NUR453 Exam 3 Questions With Complete Solutions
A patient with a herniated lumbar disc may require what type of
traction? Correct Answers Apply pelvic traction as prescribed
to relieve muscle spasms
A patient with an amputation may need what kind of additional
support? Correct Answers Provide psychosocial support to the
client
A rotator cuff tear is usually a result of what? Correct Answers
Trauma
A spontaneous pneumothorax is due to what? Correct Answers
Bleb rupture
A sprain is an injury to what? Correct Answers Trauma to a
joint
A strain is an injury to what? Correct Answers Trauma to
muscle or tendon
Acalculous cholecystitis occurs when? Correct Answers occurs
in the absence of gallstones and is due to bacterial invasion via
the lymphatic or vascular system
Acute inflammation of the gallbladder is associated with what?
Correct Answers Acute inflammation is associated with
gallstones (cholelithiasis)
,After a Endoscopic Retrograde Cholangiopancreatography
(ERCP), what do we nee to monitor for? Correct Answers -
Monitor for return gag reflex
-Monitor for S & S of perforation or infection
After a Fiberoptic Colonoscopy what is the #1 thing we are
monitoring for? Correct Answers Monitor for S & S of
perforation
After a liver bioppsy, what should the activity level be for the
patient? Correct Answers Maintain bed rest for several hours
After a liver biopsy is performed, what position should we
placed the patient in? Correct Answers Place client on the right
side with a pillow under the costal margin and instruct to avoid
coughing and straining
After a paracentesis, what do we want to record? Correct
Answers Measure fluid collected, described, and record
After a patient has a total knee replacement, what type of pain
management would you anticipate for them? Correct Answers
Patient controlled analgesia (PCA)
After a Unilateral or radical orchiectomy, what teaching do we
need to provide? Correct Answers -Instruct client to perform
monthly testicular self-examination on remaining testicle
-Suture removal 7-10 days
-Avoid: Heavy lifting as prescribed
-Monitor for signs of wound infection, bleeding
-Antibiotics as prescribed
,After an Arthrocentesis, what do we want to educate the client
on? Correct Answers -Want them to rest initially, then after
48hrs we can them to do ROM exercises
-Ice and elevate
-Compress/put an ace bandage
After an Upper Gastrointestinal Endoscopy, when can a patient
take food/meds orally? Correct Answers NPO until gag reflex
returns (1 to 2 hours)
After hemorrhoid surgery, what position should the patient be
placed in? Correct Answers Assist the client to a prone or side-
lying position to prevent bleeding
After surgery for a hip replacement, what is necessary for these
patients? Correct Answers The patients need VTE prophylaxis
after the surgery
After surgery for prostate cancer, patients may have what?
Correct Answers CBI monitoring and 3-way Foley (30-45ml
balloon)
An example of Estrogen-dependent tumors medication is:
Correct Answers Tamoxifen
An increase in what lab values indicate pancreatitis? Correct
Answers Increase values for amylase or lipase indicates
pancreatitis
, Anytime a patient has a total hip replacement, what is required
during the surgery? Correct Answers Blood
Appearance of what on the XRAY indicates ARDS? Correct
Answers Ground-glass or white out/diffuse haziness on CXR
-Will not have pulmonary infiltrates right away, they develop
after a few days
Assessment for cervical cancer includes: Correct Answers -
Bleeding
-Discharge
-Pain
-Anorexia and wt. loss
-Urine: Dysuria, hematuria
-Pap smear: Cytological changes
Assessment for Hodgkin's Lymphoma includes: Correct
Answers -Fever and night sweat
-Malaise and Fatigue
-Decreased Appetite and wt. loss
-Anemia and Thrombocytopenia
-Enlarged: Lymph, spleen, liver
-Positive results: Biopsy of lymph, Reed-Sternberg cells,
CT(liver and spleen)
Assessment of appendicitis includes: Correct Answers -Pain in
periumbilical area that descends to the RLQ
-Pain is more intense at McBurney's point
-Referred pain indicating peritoneal irritation
-Rebound tenderness
-Elevated WBC
A patient with a herniated lumbar disc may require what type of
traction? Correct Answers Apply pelvic traction as prescribed
to relieve muscle spasms
A patient with an amputation may need what kind of additional
support? Correct Answers Provide psychosocial support to the
client
A rotator cuff tear is usually a result of what? Correct Answers
Trauma
A spontaneous pneumothorax is due to what? Correct Answers
Bleb rupture
A sprain is an injury to what? Correct Answers Trauma to a
joint
A strain is an injury to what? Correct Answers Trauma to
muscle or tendon
Acalculous cholecystitis occurs when? Correct Answers occurs
in the absence of gallstones and is due to bacterial invasion via
the lymphatic or vascular system
Acute inflammation of the gallbladder is associated with what?
Correct Answers Acute inflammation is associated with
gallstones (cholelithiasis)
,After a Endoscopic Retrograde Cholangiopancreatography
(ERCP), what do we nee to monitor for? Correct Answers -
Monitor for return gag reflex
-Monitor for S & S of perforation or infection
After a Fiberoptic Colonoscopy what is the #1 thing we are
monitoring for? Correct Answers Monitor for S & S of
perforation
After a liver bioppsy, what should the activity level be for the
patient? Correct Answers Maintain bed rest for several hours
After a liver biopsy is performed, what position should we
placed the patient in? Correct Answers Place client on the right
side with a pillow under the costal margin and instruct to avoid
coughing and straining
After a paracentesis, what do we want to record? Correct
Answers Measure fluid collected, described, and record
After a patient has a total knee replacement, what type of pain
management would you anticipate for them? Correct Answers
Patient controlled analgesia (PCA)
After a Unilateral or radical orchiectomy, what teaching do we
need to provide? Correct Answers -Instruct client to perform
monthly testicular self-examination on remaining testicle
-Suture removal 7-10 days
-Avoid: Heavy lifting as prescribed
-Monitor for signs of wound infection, bleeding
-Antibiotics as prescribed
,After an Arthrocentesis, what do we want to educate the client
on? Correct Answers -Want them to rest initially, then after
48hrs we can them to do ROM exercises
-Ice and elevate
-Compress/put an ace bandage
After an Upper Gastrointestinal Endoscopy, when can a patient
take food/meds orally? Correct Answers NPO until gag reflex
returns (1 to 2 hours)
After hemorrhoid surgery, what position should the patient be
placed in? Correct Answers Assist the client to a prone or side-
lying position to prevent bleeding
After surgery for a hip replacement, what is necessary for these
patients? Correct Answers The patients need VTE prophylaxis
after the surgery
After surgery for prostate cancer, patients may have what?
Correct Answers CBI monitoring and 3-way Foley (30-45ml
balloon)
An example of Estrogen-dependent tumors medication is:
Correct Answers Tamoxifen
An increase in what lab values indicate pancreatitis? Correct
Answers Increase values for amylase or lipase indicates
pancreatitis
, Anytime a patient has a total hip replacement, what is required
during the surgery? Correct Answers Blood
Appearance of what on the XRAY indicates ARDS? Correct
Answers Ground-glass or white out/diffuse haziness on CXR
-Will not have pulmonary infiltrates right away, they develop
after a few days
Assessment for cervical cancer includes: Correct Answers -
Bleeding
-Discharge
-Pain
-Anorexia and wt. loss
-Urine: Dysuria, hematuria
-Pap smear: Cytological changes
Assessment for Hodgkin's Lymphoma includes: Correct
Answers -Fever and night sweat
-Malaise and Fatigue
-Decreased Appetite and wt. loss
-Anemia and Thrombocytopenia
-Enlarged: Lymph, spleen, liver
-Positive results: Biopsy of lymph, Reed-Sternberg cells,
CT(liver and spleen)
Assessment of appendicitis includes: Correct Answers -Pain in
periumbilical area that descends to the RLQ
-Pain is more intense at McBurney's point
-Referred pain indicating peritoneal irritation
-Rebound tenderness
-Elevated WBC
