which nursing strategy should be implemented when caring for a patient who has Parkinson's
disease and is at risk for falling? Correct Ans--perform hourly rounds to assess the patients
needs
-safety is the primary concern for this patient
-want to check that physiological needs are meet constantly
the nurse id providing discharge education for a patient with moderate heart failure, which
activity instructions would the nurse recommend to be included in the plan of care?
Correct Ans--taking frequent rest breaks during activities
-want to have a good balance of moderate activity with rest breaks
what is the priority thing to check before, during, and after for a patient going through
hemodialysis treatment? Correct Ans--BP and fluid balance
-common complication of this dialysis is hypotension due to hypovolemia, decreased cardaic
output, and decreased systemic vascular resistance
what is not the proper technique for pursed lip breathing? Correct Ans--puffing of cheeks
while exhaling air
-SHOULD: inhale slowly and deeply, slow exhalation through pursed lips that is three times as
long as inhalation to cause positive pressure on airways and help decrease air trapping
which patient statement indicates understanding of teaching about COPD? Correct Ans--"i
will report any change in the color of my sputum"
, Comprehensive EAQ MS2- Questions and Answers
-change in color from clear to yellow can indicate infection and needs to be reported
-should could humidified air in house to prevent drying of the respiratory tract
-do not increase O2 unless okayed through HCP
-proper pursed lip breathing
the nurse instructors asks the student nurse about fluid and electrolyte changes that occur in
a patient with an acute kidney injury, which statement by the student nurse indicates
effective learning? Correct Ans--"patient will have increased serum creatine levels"
-AKI causes an increased BUN/Creat, increased potassium, decrease UO
what are signs and symptoms of an upper urinary tract infection? Correct Ans--chills, fever,
flank pain
-urine will look cloudy
when providing educational information regarding the post op period for a pt scheduled for a
lithotrispy, which information would the nurse include prior to the procedure? Correct
Ans--placement of ureteral stent occurs at the end of the procedure, your urine may appear
bright red during postop period, removal of stent occurs within two weeks after procedure
-stent is placed to facilitate passage of shattered stone particles and prevent buildup, it is
removed after two weeks and after voiding residual stone particles
-pt might complain of moderate to severe colicky pain during postop period
-surgical incisions or open access may occur if stone is large or positioned in mid or distal
ureter
-surgery considered for pts with complications like pain, infection, and obstruction
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