Intro to Nursing - Exam 3 Concepts - Modules 9, 10, 11, 12
NUR1020C Pensacola State College Nursing 2024 Potter:
Fundamentals of Nursing, 8th Edition, Chapters 27, 40, 42,
44 | Ignatavicius: Medical-Surgical Nursing: Patient-
Centered Collaborative Care, 7th Edition, Chapter | Kee:
Pharmacology: A Patient-Centered Nursing Process
Approach, 8th Edition, Chapters | Giddens: Concepts for
Nursing Practice, 1st Edition, Concept 15, 16, 13, 43
_______ result in the greatest number of injuries to older adults.
A. Falls Correct
B. Medication errors
C. Incidences of domestic violence
D. Suicide attempts
(Lisa Ray Pre-Simulation) Correct Answer Answer: A.
Falls, automobile accidents, and fires are the incidents that result
in the greatest number of injuries to the older adult population.
A 6-year-old boy is admitted to the pediatric unit with chills and
a fever of 104°F (40°C). What physiological process explains
why the child is at risk for developing dyspnea?
A. Fever increases metabolic demands, requiring increased
oxygen need.
B. Blood glucose stores are depleted, and the cells do not have
energy to use oxygen.
C. Carbon dioxide production increases as result of
hyperventilation.
,D. Carbon dioxide production decreases as a result of
hypoventilation.
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 40)
Correct Answer Answer: A.
When the body cannot meet the increased oxygenation need, the
increased metabolic rate causes breakdown of protein and
wasting of respiratory muscles, increasing the work of breathing.
A 62-year-old woman is being discharged home with her
husband after surgery for a hip fracture from a fall at home.
When providing discharge teaching about home safety to this
patient and her husband, the nurse knows that:
A. A safe environment promotes patient activity.
B. Assessment focuses on environmental factors only.
C. Teaching home safety is difficult to do in the hospital setting.
D. Most accidents in the older adult are caused by lifestyle
factors.
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 27)
Correct Answer Answer: A.
Older adults are frequently fearful of falling and thus often limit
activity. A safe environment, which decreases the risk of a fall,
promotes patient activity.
A 73-year-old patient was admitted with severe respiratory
distress secondary to pneumonia. She has a long history of
smoking, which she recently stopped. Upon arrival she was
placed on continuous pulse oximetry, and an endotracheal tube
was inserted for mechanical ventilation. She is heavily sedated.
,She is receiving an intravenous infusion at 100 mL per hour.
Intravenous fluids may impact this patient's respiratory status.
A. True
B. False
(Evolve Online Course, Module 8: Airway Management)
Correct Answer A. True.
Too little fluid can cause thickened secretions and too much
fluid may add stress to the heart. Monitor input and output
closely. IV fluids can also help to keep her secretions thin and
mobile.
A 73-year-old patient was admitted with severe respiratory
distress secondary to pneumonia. She has a long history of
smoking, which she recently stopped. Upon arrival she was
placed on continuous pulse oximetry, and an endotracheal tube
was inserted for mechanical ventilation. She is heavily sedated.
This patient is at risk for airway occlusion.
A. True
B. False
(Evolve Online Course, Module 8: Airway Management)
Correct Answer A. True.
She must constantly be monitored for airway occlusion.
A 73-year-old patient was admitted with severe respiratory
distress secondary to pneumonia. She has a long history of
smoking, which she recently stopped. Upon arrival she was
placed on continuous pulse oximetry, and an endotracheal tube
, was inserted for mechanical ventilation. She is heavily sedated.
This patient's risk factors for respiratory problems include
history of smoking, her illness, and her age.
A. True
B. False
(Evolve Online Course, Module 8: Airway Management)
Correct Answer A. True.
She was a smoker for many years, and her age and illness place
her at greater risk for respiratory distress.
A bariatric client is recuperating after injury. Which nursing
intervention most effectively prevents injury to the client who is
being repositioned postoperatively?
A. Administering pain medication
B. Making sure to not move the client's nasogastric (NG) tube
C. Monitoring skin-fold areas and keeping them clean and dry
D. Using a weight-rated extra-wide bed for the client
(Ignatavicius: Medical-Surgical Nursing, 7th Edition, Chapter
63) Correct Answer Answer: D.
Using a special bed will allow adequate room for repositioning
the client comfortably without causing the bed rails to touch his
or her body, causing pressure and injury.
Monitoring skin-fold areas will prevent the development of skin
breakdown but will not prevent injury to the client that might
occur during repositioning.
