Population Health Final Exam Questions & Answers (100% Rated)

Population Health Final Exam Questions & Answers (100% Rated)-A patient has been hospitalized with a serious flulike infection and is on bed rest. He is receiving multiple medications through two different IV infusions and is on high-flow oxygen therapy by oxygen mask. Currently the patient's head of bed is elevated to semi-Fowler position. The patient initiates little movement and responds only to being shaken. Vitals signs are temperature, 38.6°C (101.6°F); heart rate, 88 beats/min; blood pressure 140/84 mm Hg; and respirations, 20. Which of the following assessment findings suggest that the patient has a risk for an immobility complication? (Select all that apply.) 1. High-flow oxygen therapy by mask 2. Positioned semi-Fowler 3. Temperature 38.6°C (101.6°F) 4. Receiving multiple medications 5. Initiates little movement 6. Reduced conscious response 7. Bed rest - 1, 3, 5, 6, 7 A nurse is caring for a patient who was in an auto accident and has entered rehab after a 6-day hospitalization. The patient had multiple internal injuries and has nursing diagnoses of Hopelessness and Impaired Mobility at time of discharge. The nurse's assessment revealed the patient asking nurses to let him stay in bed and the patient having limited involvement in hygiene and a loss of appetite. The patient has a cast on his nondominant left hand and has reduced movement in the right lower leg, which is splinted. The health care provider has ordered the patient to ambulate 3 times a day. Which of the following is a priority for the rehab nurse? 1. Providing assistance with meals 2. Teaching patient exercises to strengthen right leg 3. Making preferred hygiene products available to the patient to use 4. Setting times to discuss relationship of hopelessness to injuries - 4 A patient has been on bed rest for over 5 days. Which of these findings during the nurse's assessment may indicate a complication of immobility? 1. Decreased peristalsis 2. Decreased heart rate 3. Increased blood pressure 4. Increased urinary output - 1 Place the following steps in the correct order for repositioning a patient in the 30-degree lateral side-lying position using two nurses. 1. Using knee and hip for leverage, nurse rolls patient onto side. 2. Nurse facing patient's back places hands under patient's dependent shoulder and brings shoulder blade forward. 3. Place pillows under semiflexed upper leg level at hip from groin to foot. 4. Flex patient's knee that will not be next to mattress, after being turned. Keep foot on mattress. Nurse places one hand on patient's upper bent leg. 5. Place hands under dependent hip and bring hip slightly forward so angle from hip to mattress is approximately 30 degrees. 6. Position patient on side of bed in opposite direction toward which patient is to be turned, then move upper and lower trunk. 7. Lower head of bed completely or as low as patient can tolerate. One nurse on each side of bed. - 7, 6, 4, 1, 2, 5, 3 The effects of immobility on the cardiac system include which of the following? (Select all that apply.) 1. Thrombus formation 2. Increased cardiac workload 3. Weak peripheral pulses 4. Irregular heartbeat 5. Orthostatic hypotension - 1, 2, 5 A 46-year-old patient is admitted to the emergency department following an automobile accident. The patient has a pelvic fracture and is ordered on bed rest and placed in an immobilization device to limit further injury until the fracture can safely be repaired. Which measures are appropriate for this patient to prevent complications of bed rest? (Select all that apply.) 1. Administer IV analgesic as ordered. 2. Have patient perform incentive spirometry. 3. Support patient in active assisted ROM exercises of upper extremities. 4. Provide patient a low-calorie diet. 5. Apply SCDs to legs - 2, 3, 5 A patient has an order for application of compression stockings. Place the following steps for application of the compression stockings in the correct order: 1. Place patient's toes into foot of stocking up to the heel; keep smooth. 2. Use tape measure to measure patient's leg for proper stocking size. 3. Slide stocking up over patient's calf until sock is completely extended. 4. Turn elastic stocking inside out, keeping hand inside holding heel. Take other hand and pull stocking inside out until reaching the heel. 5. Slide remaining portion of stocking over patient's foot, covering toes. Be sure foot fits into toe and heel of stocking. - 2, 4, 1, 5, 3 An older-adult patient is admitted following a hip fracture and surgical repair. Before ambulating the patient postoperatively on the evening of surgery, which of the following would be most important to assess? (Select all that apply.) 1. Patient's usual exercise pattern at home 2. Time and date of the patient's last bowel movement 3. Preadmission activity tolerance 4. Baseline heart rate and blood pressure 5. Patient's home living situation - 3, 4 A nurse is helping a patient perform active assisted ROM in the right elbow. Which statement describes the correct technique? 1. Support elbow by holding distal part of extremity. 2. Grasp joint with fingers to provide support. 3. Have patient move joint independently. 4. Move the joint past the point of resistance. 5. Perform the exercise three times during the session, and gradually build up to more - 1 A middle-aged adult patient has limited mobility following a total knee arthroplasty. During assessment, the nurse notes that the patient is having difficulty breathing while lying supine. Which assessment data support a pulmonary issue related to immobility? (Select all that apply.) 1. Oxygen saturation of 89% 2. Irregular radial pulse 3. Diminished breath sounds in bilateral bases of lungs 4. Blood pressure 132/84 mm Hg 5. Pain reported at 3 on scale of 0 to 10 following medication 6. Respiratory rate of 26 - 1, 3, 6 The nurse is caring for a patient with pneumonia, who has severe malnutrition. The patient's condition places her at risk for which of the following life-threatening complications during hospitalization? (Select all that apply.) 1. Heart disease 2. Sepsis 3. Hemorrhage 4. Skin breakdown 5. Diarrhea - 2, 3, 4 The nurse is preparing to perform a blood glucose monitoring test on a patient. Place the steps for performing the procedure in the correct sequence. 1. Press button on meter to confirm match codes. 2. Bringing meter to test strip, allow blood drop to wick onto test strip. 3. Instruct patient to perform hand hygiene with soap and water. 4. Clean patient finger with antiseptic swab. 5. Interpret results and document. 6. Check code on test strip vial. 7. Holding lancet to finger, press release button on machine. 8. Perform hand hygiene and put on clean gloves - 3, 6, 1, 8, 4, 7, 2, 5 The nurse is caring for a patient with dysphagia and is feeding her a pureed chicken diet. Suddenly the patient begins to choke. What is the priority nursing intervention? 1. Suction her mouth and throat. 2. Turn her on her side. 3. Put on oxygen at 2 L nasal cannula.