100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NUR 204 EXAM 2 Practice Test Questions With Solved Solutions. $10.29
Add to cart
Quickly navigate to
Preview
  2.  
  3. NUR 204
  4.  
  5. NUR 204

Exam (elaborations)

NUR 204 EXAM 2 Practice Test Questions With Solved Solutions.
 0 purchase
  • Course
  • NUR 204
  • Institution
  • NUR 204

What indications are there for applying restraints as last resort? - Answer harm self or others A nurse is caring for a 25-year-old client who is quadriplegic. Which treatment would be a priority to decrease the risk of joint contracture and promote joint mobility? A. Active ROM B. Pass...

[Show more]

Preview 4 out of 32  pages

Document information

  • October 5, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

  • NUR 204
  • NUR 204

Seller

avatar-seller
TestSolver9

Reviews received

Content preview

NUR 204 EXAM 2 Practice Test
Questions With Solved Solutions.
What indications are there for applying restraints as last resort? - Answer harm self or others



A nurse is caring for a 25-year-old client who is quadriplegic. Which treatment would be a priority to
decrease the risk of joint contracture and promote joint mobility?



A. Active ROM

B. Passive ROM

C. Turning every 2 hours

D. Applying a trochanter roll - Answer B. Passive ROM



Area where they are unable to move (all 4 extremities), do PROM in arms, shoulders, elbows, wrists, and
fingers, hips, knees, ankles, toes. Quadriplegic does NOT mean they are unable to do some movements



A client is admitted to the hospital with COPD. He is receiving supplemental oxygen via nasal cannula.
Which position will best assist his breathing?



A. Fowler's

B. Sims'

C. Lateral

D. Supine

E. Prone - Answer A. Fowler's



Will help breathing the best

High, Semi, and Low Fowler's do exist

,A teenage client was hospitalized 3 weeks ago after MVA in which he crushed his pelvis. He remains on
bedrest. His parents tell the nurse, " Our son is just staring off into space and won't talk to us. He doesn't
want to listen to his music or watch television. That is so unlike him." What is the nurse's best response?



A. "I will inform the doctor and see whether we can get your son started on an antidepressant
medication."

B. "He is at a critical time in his life; teens are often moody, and being in the hospital with an injury will
only make that worse."

C. "Your son had a major injury, and his immobility might be causing him to feel isolated and depressed."

D. "He is bored because he has been in the hospital for 3 weeks; I'll try to find something new for him to
do." - Answer C. "Your son had a major injury, and his immobility might be causing him to feel isolated
and depressed."



A = incorrect, RN is making dx that patient is depressed

B = making assumption "moody"

C= MIGHT, major injury = takes adjustment

D = dont' want to make assumption



An older client suffered left-sided paralysis from a stroke. Which are the best actions for this client?
Select all that apply.



A. Monitor for constipation

B. Encourage an even gait when walking in place

C. Assess the extremities for swelling and muscle atrophy

D. Encourage taking deep breaths frequently to hyper-inflate the lungs.

E. Encourage the client to hold onto the wall while ambulating - Answer A. Monitor for constipation

*not moving around which assists peristalsis

C. Assess the extremities for swelling and muscle atrophy

*not moving, use it or lose it

D. Encourage taking deep breaths frequently to hyper-inflate the lungs.

**prevents pneumonia, keeps air circulating through lungs

,B = unrealistic expectation, gait is uneven after stroke

E = need more of an assistive device than just wall, which will run out, is there a handrail? not enough
info



A client is being transferred from the bed to a stretch for surgery using a transfer board. What should be
the nurse's first action?



A. Lower the stretched below the level of the bed.

B. Explain the procedure to the client.

C. Place the client in the prone position.

D. Place the bed in the lowest position. - Answer B. Explain the procedure to the client.

**Always explain procedure first for anything



A = want transfer to be LEVEL

C = Never put patient face down

D = bad for RN ergonomics



What are the stages of wound healing? - Answer 1. inflammatory

2. proliferative

3. maturation/remodeling



What is the inflammatory stage of wound healing? - Answer begins with injury, lasts 3-6 days

control bleeding (vasoconstriction, blood vessel retraction, fibrin accumulation, clot formation)

deliver O2, WBC, and nutrients

macrophages, phagocytosis



What is the proliferative stage of wound healing? - Answer lasts the next 3-24 days

replace lost tissue w/ connective or granulated tissue and collagen

, contract wound's edges to reduce area that requires healing

resurfacing of new epithelial cells



What is the maturation or remodeling stage of wound healing? - Answer occurs on/about day 21

strengthening of collagen scar and restoration of more normal appearance

can take > 1 year to complete depending on original wound extent



What are the phases of healing process? - Answer 1. primary intention

2. secondary intention

3. tertiary intention



What occurs during primary intention? - Answer -little/no tissue loss

-edges approximated (eg w/in surgical incision)

-heals rapidly

-low risk of infection

-no/minimal scarring



eg = closed surgical incision w/ staples, sutures, or liquid glue to seal laceration



What occurs during secondary intention? - Answer -loss of tissue

-wound edges widely separated, unapproximated (eg = pressure injury, open burn areas)

-longer healing time

-increase for risk of infection

-scarring

-heals by granulation



eg = pressure injury left open to heal



What occurs during tertiary intention? - Answer -widely separated

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller TestSolver9. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.29. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69252 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$10.29
  • (0)
Add to cart
Added