2
Adult Health 3 Exam 4 with verified detailed answers
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You are working in a mental health unit. A patient has a verbal outburst, pacing around the
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unit, and appears angry. What statement is appropriate by the nurse? - ✔✔Please take a
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time out in your room.
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A nurse is planning care for a client with Rheumatoid Arthritis.What non pharmacological
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interventions should be included in their plan of care? - ✔✔-Apply splints to inflamed joint
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-select clothing with a hook and loop
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-apply moist heat || ||
A client with a new diagnosis of HIV should expect what prophylactic measure? - ✔✔-Hep
|| || || || || || || || || || || || || || ||
B
-Pneumococcal
-Influenza
What interventions should be included for a patient with a new diagnosis of MS? - ✔✔Daily
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muscle strengthening
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A patient with a history of Chrons Disease an ascending colostomy bad. What finding
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would be a priority to follow up on? - ✔✔Stoma that is dark purple, black, and dry
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A nurse is doing a genital assessment on a 22 year old male. The nurse notices multiple
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cauliflower shaped papules. What should the nurse document these as? - ✔✔Genital warts
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A patient falls in a nursing home and gets a right hip fracture. What is the most important
|| || || || || || || || || || || || || || || || || ||
thing for the nurse to assess? - ✔✔Check distal pulses of affected extremity
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, 2
A nurse is planning care in the ER for a client with open fracture of the radius. What should
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be included in plan of care? - ✔✔Cover the wound with sterile dressing
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The nurse is caring for a client with a SCD. What is the purpose of an SCD? - ✔✔Maintain
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mobility until the patient can do it themselves || || || || || || ||
A nurse is caring for a patient after a hemorrhagic stroke. The family of the patient wants to
|| || || || || || || || || || || || || || || || ||
know about their condition, what explanation from the nurse should be included? - ✔✔We
|| || || || || || || || || || || || || || ||
might need consent for immediate surgical interventions
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A nurse is on the stroke team and working with colleagues to stabilize a patient brought
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into the hospital with stroke symptoms. What action by a CNA would require intervention
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by the nurse? - ✔✔Assist the client to take sips of water
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Carotid endarterectomy- what is it? - ✔✔Removing plaque from arteries going to brain
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A patient with a subdural hematoma gets neuroleptic shock. What action is best? -
|| || || || || || || || || || || || || ||
✔✔Prepare the client for emergency surgery || || || || ||
What action must be done is you have a patient with a Glascow coma scale of 6 after calling
|| || || || || || || || || || || || || || || || || || ||
the doctor? - ✔✔Call anesthesiologist
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A nurse is on a stroke team, and has a client on the way to CT. What information would be
|| || || || || || || || || || || || || || || || || || || ||
a priority to obtain? - ✔✔When did the symptoms start?
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A nurse is working in a Neuro unit, caring for a client with a subarachnoid hemorrhage.
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What treatments should the client prepare for? - ✔✔-Surgical clipping
|| || || || || || || || ||
-IV antihypertensive || ||
-Putting bolt in head (Ventriclostomy) || || || ||
Adult Health 3 Exam 4 with verified detailed answers
|| || || || || || || ||
You are working in a mental health unit. A patient has a verbal outburst, pacing around the
|| || || || || || || || || || || || || || || || ||
unit, and appears angry. What statement is appropriate by the nurse? - ✔✔Please take a
|| || || || || || || || || || || || || || ||
time out in your room.
|| || || ||
A nurse is planning care for a client with Rheumatoid Arthritis.What non pharmacological
|| || || || || || || || || || || || ||
interventions should be included in their plan of care? - ✔✔-Apply splints to inflamed joint
|| || || || || || || || || || || || || ||
-select clothing with a hook and loop
|| || || || || ||
-apply moist heat || ||
A client with a new diagnosis of HIV should expect what prophylactic measure? - ✔✔-Hep
|| || || || || || || || || || || || || || ||
B
-Pneumococcal
-Influenza
What interventions should be included for a patient with a new diagnosis of MS? - ✔✔Daily
|| || || || || || || || || || || || || || ||
muscle strengthening
|| ||
A patient with a history of Chrons Disease an ascending colostomy bad. What finding
|| || || || || || || || || || || || || ||
would be a priority to follow up on? - ✔✔Stoma that is dark purple, black, and dry
|| || || || || || || || || || || || || || || ||
A nurse is doing a genital assessment on a 22 year old male. The nurse notices multiple
|| || || || || || || || || || || || || || || || ||
cauliflower shaped papules. What should the nurse document these as? - ✔✔Genital warts
|| || || || || || || || || || || ||
A patient falls in a nursing home and gets a right hip fracture. What is the most important
|| || || || || || || || || || || || || || || || || ||
thing for the nurse to assess? - ✔✔Check distal pulses of affected extremity
|| || || || || || || || || || || ||
, 2
A nurse is planning care in the ER for a client with open fracture of the radius. What should
|| || || || || || || || || || || || || || || || || ||
be included in plan of care? - ✔✔Cover the wound with sterile dressing
|| || || || || || || || || || || || ||
The nurse is caring for a client with a SCD. What is the purpose of an SCD? - ✔✔Maintain
|| || || || || || || || || || || || || || || || || || ||
mobility until the patient can do it themselves || || || || || || ||
A nurse is caring for a patient after a hemorrhagic stroke. The family of the patient wants to
|| || || || || || || || || || || || || || || || ||
know about their condition, what explanation from the nurse should be included? - ✔✔We
|| || || || || || || || || || || || || || ||
might need consent for immediate surgical interventions
|| || || || || ||
A nurse is on the stroke team and working with colleagues to stabilize a patient brought
|| || || || || || || || || || || || || || || ||
into the hospital with stroke symptoms. What action by a CNA would require intervention
|| || || || || || || || || || || || || ||
by the nurse? - ✔✔Assist the client to take sips of water
|| || || || || || || || || || ||
Carotid endarterectomy- what is it? - ✔✔Removing plaque from arteries going to brain
|| || || || || || || || || || || ||
A patient with a subdural hematoma gets neuroleptic shock. What action is best? -
|| || || || || || || || || || || || || ||
✔✔Prepare the client for emergency surgery || || || || ||
What action must be done is you have a patient with a Glascow coma scale of 6 after calling
|| || || || || || || || || || || || || || || || || || ||
the doctor? - ✔✔Call anesthesiologist
|| || || ||
A nurse is on a stroke team, and has a client on the way to CT. What information would be
|| || || || || || || || || || || || || || || || || || || ||
a priority to obtain? - ✔✔When did the symptoms start?
|| || || || || || || || ||
A nurse is working in a Neuro unit, caring for a client with a subarachnoid hemorrhage.
|| || || || || || || || || || || || || || || ||
What treatments should the client prepare for? - ✔✔-Surgical clipping
|| || || || || || || || ||
-IV antihypertensive || ||
-Putting bolt in head (Ventriclostomy) || || || ||
