PRACTICE EXAM TEST BANK WITH A STUDY GUIDE | ALL
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ACCURATE AND VERIFIED QUESTIONS AND ANSWERS FOR
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What yinstruction yshould ythe ynurse yprovide ythe yparents yof ya y3-year-old yboy ywith ya
yBMI-for-age yat ythe y97th ypercentile?
Your ychild yis ytall yfor yhis yage, yso ybe ysure yhe ygets yplenty yto yeat yto ystay yhealthy.
Your ychild yis yoverweight yfor yhis yage yand ysize, yso yhelp yhim yselect
ymore yhealthy yfoods. yYour ychild's yweight yis yin ythe yhigh yrange, ybut yis
yprobably ynormal yfor yhis ybody ybuild. yYour ychild yhas yvery ystrong
ybones, yso ycontinue yto ymaintain ythe ysame ydiet.
Your ychild yis yoverweight yfor yhis yage yand ysize, yso yhelp yhim yselect ymore yhealthy
yfoods.
Rationale:
Children ywith ya yBMI-for-age yat yor yabove ythe y95th ypercentile yare yconsidered
yoverweight, yand yat yrisk yfor yobesity yand yall ythe yassociated yhealth yproblems. yThe
ynurse yshould yoffer yrecommendations yfor yhealthy yeating yand yexercise.
When yshould ythe ynurse yconduct yan
yAllen's ytest? yWhen ypulmonary yartery
ypressures yare yobtained. yPrior yto
yattempting ya ycardiac youtput ycalculation.
To yassess yfor ypresence yof ya ydeep yvein ythrombus
yin ythe yleg. yJust ybefore yarterial yblood ygasses yare
ydrawn yperipherally.
Just ybefore yarterial yblood ygasses yare ydrawn yperipherally.
Rationale:
The yAllen's ytest yshould ybe yperformed yprior yto ypuncturing ythe yradial yartery yto yobtain
ya yblood ygas yspecimen yto ydetermine ypatency yof ythe yulnar yartery yin ythe yselected
yextremity. yTo yperform yan yAllen's ytest ythe yclient's yhand yis yformed yinto ya yfist
ywhile ythe ynurse ycompresses ythe yulnar yartery. yCompression ycontinues ywhile ythe yfist
yis yopened. yIf yblood yperfusion ythrough ythe yradial yartery yis yadequate, ythe yhand
yshould yflush yand yresume yits ynormal ypinkish ycoloration.
,In yearly yseptic yshock ystates, ywhat yis ythe yprimary ycause yof
yhypotension? yPeripheral yvasoconstriction.
Peripheral yvasodilation.
,Cardiac yfailure.
A yvagal yresponse.
yPeripheral yvasodilation.
, Rationale:
Toxins yreleased yby ybacteria yin yseptic yshock ycreate ymassive yperipheral yvasodilation
yand yincrease ymicrovascular ypermeability yat ythe ysite yof ythe ybacterial yinvasion.
A yclient ywith ybleeding yesophageal yvarices yreceives yvasopressin yIV. yWhich yshould
ythe ynurse ymonitor yfor yduring ythe yIV yinfusion yof ythis ymedication?
Chest ypain yand ydysrhythmia.
yVasodilation yof ythe
yextremities. yHypotension yand
ytachycardia. yDecreasing yGI
ycramping yand ynausea.
Chest ypain yand ydysrhythmia.
Rationale:
In ylarge ydoses, yvasopressin ymay yproduce yincreased yblood ypressure, ycoronary
yinsufficiency, ymyocardial yischemia yor yinfarction, yand ydysrhythmia.
The ywife yof ya yclient ydiagnosed ywith yParkinson's ydisease ytells ythe ynurse ythat yher
yhusband yis yhaving ytrouble yswallowing yand yshe yis yafraid yhe yis ygoing yto ychoke.
yWhich yintervention yshould ythe ynurse yimplement?
Offer ythe ywife yassurance ythat ydifficulty ywith yswallowing yis yusually
ytemporary. yEncourage ythe ycouple yto yconsider yinsertion yof ya ynasogastric
ytube yfor ytube yfeedings. yTeach ythe ywife yto ythicken yall yliquids yand
yserve yprimarily ysemi-solid yfoods.
Instruct ywife yto ygive ycarbidopa-levodopa y30-minutes ybefore yeach
ymeal. yTeach ythe ywife yto ythicken yall yliquids yand yserve
yprimarily ysemi-solid yfoods. yRationale:
Dysphagia yis yusually ya ychronic yproblem yfor ythe yclient ywith yParkinson's ydisease. yA
ysemi-solid ydiet ywith ythick yliquids yis yeasier yto yswallow ythan ysolid yfoods.
Several yclients yon ya ybusy yantepartum yunit yare yscheduled yfor yprocedures ythat
yrequire yinformed yconsent. yWhich ysituation yshould ythe ynurse yexplore yfurther ybefore
ywitnessing ythe yclient's ysignature yon ythe yconsent yform?
A y15-year-old yprimigravida ywho yhas ybeen yself-supporting yfor ythe ypast
y6 ymonths. yThe yobstetrician yexplained ya yprocedure ythat ya yneurologist
ywill yperform.
The yclient ywas ymedicated yfor ypain ywith ya ynarcotic yanalgesic yIM y6 yhours yago.
The yclient yis yilliterate ybut yverbalizes yunderstanding yand yconsent yfor ythe
yprocedure. yThe yobstetrician yexplained ya yprocedure ythat ya yneurologist
ywill yperform.
Rationale:
The yindividual ywho yis yultimately yresponsible yfor ythe yprocedure yshould yprovide ythe
yinformation ynecessary yfor yinformed yconsent, yso ywhen yan yobstetrician yexplains ythe
yprocedure yscheduled yto ybe