NHI 130055 MIDTERM (MODULES 1.0 - 5.2) EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS {VERIFIED ANSWERS}
|WITH COMPLETE SOLUTION!!
1. Describe the significance of each goal in Skilled Nursing Services.
Each goal—Improvement, Restorative, Maintenance, and
Promotion—plays a crucial role in enhancing patient outcomes
and quality of life.
The goals are primarily administrative and do not impact patient
care directly.
The goals focus solely on physical health without considering
emotional well-being.
Each goal is interchangeable and does not have specific
significance.
2. Why is assessing circulation to the left foot critical after an ORIF procedure
on the ankle?
To ensure there is adequate blood flow and to detect any
complications such as compartment syndrome.
To assess the patient's mobility post-surgery.
To evaluate the effectiveness of pain management strategies.
To monitor for signs of infection at the surgical site.
3. Describe how acetaminophen can lead to liver damage when taken in
excessive amounts.
,Acetaminophen has no effect on liver function regardless of the
dosage.
Acetaminophen directly damages liver cells without any metabolic
process.
The liver converts acetaminophen into a harmless substance that is
easily excreted.
, Excessive acetaminophen intake overwhelms the liver's ability to
metabolize it, leading to the accumulation of toxic metabolites
that cause liver damage.
4. Why is it important to avoid using wool blankets in areas where oxygen is
in use?
Wool blankets can generate static electricity, which poses a fire
risk in the presence of oxygen.
Wool blankets are too heavy for patients to use.
Wool blankets are not comfortable for patients.
Wool blankets can absorb oxygen and reduce its effectiveness.
5. What are some surgical risk factors?
Age, nutrition, obesity, and infections
Age, loss of limbs, nutrition
Obesity, pain, and infection
6. Overdose of acetaminophen can cause hepatotoxicity. A drug that can
help reduce the toxicity is NAC, i.e., N-acetyl cysteine. Based on the
structure of NAC and the pathway of acetaminophen metabolism, decide
the correct mechanism by which NAC works.
NAC activates P450 enzyme
, NAC conjugates to N-acetyl-p-benzoquinone imine and
detoxifies it
NAC activates both P450 and GST
NAC inhibits glutathione S-transferase (GST)
7. For physical therapy services to be reimbursed by Medicare, what must be
the goal of the therapy?
Maintenance
Educational
Restorative
Preventive
8. Potassium Chloride Elixir 10 mEq PO daily. Available is Potassium Chloride
Elixir 20 mEq/15mL. How much should the nurse administer?
None of the above
5 mL
7.5 mL
12.5 mL
10 mL
9. Who is the rehabilitation team member that specializes in addressing
emotional and psychological concerns after a heart attack?
Physical therapist
Psychologist
Dietitian
Cardiologist
AND CORRECT DETAILED ANSWERS {VERIFIED ANSWERS}
|WITH COMPLETE SOLUTION!!
1. Describe the significance of each goal in Skilled Nursing Services.
Each goal—Improvement, Restorative, Maintenance, and
Promotion—plays a crucial role in enhancing patient outcomes
and quality of life.
The goals are primarily administrative and do not impact patient
care directly.
The goals focus solely on physical health without considering
emotional well-being.
Each goal is interchangeable and does not have specific
significance.
2. Why is assessing circulation to the left foot critical after an ORIF procedure
on the ankle?
To ensure there is adequate blood flow and to detect any
complications such as compartment syndrome.
To assess the patient's mobility post-surgery.
To evaluate the effectiveness of pain management strategies.
To monitor for signs of infection at the surgical site.
3. Describe how acetaminophen can lead to liver damage when taken in
excessive amounts.
,Acetaminophen has no effect on liver function regardless of the
dosage.
Acetaminophen directly damages liver cells without any metabolic
process.
The liver converts acetaminophen into a harmless substance that is
easily excreted.
, Excessive acetaminophen intake overwhelms the liver's ability to
metabolize it, leading to the accumulation of toxic metabolites
that cause liver damage.
4. Why is it important to avoid using wool blankets in areas where oxygen is
in use?
Wool blankets can generate static electricity, which poses a fire
risk in the presence of oxygen.
Wool blankets are too heavy for patients to use.
Wool blankets are not comfortable for patients.
Wool blankets can absorb oxygen and reduce its effectiveness.
5. What are some surgical risk factors?
Age, nutrition, obesity, and infections
Age, loss of limbs, nutrition
Obesity, pain, and infection
6. Overdose of acetaminophen can cause hepatotoxicity. A drug that can
help reduce the toxicity is NAC, i.e., N-acetyl cysteine. Based on the
structure of NAC and the pathway of acetaminophen metabolism, decide
the correct mechanism by which NAC works.
NAC activates P450 enzyme
, NAC conjugates to N-acetyl-p-benzoquinone imine and
detoxifies it
NAC activates both P450 and GST
NAC inhibits glutathione S-transferase (GST)
7. For physical therapy services to be reimbursed by Medicare, what must be
the goal of the therapy?
Maintenance
Educational
Restorative
Preventive
8. Potassium Chloride Elixir 10 mEq PO daily. Available is Potassium Chloride
Elixir 20 mEq/15mL. How much should the nurse administer?
None of the above
5 mL
7.5 mL
12.5 mL
10 mL
9. Who is the rehabilitation team member that specializes in addressing
emotional and psychological concerns after a heart attack?
Physical therapist
Psychologist
Dietitian
Cardiologist
