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ADULT HEALTH NURSING (UNIT ONE) EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS GRADE A+
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ADULT HEALTH NURSING (UNIT ONE) EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS GRADE A+
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ADULT HEALTH NURSING (UNIT ONE) EXAMTEST BANK QUESTIONS WITH CORRECT
ANSWERS GRADE A+
A patients plan of care specifies postural drainage. What action should
the nurse perform when providing this noninvasive therapy?
A) Administer the treatment with the patient in a high Fowlers or
semi-Fowlers position.
B) Perform the procedure immediately following the patients meals.
C) Apply percussion firmly to bare skin to facilitate drainage.
D) Assist the patient into a position that will allow gravity to move
secretions. - CORRECT ANSWER -D Postural drainage is usually
performed two to four times per day. The patient uses gravity to
facilitate postural draining. The skin should be covered with a cloth or a
towel during percussion to protect the skin. Postural drainage is not
administered in an upright position or directly following a meal.
,What would the critical care nurse recognize as a condition that may
indicate a patients need to have a tracheostomy?
A) A patient has a respiratory rate of 10 breaths per minute.
B) A patient requires permanent ventilation.
C) A patient exhibits symptoms of dyspnea.
D) A patient has respiratory acidosis. - CORRECT ANSWER -B
A tracheostomy permits long-term use of mechanical ventilation to
prevent aspiration of oral and gastric secretions in the unconscious or
paralyzed patient. Indications for a tracheostomy do not include a
respiratory rate of 10 breaths per minute, symptoms of dyspnea, or
respiratory acidosis.
The nurse is caring for a patient with chronic obstructive pulmonary
disease (COPD). The patient has been receiving high-flow oxygen therapy
for an extended time. What symptoms should the nurse anticipate if the
patient were experiencing oxygen toxicity?
,A) Bradycardia and frontal headache
B) Dyspnea and substernal pain
C) Peripheral cyanosis and restlessness
D) Hypotension and tachycardia - CORRECT ANSWER -B
Oxygen toxicity can occur when patients receive too high a concentration
of oxygen for an extended period. Symptoms of oxygen toxicity include
dyspnea, substernal pain, restlessness, fatigue, and progressive
respiratory difficulty. Bradycardia, frontal headache, cyanosis,
hypotension, and tachycardia are not symptoms of oxygen toxicity
The medical nurse is creating the care plan of an adult patient
requiring mechanical ventilation. What nursing action is most
appropriate?
A) Keep the patient in a low Fowlers position.
B) Perform tracheostomy care at least once per day.
C) Maintain continuous bedrest.
D) Monitor cuff pressure every 8 hours. - CORRECT ANSWER -D
The cuff pressure should be monitored every 8 hours. It is important
to perform tracheostomy care at least every 8 hours because of the
risk of infection. The patient should be encouraged to ambulate, if
, possible, and a low Fowlers position is not indicated.
The nurse is caring for a patient who is scheduled to have a
thoracotomy. When planning preoperative teaching, what information
should the nurse communicate to the patient?
A) How to milk the chest tubing
B) How to splint the incision when coughing
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