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NSG 100 EXAM 2 QUESTIONS AND CORRECT ANSWERS

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NSG 100 EXAM 2 QUESTIONS AND CORRECT ANSWERS

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Which nursing diagnosis is most appropriate for a patient with expressive aphasia?
a. Impaired Verbal Communication
b. Acute Confusion
c. Self-Care Deficit
d. Impaired Mobility


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a

Expressive aphasia occurs when people are not able to express themselves
with words. They might be able to understand what is being said but not
able to respond appropriately. Therefore, Impaired Verbal Communication
is most appropriate. The nursing diagnosis of Acute Confusion is
appropriate for patients who are not oriented to person, place, time, or
situation. The diagnosis of Self-Care Deficit would apply to a patient who
cannot independently take care of activities of daily living (ADLs). Patients
with limitations of movement may have a nursing diagnosis of Impaired
Mobility.

, Select all that apply. Which interventions are priorities in a plan of care for a patient
who had a stroke 30 days ago and is now in home care rehab?
A. Promoting a diet rich in protein
B. Promoting rest and sleep
C. Promoting exercise and ambulation
D. Limiting visitors and social contacts
E. Assisting the patient with ADLs


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B, C




Select all that apply. The nurse is assessing a patient's ability to perform instrumental
activities of daily living (IADLs). Which activities are consdered in the IADLs
assessment?
A. Feeding oneself
B. Balancing a checkbook
C. Toileting
D. Preparing a meal
E. Grocery shopping
F. Walking


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B, D, E




The nurse is providing discharge instructions on ways to prevent falls at home. Which
of the following guidelines are helpful in preventing falls? (Select all that apply.)


a. Always wear socks when walking to protect your feet when ambulating.
b. Remove rugs that can slip; use rubber mats instead.

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