Solutions Passed!!!
How many checks are conducted before administering the medication to
the patient? - Ans--3
The nurse is bathing an 80 year old man and notices that his skin is wrinkled,
thin, lax and dry. This finding would be related to: - Ans--An increased loss
of elastin and a decrease in subcutaneous fat in the elderly
Which steps are involved in a primary survey to assess a patient? - Ans--
ABCDE Approach
Of the variety of levels of critical thinking, an example of critical thinking at
the complex level is: - Ans--Discussing alternative pain management
After visiting a patient, the nurse documents the assessment data. Both
objective and subjective information have been obtained during the
assessment. Which of the following is classified as objective? - Ans--
Elevated blood pressure
According to research, which one of the following scenarios has been
demonstrated as the primary reason nurses make medication errors? -
Ans--Events that distract the nurse during the administration process
Which of the following statements made by a nursing student concerning
the use of critical thinking and patient care requires follow up by the clinical
nurse facilitator? - Ans--I trust my feelings about a patients needs, since I
work hard at knowing my patient.
The four techniques of physical health assessment are usually conducted
in which order? - Ans--Inspection, Palpation, Percussion, Auscultation
When performing a general survey, the examiner is: - Ans--Observing the
patients body stature and general health condition
,Assessment of the integumentary system involves which of the following
techniques? - Ans--Inspection and palpation
Which of the following statements is true regarding the stethoscope and its
use? - Ans--The stethoscope does not magnify sound but does block out
extraneous room noise
One important element of clinical reasoning required to check for consistent
and accurate physical assessment findings is known as: - Ans--Validating
The nurse should return within how many minutes to evaluate the patients
response to the medications? - Ans--30
A 65 year old man with emphysema and bronchitis has come to the clinic for
a follow up appointment. On assessment of his skin, the nurse might expect
to find the following - Ans--Clubbing of the nails
An order is written for 80 mg of a medication in elixir form. The medication is
available in 16 mg/mL strength. The nurse prepares to administer - Ans--
5mL
The modification of the action of a medication by another medication is
known as an - Ans--InterACTION
An order is prescribed for a patient to receive 75 mg of a medication,
intramuscularly. The medication is only available in ampules containing 100
mg per 2 mls. How much does the nurse draw up? - Ans--1.5mL
Jaundice refers to a yellow colour that is related to liver disease and is
usually initially noticed in what part of the patients body? - Ans--Sclera
When examining an infant, the nurse should examine which area first? -
Ans--Abdomen
The nurse notes that a patient's skin is reddened, with a small abrasion and
serous fluid present. The nurse should classify this stage of pressure injury
formation as: - Ans--Stage 2
, Initial first aid management of a patient with a small burn commences with: -
Ans--Running cool water over the injury for 20 minutes
Which of the following nursing documentation best reflects observable
assessment of skin breakdown on heel of Australian Aboriginal patient? -
Ans--2cm area purplish blue in colour surrounded by lighter coloured skin
located on right heel.
The nurse knows that drains optimise healing of wounds by:
a) Keeping wound layers closed
b) decreasing infection rates
c) preventing formation of haematomas
d) AOTA - Ans--AOTA
A nurse is concerned that a patients abdominal wound is at risk of
dehiscence. What is the nurses initial concern? - Ans--Separation of the
wound edges
A partial thickness wound involves which layers of the skin? - Ans--The
epidermis and dermis
On inspection of a patients wound, the nurse notes that it has a large
amount of exudate. An appropriate dressing for nurse to select based on
wound assessment is: - Ans--Foam
Whcih of the following statements is correct? The tensile strength of scare
tissue is never more than:
a) 10% of original non scarred tissue
b) 30% of original non scarred tissue
c) 50% of original non scarred tissue
d) 80% of original non scarred tissue - Ans--80% of original non scarred
tissue
When turning a patient, the nurse notices a reddened area on the
cocyx(below sacrum). What skin care interventions should nurse use on
this area? - Ans--Clean the area with emollient soap alternative, dry the
area, and apply a protective moisturiser