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Hurst Review Practice Questions with accurate detailed answers

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Hurst Review Practice Questions with accurate detailed answers

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Voorbeeld van de inhoud

2



Hurst Review Practice Questions with accurate detailed answers
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How does the nurse identify the correct size of crutches for a client?
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1. Turn the crutches upside down and measure from the heel to the shoulder.
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2. Obtain a set of crutches and adjust the height until the client can stand comfortably while
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resting the axilla on the crutch pad.
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3. Measure the client while standing upright from the axilla to the heel then adjust the
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crutches so that the elbow flexion is a 30-degree angle.
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4. Measure the client from 2 inches below the axilla to 6 inches lateral to the client's heel. -
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✔✔4



The nurse is caring for a client in the 8th week of pregnancy. The client is spotting, has a
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rigid abdomen and is on bedrest. What is the most important assessment at this time?
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1. Protein in the urine
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2. Fetal heart tones
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3. Cervical dilation
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4. Hemoglobin and hematocrit levels - ✔✔4
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The client may be bleeding, and that is an emergency! Common causes of hemorrhage
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during the first half of pregnancy include abortion and ectopic pregnancy. Ectopic
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pregnancy is a significant cause of maternal death from hemorrhage and the classic signs of
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ectopic pregnancy include positive pregnancy test, abdominal pain and vaginal "spotting".
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Remember that in the ruptured ectopic pregnancy, bleeding may be concealed and severe
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pain could be the only symptom.
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The nurse is discussing television, video games, and internet usage with a group of parents
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who have 8 to 10 year old children. What should the nurse include?
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1. Keep TVs, iPads, and other screens out of kids' bedrooms.
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2. Turn off all screens during meals.
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3. Allow screen time only after chores and homework are complete.
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4. Have a screen free day once a week.
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5. Limit screen time to 2 hours daily.
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6. Use screen time as a reward for good behavior. - ✔✔1 2 3 4 5
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Correct: It is wise to keep TV, internet and other digital media out of children's rooms.
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When these devices are in children's bedrooms, it's much more difficult to monitor what's
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going on. Turn off digital devices during meals. This allows parents to be involved in the
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lives of their children. Those intimate life details are required for successful parenting. So,
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parents should observe, listen, ask, and parent. Declare a "screen free day" once a week
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where nobody watches TV, uses the computer or plays video games. This allows for more
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family activities like bike rides and hikes. The American Academy of Pediatrics suggests
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limiting entertainment screen time -- including TV, video games and computer use -- to two
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hours a day for kids ages 6 - 10 years of age.
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Incorrect: Screen time should not be used as a reward. Parents should set guidelines on
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when the child can have screen time; for example, after homework or when chores are
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complete.



The community health nurse is presenting information about birth control measures to a
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group of young females. The nurse explains that an intrauterine device (IUD) is most
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appropriate for what individuals? || || ||




1. A mother of a toddler who wants another child in three years.
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2. The client with a recent exacerbation of sickle cell anemia.
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3. A client with stage II breast cancer who has finished chemotherapy.
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4. An adolescent who has recently become sexually active.
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5. The client with a double mastectomy seven years ago. - ✔✔1 & 5. CORRECT: An IUD is a
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surgically placed method of birth control in which a small, t-shaped piece of plastic, or even
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copper, is inserted into the uterus to decrease the chance of pregnancy. The client must be
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very healthy, emotionally amenable to a foreign body to prevent pregnancy, and aware that
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an IUD is not 100% fail-proof. The mother of a toddler who would like to have another child
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in a few years is an excellent candidate for the use of an IUD. Also, a client who had a
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double mastectomy over seven years ago is a good candidate, since treatment that long ago
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means the client would no longer be receiving any type of immunosuppressant therapy.
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2. INCORRECT: A client who has had a recent exacerbation of sickle cell anemia is at high
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risk for several complications, including infection and clots. This is a foreign body in an
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already compromised client, leading to many potential complications.
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3. INCORRECT: The client being actively treated for cancer is also immunosuppressed and
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would not be a good choice for an IUD. The risk of infection is much too high.
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4. INCORRECT: An adolescent who has recently become sexually active presents a
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challenge. Remember that an adolescent does not have regular menstrual cycles yet, and
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can experience intermittent bleeding. Many primary healthcare providers argue that the use
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of an IUD may be safer since the client would not have to remember a pill, a ring, or a
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patch. But an even greater concern is the fact that an IUD is NOT 100% effective, still
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presenting the risk of an unwanted pregnancy. Also, an IUD does not protect against
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sexually transmitted disease (STDs), which is often a concern in those who have become
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sexually active. ||




A client admitted to the hospital following a fall has a history of Alzheimer's disease with
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apraxia. The nurse knows the client will need priority assistance with what activity?
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1. Ambulating to the bathroom.
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2. Understanding instructions.
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3. Using utensils at mealtime.
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4. Identifying objects in room. - ✔✔3. Correct: Apraxia is a motor disorder of voluntary
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movements in which the individual can no longer execute purposeful activity, even though
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there is adequate mobility, strength, and coordination. This loss of ability to carry out
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previously learned movements could occur secondary to brain injury or a disease process
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