NSG 430 Adult Health Nursing II
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Questions with Rationalized Answers, 100% Guarantee Pass
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Grand Canyon University
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NSG 430 Exam 4 ss ss ss ss
1. SATA:Risk factors for bacterial infection
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Answer> -Diabetes Mellitus (YES)
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-Atopic dermatitis (YES)
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-Moisture (YES) ss
-Obesity (YES) ss
-Skin neoplasms ss
ss (YES) I think its all
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the options
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2. SATA:Treatment for lower extremity cellulitis, what orders do you
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ss expect?-
Answer> -Vancomycin 1000mlsss ss
1 ss/
-Elevate the extremity ss ss ss13
-Heat packs ss
,c. The patient's extremities are cool and pulses are weak.
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d. The patient has bilateral crackles throughout lung fields.
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Answer> a. The patient's serum creatinine level is elevated.
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4. INR/PT levels doubled, what are you giving?
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Answer> Fresh frozen plasma ss ss ss
5. A patient recovering from heart surgery develops pericarditis and
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ss com- plains of level 6 (0 to 10 scale) chest pain with deep breathing.
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Which ordered PRN medication will be the most appropriate for the
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ss nurse to give?
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a. Fentanyl 1 mg IV ss ss ss
b. IV morphine sulfate 4 mg
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c. Oral ibuprofen (Motrin) 600 mg
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d. Oral acetaminophen (Tylenol) 650 mg
ss ss ss ss
Answer> c. Oral ibuprofen (Motrin) 600 mg
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6. Which assessment data collected by the nurse who is admitting a
ss ss ss ss ss ss ss ss ss ss
ss patient with chest pain suggests that the pain is caused by an
ss ss ss ss ss ss ss ss ss ss ss
ss acute myocardial infarction (AMI)?// diagnosis for myocardial
ss ss ss ss ss ss
ss infarction
a. The pain increases with deep breathing.
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b. The pain has lasted longer than 30 minutes
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c. The pain is relieved after taking nitroglycerin.
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d. The pain is reproducible when the patient raises the arms.
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Answer> b. The pain has lasted longer2 /than 30 minutes
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ss ss ss
ss13
7. Which nursing action will be included in the plan of care for a
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, d.Deflate the gastric balloon if the patient reports nausea.
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Answer> b. Monitor the patient ss ss ss ss
for shortness of breath.
ss ss ss
8. When admitting a 42-year-old patient with a possible brain injury
ss ss ss ss ss ss ss ss ss
ss after a car accident (MVA) to the emergency department (ED), the
ss ss ss ss ss ss ss ss ss ss
ss nurse obtains the following information. Which finding is most
ss ss ss ss ss ss ss ss
ss important to report to the health care provider?
ss ss ss ss ss ss ss
Answer> Patient states they regularly take warfarin (coumadin) regularly
ss ss ss ss ss ss ss ss
9. During discharge teaching with a 68-year-old patient who had a
ss ss ss ss ss ss ss ss ss
ss mitral valve replacement with a mechanical valve, the nurse instructs
ss ss ss ss ss ss ss ss ss
ss the patient on the?
ss ss ss
Answer> Need for frequent PTT/INR measurement; long term anticoagulants
ss ss ss ss ss ss ss ss
10. Which assessment finding for a patient who has just been
ss ss ss ss ss ss ss ss ss
ss admitted with acute pyelonephritis is most important for the nurse to
ss ss ss ss ss ss ss ss ss ss
ss report to the health care provider?
ss ss ss ss ss
a. Flank tenderness to palpation ss ss ss
b. Blood pressure 82/60 mm Hg ss ss ss ss
c. Cloudy and foul-smelling urine ss ss ss
d. Temperature 100.1F (57.8C) ss ss
Answer> b. Blood pressure 82/60 mm Hg
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11. Decorticate posture:what would you question? ss ss ss ss
3 ss/
Answer> consent for the lumbar puncture
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13
ss ss ss ss
ss
ss ss ss ss ss ss
Questions with Rationalized Answers, 100% Guarantee Pass
ss ss ss ss ss ss ss
Grand Canyon University
ss ss ss
NSG 430 Exam 4 ss ss ss ss
1. SATA:Risk factors for bacterial infection
ss ss ss ss
Answer> -Diabetes Mellitus (YES)
ss ss ss
-Atopic dermatitis (YES)
ss ss
-Moisture (YES) ss
-Obesity (YES) ss
-Skin neoplasms ss
ss (YES) I think its all
ss ss ss ss
the options
ss ss
2. SATA:Treatment for lower extremity cellulitis, what orders do you
ss ss ss ss ss ss ss ss
ss expect?-
Answer> -Vancomycin 1000mlsss ss
1 ss/
-Elevate the extremity ss ss ss13
-Heat packs ss
,c. The patient's extremities are cool and pulses are weak.
ss ss ss ss ss ss ss ss
d. The patient has bilateral crackles throughout lung fields.
ss ss ss ss ss ss ss
Answer> a. The patient's serum creatinine level is elevated.
ss ss ss ss ss ss ss ss
4. INR/PT levels doubled, what are you giving?
ss ss ss ss ss ss
Answer> Fresh frozen plasma ss ss ss
5. A patient recovering from heart surgery develops pericarditis and
ss ss ss ss ss ss ss ss
ss com- plains of level 6 (0 to 10 scale) chest pain with deep breathing.
ss ss ss ss ss ss ss ss ss ss ss ss ss
Which ordered PRN medication will be the most appropriate for the
ss ss ss ss ss ss ss ss ss ss ss
ss nurse to give?
ss ss
a. Fentanyl 1 mg IV ss ss ss
b. IV morphine sulfate 4 mg
ss ss ss ss
c. Oral ibuprofen (Motrin) 600 mg
ss ss ss ss
d. Oral acetaminophen (Tylenol) 650 mg
ss ss ss ss
Answer> c. Oral ibuprofen (Motrin) 600 mg
ss ss ss ss ss ss
6. Which assessment data collected by the nurse who is admitting a
ss ss ss ss ss ss ss ss ss ss
ss patient with chest pain suggests that the pain is caused by an
ss ss ss ss ss ss ss ss ss ss ss
ss acute myocardial infarction (AMI)?// diagnosis for myocardial
ss ss ss ss ss ss
ss infarction
a. The pain increases with deep breathing.
ss ss ss ss ss
b. The pain has lasted longer than 30 minutes
ss ss ss ss ss ss ss
c. The pain is relieved after taking nitroglycerin.
ss ss ss ss ss ss
d. The pain is reproducible when the patient raises the arms.
ss ss ss ss ss ss ss ss ss
Answer> b. The pain has lasted longer2 /than 30 minutes
ss ss ss ss ss ss ss
ss ss ss
ss13
7. Which nursing action will be included in the plan of care for a
ss ss ss ss ss ss ss ss ss ss ss ss
, d.Deflate the gastric balloon if the patient reports nausea.
ss ss ss ss ss ss ss ss
Answer> b. Monitor the patient ss ss ss ss
for shortness of breath.
ss ss ss
8. When admitting a 42-year-old patient with a possible brain injury
ss ss ss ss ss ss ss ss ss
ss after a car accident (MVA) to the emergency department (ED), the
ss ss ss ss ss ss ss ss ss ss
ss nurse obtains the following information. Which finding is most
ss ss ss ss ss ss ss ss
ss important to report to the health care provider?
ss ss ss ss ss ss ss
Answer> Patient states they regularly take warfarin (coumadin) regularly
ss ss ss ss ss ss ss ss
9. During discharge teaching with a 68-year-old patient who had a
ss ss ss ss ss ss ss ss ss
ss mitral valve replacement with a mechanical valve, the nurse instructs
ss ss ss ss ss ss ss ss ss
ss the patient on the?
ss ss ss
Answer> Need for frequent PTT/INR measurement; long term anticoagulants
ss ss ss ss ss ss ss ss
10. Which assessment finding for a patient who has just been
ss ss ss ss ss ss ss ss ss
ss admitted with acute pyelonephritis is most important for the nurse to
ss ss ss ss ss ss ss ss ss ss
ss report to the health care provider?
ss ss ss ss ss
a. Flank tenderness to palpation ss ss ss
b. Blood pressure 82/60 mm Hg ss ss ss ss
c. Cloudy and foul-smelling urine ss ss ss
d. Temperature 100.1F (57.8C) ss ss
Answer> b. Blood pressure 82/60 mm Hg
ss ss ss ss ss ss
11. Decorticate posture:what would you question? ss ss ss ss
3 ss/
Answer> consent for the lumbar puncture
ss
13
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ss
