ANSWERS
Avnnursevnisvnteachingvnanvnassistivevnpersonnelvn(AP)vnaboutvnthevnpurposevnofvnavnfootpl
atevnonvnthevnbedvnofvnavnclientvnwhosevnlegvnisvninvnBuck'svntraction.vnWhichvnofvnthevnfollow
ingvnstatementsvnindicatesvnthevnAPvnunderstandsvnthevnteaching?
"Thevnfootplatevnworksvntovnanchorvnthevntraction."
"Thevnfootplatevnhelpsvntovnpreventvnfootvndrop."
"Thevnfootplatevnkeepsvnthevnclientvnfromvnslidingvndownvninvnbed."
"Thevnfootplatevnpreventsvnpressurevnsoresvnonvnthevnheel."vn-
vnanswer--"Thevnfootplatevnhelpsvntovnpreventvnfootvndrop."
Avnnursevnisvncaringvnforvnavnclientvnwhovnhasvnperipheralvnarterialvndiseasevn(PAD).vnWhic
hvnofvnthevnfollowingvnsymptomsvnshouldvnthevnnursevnexpectvntovnfindvninvnthevnearlyvnstag
evnofvnthevndisease?
Intermittentvnclaudication
Dependentvnrubor
Restvnpain
Footvnulcersvn-vnanswer--Intermittentvnclaudication
Avnnursevnisvnplanningvncarevnforvnavnclientvnwhovnhasvnterminalvncancervnandvnhasvnavnpres
criptionvnforvnmorphine.vnWhichvnofvnthevnfollowingvninterventionsvnshouldvnthevnnursevnincl
udevninvnthevnplanvnofvncare?
Instructvnthevnclientvntovntakevndiphenoxylate/atropinevn5vnmgvnPOvntwicevnavnday.
Instructvnthevnclientvntovnactivelyvncoughvntovnpreventvnavnbuildupvnofvnsecretionsvninvnthevnai
rway.
Instructvnthevnclientvntovnstopvntakingvnthevnmorphinevnifvnitchingvndevelops.
Instructvnthevnclientvntovnkeepvnroomvnlightsvndimvnduringvnwakingvnhours.vn-vnanswer--
Instructvnthevnclientvntovnactivelyvncoughvntovnpreventvnavnbuildupvnofvnsecretionsvninvnthevnai
rway.
Avnnursevnisvncaringvnforvnavnclientvnwhovnisvnexperiencingvnmenopausalvnsymptomsvnandvn
asksvnthevnnursevnaboutvnmenopausalvnhormonevntherapyvn(HT).vnThevnnursevnshouldvninf
ormvnthevnclientvnthatvnHTvnisvnnotvnrecommendedvnduevntovnwhichvnofvnthevnfollowingvnfindi
ngsvninvnthevnclient'svnmedicalvnhistory?
Historyvnofvndermatitis
Historyvnofvnbreastvncancer
MultiplevnhospitalizationsvnforvnCOPD
ConcurrentvntreatmentvnforvnGERDvn-vnanswer--Historyvnofvnbreastvncancer
, Avnnursevnisvnplanningvncarevnforvnavnclientvnfollowingvnavncardiacvncatheterizationvnaccess
edvnthroughvnhisvnfemoralvnartery.vnWhichvnofvnthevnfollowingvnactionsvnshouldvnthevnnursev
nplanvntovntake?
Instructvnthevnclientvntovnperformvnrange-of-motionvnexercisesvntovnhisvnlowervnextremities.
Performvnneurovascularvnchecksvnwithvnvitalvnsigns.
Ambulatevnthevnclientvn1vnhrvnfollowingvnthevnprocedure.
Restrictvnthevnclient'svnfluidvnintake.vn-vnanswer--
Performvnneurovascularvnchecksvnwithvnvitalvnsigns.
Avnnursevnisvncaringvnforvnavnclientvnwhovnhasvnavnspinalvncordvninjuryvnandvnsuspectsvnthevnc
lientvnisvndevelopingvnautonomicvndysreflexia.vnWhichvnofvnthevnfollowingvnactionsvnshould
vnthevnnursevntakevnfirst?
Checkvnthevnclientvnforvnavnfecalvnimpaction.
Examinevnthevnclientvnforvnareasvnofvnskinvnbreakdown.
Checkvnthevnclient'svnbladdervnforvndistention.
Placevnthevnclientvninvnavnsittingvnposition.vn-vnanswer--
Placevnthevnclientvninvnavnsittingvnposition.
Avnnursevnisvnreviewingvnthevnlaboratoryvnvaluesvnofvnavnclientvnwhovnhasvnrespiratoryvnacid
osis.vnWhichvnofvnthevnfollowingvnfindingsvnshouldvnthevnnursevnexpect?
HCO3-vn30vnmEq/L
PaCO2vn50vnmmvnHg
pHvn7.45
Potassiumvn3.3vnmEq/Lvn-vnanswer--PaCO2vn50vnmmvnHg
Avnnursevnisvnassessingvnavnclientvnwhovnhasvndiabetesvninsipidus.vnWhichvnofvnthevnfollowi
ngvnfindingsvnisvnavnmanifestationvnofvnthisvndiagnosis?
Hypertension
Boundingvnperipheralvnpulses
Tachycardia
Hyperglycemiavn-vnanswer--Tachycardia
AvnstaffvnnursevnisvnteachingvnavnclientvnwhovnhasvnAddison'svndiseasevnaboutvnthevndiseas
evnprocess.vnThevnclientvnasksvnthevnnursevnwhatvncausesvnAddison'svndisease.vnWhichvno
fvnthevnfollowingvnresponsesvnshouldvnthevnnursevnmake?
"Itvnisvncausedvnbyvnthevnlackvnofvnproductionvnofvninsulinvnbyvnthevnpancreas.."
"Itvnisvncausedvnbyvnthevnlackvnofvnproductionvnofvnaldosteronevnbyvnthevnadrenalvngland."
"Itvnisvncausedvnbyvnthevnoverproductionvnofvngrowthvnhormonevnbyvnthevnpituitaryvngland."
"Itvnisvncausedvnbyvnthevnoverproductionvnofvnparathormonevnbyvnthevnparathyroidvngland."v
n-
vnanswer--"Itvnisvncausedvnbyvnthevnlackvnofvnproductionvnofvnaldosteronevnbyvnthevnadrenalv
ngland."
Avnnursevnisvnreviewingvnbloodvnpressurevnclassificationsvnwithvnavngroupvnofvnnursesvnatvn
anvnin-