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A nurse is caring for a patient with a wound. Which assessment data will be most
important for the nurse to gather with regard to wound healing?
A- Muscular strength
B- Hemoglobin/Hematocrit
C- Sensation
D- Sleep
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B- Hemoglobin/Hematocrit
A patient with what type of disease should be placed in airborne precautions?
a. Herpes Zoster
b. MRSA
c Tuberculosis
d. Pneumonia
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c Tuberculosis
The normal range for blood pressure is
a. systolic 80-110/ diastolic 70-90
b. systolic 90-140/diastolic 60-90
c. systolic 90-120/diastolic 60-80
d. systolic 80-130/diastolic 50-80
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c. systolic 90-120/diastolic 60-80
Deflating cuff too quickly
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falsely low systolic and high diastolic readings
The visiting nurse completes an assessment of the ambulatory patient in the home and
determines the nursing diagnosis Risk for injury associated with decreased vision. On
the basis of this assessment, the patient will benefit the most from
A- Installing fluorescent lighting throughout the home
B- Becoming oriented to the position of the furniture and stairways
C- Maintaining complete bed rest in a hospital bed w/ side rails
D- Applying physical restraints
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, B- Becoming oriented to the position of the furniture and stairways
A patient has a 6-inch laceration on his right forearm. An infection develops at the site.
Which of the following is a sign of a local inflammatory response observed by the
nurse?
A- Blanching of the skin
B- Edema at the site
C- Decrease in temperature
D- Bruising at the site
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B- Edema at the site
Blood pressure cuff (bladder cuff) too wide
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falsely low
The nurse is caring for a patient on contact precautions. Which action will be most
appropriate to prevent the spread of disease?
A- Place the patient in a room w/negative airflow B- Wear a gown, gloves, face mask,
and goggles for interactions w/ the patient
C- Transport the patient safely and quickly when going to the radiology department
D- Use a dedicated BP cuff that stays in the room and is used for that patient only
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