100% Correct Answers
What is the primary reason for immobile patients are at the risk for developing atelectasis? -
CORRECT ANSWER✔✔Stasis of bronchial secretions
Pt with new colostomy, which of the following observations in the stool observation in the stool
from the stoma would be of most concern? - CORRECT ANSWER✔✔Dark purple or black stoma
A patient with acute urinary retention is at risk for which complication if not treated promptly? -
CORRECT ANSWER✔✔Bladder rupture
LVN notes diminished breath sounds on the left lower lobe.The initial nursing action would be : -
CORRECT ANSWER✔✔Have the patient cough and deep breathes
Which of the following is the primary purpose of administering a cleansing enema? - CORRECT
ANSWER✔✔to relieve constipation
A patients wound is red, warm, swollen, and increasingly painful.The nurse suspects: - CORRECT
ANSWER✔✔infection
Patient with chronic constipation should be educated on the potential risks of frequent use of
stimulant laxatives such as: - CORRECT ANSWER✔✔dependences for bowel movements
Which patient statement indicates a need for further education about wound care ? - CORRECT
ANSWER✔✔"Its okay to disconnect the VAC for few hours if its inconvenient"
, A patient is diagnosed with COPD. Which of the following is common clinical manifestation of
COPD? - CORRECT ANSWER✔✔prolonged expiration
A nurse is preparing to apply an elastic bandage to a patients sprained ankle. Which action is
appropriate? - CORRECT ANSWER✔✔using even pressure when wrapping the bandage
A patient who is non-weight bearing on the left leg needs to learn to use crutches .The nurse
instructs patient to: - CORRECT ANSWER✔✔place all weight on right foot
Which factor primarily affects bowel elimination? - CORRECT ANSWER✔✔diet
a nurse performing a pain assessment. Which of the following is a subjective piece of data? -
CORRECT ANSWER✔✔Patient rates pain a 7 on a scale of 0-10
Which f the following describes the function of a hydrocolloid dressing? - CORRECT
ANSWER✔✔maintains a moist environment and absorbs exudate
Which positions is most appropriate to assume when receiving an enema ? - CORRECT
ANSWER✔✔left sims' (side lying) position
a patient is diagnosed with stress incontinence. Which nursing intervention is most
appropriate? - CORRECT ANSWER✔✔teach patient Kegel exercise
Which of the following indicates that bandage is too tight? - CORRECT ANSWER✔✔the area
proximal to the bandage is cool to touch
the nurse recognizes Cheyne-Stokes respiration in a patient when observing: - CORRECT
ANSWER✔✔irregular breathing with periods of apnea