AM
NR224 EXAM 2 QUESTIONS AND ANSWERS
WIT COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE GRADED A+
Terms in this set (124)
What is the removal of devitalized tissue from a
wound called?
a. debridement a. debridement
b. pressure reduction
c. negative pressure wound therapy
d. sanitization
Which of the following skills can the nurse
delegate to nursing assistive personnel?
b. oropharyngeal Select all that apply.
suctioning of a stable a. nasotracheal suctioning
patient b. oropharyngeal suctioning of a stable patient
d. permanent c. suctioning a new artificial airway
tracheostomy tube
d. permanent tracheostomy tube suctioning
suctioning
e. care of an endotracheal tube
4. verify functioning of Place the following in correct sequence for
suction device and suctioning a patient.
pressure 1. open kit and basin
6. increased
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supplemental oxygen 2. apply gloves
1. open kit and basin 3. lubricate catheter
3. lubricate catheter 4. verify functioning of suction device and
2. apply gloves pressure
5. connect suction 5. connect suction tubing to suction catheter
tubing to suction 6. increased supplemental oxygen
catheter 7. reapply oxygen
8. suction airway
8. suction airway
7. reapply oxygen
A patient was admitted following a
motor vehicle accident with multiple
a. sharp pleuritic pain fractured ribs. Respiratory assessment
that worsens on includes signs/symptoms of secondary
inspiration pneumothorax. Which are the most
d. worsening dyspnea common assessment findings associated
with a pneumothorax? Select all that
e. absent lung sounds
apply.
to auscultation on
a. sharp pleuritic pain that worsens on inspiration
affected side
b. crackles over lung bases of affected lung
c. tracheal deviation toward the affected lung
d. worsening dyspnea
e. absent lung sounds to auscultation on affected
side
B (Frequent change of The nurse is caring for a patient who has
position) decreased mobility. Which intervention is
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a simple and cost-effective method for
(Movement not only reducing the risks of pulmonary
mobilizes secretions complication?
but helps strengthen a. antibiotics
respiratory muscles b. frequent change of position
by impacting the c. oxygen humidification
effectiveness of d. chest physiotherapy
gas exchange
processes.)
A nurse in a provider's office is evaluating
a client who reports losing control of urine
whenever she coughs, laughs, or sneezes.
THe client relates a history of three
vaginal births, but no serious accidents or
B. Decrease or avoid illnesses. Which of the following
caffeine interventions
D. Avoid drinking should the nurse suggest for helping to
alcohol control or eliminate the client's
incontinence? Select all that apply.
A. limit total daily fluid intake
B. decrease or avoid caffeine
C. take calcium supplements
D. avoid drinking alcohol
E. use the Crede maneuver.
A client who has an indwelling catheter
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reports a need to urinate. which of the
A. Check to see following actions should the nurse
whether the catheter take?
is patent. a) check to see whether to catheter is patent
b) reassure the client that it is not possible for her
to urinate
c) recatheterize the bladder with a larger-gauge
catheter
d) collect a urine specimen for analysis
A nurse is caring for a client who has a
prescription for a 24-hr urine collection.
Which of the following actions should
the nurse take?
A. discard the first A. discard the first voiding.
voiding. B. keep the urine in a single container at room
temperature.
C. ask the client to urinate and pour the urine into
a specimen container.
D. ask the client to urinate into the toilet,
stop midstream, and finish urinating into the
specimen container.
A nurse is reviewing factors that increase
the risk of urinary tract infections with a
A. frequent sexual client who has recurrent UTIs. Which
intercourse of the following factors should the
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