A&E (NURS311)

1. After teaching a client how to perform diaphragmatic breathing, the nurse assesses the client's understanding. Which action demonstrates that the client correctly understands the teaching? a) The client lays on his or her side with his or her knees bent. b) The client places his or her hands on his or her abdomen. c) The client lays in a prone position with his or her legs straight. d) The client places his or her hands above his or her head. correct answer: b) The client places his o...

What is the nurse's best defense if a patient alleges nursing negligence? A) testimony of other nurses B) testimony of expert witnesses C) patient's record D) patient's family correct answer: C) patient's record A nurse is documenting the intensity of a patient's pain. What would be the most accurate entry? A) "Patient complaining of severe pain." B) "Patient appears to be in a lot of pain and is crying." C) "Patient states has pain; walking in hall with ease." D) "Patien...

What is the difference between pneumothorax, tension pneumothorax, and hemothorax? correct answer: pneumothorax = air or gas in pleural space causing lung collapse (but some air is escaping on expiration) tension pneumothorax = air or gas in the lungs THAT CANNOT EXIT ON EXPIRATION hemothorax = blood in plural space (hemopneumothorax = blood and air) In a tension pneumothorax, air cannot escape: (+/-) pressure compresses makes lungs not be able to inflate How does this affect...

Bell's Palsy correct answer: Peripheral Facial Nerve Paralysis (CNVII) -Benign, unilateral -cause unknown -Flaccidity of affected side of face w/dropping of mouth -recovery within a few weeks or months. Small number have long term facial paralysis Bell's palsy Clinical manifestations correct answer: -increased pain -inability to close eys -tearing -flattening of naso-labial fold -loss of taste -dropping of mouth -fever -tinnitus -pain behind the ear on affected side Bell's...

What are peripheral arterial disease correct answer: disorders that alter the natural flow of blood through the arterial and veins of the peripheral vasculature. connection between diabetes and hypertension correct answer: diabetes damages blood vessels which contributes to hypertension and they have the same risk factors prevalence of hypertension in men vs. women correct answer: higher prevalence in men younger than 45 but higher in women after age 54. what percentage of Americans ...

What is the somatosensory cortex vs. the association cortex (limbic system) responsible for in regard to how we sense pain? correct answer: somatosensory = location and intensity of pain association/limbic = how a person feels about it (how we associate the pain with ourselves) What is modulation in regard to pain? correct answer: AKA reflex response -- protective reflex response that occurs with pain reception to try to inhibit the pain impulse anymore Gate-Control theory of pain: Clos...

What is the perioperative period correct answer: The total surgical episode What are the three phases of the perioperative period correct answer: Preoperative Intraoperative Postoperative What is the preoperative phase correct answer: period of time from decision for surgery until patient is transferred into operating room What is the intraoperative phase correct answer: Period of time between when patient is transferred to OR bed to when patient is transferred to Post Anesthesia ...

A 70-year-old patient who suffers from worsening dementia is no longer able to live alone. When discussing health care services and possible long-term living arrangements with the patient's only son, what should the nurse suggest? a. An apartment setting with neighbors close by b. Having the patient utilize weekly home health visits c. A nursing center because home care is no longer safe d. That placement is irrelevant because the patient is retreating to a place of inactivity correct answe...

Falls correct answer: An unexpected event in which the participant comes to rest on the ground, floor, or lower level. Intrinsic risk factors correct answer: Older age, history of falls, gait impairment, balance disorders, orthostatic or postural hypotension, depression, muscle weakness, chronic conditions such as dementia, arthritis, Parkinson's Disease. Extrinsic/ Environmental Risk factors correct answer: Polypharmacy, loose carpets, use of adaptive devices such as cane and whee...

The patient has Helicobacter pylori. Which action should the nurse take? A. Encourage completion of antibiotic therapy. B. Encourage nonsteroidal antiinflammatory drugs. C. Encourage avoidance of wheat and oats. D. Encourage milkshakes as a nutritious snack. correct answer: A. Encourage completion of antibiotic therapy. A patient is on a Mechanical Soft diet. Which food item choice by the patient will cause the nurse to intervene? A. Chicken leg B. Pureed vegetables C. Mashed b...