for a patient who suffered a TIA to include the provision for:
A) Daily aspirin dose
B) Long rest periods daily
C) Reduction of fluid intake to 800 ml/day
D) High carbohydrate diet.
Q2) The patient recovering from a CVA asks the purpose of the warfarin (Coumadin).The best response by the nurse is that Coumadin:
A) Dissolves the clot.
B) Prevents the formation of new clots.
C) Dilates the vessels to improve blood flow.
D) Suppresses the formation of platelets.
Q3) A patient has weakness on the right side and impaired reasoning after having a cerebrovascular accident (CVA)in the:
A) Left hemisphere of the cerebrum
B) Right hemisphere of the cerebrum
C) Left cerebellum
D) Right cerebellum
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Sample Questions
Q1) The nurse should emphasize that the rehabilitation of the patient with a SCI:
A) Is usually achieved within a few months after stabilization.
B) Will return the patient with a SCI to the preaccident functional level.
C) Focuses on adjustments necessary to reenter society and the workplace.
D) Completely targets self-care.
Q2) The nurse refers to the ___________ __________ to assess the extent of sensory loss and specific nerve root enervation.
Q3) Which technique of opening the airway in the newly admitted patient with a SCI is the most appropriate?
A) Chin lift
B) Head tilt
C) Jaw thrust
D) Neck flexion
Q4) The Brown-Séquard syndrome results in which neurologic deficit?
A) Bilateral loss of pain sensation below the level of injury
B) Bilateral loss of temperature and motor function below the level of injury
C) Motor and sensory loss in the upper extremities only
D) Ipsilateral loss of motor function and contralateral loss of pain sensation and temperature
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/25260
Sample Questions
Q1) The nurse who is instructing a patient in deep breathing and coughing techniques directs the patient to: (Place the options in the appropriate sequence.)
A) Place the hand on the abdomen to check the rise and fall.
B) Inhale through the nose, pause 1 to 3 seconds, and then exhale.
C) Assume a high Fowler position.
D) Take 4 to 6 deep breaths.
E) Cough deeply.
Q2) The nurse computes the number of "pack years" of a 24-year-old man who has smoked 1½ packs of cigarettes every day since he was 15 years old.This patient has ______ pack years.
Q3) Assessment of 24-year-old driver after an automobile accident,who is complaining of right-sided chest pain and is dyspneic,reveals the following: Respirations: 26 breaths/min
Significant pain on inspiration
Hand is pressed to the rib area; large bruise is forming on the right chest
Blood pressure: 182/98 mm Hg
Based on these assessments,the nurse suspects ____________________.
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32 Verified Questions
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Source URL: https://quizplus.com/quiz/25261
Sample Questions
Q1) The discharge instruction given by the nurse that would be informative to a patient with TB,who asks how to protect his family members from his disease,is:
A) "Your family will need to take treatments to prevent infection."
B) "You will need to wear a mask at home to protect your family members."
C) "You should always cover your mouth and nose if coughing or sneezing."
D) "You should avoid intimate contact with everyone."
Q2) The patient with CF furiously refuses any more manual chest physiotherapeutic treatment.The nurse could suggest which alternative?
A) Flutter mucus device
B) Increase ambulation to 1 to 2 hours a day
C) Steam inhalator several times a day
D) Drinking 3 quarts of fluid per day
Q3) The patient with COPD delightedly tells the nurse that he has quit smoking and is using chewing tobacco.The nurse's best intervention would be to:
A) Congratulate him on his quitting smoking.
B) Warn him of the dangers of oral cancer.
C) Suggest that he add nicotine patches in addition to the chewing tobacco.
D) Point out that he is still addicted and is using tobacco.
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Sample Questions
Q1) When the patient with a platelet count of 20,000/mm³ receives 1 unit of platelets,the platelet count should rise to:
A) 25,000 to 30,000/mm3
B) 35,000 to 40,000/mm3
C) 45,000 to 50,000/mm3
D) 55,000 to 100,000/mm3
Q2) The foods that the nurse would include in a nutrition teaching plan for a patient with iron-deficiency anemia are:
A) Beans and dried fruit
B) Apples and white rice
C) Yogurt and cooked carrots
D) Yellow squash and tortillas
Q3) The rationale for administering injections of vitamin B12 to patients with pernicious anemia is that:
A) The patient's body does not normally manufacture enough vitamin B12.
B) The patient may lack the intrinsic factor necessary for vitamin B12 absorption.
C) Vitamin B12 is found in very small quantities in the patient's body.
D) Vitamin B12 is a mineral necessary to aid in the formation of strong bones.
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Sample Questions
Q1) The nurse uses a picture to show the histamine-releasing mast cells that are:
A) Circulating in the blood
B) Circulating in the lymph
C) Attached to organ tissue
D) Embedded in the bone marrow
Q2) The nurse explains that the type of bone marrow transplant that uses the patient's own bone marrow is:
A) Allergenic
B) Allogeneic
C) Peripheral blood stem cell
D) Autologous
Q3) The laboratory results for a patient with acute leukemia that should alert the nurse to the fact that the drug protocols are not effective is:
A) Decreased prothrombin time.
B) Platelet count lower than 50,000/mm3.
C) Negative Western blot.
D) Neutrophils 50% to 62%.
Q4) Cells in the bone marrow that are capable of developing into RBCs,WBCs,or platelets are the ___________ cells.
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Sample Questions
Q1) The nurse is aware that the patient has entered the third stage of HIV infection when the patient has:
A) T-helper CD4 cell count of 500
B) Rise in antibody count
C) Drop in viral load
D) Increase in T4 helper cells
Q2) The nurse includes in the teaching plan for a patient with HIV who has been diagnosed with microsporidiosis that the patient should:
A) Drink 3 quarts of fluid a day to combat dehydration.
B) Include milk products with every meal.
C) Consume liberal amounts of fat for increased energy.
D) Limit protein intake to reduce serum ammonia levels.
Q3) The nurse removes a potted plant from the room of a patient with HIV as a preventive measure against:
A) Aspergillosis
B) Candidiasis
C) Coccidioidomycosis
D) Cytomegalovirus (CMV)
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Source URL: https://quizplus.com/quiz/25265
Sample Questions
Q1) The nurse records a "1" for the pulse quality of the pedal pulse.This means that the pulse is:
A) Absent
B) Normal
C) Thready
D) Forceful
Q2) The nurse records the finding of a normal sinus rhythm (NSR)when the P,Q,R,S,and T are all present in the electrocardiographic complex,as well as a(n):
A) Rate of 82
B) PR interval of 0.36 second
C) QRS complex of 0.16 second
D) Inverted T
Q3) The nurse should include in the patient's discharge instruction after an acute MI:
A) Cautions about use of morphine
B) Detailed symptoms that indicate impending MI
C) Written instructions on diet and follow-up appointments
D) High-energy exercise program directions
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Sample Questions
Q1) Patient teaching for the patient with varicose veins should include:
A) Weight reduction
B) Decreasing exercise
C) Wearing a panty girdle
D) Standing rather than sitting
Q2) While performing an intake examination on a patient with PVD,the nurse identifies a factor that aggravates vascular disease,which is that the patient:
A) Rides a bicycle to work.
B) Drinks red wine every day.
C) Is employed as an air traffic controller.
D) Eats chocolate candy every day.
Q3) The nurse explains that the major advantage of low-molecular-weight heparin (LMWH)is that LMWH can be given:
A) Orally
B) In a fixed doses
C) Only after partial thromboplastin time (PTT) laboratory work
D) For an immediate effect
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Sample Questions
Q1) The cause of secondary hypertension can be a variety of conditions that include:
A) Renal disease
B) Coarctation of the aorta
C) Colon cancer
D) Increased intracranial pressure (ICP)
E) Rheumatoid arthritis
Q2) An 89-year-old patient is taking an antihypertensive medication.Home care teaching by the nurse would include instructing the patient to:
A) Get up out of bed slowly.
B) Take hot baths.
C) Report sexual dysfunction immediately.
D) Stop taking the drug if side effects occur.
Q3) When a patient reports drowsiness after initiating atenolol (Tenormin)for the treatment of hypertension,the nurse's best response would be to instruct the patient to:
A) Take the medication at bedtime.
B) Reduce the dose of the medication until the desired effect occurs.
C) Avoid activities that require alertness.
D) Talk to the physician because drowsiness is not an anticipated side effect.
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Sample Questions
Q1) An instruction given to a patient with irritable bowel syndrome (IBS)that will lessen discomfort is:
A) Eat only whole grains.
B) Take small bites, and chew well.
C) Include dietary fiber in at least two meals per day.
D) Drink herbal teas and low-calorie cola drinks.
Q2) The nurse caring for a patient with a 3-day postoperative bowel resection observes that the suction apparatus is not working and the patient is becoming distended.The initial implementation should be to:
A) Pull tube outward 6 inches.
B) Push tube further in 3 inches.
C) Change the patient's position.
D) Irrigate with 60 ml of normal saline.
Q3) The home health nurse observes the patient with esophageal cancer tilt his head back while eating,which could result in:
A) Narrowing of the esophagus
B) Limiting the types of food that can be consumed
C) Increasing the risk of aspiration
D) Causing a neck injury
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Sample Questions
Q1) The patient with ascites is scheduled for a LeVeen peritoneal-venous shunt.The patient asks why this needs to be done instead of the paracentesis.The nurse replies:
A) "It helps the kidneys retain needed sodium."
B) "It will decrease the need for analgesics."
C) "This procedure will prevent the loss of protein."
D) "The risk of infection is lessened with this procedure."
Q2) A patient in acute pain is admitted with pancreatitis.The nurse sees a laboratory report showing an elevation that is diagnostic for acute pancreatitis,which is:
A) Serum bilirubin
B) Serum calcium
C) Serum lipids
D) Serum amylase
Q3) The nurse explains to the patient that when the blood sugar level drops,the liver is capable of converting the stored glycogen to glucose by the process of
Q4) In assessing a dark-skinned patient for jaundice,the nurse would assess the ____________________ for a yellow color.
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Sample Questions
Q1) A family member of a patient who has returned to the special unit after renal transplantation is alarmed by blood in the urine of the patient.The nurse's best explanation would be that the hematuria is:
A) Related to the immunosuppressant drugs taken before transplantation
B) A normal postoperative expectation
C) Not blood but dye injected during surgery
D) A small vessel that may be bleeding but will coagulate as urine flow increases
Q2) The nurse caring for a patient with acute glomerulonephritis is aware that the inflammation of the capillary loops in the glomeruli leads to:
A) Moderate-to-high blood pressure
B) Low blood volume with polyuria
C) Irritability and hyperactivity
D) Low levels of BUN and creatinine
Q3) The nurse is aware that if a ureter is blocked by a kidney stone,the urine backs up into the kidney causing _________________.
Q4) The major risk of peritoneal dialysis is _____________.
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Sample Questions
Q1) The nurse would recognize that further nutritional teaching about a low-purine diet would be necessary when the patient with gout chooses:
A) Pizza with pepperoni
B) Seafood platter with scallops and mussels
C) Chicken salad with nuts
D) Tuna sandwich with potato chips
Q2) The nurse explains to a patient with rheumatoid arthritis that the drug,leflunomide (Arava)is a disease-modifying antirheumatic drug (DMARD),which will:
A) Retard the progress of the disease.
B) Builds new bone.
C) Decreases inflammation.
D) Increases flexibility.
Q3) For the patient with Behçet syndrome,the nurse would choose the nursing diagnosis of:
A) Activity intolerance, related to unsteady gait
B) Risk for injury, related to falls
C) Imbalance in nutrition: Less than body requirements, related to anorexia
D) Sexual Dysfunction, related to pain in genital area
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Sample Questions
Q1) The nurse would teach the older patient with a newly casted Colles fracture to:
A) Apply cool compresses to the cast.
B) Let the hand and arm dangle to increase the drainage.
C) Keep the hand immobile to reduce swelling.
D) Move the shoulders to reduce contractures.
Q2) A 78-year-old retired teacher with a history of osteoporosis has fallen in her bathroom and sustained a subcapital femoral fracture.She is scheduled for an open-reduction internal fixation (ORIF)procedure in the morning.The type of traction in which the patient will most likely to be placed is:
A) Bryant
B) Buck
C) Pelvic
D) Crutchfield tongs
Q3) In caring for a patient just admitted with a pelvic fracture,the assessment that would cause the most concern is:
A) Pain level rating of 8 on a scale of 1 to 10
B) No urinary output for 8 hours
C) Evidence of bruising along the patient's hips and buttocks
D) Complaints of the need for back care from resting in bed
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Sample Questions
Q1) The nurse explains that the routine preoperative diagnostic tests for a patient anticipating a below-the-knee amputation are:
A) Pulse volume recording and white blood cell (WBC) count.
B) Cardiac catheterization and WBC count.
C) Pulse volume recording and x-ray images.
D) Thermography and cardiac catheterization.
Q2) The 80-year-old man with diabetes has had vascular problems with his feet and lower legs for 10 years and is scheduled for a left below-the-knee amputation.The remark by the patient that indicates an understanding of the procedure is:
A) "I am glad this amputation will end my diabetic problems."
B) "After they have hacked my leg, I won't be able to drive."
C) "If this heals well, how long until I get a prosthesis?"
D) "I hate that my left knee is going to be useless without a foot."
Q3) The nurse clarifies that the precise term for the patient's amputation,which will be through the knee joint,is called ____________________.
Q4) An amputation of a gangrenous limb that is left open for 10 days before closure is classified as a ________________ amputation.
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Sample Questions
Q1) The nurse evaluates no need for further instruction for self-care for the patient with Cushing syndrome who states:
A) "I know I should add salt to everything I eat."
B) "I make a point to avoid excessive exposure to sun."
C) "I avoid being exposed to anyone with an infection."
D) "I am careful to wear well-fitting shoes."
Q2) The patient believed to have acromegaly asks the purpose of the diagnostic glucose-tolerance test (GTT).The nurse responds by saying that:
A) "The doctor wants to know if you have either diabetes or acromegaly."
B) "The growth hormone will cause the glucose to be used up very quickly during the test."
C) "It measures the growth hormone in the presence of oral glucose levels at specified times."
D) "It tells whether your thyroid reacts to the high levels of sugar taken during this test."
Q3) The nurse explains that growth hormone will be given to the child with hypopituitarism on a scheduled basis until the child reaches the height of
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Sample Questions
Q1) The patient with a hyperthyroid complains of fatigue but still cannot get to sleep.The nurse suggests:
A) Taking "cat naps" during the day.
B) Adhering to a bedtime ritual.
C) Drinking a cup of cocoa before bedtime.
D) Performing mild prebedtime exercises.
Q2) The home health care nurse is aware that hypothyroidism is frequently overlooked in older adults because:
A) Signs and symptoms are subtle.
B) Signs and symptoms are discounted as age-related changes.
C) Weight changes in the older adult are not pronounced.
D) Older adults are not susceptible to thyroid disorders.
E) Decrease in mental function is attributed to dementia.
Q3) To meet the nutritional needs of a patient with Graves disease,the nurse recommends a diet of ____________________ to ____________________ calories.
Q4) Congenital hypothyroidism,if left untreated,will result in _________________.
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Q1) The young patient complains that diabetes is causing her to "have no life at all.It's too hard." The most helpful response is:
A) "Yes, you must make some sacrifices."
B) "It's hard, but with significant alterations in your lifestyle, you can live a long life."
C) "What's hard about exercise, diet, and medicine?"
D) "Let's talk about what makes it so hard."
Q2) A patient who has been diagnosed with endogenous hypoglycemia most likely has:
A) Taken an overdose of hypoglycemic drugs.
B) Been following a very restricted fasting diet or is malnourished.
C) Excessive secretion of insulin or an increase in glucose metabolism.
D) Exercised unwittingly without replenishing needed fluids and nutrients.
Q3) The nurse assigned to care for a patient with diabetic ketoacidosis (DKA)is aware that this is a life-threatening condition that results in:
A) Inability of carbohydrates, fats, and proteins to be metabolized
B) Storage of glycogen, resulting in a severe shortage of glucose in the bloodstream
C) Dangerously elevated pH and bicarbonate levels in the blood
D) Severe hypoglycemia, which can result in coma and convulsions
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Sample Questions
Q1) After months of infertility procedures,the physician informs a 32-year-old patient that she will never conceive.As the nurse enters the examination room,the patient states,"I guess I'm a failure as a woman." Based on this statement,the most appropriate nursing diagnosis would be:
A) Sexual dysfunction
B) Ineffective health maintenance
C) Disturbed body image
D) Ineffective coping
Q2) After a mastectomy,many patients experience lymphedema.To minimize this problem,the nurse can instruct the patient to:
A) Keep the arm elevated as much as possible.
B) Take Lasix, 20 mg twice daily, as ordered.
C) Use a sling during the day to rest the arm.
D) Avoid exercising the arm for several weeks.
Q3) The nurse explains that the causes for menorrhagia include:
A) Hormonal dysfunction
B) Tumors
C) Coagulation disorders
D) Endometrial hyperplasia
E) Excessive exercising
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Sample Questions
Q1) After the physician has left the room of a 30-year-old man who has been diagnosed with testicular cancer,the patient covers his face with both hands and sighs.The nurse's most therapeutic intervention at this time would be to:
A) Ask the patient, "Do you want to talk about your cancer?"
B) Leave the room, and pull the door closed.
C) Go to the nurse's station, and call the patient's wife.
D) Complete the patient care as quickly as possible.
Q2) A male student comes to the campus clinic complaining of painful scrotal edema,nausea,vomiting,chills,and fever.The nurse recognizes these signs and symptoms as being associated with:
A) Orchitis
B) Epididymitis
C) Urethritis
D) Cystitis
Q3) The nurse should explain that the purpose of the urethral smear is to:
A) Screen for human immunodeficiency viral (HIV) infection.
B) Detect sexually transmitted infections.
C) Verify fertility through a sperm count.
D) Eliminate concerns of prostate problems.
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Sample Questions
Q1) The nurse giving instruction to a patient with a STI says,"I am supposed to tell you about STIs,but you probably know more about them than I do." This nurse is:
A) Admitting her own ignorance about STIs.
B) Trying to get the patient's attention.
C) Referencing current statistics.
D) Making a judgmental statement.
Q2) The nurse should emphasize the importance of annual Papanicolaou (pap)smears to the patient with genital warts (Condylomata acuminata),because an association exists between the human papilloma virus (HPV)and the eventual development of:
A) Uterine fibroids
B) Chronic vaginitis
C) Premature menopause
D) Cervical cancer
Q3) The nurse cautions the patient taking Flagyl for Trichomonas that she should:
A) Double the dose if any doses are missed.
B) Report dark urine.
C) Take the drug on an empty stomach.
D) Abstain from alcohol while taking the drug.
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Sample Questions
Q1) An appropriate implementation for a patient with severe psoriasis who has a nursing diagnosis of "Disturbed body image,related to skin lesions" would be:
A) Touching the patient often
B) Reassuring the patient of a quick remission
C) Reminding the patient to bathe often
D) Prompt administration of medications as needed
Q2) A family member of an older patient with severe dermatitis says,"I was always so careful to bathe him every day.I guess I just wasn't careful enough." The nurse's best response would be:
A) "Dermatitis is not caused by poor hygiene."
B) "Don't worry; we will bathe him thoroughly while he is here."
C) "You will have a chance to do better when he is back at home."
D) "You shouldn't feel like the skin condition is your fault."
Q3) In taking the functional assessment of a patient with a skin disorder,the nurse will inquire about:
A) A sore that is slow to heal
B) Unusual hair growth
C) Previous skin disorders
D) Exposure to chemicals or irritants
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Sample Questions
Q1) The nurse explains that the correct term to use for a patient with a vision disorder is:
A) Blind
B) Handicapped
C) Partially blind
D) Visually impaired
Q2) The nurse is aware that the refractive media of the eye is made up of the:
A) Aqueous humor
B) Retina
C) Vitreous humor
D) Cornea
E) Lens
Q3) The nurse would include in the information given to a patient who is using topical eye medications to:
A) Look upward and drop the medication into the inner canthus.
B) Pull the lower lid down and drop the medication into the conjunctival sac.
C) Hold both lids open and drop the medication onto the sclera.
D) Tilt the head to the side and drop the medication into the outer canthus.
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Q1) When planning care for a patient who cannot perceive or interpret sounds,the nurse takes into consideration that the patient may have a ____________________ hearing loss.
Q2) The nurse has noted some common characteristics in patients with conductive hearing loss,which are evident when the patient:
A) Hears adequately in noisy settings.
B) Hears sounds but has difficulty understanding speech.
C) Has improved hearing with hearing aids.
D) Has a history of diabetes mellitus.
E) Speaks in a normal volume.
Q3) The nursing diagnosis that would be most appropriate for a patient having ear surgery is:
A) Disturbed body image
B) Risk for injury
C) Acute confusion
D) Ineffective protection
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Q1) A patient who has cancer of the larynx has been told that he needs a total laryngectomy.To help the patient cope with the loss of his voice,the nurse would consider:
A) Offering to have a volunteer from a local laryngectomy organization visit the patient.
B) Explaining in detail the available vocalization aids and techniques.
C) Explaining to the patient what will happen directly after the surgery.
D) Notifying the hospital chaplain of the patient's needs.
Q2) For a patient having a supraglottic laryngectomy,one major postoperative difficulty is:
A) Teaching the patient to use an assistive device to speak.
B) Coughing without letting food escape through the tracheostomy.
C) Taking care of the tracheostomy, because the patient will always have to have one.
D) Teaching the patient to swallow without aspiration.
Q3) The nurse reminds the patient,who is to have a partial laryngectomy,that the temporary tracheostomy that he will have after the original surgery will be closed within _______ days.
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Q1) The patient with low back pain confesses that he drinks heavily each night to help him sleep and control pain.This behavior would be an example of:
A) Alternate pain control methods.
B) Coping with a chronic condition.
C) Using a social coping mechanism.
D) Using a maladaptive coping method.
Q2) A 5-year-old patient who was in an accident in which his cousin was killed starts to wet the bed at night.When the mother confirms that it has been several years since the patient had any difficulty with bed wetting,the nurse asks:
A) "Do you think this is related to the accident?"
B) "Do others in the family have this problem?"
C) "Does your child drink lots of fluids late at night?"
D) "Are there any stressful situations in your family?"
Q3) The nurse explains that the difference between fear and anxiety is that fear is a(n):
A) Useless emotion
B) Ineffective coping strategy
C) Irrational feeling
D) Response to a specific threat
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Q1) When the patient who is receiving large doses of chlorpromazine (Thorazine)began to exhibit extrapyramidal signs of involuntary muscle movement,the nurse anticipates that _________ drugs will be added to the protocol.
A) Antiparkinsonian
B) Antihypertensive
C) Anticonvulsant
D) Antiemetic
Q2) While in the dayroom,one of the patients becomes very agitated and begins to threaten to harm the other patients and is directing violence at the other patients and staff.Appropriate nursing implementations include:
A) Decreasing the stimuli, and using restraints if all other measures fail.
B) Offering to call the physician, and asking another staff member to call security.
C) Removing harmful objects, and trying to perform relaxation exercises with the patient.
D) Restraining the patient, and not allowing him or her to eat or drink anything by mouth (NPO).
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Q1) An implementation that can be used to help prevent relapse in a patient who has a substance abuse problem is:
A) Self hypnosis
B) Imagery
C) Stress management
D) Blocking
Q2) The nurse explains that a test that can detect substance abuse for up to 1 year after only 2 or 3 days of use is performed on ____________________.
Q3) The nurse explains that because the drug disulfiram (Antabuse)is deemed inappropriate,the patient has been put on the most reliable substitute,____________________,which causes similar but less severe side effects in the alcoholic who continues to drink.
Q4) The nurse recommends to an alcoholic that he join Alcoholics Anonymous because this organization is:
A) Based on a 12-step approach with a strong religious base.
B) A social group of ex-drinkers who befriend one another in the process of maintaining sobriety.
C) A religious support group that assists alcoholics during rehabilitation.
D) An anonymous group of sponsors who offer help to alcoholics.
To view all questions and flashcards with answers, click on the resource link above. Page 58