Complete Solutions
A nurse is caring for a patient with an injury to Broca's area.
Which finding would the nurse expect to assess in this patient?
a.Difficulty speaking
b.Receptive aphasia
c.Visual disturbances
d.Emotional lability Correct Answers a.Difficulty speaking
A patient comes to the Emergency department (ED)
complaining of chest pain. This would be considered:
a.Secondary data
b.Objective data
c.Subjective data
d.Tertiary data Correct Answers c.Subjective data
A patient has a barrel-shaped chest. A barrel - shaped chest is
characterized by:
a.Anteroposterior to transverse (lateral) diameter of 2:1 and the
elevation of the ribs.
b.Anteroposterior to transverse (lateral) diameter of 1:2 and an
elliptic shape.
c.Equal anteroposterior to transverse (lateral) diameter and the
ribs being horizational.
d.Anteroposterior to transverse (lateral) diameter of 3:7 and
sloping backwards of the ribs Correct Answers c.Equal
, anteroposterior to transverse (lateral) diameter and the ribs being
horizational.
A patient is clenching the jaw closed to avoid taking a
prescribed oral medication. The nurse can use this observation to
confirm the patient is demonstrating motor function of which
cranial nerve?
a.Facial
b.Glossopharyngeal
c.Trigeminal
d.Vagus Correct Answers c.Trigeminal
A patient is complaining of "shortness of breath with
movements" and this complaint is validated by the nurse
objectively. How would the nurse best document these findings?
a.Patient complains of "shortness of breath". No DOE observed.
b.Patient complains of mild "shortness of breath". + DOE noted
by this RN.
c.Patient reports "shortness of breath with movements". + DOE
observed by this RN.
d.Patient reports "shortness of breath at rest". DOE was not
noted by this RN. Correct Answers c.Patient reports "shortness
of breath with movements". + DOE observed by this RN.
A patient with a history of depression and manic episodes
acknowledges suicidal thinking over the past week and
verbalized a plan. What are you most concerned about initially
in caring for this patient?