Nur160 Final Exam (Answered) Complete solution

Nur160 Final Exam (Answered) Complete solution When a patient is on Norco, what interventions can prevent constipation? 1) Increase mobility and ambulation 2) increase fruits and vegetables in the die 3) administer stool softeners as ordered 4) increase the amount of fluid intake. When caring for a patient who had a total knee replacement 7 hours ago, which patient teaching will the nurse reinforce concerning pain management? 1) Instruct the patient to notify the nurse when the pain is low to moderate when requesting pain medication 2) Encourage the patient to take analgesic medications 30-45 minutes prior to increased Activity 3) Explain the difference between various analgesic therapies and when best to use them 4) Encourage the patient to alternate rest and activity periods. 97. What nursing intervention should be included in the care plan of a patient in order to improve mobility and minimize complications of immobility? Encourage the patient to participate in ROM exercises 2) Position the patient to maintain proper body alignment, 3) Keep skin clean, dry and protected to prevent skin breakdown 4) Encourage the patient to turn every 2 hours. When assessing a patient with a leg cast, the following data should be a part of the seven P's of orthopedic and peripheral vascular assessment: 1) Pain 2) Parestesia 3) Pallor 4) Paralysis 5) Pulseness. The LPN is reinforcing teaching to a patient with left leg injury on the use of crutches While at home, the following should be included in the teaching: advance the strong leg up first when climbing the stairs and step down with the crutches then weak leg first when descending the stairs. The LPN is reinforcing teaching to a patient on how to use a walker for ambulation, the following are appropriate actions that the LPN will reinforce in the teaching plan: Instruct on the use of well-fitting nonskid shoes, Remove obstacles that obstruct pathways Encourage alternation of activity and rest periods When evaluating a patient's proper use of a cane for right sided weakness, the LPN should intervene if: The patient holds the cane on the unaffected strong side and The patient bears weight on both legs. A patient who is four days postoperative following a total knee replacement and is going home on Coumadin therapy. The following statements by the patient indicates a need for further teaching I will use a disposable razor for shaving," "I will make sure I include more food high in vitamin K and spinach in my diet," "I will take this medication in the morning with a full glass of water," I will need frequent PTT levels drawn." When caring for a patient following a total hip replacement, the LPN will implement the following to prevent complications: Encourage use of the incentive spirometer while Awake 2) Encourage the use of a sequential compression device When instructing a nursing student on how to care for a NG tube, the following will be included in the initial teaching: Assess bowel sounds prior to feeding Obtain a chest X-ray following the initial NG tube placement Secure the NG tube by taping it to the bridge of the patient's nose A patient is due for discharge with an abdominal incision, the LP should reinforce the following when educating the patient on the care of the incision: Wash your hands before and after changing the bandage Proper disposal of the soiled bandage Report any increase in drainage or redness to the physician Change the dressing as ordered When caring for a patient with a NG tube, which problems can occur with suctioning? Abdominal bloating 2) Red drainage in the suction container 3) Green, reddish drainage in the suction container. Risk factors for cancer of the penis Frequently sexually transmitted infections 2) Over 50 years of age 3) Poor personal hygiene 4) An uncircumsized penis physician ordered Cefazolin 500mg IM every 12 hours. You have 250mg/mL on hand. How many milliliters will you administer per day? -4ml The physician ordered Keflex 250mg by mouth every six hours following a thyroidectomy. You have 125mg/5mL oral suspension on hand. How many milliliters will be administered per day? -40ml patient with type I diabetes receives Metformin Glucophage 1,000mg by mouth twice a day. You have 500mg on hand. How many tablets will be administered per day? -4 tabs The physician orders Lovenox 40mg to be given subq. You have on hand 40mg/mL How many milliliters will you administer? 1 ml physician ordered Metoprolol 100mg by mouth twice a day. You have 50mg on hand. How many tablets will you give with each dose? 2 tablets Which assessment finding will the nurse expect to observe if the patient's notes indicated sanguineous drainage? -Bright red which indicates an active bleed. patient arrives at the emergency room with a change in mental status, poor skin turgor, dry mucous membranes, and flat neck veins. These are signs and symptoms of what? Fluid Volume Deficit Flomax is used to treat BPH not osteoporosis. ..... The LPN is caring for a patient with a casted tibial fracture, the patient had Percocet 30 minutes ago but is now complaining of increased pain, numbness, edema, and inability to move her toes. Which condition will the LPN suspect and report to the physician? Compartment Syndrome When assessing a patient with osteoarthritis, the following assessment findings do not correlate with that diagnosis: increased uric acid lab values Increased uric acid lab values would indicate gout patient recently diagnosed with rheumatoid arthritis and asked the LPN about the goal of treatment. The patient needs further teaching if the patient makes the following statement: will use pillows under my knees when I'm in bed." When reinforcing teaching to a patient who had a total hip replacement about potential postoperative complications, the following statements indicate the patient understands the teaching: "I will call the doctor if I experience increased warmth or redness in my leg" 2) "I will use my hip abduction splint to keep my hip in alignment." When caring for a patient with a recent hip replacement, it is important for the nurse to remember when transferring patient that they allow the patient to dangle their feet off the side of the bed for several minutes prior to standing. When caring for a patient who has a cast placed on the left upper extremity, what is the priority assessment? Assess the capillary refill of the affected extremity. When obtaining a health history of a patient diagnosed with rheumatoid arthritis, the patient states "when I'm in pain I take 200 mg of Motrin (ibuprofen)." The following response is appropriate by the LPN: Ibuprofen will help decrease the pain from inflammation.