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Health Assessment 2 - Final Exam Review Questions With 100%
Correct Answers
nurse is reviewing px's plan of care, which includes nrs dx
statement: impaired physical mobility related to tibial
fracture aeb px's inability to ambulate. which part of dx does
nurse need to revise?
a. etiology
b. nrs dx
c. collaborative problem
d. defining characteristic
a. etiology
- tibial fracture is a medical dx, which should not be used in a
nrs dx. instead, use r/t severe pain or swelling.
nurse is reviewing a px's plan of care which includes nrs dx
statement: impaired physical mobility related to tibial fracture
as evidence by patient's inability to ambulate. which part of the
statement does nurse need to revise?
a. etiology
b. nrs dx
c. collaborative problem
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d. defining characteristics
a. etiology
- the cause (etiology) cannot be a medical dx. tibial fracture
should be changed to severe pain or another nrs dx from the
nanda list.
nurse is teaching class on preventing osteoporosis to group of
perimenopausal women. which action is best way to prevent or
delay bone loss?
a. taking calcium and vitamin d supplements
b. taking meds to prevent osteoporosis
c. performing physical activity, such fast walking
d. asess bone density annually
c. performing physical activity, such fast walking
- exercise prevent bone loss in perimenopausal women. the
faster the pace the higher the preventive effect is on the risk of
hip fracture.
we have an expert-written solution to this problem!
when assessing muscle strength in an immobilized px, nurse
observes complete range of motion against gravity with full
resistance. what grade of muscle strength nurse whould record
using a 0-5 scale?
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a. 2
b. 3
c. 4
d. 5
d. 5
- complete rom against gravity is a normal muscle strength
recorded at grade 5.
nurse discovers a px on floor, px states that he fell out of bed.
nurse assess the px and put him back in bed. what action
should nurse take next?
a. nothing, no harm has occurred
b. notify hcp
c. complete incident report
d. assess px
b. notify hcp
- report immediately to health care provider if px fall or have an
injury. nurse must provide safe care, scenario inidicates that
nurse alredy assessed the px when put in back in bed. after px is
stabilized, completing the incident report would be the past
step.
nurse is caring for px that suddenly become confused and tries
to remove iv. which priority action will nurse take?
Health Assessment 2 - Final Exam Review Questions With 100%
Correct Answers
nurse is reviewing px's plan of care, which includes nrs dx
statement: impaired physical mobility related to tibial
fracture aeb px's inability to ambulate. which part of dx does
nurse need to revise?
a. etiology
b. nrs dx
c. collaborative problem
d. defining characteristic
a. etiology
- tibial fracture is a medical dx, which should not be used in a
nrs dx. instead, use r/t severe pain or swelling.
nurse is reviewing a px's plan of care which includes nrs dx
statement: impaired physical mobility related to tibial fracture
as evidence by patient's inability to ambulate. which part of the
statement does nurse need to revise?
a. etiology
b. nrs dx
c. collaborative problem
,2|Page
d. defining characteristics
a. etiology
- the cause (etiology) cannot be a medical dx. tibial fracture
should be changed to severe pain or another nrs dx from the
nanda list.
nurse is teaching class on preventing osteoporosis to group of
perimenopausal women. which action is best way to prevent or
delay bone loss?
a. taking calcium and vitamin d supplements
b. taking meds to prevent osteoporosis
c. performing physical activity, such fast walking
d. asess bone density annually
c. performing physical activity, such fast walking
- exercise prevent bone loss in perimenopausal women. the
faster the pace the higher the preventive effect is on the risk of
hip fracture.
we have an expert-written solution to this problem!
when assessing muscle strength in an immobilized px, nurse
observes complete range of motion against gravity with full
resistance. what grade of muscle strength nurse whould record
using a 0-5 scale?
, 3|Page
a. 2
b. 3
c. 4
d. 5
d. 5
- complete rom against gravity is a normal muscle strength
recorded at grade 5.
nurse discovers a px on floor, px states that he fell out of bed.
nurse assess the px and put him back in bed. what action
should nurse take next?
a. nothing, no harm has occurred
b. notify hcp
c. complete incident report
d. assess px
b. notify hcp
- report immediately to health care provider if px fall or have an
injury. nurse must provide safe care, scenario inidicates that
nurse alredy assessed the px when put in back in bed. after px is
stabilized, completing the incident report would be the past
step.
nurse is caring for px that suddenly become confused and tries
to remove iv. which priority action will nurse take?
