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The patient states, "Heart disease runs in the family. My blood pressure has been high". This is an
example of the patient's
a. Risk factors
b. Active strategy
c. Health beliefs
d. Health behaviors - ✔✔Risk Factors
When defining illness, a nurse should remember that illness is:
a. A change in the patient's wellness
b. A pathological change in the structure or function of the body or mind
c. An inherited genetic defect
d. A change in the patient's level of function compared to a previous level - ✔✔a change in the patient's
level of function compared to a previous level
Which of the following nursing intervention is an example of tertiary level of preventative care?
a. Teaching a patient how to irrigate a new wound.
b. Providing a class on hygiene for an elementary school class
c. Arranging for a hospice nurse to visit with the family of a patient with cancer
d. Informing a patient that immunizations for her infant are available through the health department -
✔✔arranging for a hospice nurse to visit with the family of the patient with cancer
Which of the following could contribute to a nosocomial infection?
a. washing hands before applying a dressing
b. taping a plastic bag to the bed rail for tissue disposal
c. placing contaminated bed linens and other items on the floor
,d. using a cleansing agent to cleanse the skin before starting an IV line - ✔✔Placing contaminated bed
linens and other items on the floor
which of the following patients is more susceptible to infection?
a. A 29 year old new mother
b. A 79 year old patient with a hip fracture
c. A 49 year old patient with pneumonia
d. An 18 year old with a repair of a torn knee ligament - ✔✔a 79 year old with a hip fracture
a patient with active tuberculosis (TB) requires implementation of which of the following guidelines?
a. Airborne precautions
b. Basic precautions
c. Droplet precautions
d. Contact precautions - ✔✔airborne precautions
the patient states that he "felt hot". his temperature is 101.3 Fahrenheit, pulse is 88, and blood pressure
is 130 over 90. which piece of data is subjected?
a. Pulse 88
b. Blood pressure 130/90
c. Temperature 101.3°F
d. "felt hot" - ✔✔"felt hot"
nursing diagnosis are used because
a. They assist the nurse to distinguish between medical and nursing problems.
b. They provide nursing education is required for accreditation purposes
c. They identify how a patient responds to actual or potential health problems
d. They identify the definition of nursing - ✔✔they identify how a patient responds to actual or potential
health problems
, which of the following patient needs should take priority when planning care?
a. Difficulty breathing
b. A weight loss of 15 pounds
c. A temperature of 102°F
d. A wound that appears reddened and is draining pus - ✔✔difficulty breathing
which of the following is the best example of a nursing intervention?
a. Turn the patient
b. Monitor vital signs
c. Refer the patient to a dietician
d. Change the abdominal dressing using sterile gauze two times a day - ✔✔change the abdominal
dressing using sterile gauze two times a day
a critical care nurse explains the plan of care with the patient's spouse. then there is silence. the nurse
uses silence as a communication technique to
a. Give the spouse a chance to relax
b. Allow the spouse time for himself
c. Build up emotional tension
d. Allow the spouse time to reorganize his thoughts - ✔✔allow the spouse time to reorganize his
thoughts
communication is used throughout the nursing process. in the evaluation phase, the nurse
a. Delegates activities to other staff members
b. Acquires verbal and nonverbal feedback
c. Validates the patient's health needs
d. Documents the expected outcome - ✔✔acquires verbal and nonverbal feedback
when planning nursing care for a patient with a different cultural background, the nurse should
a. Identify how cultural variables affect the health problem
b. Try to explain how the patient can adapt to hospital routines