The nurse is to help their client with right-sided hemiplegia get up into the wheelchair.
How should the nurse place the wheelchair?
a. On the left side of the bed facing the foot of the bed
b. On the right side of the bed facing the head of the bed
c. Perpendicular to the bed on the right side
d. Facing the bed in the left side of the bed
A
The client can then stand on the unaffected foot and pivot to sit down
The nurse is caring for a client with coronary artery disease. What assessment finding
does the nurse expect if the client's mean arterial blood pressure decreases below 60
mm Hg?
,a.
Increased cardiac output
b.
Hypertension
c.
Chest pain
d.
Decreased heart rate
C
Coronary artery blood flow occurs primarily during diastole. Mean arterial
pressure (MAP) of 60 mg Hg is necessary for adequate blood flow to
coronary arteries, and MAP of 60 to 70 mm Hg is necessary for adequate
perfusion to major body organs. If MAP decreases to below 60 mm Hg, the
client with cardiac disease may have chest pain. Cardiac output most likely
would decrease, and blood pressure also would decrease. Heart rate may
increase as the body initiates compensatory mechanisms.
When is the first dose of Hep B given?
In the hospital at birth
You are assigned to teach a nursing student how to suction an adult patient with a
tracheostomy. Which of the following actions by the nursing student would be
INCORRECT?
a. Pre-oxygenation of the patient with a Resusibag at 100% 02 several times before
suctioning
, b. Maintains wall suction pressure at 110-150mmHG
c. Does not suction for greater than 10-15 seconds at a time
d. Applies gentle intermittent pressure and rotates catheter during insertion phase of
suctioning
D
In suctioning a patient with a Tracheostomy, the nurse should employ all of the
above choices, except choice (4). However, when the catheter is inserted it
should be done gently, and to a depth of 10-12.5cms (4-5"s) or until the patient
begins to cough. Suction should never be applied when inserting the catheter,
not should it be rotated during this period. Suction should be applied by
occluding the Y-port with the thumb of the unsterile gloved hand, while the
catheter is rotated gently during withdrawal. The patient should never be
suctioned for more than 10 seconds at one time to avoid the development of
hypoxia.
The nurse is attempting to pass an indwelling catheter in an adult male and is having
difficulty. What is the most appropriate action for the nurse?
a. Remove the catheter and reinsert it with the client positioned differently
b. Try a straight catheter instead
c. Try a smaller catheter
d. Discontinue the procedure and notify the physician
D-- This may indicate an obstruction
Blood flows from the right ventricle to the lungs for ____________________
How should the nurse place the wheelchair?
a. On the left side of the bed facing the foot of the bed
b. On the right side of the bed facing the head of the bed
c. Perpendicular to the bed on the right side
d. Facing the bed in the left side of the bed
A
The client can then stand on the unaffected foot and pivot to sit down
The nurse is caring for a client with coronary artery disease. What assessment finding
does the nurse expect if the client's mean arterial blood pressure decreases below 60
mm Hg?
,a.
Increased cardiac output
b.
Hypertension
c.
Chest pain
d.
Decreased heart rate
C
Coronary artery blood flow occurs primarily during diastole. Mean arterial
pressure (MAP) of 60 mg Hg is necessary for adequate blood flow to
coronary arteries, and MAP of 60 to 70 mm Hg is necessary for adequate
perfusion to major body organs. If MAP decreases to below 60 mm Hg, the
client with cardiac disease may have chest pain. Cardiac output most likely
would decrease, and blood pressure also would decrease. Heart rate may
increase as the body initiates compensatory mechanisms.
When is the first dose of Hep B given?
In the hospital at birth
You are assigned to teach a nursing student how to suction an adult patient with a
tracheostomy. Which of the following actions by the nursing student would be
INCORRECT?
a. Pre-oxygenation of the patient with a Resusibag at 100% 02 several times before
suctioning
, b. Maintains wall suction pressure at 110-150mmHG
c. Does not suction for greater than 10-15 seconds at a time
d. Applies gentle intermittent pressure and rotates catheter during insertion phase of
suctioning
D
In suctioning a patient with a Tracheostomy, the nurse should employ all of the
above choices, except choice (4). However, when the catheter is inserted it
should be done gently, and to a depth of 10-12.5cms (4-5"s) or until the patient
begins to cough. Suction should never be applied when inserting the catheter,
not should it be rotated during this period. Suction should be applied by
occluding the Y-port with the thumb of the unsterile gloved hand, while the
catheter is rotated gently during withdrawal. The patient should never be
suctioned for more than 10 seconds at one time to avoid the development of
hypoxia.
The nurse is attempting to pass an indwelling catheter in an adult male and is having
difficulty. What is the most appropriate action for the nurse?
a. Remove the catheter and reinsert it with the client positioned differently
b. Try a straight catheter instead
c. Try a smaller catheter
d. Discontinue the procedure and notify the physician
D-- This may indicate an obstruction
Blood flows from the right ventricle to the lungs for ____________________
