PCA Final Exam Study Set Solved 100%

chapter 35 - Answer comfort, rest, and sleep T or F: Pain is a warning from the body. - Answer true T or F: Pain differs for each person. - Answer true T or F: Pain can be seen. - Answer false T or F: Changes in usual behavior may signal pain. - Answer true T or F: A person's culture may affect reactions to pain. - Answer true T or F: A back massage relaxes muscles and stimulates circulation. - Answer true T or F: After lunch, a person asks for a back massage. You must wait until evening to give the massage. - Answer false T or F: Persons with dementia usually sleep well at night - Answer false T or F: Tissue healing and repair occur during sleep. - Answer true T or F: Voluntary muscle activity increases during sleep. - Answer fasle T or F: Sleep refreshes and renews the person. - Answer true T or F: Stress increases stress, tension, and anxiety. - Answer false T or F: Sleep deprivation can affect functioning. - Answer true T or F: Older persons may nap during the day. - Answer true A person has complained of knee pain on and off for several years. This type of pain is: A. Acute pain B. Chronic pain C. Radiating pain D. Referred pain - Answer B. Chronic Pain A person is restless and complains of pain. You should: A. Rate the intensity based on the person's behavior. B. Give a pain-relief drug and tell the nurse. C. Tell the nurse only if you think the person has pain. D. Report the person's exact words. - Answer D. Report the person's exact words. A person received a pain-relief drug. When should you give scheduled care? A. When you have time. B. Right after the drug is given. C. 30 minutes after the drug is given. D. The next day. - Answer C. 30 minutes after drug is given. A drug was given for pain relief. To promote safety, you should do the following except a. Keep the bed in the high position b. Raise the bed rails as directed c. Check on the person every 10 to 15 minutes d. Provide help if the person needs to get up - Answer D. Provide help if the person needs to get up. Which measure promotes comfort and pain relief? A. Providing a blanket. B. Speaking loudly. C. Keeping the lights on in the room. D. Asking about comfort every 5 minutes. - Answer A. Providing a blanket. When giving a back massage: A. Massage for 15 to 20 minutes. B. Warm the lotion before applying it. C. Massage reddened areas. D. Position the person in Fowler's position. - Answer B. Warm the lotion before applying it. A person tires easily. You are giving morning care. When should the person rest? A. After you complete morning care. B. After the bath and before hair care. C. After you make the bed. D. When the person needs to. - Answer D. When the person needs to. A healthy 70-year-old person needs about a. 12 to 14 hours of sleep per day b. 8 to 9 hours of sleep per day c. 7 to 8 hours of sleep per day d. 5 to 7 hours of sleep per day - Answer C. 7 to 8 hours of sleep per day. Which prevents sleep? A. Cheese B. Chocolate C. Milk D. Beef - Answer B. Chocolate. Which measure before bedtime promotes sleep? A. Having the person urinate B. Having the person walk C. Providing hot tea D. Leaving the hallway light on - Answer A. Having the person urinate. chapter 39 - Answer The Person Having Surgery T or F: Pins, clips, or combs keep the hair out of the face during surgery. - Answer false T or F: Nail polish is removed before surgery. - Answer true T or F: Make-up can be worn to the OR. - Answer false T or F: Sleepwear is worn to the OR. - Answer false T or F: Contact lenses are removed in the OR. - Answer false T or F: A surgical bed is made for the return from the PACU. - Answer true T or F: A decrease in blood pressure in reported at once. - Answer true T or F: The person walks for the first time 2 days after surgery. - Answer false T or F: Intake and Output are measured after surgery. - Answer true T or F: The person should void within 6 to 8 hours after surgery. - Answer true Which is true of elective surgery? A. It is done at once B. The need is sudden and not expected C. It is scheduled at a later date D. General anesthesia is always used - Answer C. It is scheduled at a later date. A person states: "I'm afraid of surgery". What should you do? A. Call a member of the clergy. B. Listen and use touch. C. Change the subject. D. Tell the family. - Answer B. Listen and use touch. You assist with pre-op care by explaining: A. The reason for the surgery B. The procedures you are doing C. The risks and possible complications D. What to expect during and after surgery - Answer B. The procedures you are doing. Before surgery, a person is: A. NPO B. Allowed only water C. Given breakfast D. Given a tube feeding - Answer A. NPO. A bowel prep is ordered to: A. Prevent bleeding B. Relieve flatus C. Prevent pain D. Clean the intestines of feces - Answer D. Clean the intestines of feces. A skin prep is done to: A. Bathe the body completely B. Sterilize the skin C. Reduce the amount of microbes on the skin D. Destroy non-pathogens and pathogens - Answer C. Reduce the amount of microbes on the skin. After pre-op drugs are given, the patient A. Must stay in bed B. Can use the bathroom C. Can use the commode to void D. Can have sips of water - Answer A. Must stay in bed. General anesthesia is: A. A specially educated nurse B. A treatment causing deep sleep and absence of sensation C. A treatment causing loss of sensation in a body part D. A specially educated doctor - Answer B. A treatment causing deep sleep and absence of sensation. Coughing and deep breathing after surgery prevent: A. Bleeding B. A pulmonary embolus C. Respiratory complications D. Pain and discomfort - Answer C. Respiratory complications. Leg exercises: A. Stimulate circulation and prevent thrombi B. Are done only after leg surgery C. Are done every 4 hours D. Are not needed if elastic stocking are worn - Answer A. Stimulate circulation and prevent thrombi. Post-op, a person's position is changed at least: A. Every 2 hours B. Every 3 hours C. Every 4 hours D. Every shift - Answer A. Every 2 hours. Elastic stockings: A. Hold dressings in place B. Reduce swelling after injury C. Prevent pressure injuries D. Prevent blood clots - Answer D. Prevent blood clots. Elastic stockings are applied: A. When the person is standing B. Before the person gets out of bed C. After breakfast D. For 30 minutes and then removed - Answer B. Before the person gets out of bed. The purpose of an elastic bandage is to: A. Prevent infection B. Absorb drainage C. Provide moisture for wound healing D. Reduce swelling - Answer D. Reduce swelling. When applying an elastic bandage: A. Position the part in good alignment B. Cover the fingers or toes if possible C. Apply it from the large to small part of the extremity D. Apply it from the upper to the lower part of the extremity - Answer A. Position the part in good alignment. Chapter 40 - Answer Wound Care A person has a laceration from a fall. The wound is: A. At risk for infection B. An incision C. A chronic wound D. A clean wound - Answer A. At risk for infection. A person had rectal surgery. the person has a a. Clean wound b. Dirty wound c. Clean-contaminated wound d. Contaminated wound - Answer C. Clean-contaminated wound. Skin rubbing against skin can cause: A. Excoriation B. An incision C. A laceration D. A penetrating wound - Answer A. Excoriation. Which can cause skin tears?: A. Trimmed and smooth nails B. Soft clothing C. Rings D. Padded wheelchair footplates - Answer C. Rings. A person has a circulatory ulcer. Which measure should you question? A. Do not cut or trim toenails B. Hold socks in place with elastic garters C. Apply elastic stockings D. Re-position the person every hour - Answer B. Hold socks in place with elastic garters. Diabetic foot ulcers are caused by: A. Gangrene B. Amputation C. Infection D. Nerve and blood vessel damage - Answer D. Nerve and blood vessel damage. A person has diabetes. When providing foot care: A. Dry well between the toes B. Apply lotion between the toes C. Trim the toenails D. Use hot water - Answer A. Dry well between the toes. A person with diabetes wears socks with shoes to prevent: A. Corns B. Bunions C. Blisters D. Plantar warts - Answer C. Blisters. A wound is separating. This is called a. Primary intention b. Third intention c. Dehiscence d. Evisceration - Answer C. Dehiscence. Clear, watery drainage from a wound is called a. Purulent drainage b. Serous drainage c. Sero-purulent drainage d. Serosanguineous drainage - Answer B. Serous drainage dressings a. protect the wound from injury b. prevent drainage c. provide a dry environment for wound healing d. support the wound and reduce swelling - Answer D. Support the wound and reduce swelling. To secure a dressing, apply tape: A. around the entire part B. along the sides of the dressing C. to the top, middle and bottom of the dressing D. as the person prefers - Answer C. To the top, middle, and bottom of the dressing. A person has frequent dressing changes. The nurse will likely have the dressing secured with: A. A binder B. Montgomery straps C. Paper or cloth tape D. An elastic bandage - Answer B. Montgomery straps. How long should you wait for a pain- relief drug to take effect? A. 5 minutes B. 10 minutes C. 15 minutes D. 30 minutes - Answer D. 30 minutes. To remove tape a. Pull it toward the wound b. Pull it away from the wound c. Use an adhesive remover d. Use a saline solution - Answer B. Pull it away from the wound. An abdominal binder is used to a. Prevent blood clots b. Prevent wound infection c. Provide support and hold dressings in place d. Decrease swelling and circulation - Answer C. Provide support and hold dressings in place. Chapter 41 - Answer pressure injuries T or F: Skin breakdown can lead to pressure injury. - Answer true. T or F: Unrelieved pressure squeezes tiny blood vessels. Tissues do not receive needed oxygen and nutrients - Answer true. T or F: Persons who are bedfast or chairfast are at risk for pressure injuries. - Answer true. T or F: Pressure injuries can develop on the ear. - Answer true. T or F: Pressure injuries can develop where medical devices are on the skin. - Answer true.