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Terms in this set (72)
A patient discharged a week ago Answer: C
following a stroke is currently * Tertiary prevention minimizes the effects of
participating in rehabilitation disease or disability through restoration and
sessions provided by nurses, rehabilitation
physical therapists, and registered
dietitians in an outpatient setting. In
what level of prevention is the
patient participating?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Transtheoretical prevention
,A nurse is conducting a home visit Answer: a
with a new mom and her three * Physiological needs include air, food, drink,
children. While in the home the nurse shelter, warthm, sex, sleep
weighs each family member and
reviews their 3-day food diary. She
checks the mom's blood pressure
and encourages the mom to take the
children for a 15- to 30-minute walk
every day. The nurse is addressing
which level of need, according to
Maslow?
a. Physiological
b. Safety and security
c. Love and belonging
d. Self-actualization
The licensed practical nurse (LPN) Answer: a
provides you with the change-of- * Respirations above normal (12-20 bpm)
shift vital signs on four of your * SpO2 percentage is below normal (>/= 95%)
patients. Which patient does the
nurse need to assess first?
a. 84-year-old man recently
admitted with pneumonia, RR 28,
SpO2 89%
b. 54-year-old woman admitted after
surgery for repair of a fractured arm,
BP 160/86 mm Hg, HR 72
c. 63-year-old man with venous
ulcers from diabetes, temperature
37.3° C (99.1° F), HR 84
d. 77-year-old woman with left
mastectomy 2 days ago, RR 22, BP
148/62
,Which type of personal protective Answer: a, b, & e
equipment should the nurse wear * Airborne - measles, chickenpox, disse inated
when caring for a patient who is varicella zoster (shingles), pulmonary TB
placed on Airborne Precautions for * Droplet - rubella, mumps, strep throat, meningitis
confirmed chickenpox/herpes * Contact - MRSA, c. diff, herpes simplex, scabies,
zoster? (Select all that apply)
a. Disposable gown
b. N95 respirator mask
c. Face shield or goggles
d. Disposable mask
e. Gloves
A patient is diagnosed with Answer: b
meningitis. Which type of isolation
precaution is most appropriate for
this patient?
a. Reverse isolation
b. Droplet Precautions
c. Standard Precautions
d. Contact Precautions
Before transferring a patient from the Answer: a, b, & c
bed to a stretcher, which assessment
data does the nurse need to gather?
(Select all that apply)
a. Patient's weight
b. Patient's activity tolerance
c. Patient's level of mobility
d. Recent laboratory values
e. Nutritional intake
, A nurse is instructing a patient who Answer: c
has decreased leg strength on the
left side on how to use a cane. Which
actions indicate proper cane use by
the patient?
a. The patient keeps the cane on the
left side of the body.
b. The patient slightly leans to one
side while walking.
c. The patient keeps two points of
support on the floor at all times.
d. After the patient places the cane
forward, he or she then moves the
right leg forward to the cane.
A patient has been on bed rest for Answer: a
over 5 days. Which of these findings
during the nurse's assessment may
indicate a complication of
immobility?
a. Decreased peristalsis
b. Decreased heart rate
c. Increased blood pressure
d. Increased urinary output