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Exam (elaborations)

Giddens: Chapter 18: Perfusion NCLEX RN Practice Questions with correct answers

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Question 1 of 5 A patient is questioning the nurse about circulation and perfusion. What is the nurse's best response? Perfusion assists the body by preventing clots and increasing stamina. Perfusion assists the cell by delivering oxygen and removing waste products. Perfusion assists the heart by increasing the cardiac output. Perfusion assists the brain by increasing mental alertness. Perfusion assists the cell by delivering oxygen and removing waste products. Perfusion delivers much needed oxygen to the cells of the body and then helps to remove waste products. Perfusion does not prevent clots, does not increase cardiac output, and does not increase mental alertness. Question 2 of 5 A patient is experiencing periods of confusion, and the family is concerned. The patient's son asks the nurse for an explanation and recommendation. What is the nurse's best response? "Your father may be having mini-strokes; I will notify his physician." "Your father is just confused about some things since he is in the hospital." "The confusion will pass. Your father just has to get up and move around." "Talk with your father about past events, and that will help with the confusion." "Your father may be having mini-strokes; I will notify his physician." Periods of confusion may be related to mini-strokes, or transient ischemic attacks (TIAs). Confusion during hospitalization does not occur with every patient. Talking with the patient or thinking the confusion may pass is not a viable solution. The patient should be assessed and the reason for the confusion identified. Question 3 of 5 The nurse is assessing a patient for sleep patterns. The patient reports that he has trouble sleeping when lying flat. The best response from the nurse is open a window to let fresh air into the room. use nasal strips to assist with breathing. sleep in a side-lying position. use pillows to prop yourself up while sleeping. use pillows to prop yourself up while sleeping. Using pillows to prop himself up during sleep allows the patient to breathe more easily and comfortably. Nasal strips will help with breathing, but they do not always bring relief when one is lying flat. Sleeping in a side position or opening a window does not help one to breathe more easily when one is lying flat. Question 4 of 5 The nurse is assessing a female patient at the neighborhood clinic. The patient is complaining of "feeling tired all the time." The nurse knows that fatigue may be an underlying symptom of which condition? Ischemia Pneumonia Myocardial infarction Peptic ulcer disease Myocardial infarction Fatigue is an atypical symptom of myocardial infarction in women. Ischemia is associated with pain. Pneumonia is associated with pain and shortness of breath. Peptic ulcer disease is associated with pain and intestinal discomfort.

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