ANSWERS!!
a student nurse who is documenting progress notes in a client's records should NOT
- ANSWER- write in any colour other than black or blue
- use correcting fluid
- scribble out errors
- use unapproved abbreviations
the nurse begins to suspect faecal impaction in a patient who has not passed a stool
in 10 days when the patient - ANSWER- abdo pain
- liquid stool - overflow
- malaise
- persistent urge
- bleeding
- absent bowel sounds in LLQ
- distended lower ab
- tenderness on palpation
- dull sound on percussion
ascites is defined as - ANSWERabnormal accumulation of fluid with in the abdomen
when inspecting a client's abdominal contour, the nurse observes the abdomen to be
sunken with the lower edges of the ribs visible. The nurse describes and documents
this as: - ANSWERscaphoid
a young adult male who comes to the clinic complaining of diarrhoea and vomiting is
suspected of having gastroenteritis. On auscultation the nurse would identify that the
patient's bowel sounds are - ANSWERhyperactive
the patient is an 86 year old male who is incontinent at night. An appropriate
alternative to catheterisation for this patient would be: - ANSWER- less fluid in
evening
- urodome
- regular toileting
- antidiuretic medication
- incontinence pad
the mechanism of action of the oral laxative senokot is - ANSWERstimulates
peristalsis increasing motility of large intestine
urinary incontinence is defined as - ANSWER- involuntary leakage of urine
- inability to control urination
, to help promote normal defecation and prevent discomfort, ideally the nurse should
place the patient on a bedpan in which position? - ANSWERhalf sitting up with knees
bent - fowlers position
a nurse asks a patient to turn the palm down with the elbows straight. The specific
joint movement the nurse is testing for is - ANSWERpronation of elbow
you are inspecting your client's spinal symmetry and assessing their posture. You
identify that the client has kyphosis. This is - ANSWERoutward curve of spine in
upper back
The nurse examining the ROM of a client's shoulder. what is a normal finding ? -
ANSWERfull active and painless ROM with no crepitus
you are caring for Mr Smith who has been admitted following mechanical fall. You
are reviewing his nursing care plan. Which component of the care plan indicates that
the patient's problems have been appropriately described? - ANSWERnursing
diagnosis
the nurse is using mobile hoist with a dependent patient. Identify the correct rule. -
ANSWERhow many assist
- LITE assessment
the older persons tendency to take smaller steps with feet close together will most
likely result in - ANSWER- falls risk
- tripping hazard
a person with a normal gait should demonstrate all of the below actions - ANSWER-
coordinated movements
- able to maintain balance
- posture and body alignment during moving
to ensure safe administration of medications the nurse must be aware of the seven
right of medication administration. These are: THE RIGHT... - ANSWER- medication
- patient
- dose
- time
- reason
- route
- documentation
what is the term given to an unexpected effect of a medication? - ANSWERadverse
effects
measures of glycosylated haemoglobin, such as HbA1c, monitor glucose control
over a period of time, relative to the average life span of a red blood cell. this is
normally - ANSWER120 days
which of the following statements, regarding T1D, is true? - ANSWERtotal inability to
produce insulin