The individual's sexual self-concept, sexual functioning, methods of intimacy and
reproductive areas would fall into which pattern of the Functional Health Patterns
Model?
a. Role/Relationship
b. Sexuality/Reproductive
c. Activity/Exercise
d. Values/Belief
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, B
Ascites is defined as:
a. a bowel obstruction.
b. a proximal loop of the large intestine.
c. an abnormal enlargement of the spleen.
d. an abnormal accumulation of serous fluid within the peritoneal cavity.
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D (Ascites is free fluid in the peritoneal cavity. A bowel obstruction may
result in abdominal distention. The proximal loop of the large intestine is
the ascending colon. Splenomegaly is the term to describe an enlarged
spleen.)
The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD).
The patient tells the nurse he is having a "hard time breathing." His respiratory rate is
32 breaths per minute, his pulse is 120 beats per minute, and the oxygen saturation is
90%. What would be the best nursing intervention for this patient?
a. Begin oxygen via a face mask at 60% FiO2 (fraction of inspired oxygen)
b. Administer a PRN (as necessary) dose of an intranasal glucocorticoid
c. Encourage coughing and deep breathing to clear the airway
d. Initiate oxygen via a nasal cannula, and begin at a flow rate of 3 L/min
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, D (The normal respiratory drive is a person's level of carbon dioxide (CO2)
in the arterial blood. The COPD patient had compensated for his chronic
high levels of CO2, and his respiratory drive is dependent on his oxygen
levels, not his CO2 levels. If the COPD patient's oxygen level is rapidly
increased to what would be considered a normal level, it would
compensate for his respiratory drive. The patient with COPD who has
difficulty breathing should be given low levels of oxygen and closely
observed for the quality and rate of ventilation. A dose of glucocorticoids
will not address his immediate needs, but it may provide decreased
inflammation and better ventilation over an extended period of time.
Encouraging coughing and deep breathing in a patient with COPD does
not meet his needs as effectively as administration of low-level oxygen
does.)
If a nurse hears high-pitched, short popping sounds while auscultating a patient's
thorax, what can this mean? (Select all that apply.)
a. The patient may have COPD
b. The patient may have pneumonia
c. The patient may have a pleural effusion
d. The patient may have emphysema
e. The patient may have CHF
f. The patient may have pulmonary edema
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B E F (When a patient has crackles, this can indicate that there is extra
exudate in the lungs due to infection. This can occur in pneumonia, CHF,
and pulmonary edema.)
Which of the following are examples of subjective data relating to the heart and
blood vessel assessment? (Select all that apply).
a. Fatigue
, b. Heart murmur
c. Chest pain
d. Client states they have edema
e. 4+ pitting edema
f. Blood pressure of 143/95
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AC D
Altered cognition in older adults is commonly attributed to:
a. an infection or injury.
b. dementia, delirium, or depression.
c. the normal aging process.
d. medication side effects.
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B (Altered cognition in older adults is commonly attributed to three
disorders: dementia, delirium, and depression.)
The rating for the posterior tibial left and right pulses should be:
a. 1/4
b. 2/4
c. 3/4
d. 4/4
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reproductive areas would fall into which pattern of the Functional Health Patterns
Model?
a. Role/Relationship
b. Sexuality/Reproductive
c. Activity/Exercise
d. Values/Belief
Give this one a try later!
, B
Ascites is defined as:
a. a bowel obstruction.
b. a proximal loop of the large intestine.
c. an abnormal enlargement of the spleen.
d. an abnormal accumulation of serous fluid within the peritoneal cavity.
Give this one a try later!
D (Ascites is free fluid in the peritoneal cavity. A bowel obstruction may
result in abdominal distention. The proximal loop of the large intestine is
the ascending colon. Splenomegaly is the term to describe an enlarged
spleen.)
The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD).
The patient tells the nurse he is having a "hard time breathing." His respiratory rate is
32 breaths per minute, his pulse is 120 beats per minute, and the oxygen saturation is
90%. What would be the best nursing intervention for this patient?
a. Begin oxygen via a face mask at 60% FiO2 (fraction of inspired oxygen)
b. Administer a PRN (as necessary) dose of an intranasal glucocorticoid
c. Encourage coughing and deep breathing to clear the airway
d. Initiate oxygen via a nasal cannula, and begin at a flow rate of 3 L/min
Give this one a try later!
, D (The normal respiratory drive is a person's level of carbon dioxide (CO2)
in the arterial blood. The COPD patient had compensated for his chronic
high levels of CO2, and his respiratory drive is dependent on his oxygen
levels, not his CO2 levels. If the COPD patient's oxygen level is rapidly
increased to what would be considered a normal level, it would
compensate for his respiratory drive. The patient with COPD who has
difficulty breathing should be given low levels of oxygen and closely
observed for the quality and rate of ventilation. A dose of glucocorticoids
will not address his immediate needs, but it may provide decreased
inflammation and better ventilation over an extended period of time.
Encouraging coughing and deep breathing in a patient with COPD does
not meet his needs as effectively as administration of low-level oxygen
does.)
If a nurse hears high-pitched, short popping sounds while auscultating a patient's
thorax, what can this mean? (Select all that apply.)
a. The patient may have COPD
b. The patient may have pneumonia
c. The patient may have a pleural effusion
d. The patient may have emphysema
e. The patient may have CHF
f. The patient may have pulmonary edema
Give this one a try later!
B E F (When a patient has crackles, this can indicate that there is extra
exudate in the lungs due to infection. This can occur in pneumonia, CHF,
and pulmonary edema.)
Which of the following are examples of subjective data relating to the heart and
blood vessel assessment? (Select all that apply).
a. Fatigue
, b. Heart murmur
c. Chest pain
d. Client states they have edema
e. 4+ pitting edema
f. Blood pressure of 143/95
Give this one a try later!
AC D
Altered cognition in older adults is commonly attributed to:
a. an infection or injury.
b. dementia, delirium, or depression.
c. the normal aging process.
d. medication side effects.
Give this one a try later!
B (Altered cognition in older adults is commonly attributed to three
disorders: dementia, delirium, and depression.)
The rating for the posterior tibial left and right pulses should be:
a. 1/4
b. 2/4
c. 3/4
d. 4/4
Give this one a try later!
