Exam 2 Review Questions And Answers
-hFractionshofhinhaled:
ohOxygen-(hFi02)h1L/minhofhO2=4%hFiO2
ohNaturalhair=21%hofhO2h(FiO2=h0.21)
ohNasalhCannula=h24%-45%hFiO2
ohSimplehmask=h40%-50%hFiO2
ohNonrebreatherh=h70-80%hFiO2h-hCORRECThhANSWER-
Ah12-year-
oldhstudenthdiagnosedhwithhmoderatehscoliosishishprescribedhahthoracolumbarhsacralhortho
sish(TLSO)hbrace.hThehorthopedichnursehishteachinghthehpatienthandhmotherhabouththehther
apy,hbuththehpatienthishupsethandhreluctanthtohpuththehbracehon.
Whichhresponsehbyhthehnursehishthehappropriate?h-hCORRECThhANSWER-
"Ihunderstandhwhyhyouhdon'thwanthtohdohit,hbuthifhyouhwearhthehbraceh13hhourshahdayhandhac
cordinghtohthehdirections,hithwillhworkhthathmuchhfaster."
Ah40-year-
oldhpatienthpresentshwithhcontinuedhbackhpain.hThehpatienthhashseenhthehdoctorhtwicehinhth
ehlasth2hmonthshandhhashbeenhtakinghnonsteroidalhanti-inflammatoryhdrugsh(NSAIDs).
Whichhdiagnostichtesthshouldhthehnursehexpecththehhealthcarehproviderhtohorder?h-
hCORRECThhANSWER-MRI
Ahpatienthaskshthehnursehabouthriskhfactorshforhthehdevelopmenthofhosteoarthritis.
Whichhfactorhshouldhthehnursehinclude?h-hCORRECThhANSWER-Repeatedhusehofhweight-
bearinghjoints
Ahpatienthaskshthehnursehabouththehusehofhheathandhcoldhtherapieshtohaddresshthehswellingh
associatedhwithhosteoarthritis.h
Whichhtherapyhshouldhthehnursehencouragehthehpatienthtohuse?h-hCORRECThhANSWER-
Mildhcold
Ahpatienthaskshthehnursehwhathcauseshsciatica.
,Whichhexplanationhbyhthehnursehishcorret?h-hCORRECThhANSWER-
"Sciaticahishcausedhbyhirritationhorhcompressionhofhthehsciatichnerve."
Ahpatienthasks,h"WhyhdohIhneedhtohhavehmyhpositionhchangedheveryh2hhours?"
Whichhresponsehshouldhthehnursehprovide?h-hCORRECThhANSWER-
"Lowhoxygenhinhthehtissueshincreaseshthehriskhofhskinhbreakdown."
Ahpatienthathahpreoperativehconsultationhforhahlumbarhlaminectomyhhashbeenhtakinghprescri
ptionhnonsteroidalhanti-
inflammatoryhdrugsh(NSAIDs)handhoccasionalhopioidshwhenhthehpainhishsevere.
Whichhadditionalhinformationhishmosthimportanthforhthehnursehtohobtain?h-
hCORRECThhANSWER-Historyhofhotherhbackhinjuries
Ahpatienthdiagnosedhwithhosteoarthritishaskshthehnursehwhyhtherehishsohmuchhjointhpain.h
Whichhresponsehbyhthehnursehishaccurate?h-hCORRECThhANSWER-
"Thehbonesharehrubbinghagainstheachhotherhandhirritatinghthehsynovialhtissue."
Ahpatienthishadmittedhtohthehhospitalhtohrulehouthcaudahequinehsyndrome.
Thehnursehshouldhassesshthehpatienthforhwhichhcomplication?h-hCORRECThhANSWER-
Losshofhbladderhcontrol
Ahpatienthishbeinghevaluatedhforhthehsourcehofhahproductivehcoughhandhshortnesshofhbreath.
Whichhdiagnostichtesthshouldhthehnursehexpecthtohbehorderedhfirst?h-
hCORRECThhANSWER-Sputumhspecimen
Ahpatienthishbeinghscheduledhforhanhosteotomyhandhaskshthehnursehwhaththehsurgeryhentail
s.h
Whichhresponsehbyhthehnursehishaccurate?h-hCORRECThhANSWER-
"Ithrealignshorhshiftshthehjointhloadhintohahbetterhalignedhpointhorhtowardhahlesshdamagedhpart
hofhthehjoint."
Ahpatienthishbeinghtreatedhforhahherniatedhdisc.
Whichhassessmenthfindinghindicateshsuccessfulhtreatment?h-hCORRECThhANSWER-
Decreasedhpain
Ahpatienthishexperiencinghdecreasedhtissuehperfusion,hhypovolemia,handhhypoxemia.
, Whichhactionhbyhthehnursehishmosthimportant?h-hCORRECThhANSWER-
Administeringhfluids
Ahpatienthishscheduledhforhahmagnetichevokedhpotentialshexam.
Whichhexplanationhshouldhthehnursehusehinheducatinghthehpatienthabouththehtest'shpurpose
?h-hCORRECThhANSWER-
"Ithmeasureshhowhnerveshrespondhtohdifferenthtypeshofhstimulation."
Ahpatienthpresentshtohthehclinichwithhbackhpainhandhishbeinghassessedhforhahherniatedhdisc.
Whichhindependenthnursinghinterventionhshouldhthehnursehimplement?h-
hCORRECThhANSWER-Assessinghthehpatient'shknowledgehofhthehdiagnosishandhtreatment
Ahpatienthpresentshwithhahsuspectedhherniatedhdisc.
Whichhdiagnostichtesthshouldhthehnursehexpecthtohbehordered?h-hCORRECThhANSWER-
Mobilityhtesting
Ahpatienthpresentshwithhbackhpain.hThehhealthcarehproviderhhashaskedhthehnursehtohdiscus
shnonpharmacologichtherapieshforhpainhrelief.
Whichhnonpharmacologichtherapyhshouldhthehnursehinclude?h-hCORRECThhANSWER-
Massagehtherapy
Ahpatienthpresentshwithhchesthcongestionhandhahcough.
Whichhskillhshouldhthehnursehexpecthtohusehtohspecificallyhassesshforhchesthcongestion?h-
hCORRECThhANSWER-Percussionhandhauscultation
Ahpatienthpresentshwithhscoliosishandhishscheduledhforhsurgery.
Whichhassessmenthdatahshouldhthehnursehconsiderhconsistenthwithhthishtreatment?h-
hCORRECThhANSWER-Cobbhanglehgreaterhthanh50hdegrees
Ahpatienthrecentlyhdiagnosedhwithhosteoarthritishparticipateshinhhigh-
impacthaerobics,hcycling,hswimming,handhlow-impacthmuscle-strengtheninghexercises.
Whichhactivityhshouldhthehnursehencouragehthehpatienthtohstop?h-hCORRECThhANSWER-
High-impacthaerobichexercises
Ahpatienthscheduledhforhahjointhaspirationhstudyhaskshthehnursehwhaththishtesthwillhshow?
Whichhresponsehbyhthehnursehishaccurate?h-hCORRECThhANSWER-
"Thishtesthishdonehtohdeterminehifhyouhpossiblyhhavehahfracture."
-hFractionshofhinhaled:
ohOxygen-(hFi02)h1L/minhofhO2=4%hFiO2
ohNaturalhair=21%hofhO2h(FiO2=h0.21)
ohNasalhCannula=h24%-45%hFiO2
ohSimplehmask=h40%-50%hFiO2
ohNonrebreatherh=h70-80%hFiO2h-hCORRECThhANSWER-
Ah12-year-
oldhstudenthdiagnosedhwithhmoderatehscoliosishishprescribedhahthoracolumbarhsacralhortho
sish(TLSO)hbrace.hThehorthopedichnursehishteachinghthehpatienthandhmotherhabouththehther
apy,hbuththehpatienthishupsethandhreluctanthtohpuththehbracehon.
Whichhresponsehbyhthehnursehishthehappropriate?h-hCORRECThhANSWER-
"Ihunderstandhwhyhyouhdon'thwanthtohdohit,hbuthifhyouhwearhthehbraceh13hhourshahdayhandhac
cordinghtohthehdirections,hithwillhworkhthathmuchhfaster."
Ah40-year-
oldhpatienthpresentshwithhcontinuedhbackhpain.hThehpatienthhashseenhthehdoctorhtwicehinhth
ehlasth2hmonthshandhhashbeenhtakinghnonsteroidalhanti-inflammatoryhdrugsh(NSAIDs).
Whichhdiagnostichtesthshouldhthehnursehexpecththehhealthcarehproviderhtohorder?h-
hCORRECThhANSWER-MRI
Ahpatienthaskshthehnursehabouthriskhfactorshforhthehdevelopmenthofhosteoarthritis.
Whichhfactorhshouldhthehnursehinclude?h-hCORRECThhANSWER-Repeatedhusehofhweight-
bearinghjoints
Ahpatienthaskshthehnursehabouththehusehofhheathandhcoldhtherapieshtohaddresshthehswellingh
associatedhwithhosteoarthritis.h
Whichhtherapyhshouldhthehnursehencouragehthehpatienthtohuse?h-hCORRECThhANSWER-
Mildhcold
Ahpatienthaskshthehnursehwhathcauseshsciatica.
,Whichhexplanationhbyhthehnursehishcorret?h-hCORRECThhANSWER-
"Sciaticahishcausedhbyhirritationhorhcompressionhofhthehsciatichnerve."
Ahpatienthasks,h"WhyhdohIhneedhtohhavehmyhpositionhchangedheveryh2hhours?"
Whichhresponsehshouldhthehnursehprovide?h-hCORRECThhANSWER-
"Lowhoxygenhinhthehtissueshincreaseshthehriskhofhskinhbreakdown."
Ahpatienthathahpreoperativehconsultationhforhahlumbarhlaminectomyhhashbeenhtakinghprescri
ptionhnonsteroidalhanti-
inflammatoryhdrugsh(NSAIDs)handhoccasionalhopioidshwhenhthehpainhishsevere.
Whichhadditionalhinformationhishmosthimportanthforhthehnursehtohobtain?h-
hCORRECThhANSWER-Historyhofhotherhbackhinjuries
Ahpatienthdiagnosedhwithhosteoarthritishaskshthehnursehwhyhtherehishsohmuchhjointhpain.h
Whichhresponsehbyhthehnursehishaccurate?h-hCORRECThhANSWER-
"Thehbonesharehrubbinghagainstheachhotherhandhirritatinghthehsynovialhtissue."
Ahpatienthishadmittedhtohthehhospitalhtohrulehouthcaudahequinehsyndrome.
Thehnursehshouldhassesshthehpatienthforhwhichhcomplication?h-hCORRECThhANSWER-
Losshofhbladderhcontrol
Ahpatienthishbeinghevaluatedhforhthehsourcehofhahproductivehcoughhandhshortnesshofhbreath.
Whichhdiagnostichtesthshouldhthehnursehexpecthtohbehorderedhfirst?h-
hCORRECThhANSWER-Sputumhspecimen
Ahpatienthishbeinghscheduledhforhanhosteotomyhandhaskshthehnursehwhaththehsurgeryhentail
s.h
Whichhresponsehbyhthehnursehishaccurate?h-hCORRECThhANSWER-
"Ithrealignshorhshiftshthehjointhloadhintohahbetterhalignedhpointhorhtowardhahlesshdamagedhpart
hofhthehjoint."
Ahpatienthishbeinghtreatedhforhahherniatedhdisc.
Whichhassessmenthfindinghindicateshsuccessfulhtreatment?h-hCORRECThhANSWER-
Decreasedhpain
Ahpatienthishexperiencinghdecreasedhtissuehperfusion,hhypovolemia,handhhypoxemia.
, Whichhactionhbyhthehnursehishmosthimportant?h-hCORRECThhANSWER-
Administeringhfluids
Ahpatienthishscheduledhforhahmagnetichevokedhpotentialshexam.
Whichhexplanationhshouldhthehnursehusehinheducatinghthehpatienthabouththehtest'shpurpose
?h-hCORRECThhANSWER-
"Ithmeasureshhowhnerveshrespondhtohdifferenthtypeshofhstimulation."
Ahpatienthpresentshtohthehclinichwithhbackhpainhandhishbeinghassessedhforhahherniatedhdisc.
Whichhindependenthnursinghinterventionhshouldhthehnursehimplement?h-
hCORRECThhANSWER-Assessinghthehpatient'shknowledgehofhthehdiagnosishandhtreatment
Ahpatienthpresentshwithhahsuspectedhherniatedhdisc.
Whichhdiagnostichtesthshouldhthehnursehexpecthtohbehordered?h-hCORRECThhANSWER-
Mobilityhtesting
Ahpatienthpresentshwithhbackhpain.hThehhealthcarehproviderhhashaskedhthehnursehtohdiscus
shnonpharmacologichtherapieshforhpainhrelief.
Whichhnonpharmacologichtherapyhshouldhthehnursehinclude?h-hCORRECThhANSWER-
Massagehtherapy
Ahpatienthpresentshwithhchesthcongestionhandhahcough.
Whichhskillhshouldhthehnursehexpecthtohusehtohspecificallyhassesshforhchesthcongestion?h-
hCORRECThhANSWER-Percussionhandhauscultation
Ahpatienthpresentshwithhscoliosishandhishscheduledhforhsurgery.
Whichhassessmenthdatahshouldhthehnursehconsiderhconsistenthwithhthishtreatment?h-
hCORRECThhANSWER-Cobbhanglehgreaterhthanh50hdegrees
Ahpatienthrecentlyhdiagnosedhwithhosteoarthritishparticipateshinhhigh-
impacthaerobics,hcycling,hswimming,handhlow-impacthmuscle-strengtheninghexercises.
Whichhactivityhshouldhthehnursehencouragehthehpatienthtohstop?h-hCORRECThhANSWER-
High-impacthaerobichexercises
Ahpatienthscheduledhforhahjointhaspirationhstudyhaskshthehnursehwhaththishtesthwillhshow?
Whichhresponsehbyhthehnursehishaccurate?h-hCORRECThhANSWER-
"Thishtesthishdonehtohdeterminehifhyouhpossiblyhhavehahfracture."