NUR 350 module quizzes With Correct
Answers
assessments |specific |to |neurological |conditions
sensations |of |skin |and |feet
PERRLA
hx |of |diabetes
For |a |pt |recovering |from |a |stroke, |the |nurse |assigns |the |nursing |diagnosis, |impaired |physical |
mobility. |The |overarching |goal |is, |'Patient |will |have |improved |mobility |for |transfers |within |two |
week.' |An |appropriate |specific |outcome |will |be
Patient |will |demonstrate |safe |transfer |from |bed |to |commode |within |two |weeks
For |a |pt |for |whom |the |nursing |diagnosis |risk |for |falls |has |been |assigned, |the |nurse |lists |the |
goal, |Patient |will |identify |individual |risks |for |falls. |The |nurse |will |know |that |this |goal |has |been |
met |when |the |pt |states
"Maybe |the |tingling |in |my |feet |and |the |fact |that |my |shoes |feel |a |little |big |are |a |problem"
In |a |pt |diagnosed |with |myasthenia |graves, |the |nurse |will |need |to |be |aware |of |the |need |to |
assess |for |dysphagia |especially
in |the |evening
The |assessment |finding |of |decreased |sensation |of |pain |in |the |soles |of |the |feet |would |be |most |
specific |for |which |nursing |diagnosis?
Risk |for |injury
Within |the |goal, |'Patient |will |remain |injury |free |throughout |this |shift,' |which |of |the |following |
specific |outcomes |is |most |appropriate?
Patient |will |demonstrate |compliance |with |fall |risk |precautions |throughout |the |shift
An |evaluation |that |the |patient |has |been |able |to |achieve |the |goal, |"Patient |will |remain |injury |
free |throughout |the |shift," |would |state
Patient |did |not |sustain |any |injuries |this |shift
, A |patient |who |is |diagnosed |with |Parkinson's |disease |ought |to |be |assessed |for |safety |in |the |
area |of
Risk |for |falls
The |nurse |finds |an |area |of |non-blanchable |redness |on |the |coccyx |area |of |her |patient. |This |is |
considered
A |stage |1 |pressure |injury
A |nurse |has |assigned |the |nursing |diagnosis |of |Risk |for |impaired |skin |integrity |for |a |bed |bound |
patient |who |is |recovering |from |a |stroke |that |has |caused |him |to |be |unable |to |move |the |left |
side |of |his |body |voluntarily. |Which |of |the |following |interventions |will |be |appropriate |in |order |
to |decrease |risk |for |skin |breakdown?
Nurse |will |initiate |re-positioning |schedule |for |at |least |every |2 |hours
Aspiration |is |one |of |the |most |important |risks |associated |with |the |nursing |diagnosis |of
Impaired |swallowing
Which |of |the |following |is |a |normal |consequence |of |aging |that |can |increase |the |likelihood |of |
hypertension |in |the |older |adult?
Reduced |elasticity |of |the |blood |vessels
When |a |person |is |taking |antihypertensive |medications, |what |assessment |is |important |to |
continue |to |monitor |to |reduce |the |risk |of |falls?
asking |the |patient |if |he/she |feels |dizzy |or |light-headed
A |nurse |assigns |the |nursing |diagnosis |of |ineffective |health |management |related |to |medication |
management |for |hypertension. |Which |of |the |following |is |an |appropriate |goal?
Patient |will |identify |a |specific |way |to |remember |to |take |his |antihypertensive |medication |every |
morning |after |discussion
The |nurse |is |caring |for |a |patient |with |heart |failure |and |assigns |the |nursing |diagnosis |of |
Activity |intolerance |related |to |dyspnea |on |exertion. |He |writes |the |goal, |'Patient |will |report |no |
dyspnea |with |ADL's |today.' |What |outcome |will |likely |be |appropriate |fo |this |patient?
Patient |will |identify |two |way |to |conserve |energy |during |performance |of |ADL's |after |instruction
Upon |assessment |the |nurse |finds |that |the |patient |exhibits |2-3+ |pitting |edema |in |her |bilateral |
lower |legs, |is |short |of |breath |after |transferring |from |bed |to |chair |and |has |bilateral |basilar |
crackles |in |the |lungs. |The |most |appropriate |nursing |diagnosis |for |this |patient |is
Answers
assessments |specific |to |neurological |conditions
sensations |of |skin |and |feet
PERRLA
hx |of |diabetes
For |a |pt |recovering |from |a |stroke, |the |nurse |assigns |the |nursing |diagnosis, |impaired |physical |
mobility. |The |overarching |goal |is, |'Patient |will |have |improved |mobility |for |transfers |within |two |
week.' |An |appropriate |specific |outcome |will |be
Patient |will |demonstrate |safe |transfer |from |bed |to |commode |within |two |weeks
For |a |pt |for |whom |the |nursing |diagnosis |risk |for |falls |has |been |assigned, |the |nurse |lists |the |
goal, |Patient |will |identify |individual |risks |for |falls. |The |nurse |will |know |that |this |goal |has |been |
met |when |the |pt |states
"Maybe |the |tingling |in |my |feet |and |the |fact |that |my |shoes |feel |a |little |big |are |a |problem"
In |a |pt |diagnosed |with |myasthenia |graves, |the |nurse |will |need |to |be |aware |of |the |need |to |
assess |for |dysphagia |especially
in |the |evening
The |assessment |finding |of |decreased |sensation |of |pain |in |the |soles |of |the |feet |would |be |most |
specific |for |which |nursing |diagnosis?
Risk |for |injury
Within |the |goal, |'Patient |will |remain |injury |free |throughout |this |shift,' |which |of |the |following |
specific |outcomes |is |most |appropriate?
Patient |will |demonstrate |compliance |with |fall |risk |precautions |throughout |the |shift
An |evaluation |that |the |patient |has |been |able |to |achieve |the |goal, |"Patient |will |remain |injury |
free |throughout |the |shift," |would |state
Patient |did |not |sustain |any |injuries |this |shift
, A |patient |who |is |diagnosed |with |Parkinson's |disease |ought |to |be |assessed |for |safety |in |the |
area |of
Risk |for |falls
The |nurse |finds |an |area |of |non-blanchable |redness |on |the |coccyx |area |of |her |patient. |This |is |
considered
A |stage |1 |pressure |injury
A |nurse |has |assigned |the |nursing |diagnosis |of |Risk |for |impaired |skin |integrity |for |a |bed |bound |
patient |who |is |recovering |from |a |stroke |that |has |caused |him |to |be |unable |to |move |the |left |
side |of |his |body |voluntarily. |Which |of |the |following |interventions |will |be |appropriate |in |order |
to |decrease |risk |for |skin |breakdown?
Nurse |will |initiate |re-positioning |schedule |for |at |least |every |2 |hours
Aspiration |is |one |of |the |most |important |risks |associated |with |the |nursing |diagnosis |of
Impaired |swallowing
Which |of |the |following |is |a |normal |consequence |of |aging |that |can |increase |the |likelihood |of |
hypertension |in |the |older |adult?
Reduced |elasticity |of |the |blood |vessels
When |a |person |is |taking |antihypertensive |medications, |what |assessment |is |important |to |
continue |to |monitor |to |reduce |the |risk |of |falls?
asking |the |patient |if |he/she |feels |dizzy |or |light-headed
A |nurse |assigns |the |nursing |diagnosis |of |ineffective |health |management |related |to |medication |
management |for |hypertension. |Which |of |the |following |is |an |appropriate |goal?
Patient |will |identify |a |specific |way |to |remember |to |take |his |antihypertensive |medication |every |
morning |after |discussion
The |nurse |is |caring |for |a |patient |with |heart |failure |and |assigns |the |nursing |diagnosis |of |
Activity |intolerance |related |to |dyspnea |on |exertion. |He |writes |the |goal, |'Patient |will |report |no |
dyspnea |with |ADL's |today.' |What |outcome |will |likely |be |appropriate |fo |this |patient?
Patient |will |identify |two |way |to |conserve |energy |during |performance |of |ADL's |after |instruction
Upon |assessment |the |nurse |finds |that |the |patient |exhibits |2-3+ |pitting |edema |in |her |bilateral |
lower |legs, |is |short |of |breath |after |transferring |from |bed |to |chair |and |has |bilateral |basilar |
crackles |in |the |lungs. |The |most |appropriate |nursing |diagnosis |for |this |patient |is
