NSG-300 EXAM 1 WITH CORRECT
--ANSWER--S
A nurse enters the hospital room of a patient who had a total knee replacement the day before.
What are some potential safety risks? - --ANSWER---The hospital bed is in the high position.
-There is no gait belt at the bedside.
-The overbed table with the patient's glasses is positioned against the wall opposite the end of
the bed.--ANSWER--A patient discharged a week ago following a stroke is currently participating
in rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in an
outpatient setting. In what level of prevention is the patient participating? - --ANSWER--tertiary-
-ANSWER--A patient has been laid off from his construction job and has many unpaid bills. He is
going through a divorce from his marriage of 15 years and has been praying daily to help him
through this difficult time. He does not have a primary health care provider because he has
never really been sick, and his parents never took him to a physician when he was a child.
Which external variables influence the patient's health practices? - --ANSWER--difficulty paying
his bills and family practice of not routinely seeing a doctor--ANSWER--A patient has been on
bed rest for over 5 days. Which finding during the nurse's assessment may indicate a
complication of immobility? - --ANSWER--decreased peristalsis--ANSWER--A patient is
diagnosed with meningitis. Which type of isolation precaution is most appropriate for this
patient? - --ANSWER--droplet precautions--ANSWER--A patient is experiencing some problems
with joint stability in the right leg. The doctor has prescribed crutches for the patient to use
while being allowed to bear weight only on the left leg. Which of the following gaits should the
patient be taught to use? - --ANSWER--three point--ANSWER--A patient is placed on Airborne
Precautions for pulmonary tuberculosis. The nurse notes that the patient seems to be angry, but
he knows that this is a normal response to isolation. What is the best intervention? - --ANSWER-
-Explain the reasons for isolation procedures and provide meaningful stimulation.--ANSWER--A
patient who has been placed on Contact Precautions for Clostridium difficile (C. difficile) asks
you to explain what he should 464know about this organism. What is the most appropriate
information to include in patient teaching? - --ANSWER---The organism is usually transmitted
through the fecal-oral route.
-Hands should always be cleaned with soap and water versus alcohol-based hand sanitizer.
-Everyone coming into the room must be wearing a gown and gloves.--ANSWER--according to
the transtheoretical model of change, during which stage of change would the nurse help a
patient integrate lifestyle changes - --ANSWER--maintenance--ANSWER--active range of motion
, - --ANSWER--Range of motion exercises completed by the resident without assistance--
ANSWER--acute disease - --ANSWER--fast onset, severe/abrupt symptoms, reversible--ANSWER-
-afebrile - --ANSWER--without fever--ANSWER--airborne diseases - --ANSWER--measles,
varicella, tuberculosis, disseminated herpes zoster, rubeola--ANSWER--Airborne precautions - --
ANSWER--precautions: private room, negative pressure airflow, mask or respirator--ANSWER--
alternative therapies - --ANSWER--Become primary treatments replacing biomedical care
Relaxation, exercise, massage, reflexology, prayer, biofeedback, hypnotherapy, art, music, dance,
meditation, chiropractic, herbs/supplements--ANSWER--An older-adult patient is admitted
following a hip fracture and surgical repair. Before ambulating the patient postoperatively on
the evening of surgery, what would be most important to assess? - --ANSWER--Preadmission
activity tolerance, Baseline heart rate--ANSWER--apnea - --ANSWER--absence of breathing--
ANSWER--Assessing the Environment - --ANSWER--replacement of equipment, furniture, bed
position, bedside table and call light in reach, ambulation level, appropriate lighting--ANSWER--
before you try to ambulate a patient you should - --ANSWER--let them dangle (ask assessment
questions)--ANSWER--body's response to stress - --ANSWER--Basal metabolic rate increases as
the body uses energy stores. Adrenocorticotropic hormone increases serum glucose levels and
decreases anti-inflammatory responses. If this lasts a while, it can cause decreased resistance to
infection.--ANSWER--bowlegs - --ANSWER--One or both legs bent outward at knee, which is
normal until 2 to 3 years of age--ANSWER--bradypnea - --ANSWER--abnormally slow breathing--
ANSWER--Cardiac Output (CO) - --ANSWER--total quantity of blood pumped per minute--
ANSWER--chain of infection - --ANSWER---infectious agent/pathogen
-reservoir: place where microorganism survives, multiplies, and waits to be transferred to a
susceptible host.
-portal of exit
-mode of transmission
-susceptible host--ANSWER--chills are caused by - --ANSWER--vasoconstriction, piloerection,
epinephrine secretion, shivering--ANSWER--chronic disease - --ANSWER--slow onset, never goes
away, persists 6 months or longer--ANSWER--clubfoot - --ANSWER--95%: Medial deviation and
plantar flexion of foot (equinovarus)
5%: Lateral deviation and dorsiflexion (calcaneovalgus)--ANSWER--complementary therapies - --
ANSWER---used with conventional treatment recommended by a health care provider
Complement conventional treatments (used together)
Relaxation, exercise, massage, reflexology, prayer, biofeedback, hypnotherapy, art, music, dance,
meditation, chiropractic, herbs/supplements--ANSWER--Congenital Hip Dysplasia - --ANSWER--
--ANSWER--S
A nurse enters the hospital room of a patient who had a total knee replacement the day before.
What are some potential safety risks? - --ANSWER---The hospital bed is in the high position.
-There is no gait belt at the bedside.
-The overbed table with the patient's glasses is positioned against the wall opposite the end of
the bed.--ANSWER--A patient discharged a week ago following a stroke is currently participating
in rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in an
outpatient setting. In what level of prevention is the patient participating? - --ANSWER--tertiary-
-ANSWER--A patient has been laid off from his construction job and has many unpaid bills. He is
going through a divorce from his marriage of 15 years and has been praying daily to help him
through this difficult time. He does not have a primary health care provider because he has
never really been sick, and his parents never took him to a physician when he was a child.
Which external variables influence the patient's health practices? - --ANSWER--difficulty paying
his bills and family practice of not routinely seeing a doctor--ANSWER--A patient has been on
bed rest for over 5 days. Which finding during the nurse's assessment may indicate a
complication of immobility? - --ANSWER--decreased peristalsis--ANSWER--A patient is
diagnosed with meningitis. Which type of isolation precaution is most appropriate for this
patient? - --ANSWER--droplet precautions--ANSWER--A patient is experiencing some problems
with joint stability in the right leg. The doctor has prescribed crutches for the patient to use
while being allowed to bear weight only on the left leg. Which of the following gaits should the
patient be taught to use? - --ANSWER--three point--ANSWER--A patient is placed on Airborne
Precautions for pulmonary tuberculosis. The nurse notes that the patient seems to be angry, but
he knows that this is a normal response to isolation. What is the best intervention? - --ANSWER-
-Explain the reasons for isolation procedures and provide meaningful stimulation.--ANSWER--A
patient who has been placed on Contact Precautions for Clostridium difficile (C. difficile) asks
you to explain what he should 464know about this organism. What is the most appropriate
information to include in patient teaching? - --ANSWER---The organism is usually transmitted
through the fecal-oral route.
-Hands should always be cleaned with soap and water versus alcohol-based hand sanitizer.
-Everyone coming into the room must be wearing a gown and gloves.--ANSWER--according to
the transtheoretical model of change, during which stage of change would the nurse help a
patient integrate lifestyle changes - --ANSWER--maintenance--ANSWER--active range of motion
, - --ANSWER--Range of motion exercises completed by the resident without assistance--
ANSWER--acute disease - --ANSWER--fast onset, severe/abrupt symptoms, reversible--ANSWER-
-afebrile - --ANSWER--without fever--ANSWER--airborne diseases - --ANSWER--measles,
varicella, tuberculosis, disseminated herpes zoster, rubeola--ANSWER--Airborne precautions - --
ANSWER--precautions: private room, negative pressure airflow, mask or respirator--ANSWER--
alternative therapies - --ANSWER--Become primary treatments replacing biomedical care
Relaxation, exercise, massage, reflexology, prayer, biofeedback, hypnotherapy, art, music, dance,
meditation, chiropractic, herbs/supplements--ANSWER--An older-adult patient is admitted
following a hip fracture and surgical repair. Before ambulating the patient postoperatively on
the evening of surgery, what would be most important to assess? - --ANSWER--Preadmission
activity tolerance, Baseline heart rate--ANSWER--apnea - --ANSWER--absence of breathing--
ANSWER--Assessing the Environment - --ANSWER--replacement of equipment, furniture, bed
position, bedside table and call light in reach, ambulation level, appropriate lighting--ANSWER--
before you try to ambulate a patient you should - --ANSWER--let them dangle (ask assessment
questions)--ANSWER--body's response to stress - --ANSWER--Basal metabolic rate increases as
the body uses energy stores. Adrenocorticotropic hormone increases serum glucose levels and
decreases anti-inflammatory responses. If this lasts a while, it can cause decreased resistance to
infection.--ANSWER--bowlegs - --ANSWER--One or both legs bent outward at knee, which is
normal until 2 to 3 years of age--ANSWER--bradypnea - --ANSWER--abnormally slow breathing--
ANSWER--Cardiac Output (CO) - --ANSWER--total quantity of blood pumped per minute--
ANSWER--chain of infection - --ANSWER---infectious agent/pathogen
-reservoir: place where microorganism survives, multiplies, and waits to be transferred to a
susceptible host.
-portal of exit
-mode of transmission
-susceptible host--ANSWER--chills are caused by - --ANSWER--vasoconstriction, piloerection,
epinephrine secretion, shivering--ANSWER--chronic disease - --ANSWER--slow onset, never goes
away, persists 6 months or longer--ANSWER--clubfoot - --ANSWER--95%: Medial deviation and
plantar flexion of foot (equinovarus)
5%: Lateral deviation and dorsiflexion (calcaneovalgus)--ANSWER--complementary therapies - --
ANSWER---used with conventional treatment recommended by a health care provider
Complement conventional treatments (used together)
Relaxation, exercise, massage, reflexology, prayer, biofeedback, hypnotherapy, art, music, dance,
meditation, chiropractic, herbs/supplements--ANSWER--Congenital Hip Dysplasia - --ANSWER--
