- A female client has been immobile for 2 months prior to spinal
fusion surgery. After the procedure, the client wants to get out of
bed and walk even though the surgeon prescribes bedrest for 2
days.
- What can you do or teach the client to reduce the hazards of
immobility? Correct Answers Exercises to do that fits their
needs, how to prevent a fall, health risks that can develop with
immobility
- A female client has been immobile for 2 months prior to spinal
fusion surgery. After the procedure, the client wants to get out of
bed and walk even though the surgeon prescribes bedrest for 2
days.
- What should you assess prior to assisting this client out of bed?
Correct Answers Assess their pain, their motor sensory
functions (neurological status), strength, oxygenation
- A female client has been immobile for 2 months prior to spinal
fusion surgery. After the procedure, the client wants to get out of
bed and walk even though the surgeon prescribes bedrest for 2
days.
- What type of exercises should the client perform before
ambulating Correct Answers Core strength, passive/active range
of motion
4 common issues in malpractice caused by inadequate
documentation are: Correct Answers - not charting the correct
time when events occurred
- failing to record verbal orders or failing to have them signed
,- charting actions in advance to save time
- documenting incorrect data
A client who is taking the drug atenolol (Tenormin) may not
exhibit the expected rise in blood pressure and pulse during the
alarm stage of the general adaptation syndrome. Correct
Answers A
A Diagnostic Statement must include Correct Answers P.E.S
A major issue for seniors with a terminal disease Correct
Answers Whether their lives still have value and how much of a
burden they are to others because they can feel as if they are
depended on others for care
A nurse suspects an incisional wound infection and has
prescribed antibiotic therapy for the nurse to initiate after
collecting wound and blood specimens for culture and
sensitivity. Which of the following findings should the nurse
expect? (SELECT ALL THAT APPLY)
a. increase in incisional pain
b. fever and chills
c. reddened wound edges
d. increase in seosanguineous drainage
e. decrease in thirst Correct Answers a, b, c, d
A post op appendectomy patient suddenly complains of pulling
and feeling as though something came apart. The nurse would
suspect the patient has experienced which complication
a. evisceration
b. wound infection
,c. embolism
d. dehiscence Correct Answers d
A postoperative patient arrives at an ambulatory care center and
states, "I am not feeling good." Upon assessment, you note an
elevated temperature. An indication that the wound is infected
would be
A. It has no odor.
B. A culture is negative.
C. The edges reveal the presence of fluid.
D. It shows purulent drainage coming from the incision site.
Correct Answers D
A young woman's fiancé died in a car accident one month prior
to their wedding day. Since his death, she has become sexually
promiscuous. What type of grief, if any, is the woman
displaying? Correct Answers Masked Grief
Abbreviated grief Correct Answers you come to terms with it
and you're okay with it (easily)
Ability to communicate Correct Answers Aphasia, language
barriers, inability to read
- you need to speak to a client in ways that they will understand
Acceptance stage Correct Answers People are fully aware death
is coming and might start to pull back from people
- in this stage individuals make peace with death and may want
to be left alone
- they might often become unemotional and uncommunicative
, Accepting the reality fo the loss Correct Answers Confusion,
unreality, and disbelief
Acculturation Correct Answers new members of a group or
country assume the characteristics of that culture through a
learning process
Accurate assessment of the physiological signs of approaching
death Correct Answers Assist family to prepare (you want to
inform families on what's going to happen)
Loss of muscle tone
Slowing of the circulation
Changes in respirations
Sensory impairment
Action of a goal statement Correct Answers use an action verb
to indicate the action the client will perform: What the client
will learn, do, or say
Actual Diagnosis Correct Answers If the patient has enough
defining characteristics to identify the specific nursing
diagnosis. The next step is to determine the etiology, and then
intervene to treat and/or relieve symptoms
Actual Loss Correct Answers Recognized by others - losing a
family member
Acute Hyponatremia Correct Answers start treatment quickly to
prevent cerebral edema and neurological decline
- serum sodium levels < 120 and develops in less than 48 hours