Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen
./What do you assess for when checking pulse. - ANSWER--rate
-rhythm
-strength
-equality
-elasticity
-apical hr vs. peripheral hr
.A 60-year-old female patient sustained a femur fracture due to a fall in the bathroom. The patient
complains of severe pain and expresses that she did not expect a fracture as the fall was not very
severe. The nurse tells the patient that fracture is common for people her age. Which condition
should the nurse cite as the most common cause of fracture in postmenopausal patients?
Osteosarcoma
Osteoclastoma
Osteomyelitis
Osteoporosis - ANSWER-osteoporosis
.A 60-year-old female patient sustained a femur fracture due to a fall in the bathroom. The patient
complains of severe pain. Which mineral supplement is likely to be added to the patient's prescription
to manage osteoporosis?
Zinc
Calcium
Sodium
Iron - ANSWER-calcium
,.A clinical nurse specialist compares current dressing change protocols with a new evidence-based
protocols. Which career role is she exemplifying?
Nurse Midwife
Nurse Researcher
Nurse Educator
Nurse Administrator - ANSWER-nurse researcher
.A group of nursing personnel plan to take an unstable and weak patient out of a tub. Which
equipment is beneficial in this situation?
1.Lift equipment
2.Linen bag
3.Nail clippers
4.Disposable bath mat - ANSWER-lift equipment
.A nurse provides bath care using chlorhexidine gluconate (CHG) wipes. Which statement about the
use of these wipes requires correction?
1.Chlorhexidine gluconate wipes decrease the time for bathing.
2.Chlorhexidine gluconate wipes are contraindicated in bariatric patients.
3. Chlorhexidine gluconate wipes are indicated for providing bathing care for older adult patients.
4. Chlorhexidine gluconate wipes are found to reduce the incidence of hospital-acquired infections. -
ANSWER-chlorhexidine gluconate wipes are contraindicated for providing bathing care for older adult
patients
.A patient had a left-sided cerebrovascular accident (CVA) 3 days ago and is receiving 5000 units of
heparin subcutaneously every 12 hours to prevent thrombophlebitis. The patient is receiving enteral
feedings through a small-bore nasogastric (NG) tube because of dysphagia. Which symptom requires
the nurse to call the healthcare provider immediately?
Pale yellow urine
,Unilateral neglect
Slight movement noted on the right side
Coffee ground-like aspirate from the feeding tube - ANSWER-coffee ground like aspirate from the
feeding tube
.A patient has her call bell on and looks frightened when the nurse enters the room. The patient has
been on bed rest for 3 days following a fractured femur. She says, "It hurts when I try to breathe, and I
can't catch my breath." What should the nurse do first?
Call the healthcare provider to report this change in condition.
Give the patient a paper bag to breathe into to decrease anxiety.
Assess vital signs, perform a respiratory assessment, and be prepared to start oxygen.
Explain that this is normal after such trauma and administer the ordered pain medication. - ANSWER-
Assess vital signs, perform a respiratory assessment, and be prepared to start oxygen.
.A patient is diagnosed with meningitis. The nurse performs an assessment of the gag reflex and the
corneal reflex, and conducts Rinne's and Weber's tests. Which test helps determine whether the
patient is at risk for aspiration?
1. gag reflex
2. corneal reflex
3. Rinnes test
4. Webers test - ANSWER-gag reflex
.A patient is diagnosed with pediculosis corporis, and is given a pediculicide lotion as treatment. The
nurse instructs the patient to apply the lotion after showering when the skin is wet. A second shower
should be taken 12 to 24 hours after the first one and a second dose of lotion is applied. The infested
clothing should be washed in hot water. The patient is also instructed to vacuum all rooms thoroughly
and throw away the vacuum bags. Which instruction given by the nurse is not correct?
1. Washing the infested clothing in hot water.
2.Taking a second bath 12 to 24 hours after the first one.
3.. vacuuming rooms thoroughly and throw away the debris.
, 4. Applying pediculicide lotion after bathing when the skin is wet. - ANSWER-applying pediculicide
lotion after bathing wet skin
.A patient who has hemiplegia is unable to dorsiflex and invert the feet. Which condition does the
patient likely have?
Lordosis
Footdrop
Genu varum
Genu valgum - ANSWER-footdrop
.A patient with left-sided weakness asks the nurse, "Why are you walking on my left side? I can hold
on to you better with my right hand." What would be the best therapeutic response?
"Walking on your left side lets me use my right hand to hold on to your arm. In case you start to fall, I
can still hold you."
"Would you like me to walk on your right side so you feel more secure?"
"Either side is appropriate, but I prefer the left side. If you like, I can have another nurse walk with
you who will hold you on the right side."
"By walking on your left side I can support you and help keep you from injury if you should start to
fall. By holding your waist I would protect your shoulder if you should start to fall or faint. - ANSWER-
"By walking on your left side I can support you and help keep you from injury if you should start to
fall. By holding your waist I would protect your shoulder if you should start to fall or faint.
.A school community has a high rate of adolescents who smoke, so the nurse designs a smoking
cessation program. This is an example of which nursing role?
Counselor
Collaborator
Educator
Case Manager - ANSWER-educator