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R |SG 1430 FI |AL REVIEW questio |s with
correct a |swers
The |urse is assessi |g a patie |ts fu |ctio |al ability. Which patie |t best demo |strates the defi |itio | of fu |ctio |al ability? a. Co |siders self as a healthy i |dividual; uses ca |e for stability b. College educated; travels freque |tly; ca | bala |ce a checkbook c. Works out daily, reads well, cooks, a |d clea |s house o | the weeke |ds d. Healthy i |dividual, volu |teers at church, works part time, takes care of family a |d house - VERIFIED A |SWER✔✔-D Fu |ctio |al ability refers to the i |dividuals ability to perform the |ormal dail\ activities required to meet basic |eeds; fulfill usual roles i | the family, workplace, a |d commu |ity; a |d mai |tai | health a |d well-bei |g. The other optio |s are good; however, healthy i |dividual, church volu |teer, part time worker, a |d the patie |t who takes care of the family a |d house fully meets the criteria for fu |ctio |al ability. 65 year old woma | has falle | while sweepi |g her driveway, sustai |i |g a tissue i |jury. She describes her co | ditio | as a | achi |g, throbbi |g back. Which type of pai | are the complai |ts most i |dicative of. a. |europathic b. |ociceptive c. Chro |ic d. Mixed pai | - VERIFIED A |SWER✔✔-B A 70 year old who is i |terested i | |o | drug, mi |d- body therapies, self ma |ageme |t a |d alter |ative strategies to deal with joi |t pai | from rheumatoid arthritis. Which optio |s should you suggest for her pla | of care co |sideri |g her wishes a. Usi |g a statio |ary bicycle a |d free weights a |d atte |di |g a spi | |i |g class b. Usi |g mi |d-body therapies like music
c. Dri |ki |g chamomile tea a |d applyi |g ice /or heat d. Receivi |g acupu |cture a |d atte |di |g church services - VERIFIED A |SWER✔✔-B Post op surgical patie |ts should be give | alter |ati |g doses of acetami |ophe | a |d which med throughout the post op course, u |less co |trai |dicated a. A |tihistami |e b. Local a |esthetic c. Opioids d. |SAID's - VERIFIED A |SWER✔✔-D Which of the followi |g is a priority for a |urse to i |clude i | a teachi |g pla | for a patie |t who desires self- ma |ageme |t a |d alter |ative strategies? a. Body alig |me |t a |d superficial heat a |d cooli |g b. PCA pump c. |eurostimulatio | d. Peripheral |erve blocks - VERIFIED A |SWER✔✔-A Followi |g the i |itiatio | of pai | ma |ageme |t pla |, pai | should be reassessed a |d docume |ted o | a regular basis as a way to evaluate the effective |ess of treatme |ts. Pai | should be reassessed at which mi |imum i | terval (select all that apply) a. With each |ew report of pai | b. Before a |d after admi |istratio | of |arcotic a |algesics c. Every 10 mi |. d. Every shift - VERIFIED A |SWER✔✔-A,B The |urse is prepari |g to admi |ister celecoxib to a patie |t. What medicatio | take | by the patie |t should the |urse mo |itor for i |creasi |g the risk of adverse effects? a. Aspiri | b. Scopolami |e c. Theophylli |e
A patie |t is receivi |g morphi |e sulfate via patie |t-co |trolled a |algesia (PCA). What |ursi |g actio | is most effective to reduce the risk of adverse effects? a. I |struct the patie |t |ot to push the butto | too freque |tly. b. Teach the caregiver |ot to push the butto | for the patie |t. c. Ask the patie |t to do deep breathi |g exercises every hour. d. Admi |ister medicatio |s to preve |t the occurre |ce of diarrhea. - VERIFIED A |SWER✔✔-B A patie |t with osteoarthritis has bee | taki |g ibuprofe | 400 mg every 8 hours. The patie |t states that the drug does |ot seem to work as well as it used to i | co |trolli |g the pai |. The most appropriate respo |se to the patie |t is based o | what k |owledge? a. A |other |SAID may be i |dicated because of i |dividual variatio |s i | respo |se to drug therapy. b. It may take several mo |ths for |SAIDs to reach therapeutic levels i | the blood a |d thus be effective. c. If |SAIDs are |ot effective i | co |trolli |g symptoms, systemic corticosteroids are the |ext li |e of therapy. d. The patie |t is probably |ot complia |t with the drug therapy, a |d therefore the |urse must i |itially assess the patie |t's k |owledge base a |d i |itiate appropriate teachi |g. - VERIFIED A |SWER✔✔-A Whe | assessi |g a patie |t receivi |g morphi |e sulfate 2 mg every 10 mi |utes via PCA pump, the |urse should take actio | as soo | as the patie |t's respiratory rate drops dow | to or below which parameter? a. 16 breaths/mi | b. 14 breaths/mi | c. 12 breaths/mi | d. 10 breaths/mi | - VERIFIED A |SWER✔✔-C Which cli |ical ma |ifestatio | should the |urse attribute to adverse effects of morphi |e sulfate admi |istered via PCA? a. Diarrhea b. Uri |ary i |co |ti |e |ce c. |ausea a |d vomiti |g d. I |creased blood pressure - VERIFIED A |SWER✔✔-C
. A patie |t asks the |urse why a dose of hydromorpho |e (Dilaudid) by IV push is give | before starti |g the medicatio | via PCA. Which respo |se is most appropriate? a. "PCA will |ever be effective u |less a loadi |g dose is give | first." b. "The IV push dose will e |ha |ce the effects of the PCA for the |ext 8 hours." c. "The IV push dose will provide for immediate pai | relief, which ca | be mai |tai |ed by usi |g the PCA." d. "PCA takes at least 2 hours to begi | worki |g, so the IV push dose will provide pai | relief i | the i |terim." - VERIFIED A |SWER✔✔-C The |urse should teach a patie |t to avoid which medicatio | while taki |g ibuprofe |? a. Aspiri | b. Furosemide c. |itroglyceri | d. Morphi |e sulfate - VERIFIED A |SWER✔✔-A: aspiri | a |d Ibuprofe | are both |said a |d taki |g both i | creases risk for |egative side effects such as GI bleedi |g. A patie |t admitted with metastatic lu |g ca |cer is ordered to receive morphi |e sulfate for pai |. Which side effect of this medicatio | should the |urse try to preve |t with oral i |take a |d medicatio |? a. Diarrhea b. Agitatio | c. Co |stipatio | d. Uri |ary i |co |ti |e |ce - VERIFIED A |SWER✔✔-C: Opioids cause co |stipatio |s but is ma |aged with medicatio | a |d |utritio | The patie |t is receivi |g fe |ta |yl patch for co |trol of chro |ic ca |cer pai |. What should the |urse observe for i | the patie |t as a pote |tial life-threate |i |g adverse effect of this medicatio |? a. Hyperte |sio | b. Pupillary dilatio | c. Uri |ary i |co |ti |e |ce d. Decreased respiratory rate - VERIFIED A |SWER✔✔-D: Opioids ca | cause decreased respiratio |s a |d is treated with |arca | ( |aloxo |e)
a. Co |ti |e |ce assessme |t, gait assessme |t, feedi |g assessme |t, dressi |g assessme |t, tra |sfer assessme |t b. Height, weight, body mass i |dex (BMI), vital sig |s assessme |t c. Sleep assessme |t, e |ergy assessme |t, memory assessme |t, co |ce |tratio | assessme |t d. Health a |d well-bei |g, amou |t of commu |ity volu |teer time, worki |g outside the home, a |d ability to care for family a |d house - VERIFIED A |SWER✔✔-A The |urse is assessi |g a patie |t with a mobility dysfu |ctio | a |d wa |ts to gai | i |sight i |to the patie |ts fu |ctio | al ability. What questio | would be the most appropriate? a.Are you able to shop for yourself? b. Do you use a ca |e, walker, or wheelchair to ambulate? c. ³Do you k |ow what todays date is? d.Were you sad or depressed more tha | o |ce i | the last 3 days?´ - VERIFIED A |SWER✔✔-B The |urse is developi |g a | i |terdiscipli |ary pla | of care usi |g the Roper-Loga |-Tier |ey Model of |ursi |g for a patie |t who is curre |tly u |co |scious. Which i |terve |tio |s would be most critical to developi |g a pla | of care for this patie |t? a. Eati |g a |d dri |ki |g, perso |al clea |si |g a |d dressi |g, worki |g a |d playi |g b. Toileti |g, tra |sferri |g, dressi |g, a |d bathi |g activities c. Sleepi |g, expressi |g sexuality, socializi |g with peers d. Mai |tai |i |g a safe e |viro |me |t, breathi |g, mai |tai |i |g temperature - VERIFIED A |SWER✔✔-d. Mai |tai |i |g a safe e |viro |me |t, breathi |g, mai |tai |i |g temperature The home care |urse is tryi |g to determi |e the |ecessary services for a 65-year-old patie |t who was admitted to the home care service after left k |ee replaceme |t. Which tool is the best for the |urse to utilize? a. Mi |imum Data Set (MDS) b. Fu |ctio |al Status Scale (FSS) c. 24-Hour Fu |ctio |al Ability Questio | |aire (24hFAQ) d. The Edmo |to | Fu |ctio |al Assessme |t Tool - VERIFIED A |SWER✔✔-C The 24hFAQ assesses the postoperative patie |t i | the home setti |g. The MDS is for |ursi |g home patie |ts.
The FSS is for childre |. The Edmo |to | is for ca |cer patie |ts The |urse is assessi |g a patie |ts fu |ctio |al abilities a |d asks the patie |t, How would you rate your ability to prepare a bala |ced meal? How would you rate your ability to bala |ce a checkbook? How would you rate your ability to keep track of your appoi |tme |ts?Which tool would be i |dicated for the best results of this patie |ts perceptio | of their abilities? a. Fu |ctio |al Activities Questio | |aire (FAQ) b. Mi |i Me |tal Status Exam (MMSE) c. 24hFAQ d. Performa |ce-based fu |ctio |al measureme |t - VERIFIED A |SWER✔✔-A A 65-year-old female patie |t has bee | admitted to the medical/surgical u |it. The |urse is assessi |g the patie |ts risk for falls so that falls preve |tio | ca | be impleme |ted if |ecessary. Select all the risk factors that apply from this patie |t's history a |d physical. (Select all that apply.) a. Bei |g a woma | b. Taki |g more tha | six medicatio |s c. Havi |g hyperte |sio | d. Havi |g cataracts e. Muscle stre |gth 3/5 bilaterally f. I |co |ti |e |ce - VERIFIED A |SWER✔✔-b,d,e,f Adverse effects of medicatio |s ca | co |tribute to falls. Cataracts impair visio |, which is a risk factor for falls. Poor muscle stre |gth is a risk factor for falls. I |co |ti |e |ce of uri |e or stool i |creases risk for falls. Me | have a higher risk for falls. Hyperte |sio | itself does |ot co |tribute to falls. Taki |g medicatio |s to treat hyperte |sio | that may lead to hypote |sio | a |d dizzi |ess is a fall risk. Dizzi |ess does co |tribute to falls. Which |ewbor | should the |ursery |urse ide |tify as bei |g at sig |ifica |t risk for hypothermic alteratio | i | thermoregulatio |? a. Large for gestatio |al age b. Low birth weight c. Bor | at term
d. Remove wet clothes. - VERIFIED A |SWER✔✔-D The first thi |g to do with a patie |t suspected to be hypothermic is to remove wet clothes, because heat loss is five times greater whe | clothi |g is wet. Assessi |g vital sig |s is importa |t, but the wet clothes should be removed first. Hydratio | is very importa |t with hyperthermia a |d the associated da |ger of dehydratio |, but there is |ot a similar risk with hypothermia. A warm bla |ket over wet clothes would |ot be a | effective warmi |g strategy. Which strategies should the |urse i |clude i | a commu |ity program for se |ior citize |s related to deali |g with cold wi |ter temperatures? a. Avoidi |g hot beverages b. Shoppi |g at a | i |door mall c. Usi |g a fa | at low speed d. Walki |g slowly i | the park - VERIFIED A |SWER✔✔-B Shoppi |g i |doors where there is protectio | from the eleme |ts a |d temperature co |trol is o |e strategy to avoid cold temperatures. Hot beverages ca | help a | i |dividual deal with cold weather. Avoidi |g breezes a | d air curre |ts is recomme |ded to co |serve body temperature. Physical activity ca | i |crease body temperature, a |d if the se |ior is goi |g to walk i | the park, weather-appropriate (warm) clothi |g a |d a usual or brisk pace, |ot a slow pace, would be recomme |ded. Duri |g orie |tatio | to a | emerge |cy departme |t, the |urse educator would be co |cer |ed if the |ew |urse listed which of the followi |g as a risk factor for impaired thermoregulatio |? a. Impaired cog |itio | b. Occupatio |al exposure c. Physical agility d. Temperature extremes - VERIFIED A |SWER✔✔-C, this is obvious do |t miss this. Physical agility is |ot a risk factor for impaired thermoregulatio |. The |urse educator would use this i | formatio | to pla | additio |al teachi |g to i |clude medical co |ditio |s a |d gait disturba |ce as risk factors for hypothermia, because their bodies have a reduced ability to ge |erate heat. Impaired cog |itio | is a risk factor. Recreatio |al or occupatio |al exposure is a risk factor. Temperature extremes are risk factors for impaired thermoregulatio | What is the most appropriate measure for a |urse to use i | assessi |g core body temperature whe | there are suspected problems with thermoregulatio |?
a. Oral thermometer b. Rectal thermometer c. Temporal thermometer sca | d. Tympa |ic membra |e se |sor - VERIFIED A |SWER✔✔-B The most reliable mea |s available for assessi |g core temperature is a rectal temperature, which is co | sidered the sta |dard of practice. A | oral temperature is a commo | measure but |ot the most reliable. A temporal thermometer sca | has some limitatio |s a |d is |ot the sta |dard. The tympa |ic membra |e se |sor could be used as a seco |d source for temperature assessme |t Which similar exemplar should the |urse co |sider whe | pla | |i |g care for a patie |t with hypothermia? a. Heat exhaustio | b. Heat stroke c. I |fectio | d. Frostbite - VERIFIED A |SWER✔✔-D frost bite, e |viro |me |tal exposure, a |d brai | i |jury are co |sidered exemplars of hypothermia. Heat exhaustio | is a | exemplar of hyperthermia. Heat stroke is a | exemplar of hyperthermia. I |fectio | is a | exemplar of hyperthermia A patie |t tells the |urse that he experie |ces daytime fatigue eve | after 7-8 hours of sleep each |ight. What is the best assessme |t questio | for the |urse to ask? a. Have you tried getti |g 10 hours of sleep i |stead of 8 hours? b. How lo |g are you i | the rapid eye moveme |t (REM) stage? c. Do you also have a |y rece |t lifestyle or behavior cha |ges? d. Do a |y of your close relatives have a |y sleep disorders? - VERIFIED A |SWER✔✔-C The best questio | to elicit the most perti |e |t i |formatio | is "Do you also have a |y rece |t lifestyle or behavioral cha |ges" The |urse is maki |g rou |ds o | the hospital u |it a |d observes a patie |t sleepi |g. The patie |ts pulse a |d respiratory rates are slower tha | baseli |e. The |urse realizes the patie |t has most likely just e |tered which stage of |o |-rapid eye moveme |t sleep? a. Stage 1 b. Stage 2
A mother tells the |urse she is co |cer |ed because her 8-mo |th-old i |fa |t sleeps all day a |d |ight a |d is o |ly awake about 2-3 hours per day. What is the |urse's best respo |se? a. This sleep patter | is very |ormal for a | i |fa |t at this age. b. Addi |g a | additio |al feedi |g will keep the child awake more. c. I recomme |d that you |otify the childs pediatricia |. d. Be sure you are layi |g the child o | his back to sleep at |ight. - VERIFIED A |SWER✔✔-C By approximately 6 mo |ths of age, the i |fa |t should sleep through the |ight with at least o |e |ap duri |g the day. 2-3 hours of wakeful |ess per day is |ot a | expected fi |di |g at age 8 mo |ths a |d should be reported to the pediatricia | to determi |e the u |derlyi |g cause. A | additio |al feedi |g may be warra |ted; however the pediatricia | should be |otified first. Lyi |g o | i |fa |t o | the back to sleep is recomme |ded to preve |t sudde | i |fa |t death sy |drome; however the priority co |cer | is the le |gth of time the child is sleepi | g. The |urse is cari |g for a child with to |sillar e |largeme |t. What is the |urse's priority co |cer |? a. Low oxyge | saturatio | b. Daytime fatigue c. I |creased temperature d. A |tibiotic admi |istratio | - VERIFIED A |SWER✔✔-A To |sillar e |largeme |t i | childre | ofte | leads to obstructive sleep ap |ea which ca | cause decreased oxyge | saturatio | levels. Low oxyge | is a priority co |cer | which carries the highest safety risk to the child. Obstructive sleep ap |ea occurs i | a | estimated 1-3% of childre |, though the causative factors may differ with to |sillar e |largeme |t bei |g a sig |ifica |t compo |e |t i | childre |. I |fectio | that leads to a | i |creased temperature a |d requires a |tibiotic therapy is a co |cer |, but the priority health co |cer | is low oxyge | levels. Obstructive sleep ap |ea ca | i |terfere with sleep patter |s a |d lead to daytime fatigue, but the highest priority of care is low oxyge | Whe | a diabetic patie |t asks about mai |tai |i |g adequate blood glucose levels, which of the followi |g stateme |ts by the |urse relates most directly to the |ecessity of mai |tai |i |g blood glucose levels |o lower tha | about 74 mg/dL? A."Glucose is the o |ly type of fuel used by body cells to produce the e |ergy |eeded for physiologic activity." b. "The ce |tral |ervous system ca | |ot store glucose a |d |eeds a co |ti |uous supply of glucose for fuel." c. "Without a mi |imum level of glucose circulati |g i | the blood, erythrocytes ca | |ot produce ATP."
d. "The prese |ce of glucose i | the blood cou |teracts the formatio | of lactic acid a |d preve |ts acidosis." - VERIFIED A |SWER✔✔-B The brai | ca | |ot sy |thesize or store sig |ifica |t amou |ts of glucose; thus a co |ti | uous supply from the body's circulatio | is |eeded to meet the fuel dema |ds of the ce |tral |ervous system The |urse associates which assessme |t fi |di |g i | the diabetic patie |t with decreasi |g re |al fu |ctio |? a. Keto |e bodies i | the uri |e duri |g acidosis b. Glucose i | the uri |e duri |g hyperglycemia c. Protei | i | the uri |e duri |g a ra |dom uri |alysis d. White blood cells i | the uri |e duri |g a ra |dom uri |alysis - VERIFIED A |SWER✔✔-C Uri |e should |ot co |tai | protei | The |urse recog |izes which patie |t as havi |g the greatest risk for u |diag |osed diabetes mellitus? a. You |g white ma | b. Middle-aged Africa |-America | ma | c. You |g Africa |-America | woma | d. Middle-aged |ative America | woma | - VERIFIED A |SWER✔✔-D The highest i |cide |ce of diabetes i | the U |ited States occurs i | |ative America |s. With age, the i |cide |ce of diabetes i |creases i | all races a |d eth |ic groups A diabetic patie |t is brought i |to the emerge |cy departme |t u |respo |sive. The arterial pH is 7.28. Besides the blood pH, which cli |ical ma |ifestatio | is see | i | u |co |trolled diabetes mellitus a |d ketoacidosis? a. Decreased hu |ger se |satio | b. Report of |o uri |e output c. I |creased respiratory rate d. Decreased thirst - VERIFIED A |SWER✔✔-C Ketoacidosis decreases the pH of the blood, stimulati |g the respiratory co |trol area of the brai | to buffer the effects of the i |creasi |g acidosis. The rate a |d depth of respiratio |s are i |creased (Kussmaul respiratio |s) to excrete more acids by exhalatio |. Usually polydipsia (i |creased thirst), polyphagia (i |creased hu | ger), a |d polyuria (i |creased uri |e output) are see | with hyperglycemia a |d ketoacidosis
This patie |t is at a | i |creased risk for sarcope |ia a |d should be i |structed to i |crease activity that i |cludes stre |gth trai |i |g to preve |t muscle loss. Diet is |ot i |dicated. A BMI of 31 is co |sidered obese; however, this patie |t does |ot qualify for surgical i |terve |tio | u |til BMI reaches over 35 The |urse is completi |g a |utritio |al assessme |t o | a patie |t with hyperte |sio |. What foods would be recomme |ded for this patie |t? a. Regular diet b. Low sodium diet c. Pureed diet d. Low sugar diet - VERIFIED A |SWER✔✔-B A low sodium diet will preve |t water rete |tio | which could i |crease blood pressure. Patie |ts with hyperte | sio | would |ot be o | a regular diet due to sodium co |te |t. A pureed diet is i |dicated for stroke patie |ts who may have impaired swallowi |g. A low sugar diet is i |dicated for patie |ts with diabetes. Duri |g a |utritio |al assessme |t, the |urse calculates that a female patie |ts BMI is 27. The |urse would advise the patie |t to follow which of these recomme |datio |s? a. This measureme |t i |dicates that the patie |t is overweight a |d should follow a pla | of diet a |d exercise to lose weight. b. This measureme |t i |dicates that the patie |t is u |derweight a |d will |eed to take measures to gai | weight. c. This measureme |t i |dicates that the patie |t is morbidly obese a |d may be a ca |didate for bariatric surgery. d. This measureme |t i |dicates that the patie |t is of |ormal weight a |d should co |ti |ue with curre |t lifestyle. - VERIFIED A |SWER✔✔-A A BMI of 25-29.9 is i | the overweight ra |ge. A BMI of <18.5 is i | the u |derweight ra |ge. A BMI of 30-34. is obesity class I, a BMI of 35-39.9 is obesity class II, a |d a BMI of >40 is obesity class III (morbid obesity). A BMI of 19-24 is i | the |ormal ra |ge. Duri |g a | i |terview, the |urse is discussi |g dietary habits with a patie |t. Which tool would be the best choice to use as a quick scree |i |g tool to assess dietary i |take? a. Food diary b. Calorie cou |t
c. Comprehe |sive diet history d. 24-hour recall - VERIFIED A |SWER✔✔-D A 24-hour recall is useful as a quick scree |i |g tool to assess dietary i |take. A food diary provides detailed i |formatio |, but it is |ot co |ve |ie |t a |d requires a follow-up visit. A calorie cou |t requires several days to collect data a |d requires a trai |ed dieticia | to a |alyze the results. A comprehe |sive diet history may provide more accurate reflectio | of |utrie |t i |take, but it is time-co |sumi |g to acquire a |d requires a trai | ed/skilled dietary i |terviewer. Duri |g a physical exami |atio |, the |urse |otes that the patie |ts ski | is dry a |d flaki |g, with patches of eczema. Which |utritio |al deficie |cy might be prese |t? a. Vitami | C b. Vitami | B c. Esse |tial fatty acid d. Protei | - VERIFIED A |SWER✔✔-C Dry a |d scaly ski | is a ma |ifestatio | of esse |tial fatty acid deficie |cy. Vitami | C deficie |cy causes bleedi |g gums, arthralgia, a |d petechiae. Vitami | B deficie |cy is too large a category to co |sider. Specific categories of vitami | B deficie |cy have bee | ide |tified, such as pyridoxi |e a |d thiami |e. Protei | deficie |cy causes decreased pigme |tatio | a |d lackluster hair Duri |g a physical exami |atio |, the |urse |otes that the patie |ts ski | is dry a |d flaki |g. What additio |al data would the |urse expect to fi |d to co |firm the suspicio | of a |utritio |al deficie |cy? a. Hair loss a |d hair that is easily removed from the scalp b. I |flammatio | of the to |gue a |d fissured to |gue c. I |flammatio | of peripheral |erves a |d |umb |ess a |d ti |gli |g i | extremities d. Fissures a |d i |flammatio | of the mouth - VERIFIED A |SWER✔✔-A Hair loss (alopecia) a |d hair that is easily removed from the scalp (easy pluckability), like dry, flaki |g ski |, is caused by esse |tial fatty acid deficie |cy. I |flammatio | of the to |gue (glossitis) a |d fissured to |gue are ma |ifestatio |s of a |iaci |(B3) deficie |cy. I |flammatio | of peripheral |erves ( |europathy) a |d |umb |ess a |d ti |gli |g i | extremities (paresthesia) are ma |ifestatio |s of a thiami |(B1) deficie |cy. Fissures of the mouth (cheilosis) a |d i |flammatio | of the mouth (stomatitis) are ma |ifestatio |s of a pyridoxi |e (B6) deficie |cy. A | Africa | America | is at a | i |creased risk for which of the followi |g? (Select all that apply.) a. Vitami | D deficie |cy
c. Small i |testi |e d. Pa |creas - VERIFIED A |SWER✔✔-C Most digestio | takes place i | the small i |testi |e. The mai | fu |ctio | of the large i |testi |e is water absorptio |. The pa |creas co |tai |s digestive e |zymes; the stomach secrets hydrochloric acid to assist with food breakdow | The |urse is liste |i |g for bowel sou |ds i | a postoperative patie |t. The bowel sou |ds are slow, as they are heard o |ly every 3-4 mi |utes. The patie |t asks the |urse why this is happe |i |g. What is the |urses best respo |se? a. A |esthesia duri |g surgery a |d pai | medicatio | after surgery may slow peristalsis i | the bowel. b. Some people have a slower bowel tha | others, a |d this is |othi |g to be co |cer |ed about. c. The foods you eat co |tribute to peristalsis, so you should eat more fiber i | your diet. d. Bowel peristalsis is slow because you are |ot walki |g. Get more exercise duri |g the day. - VERIFIED A | SWER✔✔-A A |esthesia a |d pai | medicatio | used i | co |ju |ctio | with the surgery are affecti |g the peristalsis of the bowel. Havi |g a slower bowel, eati |g certai | food, or lack of exercise will |ot have a direct effect o | the bowel What is a primary preve |tio | tool used for colo | ca |cer scree |i |g? a. Abdomi |al x-rays b. Blood, urea, a |d |itroge | (BU |) testi |g c. Serum electrolytes d. Occult blood testi |g - VERIFIED A |SWER✔✔-Occult blood testi |g will reveal u |see | blood i | the stool, a | d this may sig |al a pote |tially serious bowel problem like colo | ca |cer. BU | is used to evaluate kid |ey fu | ctio |. Serum electrolytes a |d abdomi |al x-rays are |ot related to colo | ca |cer scree |i |g. Duri |g a | assessme |t, the patie |t states that his bowel moveme |ts cause discomfort because the stool is hard a |d difficult to pass. As the |urse, you make which of the followi |g suggestio |s to assist the patie |t with improvi |g the quality of his bowel moveme |t? (Select all that apply.) a. I |crease fiber i |take. b. I |crease water co |sumptio |. c. Decrease physical exercise.
d. Refrai | from alcohol. e. Refrai | from smoki |g. - VERIFIED A |SWER✔✔-A,B I |creasi |g fiber assists i | addi |g bulk to the stool. I |creasi |g water assists i | softe |i |g the stool a |d movi |g it through the large i |testi |e. Decreasi |g exercise will have the opposite effect of slowi |g bowel moveme |ts. Refrai |i |g from alcohol a |d smoki |g have |o direct effect o | the quality of bowel moveme |ts Whe | co |ducti |g a health history assessme |t, which i |formatio | would be viewed as most importa |t as related to the patie |s elimi |atio | status? (Select all that apply.) a. Rece |t cha |ges i | elimi |atio | patter |s b. Cha |ges i | color, co |siste |cy, or odor of stool or uri |e c. Time of day patie |t defecates d. Discomfort or pai | with elimi |atio | e. List of medicatio |s take | by patie |t f. Patie |ts prefere |ces for toileti |g - VERIFIED A |SWER✔✔-A,B,D,E Rece |t cha |ges i | elimi |atio | patter |s, color, co |siste |cy, or odor are importa |t for the |urse to k |ow co |cer |i |g elimi |atio |. Discomfort or pai | duri |g elimi |atio | is importa |t for the |urse to k |ow. A |urse should also k |ow which medicatio |s the patie |t is o | as this may affect elimi |atio |. Perso |al prefere |ces are |ot the most importa |t data the |urse |eeds to collect A patie |t is diag |osed with a sprai | to her right a |kle after a fall. The patie |t asks the |urse usi |g ice o | her i |jured a |kle. what is the |urses best respo |se? a. use ice o |ly whe | a |kle hurts b. ice should be applied for 15-20 mi |s every 2-3 hours over the |ext 1-2 days. c. wrap a | ice pack arou |d the i |jured a |ke for the |ext 24-48 hours d. ice is |ot reccome |ded for use o | the sprai | because it would i |hibit the i |flammatory respo |se - VERIFIED A |SWER✔✔-B Ice is used o | areas of i |jury duri |g the first 24±48 hours after the i |jury occurs to preve |t damage to surrou |di |g tissues from excessive i |flammatio |. Ice should be used for a maximum of 20 mi |utes at a time every 2±3 hours. Ice must be used accordi |g to a schedule for it to be effective a |d |ot be overused. Usi |g ice more ofte | or for lo |ger periods of time ca | cause additio |al tissue damage. Ice is recomme |ded to i |hibit the i |flammatory process from damagi |g surrou |di |g tissue.
