ACE LEARNERS

B Rationale: Because the nurse can only stand on one side of the bed, bed rails should be up on the opposite side to ensure that the client does not fall out of bed. Option A can cause client injury to the skin or joint. Options C and D are useful techniques while turning a client but have less priority in terms of safety than use of the bed rails. - CORRET ANS When turning an immobile bedridden client without assistance, which action by the nurse best ensures client safety? A. Securely g...

Presence of yellow purulent drainage during a wound dressing change means - CORRECT ANS Indicative of infection and health care provider must be notified prior to any other actions A nurse cannot irrigate a wound without - CORRECT ANS a prescribed order 1 tablespoon is how many ml - CORRECT ANS 15 ml When administering oral meds through a gastrostomy tube - CORRECT ANS crush meds, dilute in water, let meds flow by gravity, and flush with 30 ml of water When caring for a p...

A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and hypertension, who gained 3 pounds in the last month. The nurse determines that the client has been noncompliant with the diet, based on which report from the 24-hour dietary recall? (Select all that apply.) - CORRECT ANSWER Snack of potato chips, and diet soda. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee. Breakfast of eggs, bacon, toast, and coffee. Bedtime...

A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and hypertension, who gained 3 pounds in the last month. The nurse determines that the client has been noncompliant with the diet, based on which report from the 24-hour dietary recall? (Select all that apply.) - CORRECT ANSWER Snack of potato chips, and diet soda. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee. Breakfast of eggs, bacon, toast, and coffee. Bedtime...

A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and hypertension, who gained 3 pounds in the last month. The nurse determines that the client has been noncompliant with the diet, based on which report from the 24-hour dietary recall? (Select all that apply.) - CORRECT ANSWER Snack of potato chips, and diet soda. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee. Breakfast of eggs, bacon, toast, and coffee. Bedtime...

A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and hypertension, who gained 3 pounds in the last month. The nurse determines that the client has been noncompliant with the diet, based on which report from the 24-hour dietary recall? (Select all that apply.) - CORRECT ANSWER Snack of potato chips, and diet soda. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee. Breakfast of eggs, bacon, toast, and coffee. Bedtime...

A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and hypertension, who gained 3 pounds in the last month. The nurse determines that the client has been noncompliant with the diet, based on which report from the 24-hour dietary recall? (Select all that apply.) - CORRECT ANSWER Snack of potato chips, and diet soda. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee. Breakfast of eggs, bacon, toast, and coffee. Bedtime...

A client who has a pressure-relieving mattress overlay is mobilized to a chair and imprints of the client's buttocks, heels, and scapula are evident on the mattress overlay. What action should the practical nurse implement? - CORRECT ANS Apply a different pressure-relieving device and assess its effectiveness for this client. The practical nurse (PN) is obtaining information for a male client's psychosocial assessment. Which action should the PN implement first? - CORRECT ANS Establ...

An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? A. Massage any reddened areas for at least five minutes. B. Encourage active range of motion exercises on extremities. C. Position the client laterally, prone, and dorsally in sequence. D. Gently lift the client when moving into a desired position. - CORRECT ANS To avoid shearing forces when repositioning, the client should be lifted gently across a surf...

C) Examining a chest x-ray obtained after the tubing was inserted Both (A and B) are methods used to determine proper placement of the NG tubing. However, the best indicator that the tubing is properly placed is (C). (D) is not an indicator of proper placement - CORRECT ANS Which assessment data would provide the most accurate determination of proper placement of a nasogastric tube? A) Aspirating gastric contents to assure a pH value of 4 or less. B) Hearing air pass in the stomach...

False-low readings on BP cuff factors: - CORRECT ANS - Cuff too wide - Above heart level - Stethoscope applied too firmly against AC fossa - Inadequate inflation level False-high readings on BP cuff factors: - CORRECT ANS - Cuff too narrow or too short - Cuff wrapped too loosely or unevenly - Arm below heart level - Arm not supported - Inflating too slowly - Repeating assessments too quickly Technique for taking BP in the leg; popliteal artery. - CORRECT ANS Lower extrem...

1. Older female client can't sleep at night. Nurse recommends SATA A. Take afternoon nap B. Ask HCP for prescription of mild sedative at bedtime C. Establish regular time for getting up and going to bed D. Drink whiskey, water and honey before bed E. Avoid drinking caffeine before bedtime - CORRECT ANS Ans: C, E 2. The nurse has been alerted by the EMR when scanning the dispensed medication that the dosage is two times higher than the prescribed dose. The nurse should: A. Report mis...

Which assessment data would provide the most accurate determination of proper placement of a nasogastric tube? A) Aspirating gastric contents to assure a pH value of 4 or less. B) Hearing air pass in the stomach after injecting air into the tubing. C) Examining a chest x-ray obtained after the tubing was inserted. D) Checking the remaining length of tubing to ensure that the correct length was inserted. - CORRECT ANS C) Examining a chest x-ray obtained after the tubing was inserte...

A policy required the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved? - CORRECT ANS health care-associated infection rate The nurse is preparing to assist a newly admitted client with person hygiene measures. The client... the client's gag reflex. Which action should the nurse include? - CORRECT ANS place tongue blade on back half of tongue The father o...

What action should a nurse take for a patient who only holds an enema for 5 minutes? - CORRECT ANS Document and educate the patient on holding it in for it in for up to 15 minutes. What area will a patient with nasal cannula notice pressure? - CORRECT ANS Ear, Cheek and Nose What info should a nurse obtain prior to a bed to stretcher transfer? - CORRECT ANS Body weight for safety and vital signs for orthostatic hypertension The nurse is unable to count respirations because they...

The nurse observes that a male client has removed the covering form an ice pack applied to his knee. What action should the nurse take first? - CORRECT ANS Observe the appearance of the skin under the ice pack. The nurse mixes 50mg of Niproide in 250ml of D5W and plans to administer the solution at a rate of 5mcg/kg/min to a client weighing 182lbs. Using a drip factor of 60gtt/ml, how many drops permin should the client receive? - CORRECT ANS 124gtt/min lbs to kg 182/2.2 = 82.73k...

NRNP 6675 MIDTERM EXAM 2023 COMPLETE QUESTIONS AND ANSWERS ALREADY PASSED/ NRNP Finals 6560 2023 COMPLETE QUESTIONS AND ANSWERS ALREADY PASSED/ NRNP 6560 MIDTERM EXAM 2023 COMPLETE QUESTIONS AND ANSWERS ALREADY PASSED/ NRNP 6541 Growth and development 2023 COMPLETE QUESTIONS AND ANSWERS ALREADY PASSED

1. Discrepancy between anatomical sex and gender is known as?: B) Gender Discordance 2. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply: Rapid dose escalation; parental route of administration; higher potency typical antipsychotics 3. Antipsychotic medication provides D2 blockage in the meso-coritcal path- way causing which of the following effects?: B) Increases EPS Incorrect: reduces negative s/s, causes prolactinemia, reduces positive sympt...

1. Stages of CKD: o Stages - 5 stages 80 - 120 ml/min § 1: Kidney damage (protein in the urine) and Normal GFR > 90 § 2: Mild decrease in GFR 60 - 89 § 3a: Mild-Mod. GFR 45 - 59 § 3b: Mod-severe GFR 30 - 44 § 4: Severe decrease GFR 15 - 29 § 5: ESRD GFR < 15, uremia, cardiovascular disease. 2. Prerenal renal failure: Characterized by diminished renal perfusion resulting from a decrease in blood supply to the kidneys: NO NEPHRON damage - Decreased blood supply; intravascular...

1. coup-contrecoup injury: Dual impacting of the brain into the skull; coup injury occurs at the point of impact; contrecoup injury occurs on the opposite side of impact, as the brain rebounds. 2. Scalp laceration: what, effect, management: Primary head injury profuse bleeding - signs of hypovolemia Apply direct pressure Suture/ staple laceration Lidocaine 1% with epi to control bleeding, not close to nose/ ears 3. Skull fracture: types, effect, management: Primary head injury Simple: no di...