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NUR 2349 PN1 Final Exam Study Guide.
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NUR 2349 PN1 Final Exam Study Guide.
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Study Guide for PN11. Your client has had an arthroplasty two days ago and has required pain
medication every four hours. What consideration is given to the use of
opioids and immobility in a post-surgical client?
a. Decrease peristalsis and can cause severe constipation
b. Constipation can cause impaction
2. What is the term for a surgical removal and replacement of a joint?
a. arthroplasty
3. Although this arthritis can occur in children, it often strikes at the age
of 30-40 years of age. When the immune system attacks it's own
tissues, causing red and painful joints it is called which of the
following?
4. In order to achieve balance, body mass must be distributed around
which point?
a. At the waist or midline
5. After caring for a client on contact precautions, the nurse removes PPE
within the room and washes hands because of which of the following?
a. If her close are contaminated, she keeps the bacteria in the room
and prevents the spread of it.
6. Healing time of a simple fracture is 8-12 weeks. During this time what
cell reshapes or remodels the mending bone?
a. Osteoblasts blast away the old bone, osteoclasts cleans the new
bone
7. Which of the following is true regarding standard infection control
precautions?
a. Standard infection precaution is used for every person that you
are treating
8. A client in the emergency room is angry, yelling, cursing, and waving
his arms, when the nurse comes into the room. Which action by the
nurse is advisable?
a. Stand between the patient and the door, try to talk in a calming
manner
9. Which PPE is worn when taking a blood glucose sample from an AIDS
client?
a. gloves
10. The nurse prepares to dispose of stomach contents collected in a
suction canister. Which PPE should be worn?
a. Face mask/ eye protection, gloves
11. The client in the above question, admits the APAP is not working
for her arthritis pain. She tells you that she takes "just two more at
midnight". Is this appropriate considering this client also has liver
disease?
12. Which is the most commonly reported incident in the hospital?
a. UTI
, 13. An 82 yr old client is unsteady on her feet when walking about
the room. She reports feeling a little sore but has no complaints of
weakness. What is the appropriate piece of equipment to use when
helping her ambulate?
a. Gait belt
14. The body's inability to secrete uric acid can often cause an
agonizingly painful attack affecting one joint (often seen at the great
toe) is called?
a. Gout
15. Clients with impaired mobility are at risk for which condition?
a. Pressure ulcers/ muscular atrophy
16. Clients have the right to refuse medically necessary treatments if
they posess which of the following?
17. Which of the following describes Paget's disease of the bone?
18. You are the triage nurse in the ER and you patient presents with
excruciating leg pain. You happen to notice the bone extending out of
the leg. This kind of fracture is called which of the following?
a. Compound fracture
19. Your client has an obvious dislocation of the shoulder joint.
Which intervention would be the first priority?
a. Pain medication, prevent it from moving
20. Using the 5 rights of medication administration provides which of
the following?
a. Right dose, right medication, right route, right time, right patient
21. In the hospital setting, a client with a history of falling continually
attempts to get out of bed unassisted despite frequent reminders to
call for help first. Which action should the nurse take first to assure
safety?
a. Schedule regular frequent checks on patient
22. Keeping a dementia client from wandering out of their room can
be more easily obtained by which intervention?
23. Your client takes 1000 mg of APAP three times a day. Tablets are
available in 500 mg increments. How many tablets does your client
take in a day?
a. 6
24. Despite less-restrictive interventions, a client's behavior
escalates, requiring emergency application of restraints. Which of the
following must the nurse do to ensure client safety in this situation?
a. Provide food, water, can easily remove if needed
25. This condition may cause elderly clients to fall related to frail
bones
a. osteoporosis
26. Your client returns from surgery where they were given general
anesthesia. The surgery performed will cause this client to remain
immobile for several days. Because of this the nurse knows to
encourage the client to do which of the following?
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