Nursing 126 Exam 2 questions with verified
answers
Define physical restraint/ protective device. Describe when they can be
used and how. Ans✓✓✓ Restraints- mechanical or physical device
used to immpbilize client or extremity that is not a usual part of
treatment. Used to reduce risk of client injury from falls, prevent
interruption of therapy, prevents pt from removing life support devices,
reduce risk of injury to others/pt. Use only when no other intervention
has been effective, must have order, nv prn order, routine assessment
every hr, document.
Define Safe Environment. Ans✓✓✓ Safe environment includes all of
the many physical and psychosocial factors that influence or affect the
life and survival of the client.
Describe instructions to give the patient regarding doing a self testicular
exam. Ans✓✓✓ Hold your penis out of the way and check one testicle
at a time.
Hold the testicle between your thumbs and fingers of both hands and
roll it gently between your fingers.
Look and feel for any hard lumps or smooth rounded bumps or any
change in the size, shape, or consistency of the testicles.
Describe instructions to give the patient regarding doing a self-breast
exam. Ans✓✓✓ BSE should be performed by women 20yrs and up;
best time is 4-7 days after menstural cycle.
, Stand in front of mirrior and inspest, raise arms, bend over
Lay down and feel breast with oposite hand, use circular motion, cover
entire breast from top to bottom and side to side.
So same exam while standing up.
Describe the key developmental task for each stages of the family life
cycle. Ans✓✓✓ ...
Describe the purpose of family. Ans✓✓✓ Family is a set of
relationships that the client identifies as family or as a network of
individuals who influence each other's lives whether or not there are
actual biological or legal ties. Provide for psychologial and physical well-
being of family, pass on cultural norms and beliefs, may be legally
responsible for members
Describe the types of families. Ans✓✓✓ Nuclear family, extended
family or multigenerational, single parent, blended, alternative famliy
Differentiate between signs of arterial and venous peripheral
circulation insufficiency. Ans✓✓✓ Venous Insufficiency: Color-normal
or cyanotic; Temperature-normal; Pulse-normal; Edema-often marked;
Skin changes-brown pigmentation around ankles
Arterial Insufficiency: Color-pale (worse with elevation. dusky red when
lowered); Temperature-cool; Pulse-decreased or absent; Edema-absent
or mild; Skin changes- thin, shiny skin (decreased hair growth,
thickened nails)
answers
Define physical restraint/ protective device. Describe when they can be
used and how. Ans✓✓✓ Restraints- mechanical or physical device
used to immpbilize client or extremity that is not a usual part of
treatment. Used to reduce risk of client injury from falls, prevent
interruption of therapy, prevents pt from removing life support devices,
reduce risk of injury to others/pt. Use only when no other intervention
has been effective, must have order, nv prn order, routine assessment
every hr, document.
Define Safe Environment. Ans✓✓✓ Safe environment includes all of
the many physical and psychosocial factors that influence or affect the
life and survival of the client.
Describe instructions to give the patient regarding doing a self testicular
exam. Ans✓✓✓ Hold your penis out of the way and check one testicle
at a time.
Hold the testicle between your thumbs and fingers of both hands and
roll it gently between your fingers.
Look and feel for any hard lumps or smooth rounded bumps or any
change in the size, shape, or consistency of the testicles.
Describe instructions to give the patient regarding doing a self-breast
exam. Ans✓✓✓ BSE should be performed by women 20yrs and up;
best time is 4-7 days after menstural cycle.
, Stand in front of mirrior and inspest, raise arms, bend over
Lay down and feel breast with oposite hand, use circular motion, cover
entire breast from top to bottom and side to side.
So same exam while standing up.
Describe the key developmental task for each stages of the family life
cycle. Ans✓✓✓ ...
Describe the purpose of family. Ans✓✓✓ Family is a set of
relationships that the client identifies as family or as a network of
individuals who influence each other's lives whether or not there are
actual biological or legal ties. Provide for psychologial and physical well-
being of family, pass on cultural norms and beliefs, may be legally
responsible for members
Describe the types of families. Ans✓✓✓ Nuclear family, extended
family or multigenerational, single parent, blended, alternative famliy
Differentiate between signs of arterial and venous peripheral
circulation insufficiency. Ans✓✓✓ Venous Insufficiency: Color-normal
or cyanotic; Temperature-normal; Pulse-normal; Edema-often marked;
Skin changes-brown pigmentation around ankles
Arterial Insufficiency: Color-pale (worse with elevation. dusky red when
lowered); Temperature-cool; Pulse-decreased or absent; Edema-absent
or mild; Skin changes- thin, shiny skin (decreased hair growth,
thickened nails)
