CORRECT ANSWERS RATED A+ NEWEST!!!
A nurse is completing an admission assessment for a client who reports vomiting
and diarrhea for the past 3 days
what should the nurse expect
Fluid volume excess
Neck vein distention is a clinical mainfestation of
Fluid volume deficit
Tachycardia indicates
Hypotension
Is an expected findfor someone who has fluid volume deficit
35ml
The nurse should use an ___syringe to irrigate the wound
15,30
The nurse should flush the feeding tube with ____to____ml of sterile water before
administration and between each medication, when giving multiple meds
Medications
Pressing gently on the tragus of the ear will help the get into the_________- inner
ear
Romberg
What test help identify alterations in balance
Isometric
What type of exercise have no weight bearing advantages; therefore, they do not
help prevent osteoporsis
,Top
What part of the cane should be parallel to the client greater trochanter
6,12
To maintain balance the client should advance the cane about__to___inches at a
time
Inflitration
Skin blanching, edema, and coolness at the iv site indicates
Primary prevention
Older adults
What type of patients often process information at a slower rate than younger client
and therefore the nurse should plan for extra time to allow the client to ask
questions and absorb the information
2,1,3,4
A nurse is caring for a client who has a prescription for 5 units of regular insulin
and 10 units of nph insulin to mix together and administer subcutaneously.
Determine the correct order of steps for this procedure
1.inject 5 units of air into the bottle of regular insulin
2. Inject 10 units of air into the bottle of regular insulin
3.withdraw the correct dose of regular insulin from the bottle
4. Withdraw the correct dose of nph insulin from the bottle
Rapid heart rate
What addresses the needs of healthy clients to promote health and prevent disease
with specific protections. It decreases the risk of exposure individual community to
disease
, Primary prevention
The following are examples of
-immunization programs
-child car seat education
-nutrition, fitness activities
-health education in school
Secondary prevention
What focuses on identifying illness providing treatment, and conducting activities
that prevent a worsening health status
Secondary prevention
The following are examples of
-comminicable disease screening,case finding
-early detection, treatment of diabetes mellitus
-exercise programs for older adults who are frail
Tertiary prevention
What aims to prevent the long term consequence of chronic illness or disability and
to support optimal functioning
Tertiary prevention
The following are examples of
-begins after an injury or illness
-prevention of pressure ulcers after spinal cord injury
-promoting independence after traumatic brain injury
-referrals to support group
-rehabilitation group
Delirium
What acute, temporary, and can have a physiologic source, such as infection, sleep
deprivation, or pain related to change in surrounding,surrounding, such as being in
a new environment