WITH COMPLETE SOLUTIONS VERIFIED GRADED A++
Which patient is at risk of developing pressure injuries? Select all that apply.
a) A patient with urinary incontinence
b) A patient who had hip replacement surgery
c) A patient who walks with the help of an assistant
d) A patient who is on a normal diet after an abdominal surgery
e) An older-adult patient who has had cardiac surgery but performing
normal physical activity
a) A patient with urinary incontinence
b) A patient who had hip replacement surgery
c) A patient who walks with the help of an assistant
The nurse is learning about the standards of nursing practice. Which activity is
part of the practice of implementation? Select all that apply. One, some, or all
responses may be correct.
Developing strategies for patient care
Educating patients for health awareness
Analyzing assessment data for diagnosis
Using therapeutic procedures for patient care
Coordinating patient care
,Educating patients for health awareness
Using therapeutic procedures for patient care
Coordinating patient care
Which information would the nurse share with the patient about the normal
mechanism of respiration? One, some, or all responses may be correct.
Ventilation is the process of oxygenated blood flowing in the body.
Normal breathing is quiet and accomplished with minimal effort.
Normal breathing requires all of the chest muscles
The diaphragm is the major inspiratory muscle of respiration.
Ventilation is the process of air moving in and out of the lungs
Normal breathing is quiet and accomplished with minimal effort.
Ventilation is the process of air moving in and out of the lungs
The diaphragm is the major inspiratory muscle of respiration.
Which lesion is the result of a mosquito bite?
Pustule
Wheal
Macule
Papule
Wheal
Which assessment information is obtained when the nurse palpates a patient's
skin?
,Turgor
Texture
Moisture
Thickness
Distention
Turgor
Texture
Moisture
Thickness
When the nurse shines a penlight into the patient's right eye, the left pupil
constricts but no constriction of the right pupil occurs; when a distant object is
brought closer to the patient, the left eye converges and its pupil constricts, but
the right eye fails to constrict? Which finding would the nurse document? Select
all that apply.
Consensual light reflex of the left eye is positive.
Direct light reflex of the right eye is negative.
Direct light reflex of the right eye is positive.
Accommodation is present in the right eye.
Accommodation is present in the left eye.
, Consensual light reflex of the left eye is positive.
Direct light reflex of the right eye is negative.
Accommodation is present in the left eye.
Which symptom would the nurse find in a patient whose arterial oxygen (PaO2) is
50 mm Hg and arterial oxygen saturation (SpO2) is 76% during early stages of
hypoxia? Select all that apply.
Tachypnea
Cough
Fever
Cyanosis
Tachycardia
Tachypnea
Cyanosis
Tachycardia
Which statement is true regarding nonblanchable erythema?
It occurs because of tissue hypoxia
It is an early indication of pressure
It indicates potential damage to blood vessels
It turns white under the application of pressure
It indicates potential damage to blood vessels