Ellakiwale

Question 1 Type: MCSA A patient who has been casted for a fracture of the left ulna asks the nurse when the cast will come off. The nurse‟s response is based on the knowledge that the cast will be removed when which physiologic parameter has been met? 1. The remodeling phase of the bone healing process has been completed, allowing for application of mechanical stress. 2. A cartilage collar can be clearly felt at the site of the original break. 3. A specific amount of time has passed, pr...

MULTIPLE CHOICE 1. A nurse performs an apical-radial pulse evaluation, with the result of 100/88. What is the pulse deficit? a. 12 b. 24 c. 76 d. 88 ANS: A To detect an apical-radial pulse deficit, the rates should be counted simultaneously and compared for differences. If a difference exists between the apical rate and the radial rate, then a pulse deficit is present. For example, in atrial fibrillation, a pulse deficit exists. DIF: Cognitive Level: Analysis REF: p. 687 OBJ: 8 TOP: Vit...

MULTIPLE CHOICE 1. When assisting a 5-year-old child to develop the ability to delay gratification, it is most valuable for the nurse to: a. teach parents to assign a point system for expected daily activities. b. develop the nurse-patient relationship during unstructured playtime. c. encourage the child to express feelings when feeling frustrated. d. model the ability to delay gratification. ANS: A Nursing interventions that help children learn to delay gratification include a point sys...

MULTIPLE CHOICE 1. Which term is used to describe a childs level of consciousness when the child can be aroused with stimulation? a. Stupor c. Obtundation b. Confusion d. Disorientation ANS: C Obtundation describes a level of consciousness in which the child can be aroused with stimulation. Stupor is a state in which the child remains in a deep sleep, responsive only to vigorous and repeated stimulation. Confusion is impaired decision making. Disorientation is confusion regarding time ...

MULTIPLE CHOICE 1. Which question should a nurse pose initially to a patient being considered for inclusion into a therapeutic group that focuses on the management of bipolar disorder? a. “Do you find it difficult to talk to people about your manic periods?” b. “Can you share with me what it is you hope to gain from this group?” c. “Can you tell me how this diagnosis has affected your daily life?” d. “What is your opinion about joining a therapeutic group?” ANS: D A screen...

MULTIPLE CHOICE 1.The nurse clarifies that the end product of carbohydrate metabolism is absorbed and put into the blood stream by the: a. gastric lining of the stomach. b. villi of the small intestine. c. bile of the liver in the large intestine. d. excretion from the cecum. ANS: B The inner surface of the small intestine contains millions of tiny, fingerlike projections called villi, which contain small blood vessels. They are responsible for absorbing the products of digestion. PTS:...

Question 1 Type: MCSA The nurse is in orientation for a new job caring for patients in the intensive care area. Which statement indicates to the preceptor that the new nurse needs more information about hemodynamic monitoring? 1. “Data from hemodynamic monitoring can be used to evaluate the patient’s progress.” 2. “Hemodynamic monitoring data can help to guide fluid administration and prevent fluid overload.” 3. “Hemodynamic monitoring data can be used to aid in the diagnosis of...

MULTIPLE CHOICE 1. A nurse caring for a client with sickle cell disease (SCD) reviews the client’s laboratory work. Which finding should the nurse report to the provider? a. Creatinine: 2.9 mg/dL b. Hematocrit: 30% c. Sodium: 147 mEq/L d. White blood cell count: 12,000/mm3 ANS: A An elevated creatinine indicates kidney damage, which occurs in SCD. A hematocrit level of 30% is an expected finding, as is a slightly elevated white blood cell count. A sodium level of 147 mEq/L, although s...

Multiple Choice 1. While assessing a typical patient with cholecystitis who complains of localized pain, the nurse asks if the pain has radiated to the: A) Left upper arm B) Lower abdomen C) Neck or jaw D) Right shoulder Ans: D Chapter: 40 Cognitive Level: Application Difficulty: Moderate Integrated Process: Communication/Documentation Objective: 1 Patient Needs: D-4 Feedback: The patient may have biliary colic with excruciating upper right abdominal pain that radiates to the back...

Multiple Choice 1. The nurse is aware that a patient with liver failure often requires vitamin therapy. Which vitamin does the liver require for the synthesis of prothrombin? A) Vitamin B12 B) Vitamin A C) Vitamin D D) Vitamin K Ans: D Chapter: 39 Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing Process Objective: 1 Patient Needs: D-2 Feedback: The liver requires vitamin K for the synthesis of prothrombin and some of the other clotting factors. Breakdown ...