Nur160 Final Exam (Answered) Complete
solution
When a patient is on Norco, what interventions can prevent constipation?
1) Increase mobility and ambulation
2) increase fruits and vegetables in the die
3) administer stool softeners as ordered
4) increase the amount of fluid intake.
When caring for a patient who had a total knee replacement 7 hours ago, which
patient
teaching will the nurse reinforce concerning pain management?
1) Instruct the patient to notify the nurse when the pain is low to moderate when
requesting pain medication
2) Encourage the patient to take analgesic medications 30-45 minutes prior to increased
Activity
3) Explain the difference between various analgesic therapies and when best to use
them
4) Encourage the patient to alternate rest and activity periods.
97. What nursing intervention should be included in the care plan of a patient in
order to
improve mobility and minimize complications of immobility?
Encourage the patient to participate in ROM exercises
2) Position the patient to maintain proper body alignment,
3) Keep skin clean, dry and protected to prevent skin breakdown
4) Encourage the patient to turn every 2 hours.
When assessing a patient with a leg cast, the following data should be a part of
the
seven P's of orthopedic and peripheral vascular assessment:
1) Pain
2) Parestesia
3) Pallor
4) Paralysis
5) Pulseness.
The LPN is reinforcing teaching to a patient with left leg injury on the use of
crutches
While at home, the following should be included in the teaching:
, advance the strong leg up first when climbing the stairs and step down with the crutches
then weak leg first
when descending the stairs.
The LPN is reinforcing teaching to a patient on how to use a walker for
ambulation, the
following are appropriate actions that the LPN will reinforce in the teaching plan:
Instruct on the use of well-fitting nonskid shoes,
Remove obstacles that obstruct pathways
Encourage alternation of activity and rest periods
When evaluating a patient's proper use of a cane for right sided weakness, the
LPN
should intervene if:
The patient holds the cane on the unaffected strong side and
The patient bears weight on both legs.
A patient who is four days postoperative following a total knee replacement and
is going
home on Coumadin therapy. The following statements by the patient indicates a
need for
further teaching
I will use a disposable razor for shaving,"
"I will make sure I include more food high in vitamin K and spinach in my diet,"
"I will take this medication in the morning with a full glass of water,"
I will need frequent PTT levels drawn."
When caring for a patient following a total hip replacement, the LPN will
implement the
following to prevent complications:
Encourage use of the incentive spirometer while Awake
2) Encourage the use of a sequential compression device
When instructing a nursing student on how to care for a NG tube, the following
will be
included in the initial teaching:
Assess bowel sounds prior to feeding
Obtain a chest X-ray following the
initial NG tube placement
Secure the NG tube by taping it to the bridge of the patient's nose
solution
When a patient is on Norco, what interventions can prevent constipation?
1) Increase mobility and ambulation
2) increase fruits and vegetables in the die
3) administer stool softeners as ordered
4) increase the amount of fluid intake.
When caring for a patient who had a total knee replacement 7 hours ago, which
patient
teaching will the nurse reinforce concerning pain management?
1) Instruct the patient to notify the nurse when the pain is low to moderate when
requesting pain medication
2) Encourage the patient to take analgesic medications 30-45 minutes prior to increased
Activity
3) Explain the difference between various analgesic therapies and when best to use
them
4) Encourage the patient to alternate rest and activity periods.
97. What nursing intervention should be included in the care plan of a patient in
order to
improve mobility and minimize complications of immobility?
Encourage the patient to participate in ROM exercises
2) Position the patient to maintain proper body alignment,
3) Keep skin clean, dry and protected to prevent skin breakdown
4) Encourage the patient to turn every 2 hours.
When assessing a patient with a leg cast, the following data should be a part of
the
seven P's of orthopedic and peripheral vascular assessment:
1) Pain
2) Parestesia
3) Pallor
4) Paralysis
5) Pulseness.
The LPN is reinforcing teaching to a patient with left leg injury on the use of
crutches
While at home, the following should be included in the teaching:
, advance the strong leg up first when climbing the stairs and step down with the crutches
then weak leg first
when descending the stairs.
The LPN is reinforcing teaching to a patient on how to use a walker for
ambulation, the
following are appropriate actions that the LPN will reinforce in the teaching plan:
Instruct on the use of well-fitting nonskid shoes,
Remove obstacles that obstruct pathways
Encourage alternation of activity and rest periods
When evaluating a patient's proper use of a cane for right sided weakness, the
LPN
should intervene if:
The patient holds the cane on the unaffected strong side and
The patient bears weight on both legs.
A patient who is four days postoperative following a total knee replacement and
is going
home on Coumadin therapy. The following statements by the patient indicates a
need for
further teaching
I will use a disposable razor for shaving,"
"I will make sure I include more food high in vitamin K and spinach in my diet,"
"I will take this medication in the morning with a full glass of water,"
I will need frequent PTT levels drawn."
When caring for a patient following a total hip replacement, the LPN will
implement the
following to prevent complications:
Encourage use of the incentive spirometer while Awake
2) Encourage the use of a sequential compression device
When instructing a nursing student on how to care for a NG tube, the following
will be
included in the initial teaching:
Assess bowel sounds prior to feeding
Obtain a chest X-ray following the
initial NG tube placement
Secure the NG tube by taping it to the bridge of the patient's nose
