NUR 225 Fundamentals CH 28 Review Questions and Correct Answers
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Course
NUR 225
Institution
NUR 225
An older adult has limited mobility as a result of a total knee replacement. During assessment you note that the patient has difficulty breathing while lying flat. Which of the following assessment data support a possible pulmonary problem related to impaired mobility (select all that apply): 1. BP...
NUR 225 Fundamentals CH 28 Review
Questions and Correct Answers
An older adult has limited mobility as a result of a total knee replacement. During
assessment you note that the patient has difficulty breathing while lying flat. Which of
the following assessment data support a possible pulmonary problem related to
impaired mobility (select all that apply):
1. BP = 128/84
2. Respirations 26/min on room air
3. HR 114
4. Crackles over lower lobes heard on auscultation
5. pain reported as 3 on a scale of 0 to 10 after medication ✅2, 3, 4
A patient has been on bed rest for over 4 days. On assessment, the nurse identifies the
following as a sign associated with immobility:
1. decreased peristalsis
2. decreased heart rate
3. increased BP
4. increased urinary output ✅1
The nurse puts elastic stockings on a patient following major abdominal surgery. The
nurse teaches the patient that the stockings are used after a surgical procedure to
_____________. ✅promote venous return to the heart
A nurse is teaching a community group about ways to minimize the risk of developing
osteoporosis. Which of the following statements reflect understanding of what was
taught (select all that apply):
1. "I usually go swimming with my family at YMCA 3 times/week"
2. "I need to ask my doctor if I should have a bone mineral density check this year"
3. "If I don't drink milk at dinner, I'll eat broccoli or cabbage to get the calcium that I need
in my diet"
4. "I'll check the label of my multivitamin. If it has calcium, I can save money by not
taking another pill"
5. "My lactose intolerance should not be a concern when considering my calcium
intake" ✅1, 2, 3
A nurse is caring for an older adult who has had a fractured hip repaired. In the first few
postoperative days, which of the following nursing measures will best facilitate the
resumption of ADL's for this patient?
1. Encouraging use of an overhead trapeze for positioning and transfer
2. frequent family visits
3. assisting the patient to a wheelchair once per day
4. ensuring that there is an order for physical therapy ✅1
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