Correct Answers For people with obstructive airway diseases,
the level of oxygen should not exceed 2L/min
-a cough generally becomes significant when it persists, is
recurring, or is productive. A persistent or recurring cough is
indicative of ongoing or recurring airway irritation. A cough that
lasts more than 3 weeks and cannot be explained should be
medically evaluated. Correct Answers When is a cough
significant?
-type, duration, timing, appearance of sputum,exacerbating
factors, alleviating factors, treatments, associated sxs,
type/amount/and timing of sputum produced Correct Answers
What aspects of a cough should be assessed?
A and E
-nurse who witnessed the incident must fill out the agencies
incident report. Only write what you saw, heard, smelled, etc.
Do not infer or try to blame anyone/thing for the problem in the
report. In the notes write objectively what happened, how it was
handled, and patients response. Do not mention an incident
report in the charts and do not attach it. Correct Answers If an
incident occurs a nurse it to (select all that apply):
a. fills out the agencies incident report
b. attempt to explain and interpret why the mistake happened
c. attach the incident report to the pt's chart
d. not in progress notes that incident report was filled
e. documents an objective description of the incident and follow-
up care on the incident report and in progress notes.
,A: dangle feet before getting up
B: allow for periods or rest
C: assess for risk Correct Answers When assisting an older pt
to ambulate who was previously on bed rest it is important to
(slect all that apply):
a. dangle feet before getting up
b. allow for periods or rest
c. assess for risk
d. discourage the use of assisstive device to build strength
A: improves joint mobility B: increase circulation to the area
exercised
C: helps maintain function
(D and E is AROM) Correct Answers What are the benefits of
PROM (passive range of motion) (select all that apply):
a. improves joint mobility
b. increase circulation to the area exercised
c. helps maintain function
d. improves muscle tone
e. improves respiratory and cardiac function
A. Braden score 15; the lower the number, the greater the risk
Correct Answers Which pt is at greatest risk for pressure ulcer
development?
a. Braden score 15
b. Braden score 23
A. expressive aphasia/2. inability to transfer words into
articulation
, B. receptive aphasia/1. involves difficulty in comprehension of
incoming messages
C. global aphasia/ 4. inability to understand messages and to
communicate what is wanted to be said
D. dysarthria/3. motor deficit of tongue or speech muscles (V,
VII, IX, X) Correct Answers Matching:
1. involves difficulty in comprehension of incoming messages
2. inability to transfer words into articulation
3. motor deficit of tongue or speech muscles (V, VII, IX, X)
4. inability to understand messages and to communicate what is
wanted to be said
a. expressive aphasia
b. receptive aphasia
c. global aphasia
d. dysarthria
A. High Fowlers (90 degrees)
B. Orthopnic: head of bed is elevated Correct Answers Which
pt position will allow for lung expansion and prevent bed rest
complications (pick 2):
a. high fowlers
b. orthopneic
c. lateral
d. prone
A. hold the cane on the right side (COAL)
B. keep 2 points of the support on the floor
D. after advancing the cane, move the weaker leg forward
(C: 6-10 inches; E. advance stronger leg past the cane) Correct
Answers To promote the safe use of a cane for a client who is
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