The patient is brought to the emergency department after a motor vehicle accident.
The patient is diagnosed with internal bleeding. The nurse's primary concern is to
monitor for
mental alertness.
perfusion.
pain.
reaction to medications.
Give this one a try later!
, perfusion
(Perfusion is the correct answer, because with internal bleeding, the nurse
should monitor vital signs to be sure perfusion is happening. Mental
alertness, pain, and medication reactions are important but not the primary
concern.)
Which is a goal for a patient with the nursing diagnosis of Ineffective Airway
Clearance?
a. Patient's respiratory secretions will become thicker so they are not moved when
coughing.
b. Patient's respiratory secretions will have a thinner consistency after being given a
mucolytic agent.
c. Patient will have improved range of motion while in bed.
d. Patient's respiratory rate will increase to 28 breaths/min during hospitalization
Give this one a try later!
b. Patient's respiratory secretions will have a thinner consistency after being
given a mucolytic agent.
(The use of mucolytic agents may thin the secretions and allow easier
removal. Thickened secretions in the airways can make it more difficult to
cough effectively. The goal is to decrease the thickness of secretions.
Improved range of motion is related to musculoskeletal problems. The
normal respiratory rate is 12 to 20 breaths/min, and 28 breaths/min is
considered tachypnea and is not desired.)
,The nurse is assigned a group of patients. Which patient would the nurse identify as
being at increased risk for impaired gas exchange? A patient
with a blood glucose of 350 mg/dL
who has been on anticoagulants for 10 days
with a hemoglobin of 8.5 g/dL
with a heart rate of 100 beats/min and blood pressure of 100/60
Give this one a try later!
with a hemoglobin of 8.5 g/dL
(The hemoglobin is low (anemia), therefore the ability of the blood to carry
oxygen is decreased. High blood glucose and/or anticoagulants do not
alter the oxygen carrying capacity of the blood. A heart rate of 100
beats/min and blood pressure of 100/60 are not indicative of oxygen
carrying capacity of the blood.)
sinal atrial node (SA node)
Give this one a try later!
makes the heart beat in a normal pattern. pacemaker part of the
conduction system of the heart
Match the activities listed with the appropriate functional level of ability: Use A for
instrumental activities of daily living (IADLs) and use B for basic activities of daily
living (BADLs). (Your answer should appear as letters separated by commas and
, spaces [e.g., A, A, A, A, A, A].)
Uses a cane
Bathes daily
Takes medications as prescribed
Dresses self
Balances the checkbook
Cleans the house
Give this one a try later!
B, B, A, B, A, A
(Functional impairment, disability, or handicap refers to varying degrees of
an individual's inability to perform the tasks required to complete normal
life activities without assistance. IADLs are more complex skills that are
essential to living in the community.)
which of the following activities are considered in the IADLs assessment? select all
that apply
a. balancing a checkbook
b. feeding oneself
c. grocery shopping
d. making phone calls
e. preparing a meal
f. walking
The patient is diagnosed with internal bleeding. The nurse's primary concern is to
monitor for
mental alertness.
perfusion.
pain.
reaction to medications.
Give this one a try later!
, perfusion
(Perfusion is the correct answer, because with internal bleeding, the nurse
should monitor vital signs to be sure perfusion is happening. Mental
alertness, pain, and medication reactions are important but not the primary
concern.)
Which is a goal for a patient with the nursing diagnosis of Ineffective Airway
Clearance?
a. Patient's respiratory secretions will become thicker so they are not moved when
coughing.
b. Patient's respiratory secretions will have a thinner consistency after being given a
mucolytic agent.
c. Patient will have improved range of motion while in bed.
d. Patient's respiratory rate will increase to 28 breaths/min during hospitalization
Give this one a try later!
b. Patient's respiratory secretions will have a thinner consistency after being
given a mucolytic agent.
(The use of mucolytic agents may thin the secretions and allow easier
removal. Thickened secretions in the airways can make it more difficult to
cough effectively. The goal is to decrease the thickness of secretions.
Improved range of motion is related to musculoskeletal problems. The
normal respiratory rate is 12 to 20 breaths/min, and 28 breaths/min is
considered tachypnea and is not desired.)
,The nurse is assigned a group of patients. Which patient would the nurse identify as
being at increased risk for impaired gas exchange? A patient
with a blood glucose of 350 mg/dL
who has been on anticoagulants for 10 days
with a hemoglobin of 8.5 g/dL
with a heart rate of 100 beats/min and blood pressure of 100/60
Give this one a try later!
with a hemoglobin of 8.5 g/dL
(The hemoglobin is low (anemia), therefore the ability of the blood to carry
oxygen is decreased. High blood glucose and/or anticoagulants do not
alter the oxygen carrying capacity of the blood. A heart rate of 100
beats/min and blood pressure of 100/60 are not indicative of oxygen
carrying capacity of the blood.)
sinal atrial node (SA node)
Give this one a try later!
makes the heart beat in a normal pattern. pacemaker part of the
conduction system of the heart
Match the activities listed with the appropriate functional level of ability: Use A for
instrumental activities of daily living (IADLs) and use B for basic activities of daily
living (BADLs). (Your answer should appear as letters separated by commas and
, spaces [e.g., A, A, A, A, A, A].)
Uses a cane
Bathes daily
Takes medications as prescribed
Dresses self
Balances the checkbook
Cleans the house
Give this one a try later!
B, B, A, B, A, A
(Functional impairment, disability, or handicap refers to varying degrees of
an individual's inability to perform the tasks required to complete normal
life activities without assistance. IADLs are more complex skills that are
essential to living in the community.)
which of the following activities are considered in the IADLs assessment? select all
that apply
a. balancing a checkbook
b. feeding oneself
c. grocery shopping
d. making phone calls
e. preparing a meal
f. walking
