A client with an open wound has an order to irrigate the wound three times a day with dressing
change. Which of the following principles will the nurse follow? (select all that apply) - ANSclean
least infected to most infected,
place syringe 1 inch above wound,
clean skin around with antiseptic wipes first,
do not let solution sit in wound
The nurse is caring for a client that had abdominal surgery 15 hours ago, what objective signs
would the nurse expect to find if the client is experiencing pain? (Select all that apply) -
ANSIncreased pulse
High BP
Increased respiratory depth/frequency
Diaphoresis
Which portion of the brain controls the basic vital functions of life? - ANSMedulla
Which hormone is the mineralocorticoid that acts on the kidneys to regulate sodium and
potassium levels? - ANSAldosterone
What is the function of the thymus gland? (Select all that apply.) - ANSStimulates the maturation
of lymphocytes into T cells
Coordinates immune defenses
What are the effects of the release of epinephrine and norepinephrine? (Select all that apply.) -
ANSIncreased heart rateb.
Vasoconstrictionc.
Release of glucose reserves
Systemic circulation occurs when blood is pumped from the left ventricle of the heart through all
parts of the body and returns to the heart in the: - ANSRight atrium
The nurse performing passive range-of-motion exercises for the client will move each joint to the
point of: - ANSPoint of pain
With lifting or moving a client up in bed, the nurse should protect his or her back by: -
ANSBending the knees
A nurse is about to give a client a complete bed bath. What is the best action by the nurse to
maintain the client's privacy? - ANSClose the curtain around patients bed
, Which enzymes are produced by the pancreas? (Select all that apply.) - ANStrypsin (protease)
lipase (steapsin)
amylase (amylopsin)
The inner surface of the small intestines contain millions of tiny finger-like projections called: -
ANSVilli
Because the small intestine needs bile only a few times a day, bile is stored and concentrated in
the: - ANSgallbladder
The structure of the Nephron responsible for the reabsorption of water and solutes during urine
formation is the: - ANSProximal Convoluted Tubule
Which of the following is the major regulator of respiratory activity? - ANSPCO2
Which event occurs in response to an increase in thoracic volume? - ANSAir moves into and
through the respiratory passages
In a sprint race Jeremy burst out of the starting block and ran hard down the track. About 20
meters into the race he suddenly felt a sharp pain along the back side of his right thigh. Wincing,
he slowed down and hobbled to a stop. What muscle or muscle group has Jeremy likely
injured? - ANSHamstring
What factors stimulate bone to grow thicker and wider in adults? - ANSWeight bearing exercises
When contributing to a client's care plan, the cues and inferences that the nurse uses to choose
a nursing diagnosis /problem are: - ANSa. Based on data obtained during assessment
The nurse is preparing to auscultate the apical pulse. Where should the nurse place the
stethoscope on the client' s chest? - ANS5th and 6th intercostal space
A nurse is contributing to the plan care of a client who has acute dysphagia. Which of the
following interventions should the nurse expect to include in the plan of care? - ANSTilt head
forward while swallowing
1. A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via
an NG tube. Which of the following actions should the nurse take prior to administering the tube
feeding? - ANSTest the PH of the gastric aspirate
A nurse is caring for a client who is receiving a mechanically altered diet. Which of the following
food choices necessitates intervention by the nurse? - ANSPiece of whole wheat toast
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