PN 1006 FINAL EXAM WITH
QUESTIONS AND CORRECT ANSWERS
reposition the patient at least eveey 2 hours - correct answer-The nurse is
caring for a patient with a small chronic pressure ulcer on the ankle what
can be assigned to the health care assistant
an elderly patient with mobility issues - correct answer-which of the
following patients would be at most risk to develop a pressure ulcer?
an elderly patient with mobility issues , a diabetic patient with properly
controlled blood sugars, a patient receiving physiotherapy following knee
replacement, middle aged woman with lupus who is having back surgery
but is ambulatory
full thickness skin loss from the surface down to the fascia - correct
answer-what assessment data would a nurse see to support the ID of a
stage 3 pressure ulcer
malnourished homeless patient with nasogastric tube who is bedridden -
correct answer-The nurse is caring for four patients at risk for impaired skin
integrity which patient need most frequent assessment and possible
intervention?
a malnourished, homeless patient with nasogastric tube who is bed ridden,
a college football player with bilateral long leg casts after motorcycle
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accident, an elderly female ambulating after hip replacement surgery, a
school age child recovering from a tonsillectomy and adenoidectomy
place a piece of different coloured tape on each pill bottle to differentiate
the medication - correct answer-an older adult who lives alone takes three
different white flat unscored medication every day. He has trouble
remembering if he has taken the correct pill at the correct time. What
Strategy would be best help this patient maintain independence and safety
in taking his medications?
place a piece of different colored tape on each pill bottle to differentiate the
medication, take th medications out of the bottles and place them in a pill
holder, have a neighbor give the patient his pills once a day , ask the
patient how he wants to identify the medications
8 am, 2pm, 8pm, and 2am - correct answer-which schedule would the
nurse select to achieve a therapeutic level if the medication if the
medication is prescribed for administration 4 times a day?
8am, 10 am , 2pm, 8pm; 10am,2pm, 6pm, 8pm;10 am,noon, 4pm, 6pm;
8am 2pm 8pm and 2am
clarify the order with the physician who wrote it. - correct answer-the nurse
is having difficulty reading a medication order what action should they take
clarify the administration frequency whether the medication should be PRN
or standing - correct answer-a prescription reads " aspirin 325 mg 2 tablets
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orally for pain " what action should the nurse take when the patient has
pain ?
record the time administered and the nurses name immediately after
administration - correct answer-The nurse needs to document a PRN
medication that has just been administered what technique does the nurse
use
informing the nurse of the BM - correct answer-The nurse needs to
administer a rectal suppository to a patient to treat constipation which
action may the nurse assign to the health care assistant ?
confirming the medication on the medication administration record,
notifying the patients physician of the suppository results, documenting the
admin of a suppository after insertion, informing the nurse of the BM
the allergy history - correct answer-the nurse prepares a medication for a
patient 1 hour after admission. What information about the patient is the
nurses priority assessment before the initial administration of medication?
the diet history, any drug tolerance, any allergy history , the surgical history
establish the patients ability to participate and cooperate - correct answer-
The nurse teaches the patient progressive self relaxation techniques.
Which should the nurse implement first?
direct the patient to envision sailing on a sailboat, instruct the patient to
increase respiratory rate and depth, establish the patients ability to