NUR 307 Exam 4 & Final (Sue)
xg xg xg xg xg xg
Whichxgofxgthexgfollowingxginterventionsxgwouldxgbexgappropriatexgtoxgstimulatexgthexgsens
exgofxgstereognosisxginxgnursingxghomexgresidents?
A.xgTapexgpicturesxgofxglovedxgonesxgonxgthexgwalls.
B.xgPlayxgsoftxgmusicxginxgthexgrecreationxgroom.
C.xgPreparexgaxgfragrantxgcupxgofxgtea.
D.xgProvidexgaxgsoftxgtexturedxgblanketxgonxgthexgbed.xg-xgcorrectxganswer✔ ✔
ANSWER:xg
"D.xgProvidexgaxgsoftxgtexturedxgblanketxgonxgthexgbed."
RATIONALE:
-
Stereognosisxgisxgthexgsensexgthatxgperceivesxgthexgsize,xgshape,xgandxgtexturexgofxgobject
s,xgsuchxgasxgaxgsoftxgblanket.
-Tapingxgpicturesxgtoxgthexgwallxgstimulatesxgthexgvisualxgsense.
-Playingxgmusicxgstimulatesxgthexgauditoryxgsensexg(sound).
-Makingxgteaxgstimulatesxgthexgolfactoryxgsensexg(smell)xgand
thexggustatoryxgsensexg(taste).
Whichxgonexgofxgthexgfollowingxgpatientsxgwouldxgbexgconsideredxgatxgriskxgforxgsensoryxgde
privation?
A.xgAxgpatientxgwithxgAIDS
B.xgAxgpatientxginxganxgintensivexgcarexgunit
C.xgAxgpatientxgwithxgaxgdisturbancexgofxgthexgnervousxgsystem
D.xgAxgpatientxgwithxgintrusivexgmonitoringxg-xgcorrectxganswer✔ ✔ ANSWER:
"A.xgAxgpatientxgwithxgAIDS"
RATIONALE:
,-
AxgpatientxgwithxgAIDSxgmayxgreceivexganxginsufficientxgquantityxgorxgqualityxgofxgstimulixgca
usingxgsensoryxgdeprivation.xg
-
Patientsxginxgintensivexgcarexgunits,xgpatientsxgwithxgaxgdisturbancexgofxgthexgnervousxgsyst
em,xgandxgpatientsxgwhoxghavexgextensivexgmonitoringxgarexgatxghighxgriskxgforxgsensoryxgo
verload.xgThisxgconditionxgisxgcausedxgbyxgexcessivexgstimulixgoverxgwhichxgthexgindividualx
gfeelsxglittlexgcontrol.
Whichxgofxgthexgfollowingxgisxganxgappropriatexgmeasurexgwhenxgcaringxgforxgaxgpatientxgwh
oxgisxghearingxgimpaired?
A.xgSpeakxgtoxgthexgpersonxgbeforexgmakingxgyourxgpresencexgknown.
B.xgIncreasexgnoisesxginxgthexgbackgroundxgtoxgstimulatexgthexgsenses.
C.xgPositionxgselfxgsoxglightxgisxgonxgyourxgface.
D.xgDoxgnotxgusexgpantomimexgtoxgexpressxgmessagesxgtoxgavoidxgembarrassment.xg-
xg correctxganswer✔ ✔ ANSWER:
"C.xgPositionxgselfxgsoxglightxgisxgonxgyourxgface."
RATIONALE:
-
Positioningxgselfxgsoxglightxgisxgonxgyourxgfacexgallowsxgthexgpatientxgtoxgseexgyourxglipsxgand
xg expressions.xg
-Thexgpatientxgshouldxgbexgorientedxgtoxgyourxgpresencexgbeforexgspeaking.
-
Backgroundxgnoisesxgshouldxgbexgreducedxgandxgpantomimexgandxgsignxglanguagexgcanxg
bexgusedxgasxgappropriate.
TRUE/FALSE:
Whenxgcaringxgforxganxgunconsciousxgpatient,xgthexgnursexgshouldxgspeakxgloudlyxgandxgas
sumexgthexgpatientxgcanxghearxghim.
xg A.xgTrue
,xg B.xgFalsexg-xgcorrectxganswer✔ ✔ ANSWER:
"B.xgFALSE"
RATIONALE:
-
Whenxgcaringxgforxganxgunconsciousxgpatient,xgthexgnursexgshouldxgspeakxginxgaxgnormalxgt
onexgofxgvoicexgandxgassumexgthexgpatientxgcanxghearxghim.
TRUE/FALSE:
Bloodxgvesselsxginxgthexgskinxgdilatexgtoxgdissipatexgheat.
A.xgTrue
B.xgFalsexg-xgcorrectxganswer✔ ✔ ANSWER:
"A.xgTRUE"
RATIONALE:
-Bloodxgvesselsxginxgthexgskinxgdilatexgtoxgdissipatexgheat.
Whichxgonexgofxgthexgfollowingxgtypesxgofxgwoundsxgisxgcausedxgbyxgaxgbluntxginstrumentxgt
hatxgcausesxginjuryxgtoxgunderlyingxgsoftxgtissuexgwithxgthexgoverlyingxgskinxgremainingxginta
ct?
A.xgContusion
B.xgAbrasion
C.xgLaceration
D.xgAvulsionxg-xgcorrectxganswer✔ ✔ ANSWER:
"A.xgCONTUSION"
RATIONALE:
1.xgAxgcontusionxgisxgcausedxgbyxgaxgbluntxginstrumentxgandxgmayxgresultxginxgbruisingxgorxg
hematoma.
2.xgAnxgabrasionxgisxgthexgrubbingxgorxgscrapingxgofxgepidermalxglayersxgofxgskin.
, 3.xgAxglacerationxgisxgthexgtearingxgofxgskinxgandxgtissuexgwithxgaxgbluntxgorxgirregularxginstru
ment.
4.xgAvulsionxgisxgthexgtearingxgofxgaxgstructurexgfromxgnormalxganatomicxgposition.
axg-xgcorrectxganswer✔ ✔ before
acxg-xgcorrectxganswer✔ ✔ beforexgmeals
abdxg-xgcorrectxganswer✔ ✔ abdomen
ABGxg-xgcorrectxganswer✔ ✔ arterialxgbloodxggas
adxglibxg-xgcorrectxganswer✔ ✔ atxgdiscretion
ADLxg-xgcorrectxganswer✔ ✔ activitiesxgofxgdailyxgliving
AKAxg-xgcorrectxganswer✔ ✔ abovexgkneexgamputation
AMAxg-xgcorrectxganswer✔ ✔ againstxgmedicalxgadvice
ambxg-xgcorrectxganswer✔ ✔ ambulate
A-Pxg-xgcorrectxganswer✔ ✔ anterioposterior
AROMxg-xgcorrectxganswer✔ ✔ activexgrangexgofxgmotion
ASAPxg-xgcorrectxganswer✔ ✔ asxgsoonxgasxgpossible
asxgtolxg-xgcorrectxganswer✔ ✔ asxgtolerated
xg xg xg xg xg xg
Whichxgofxgthexgfollowingxginterventionsxgwouldxgbexgappropriatexgtoxgstimulatexgthexgsens
exgofxgstereognosisxginxgnursingxghomexgresidents?
A.xgTapexgpicturesxgofxglovedxgonesxgonxgthexgwalls.
B.xgPlayxgsoftxgmusicxginxgthexgrecreationxgroom.
C.xgPreparexgaxgfragrantxgcupxgofxgtea.
D.xgProvidexgaxgsoftxgtexturedxgblanketxgonxgthexgbed.xg-xgcorrectxganswer✔ ✔
ANSWER:xg
"D.xgProvidexgaxgsoftxgtexturedxgblanketxgonxgthexgbed."
RATIONALE:
-
Stereognosisxgisxgthexgsensexgthatxgperceivesxgthexgsize,xgshape,xgandxgtexturexgofxgobject
s,xgsuchxgasxgaxgsoftxgblanket.
-Tapingxgpicturesxgtoxgthexgwallxgstimulatesxgthexgvisualxgsense.
-Playingxgmusicxgstimulatesxgthexgauditoryxgsensexg(sound).
-Makingxgteaxgstimulatesxgthexgolfactoryxgsensexg(smell)xgand
thexggustatoryxgsensexg(taste).
Whichxgonexgofxgthexgfollowingxgpatientsxgwouldxgbexgconsideredxgatxgriskxgforxgsensoryxgde
privation?
A.xgAxgpatientxgwithxgAIDS
B.xgAxgpatientxginxganxgintensivexgcarexgunit
C.xgAxgpatientxgwithxgaxgdisturbancexgofxgthexgnervousxgsystem
D.xgAxgpatientxgwithxgintrusivexgmonitoringxg-xgcorrectxganswer✔ ✔ ANSWER:
"A.xgAxgpatientxgwithxgAIDS"
RATIONALE:
,-
AxgpatientxgwithxgAIDSxgmayxgreceivexganxginsufficientxgquantityxgorxgqualityxgofxgstimulixgca
usingxgsensoryxgdeprivation.xg
-
Patientsxginxgintensivexgcarexgunits,xgpatientsxgwithxgaxgdisturbancexgofxgthexgnervousxgsyst
em,xgandxgpatientsxgwhoxghavexgextensivexgmonitoringxgarexgatxghighxgriskxgforxgsensoryxgo
verload.xgThisxgconditionxgisxgcausedxgbyxgexcessivexgstimulixgoverxgwhichxgthexgindividualx
gfeelsxglittlexgcontrol.
Whichxgofxgthexgfollowingxgisxganxgappropriatexgmeasurexgwhenxgcaringxgforxgaxgpatientxgwh
oxgisxghearingxgimpaired?
A.xgSpeakxgtoxgthexgpersonxgbeforexgmakingxgyourxgpresencexgknown.
B.xgIncreasexgnoisesxginxgthexgbackgroundxgtoxgstimulatexgthexgsenses.
C.xgPositionxgselfxgsoxglightxgisxgonxgyourxgface.
D.xgDoxgnotxgusexgpantomimexgtoxgexpressxgmessagesxgtoxgavoidxgembarrassment.xg-
xg correctxganswer✔ ✔ ANSWER:
"C.xgPositionxgselfxgsoxglightxgisxgonxgyourxgface."
RATIONALE:
-
Positioningxgselfxgsoxglightxgisxgonxgyourxgfacexgallowsxgthexgpatientxgtoxgseexgyourxglipsxgand
xg expressions.xg
-Thexgpatientxgshouldxgbexgorientedxgtoxgyourxgpresencexgbeforexgspeaking.
-
Backgroundxgnoisesxgshouldxgbexgreducedxgandxgpantomimexgandxgsignxglanguagexgcanxg
bexgusedxgasxgappropriate.
TRUE/FALSE:
Whenxgcaringxgforxganxgunconsciousxgpatient,xgthexgnursexgshouldxgspeakxgloudlyxgandxgas
sumexgthexgpatientxgcanxghearxghim.
xg A.xgTrue
,xg B.xgFalsexg-xgcorrectxganswer✔ ✔ ANSWER:
"B.xgFALSE"
RATIONALE:
-
Whenxgcaringxgforxganxgunconsciousxgpatient,xgthexgnursexgshouldxgspeakxginxgaxgnormalxgt
onexgofxgvoicexgandxgassumexgthexgpatientxgcanxghearxghim.
TRUE/FALSE:
Bloodxgvesselsxginxgthexgskinxgdilatexgtoxgdissipatexgheat.
A.xgTrue
B.xgFalsexg-xgcorrectxganswer✔ ✔ ANSWER:
"A.xgTRUE"
RATIONALE:
-Bloodxgvesselsxginxgthexgskinxgdilatexgtoxgdissipatexgheat.
Whichxgonexgofxgthexgfollowingxgtypesxgofxgwoundsxgisxgcausedxgbyxgaxgbluntxginstrumentxgt
hatxgcausesxginjuryxgtoxgunderlyingxgsoftxgtissuexgwithxgthexgoverlyingxgskinxgremainingxginta
ct?
A.xgContusion
B.xgAbrasion
C.xgLaceration
D.xgAvulsionxg-xgcorrectxganswer✔ ✔ ANSWER:
"A.xgCONTUSION"
RATIONALE:
1.xgAxgcontusionxgisxgcausedxgbyxgaxgbluntxginstrumentxgandxgmayxgresultxginxgbruisingxgorxg
hematoma.
2.xgAnxgabrasionxgisxgthexgrubbingxgorxgscrapingxgofxgepidermalxglayersxgofxgskin.
, 3.xgAxglacerationxgisxgthexgtearingxgofxgskinxgandxgtissuexgwithxgaxgbluntxgorxgirregularxginstru
ment.
4.xgAvulsionxgisxgthexgtearingxgofxgaxgstructurexgfromxgnormalxganatomicxgposition.
axg-xgcorrectxganswer✔ ✔ before
acxg-xgcorrectxganswer✔ ✔ beforexgmeals
abdxg-xgcorrectxganswer✔ ✔ abdomen
ABGxg-xgcorrectxganswer✔ ✔ arterialxgbloodxggas
adxglibxg-xgcorrectxganswer✔ ✔ atxgdiscretion
ADLxg-xgcorrectxganswer✔ ✔ activitiesxgofxgdailyxgliving
AKAxg-xgcorrectxganswer✔ ✔ abovexgkneexgamputation
AMAxg-xgcorrectxganswer✔ ✔ againstxgmedicalxgadvice
ambxg-xgcorrectxganswer✔ ✔ ambulate
A-Pxg-xgcorrectxganswer✔ ✔ anterioposterior
AROMxg-xgcorrectxganswer✔ ✔ activexgrangexgofxgmotion
ASAPxg-xgcorrectxganswer✔ ✔ asxgsoonxgasxgpossible
asxgtolxg-xgcorrectxganswer✔ ✔ asxgtolerated