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Exam (elaborations)

NURSING 3165 Exam 1 Nurse III Questions and Correct Answers Latest 2022

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A patient is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of the right femur. Which intervention will be included in the plan of care? a. Immobilization of the right leg b. Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs) c. Frequent weight-bearing exercise d. Support of the right leg in a flexed position The correct answer is: Immobilization of the right leg Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures. Weight-bearing exercise increases the risk for pathologic fractures. NSAIDs are frequently prescribed to treat pain. Flexion of the affected limb is avoided to prevent contractures. Discharge teaching for the patient with esophageal reflux disease includes instructing the patient to: a. Decrease protein intake b. Elevate the foot of the bed with 6-inch blocks c. Eat a high-carbohydrate snack before bed d. Reduce caffeine intake and smoking The correct answer is: Reduce caffeine intake and smoking Once healing has occurred, persons with a hip prosthesis are encouraged to participate in: a. High­impact exercises such as swimming b. Low­impact exercises such as jogging c. High­impact exercises such as bowling d. Low­impact exercises such as walking The correct answer is: Low­impact exercises such as walking A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eyedrops cause eye burning and visual blurriness for a short time after administration. The best response to the patient's statement is a. "These symptoms are caused by glaucoma and may indicate a need for an increased dosage of the eyedrops." b. "The drops are uncomfortable, but it is very important for you to use them as prescribed to retain your vision." c. "These are normal side effects of the drug, which should become less noticeable with time." d. "If you occlude the puncta after you administer the drops, it will help relieve these side effects." The correct answer is: "The drops are uncomfortable, but it is very important for you to use them as prescribed to retain your vision." Patients should be instructed that eye discomfort and visual blurring are expected side effects of the ophthalmic drops but that the drops must be used to prevent further visual-field loss. The temporary burning and visual blurriness might not lessen with ongoing use, are not relieved by avoiding systemic absorption, and are not symptoms of glaucoma.

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