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Final Exam: NURS120/ NURS 120 (Latest 2024/ 2025 Update) Introduction to Medical Surgical Nursing | Qs & As| Grade A| 100% Correct (Verified Answers)- WCU $10.99   Add to cart

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Final Exam: NURS120/ NURS 120 (Latest 2024/ 2025 Update) Introduction to Medical Surgical Nursing | Qs & As| Grade A| 100% Correct (Verified Answers)- WCU

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Final Exam: NURS120/ NURS 120 (Latest 2024/ 2025 Update) Introduction to Medical Surgical Nursing | Qs & As| Grade A| 100% Correct (Verified Answers)- WCU Q: The nurse palpates the posterior chest while the patient says 99 and notes absent fremitus. Which action should the nurse take next? ...

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  • November 20, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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nurse_steph
FinallExam:lNURS120/lNURSl120l(Latestl
Update)lIntroductionltolMedicallSurgical
lNursingl|lQsl&lAs|lGradelA|l100%lCorrectl
(VerifiedlAnswers)-lWCU

Q:lThelnurselpalpateslthelposteriorlchestlwhilelthelpatientlsaysl99landlnoteslabsentlfremitus.l
Whichlactionlshouldlthelnurseltakelnext?

a.lPalpatelthelanteriorlchestlandlobservelforlbarrellchest.
b.lEncouragelthelpatientltolturn,lcough,landldeeplbreathe.
c.lReviewlthelchestlx-raylreportlforlevidenceloflpneumonia.l
d.lAuscultatelanteriorlandlposteriorlbreathlsoundslbilaterally.


Answer:
d.lAuscultatelanteriorlandlposteriorlbreathlsoundslbilaterally.

Tolassesslforltactilelfremitus,lthelnurselshouldluselthelpalmsloflthelhandsltolassesslforlvibration
lwhenlthelpatientlrepeatslalwordlorlphraselsuchlasl99.lAfterlnotinglabsentlfremitus,lthelnurselsh
ouldlthenlauscultatelthellungsltolassesslforlthelpresencelorlabsenceloflbreathlsounds.lAbsentlfre
mituslmaylbelnotedlwithlpneumothoraxlorlatelectasis.




Q:lThelnurselcompleteslalshiftlassessmentlonlalpatientladmittedlinlthelearlylphaseloflheartlfail
ure.lWhenlauscultatinglthelpatientsllungs,lwhichlfindinglwouldlthelnurselmostllikelylhear?

a.lContinuouslrumbling,lsnoring,lorlrattlinglsoundslmainlylonlexpiration
b.lContinuouslhigh-pitchedlmusicallsoundslonlinspirationlandlexpiration
c.lDiscontinuous,lhigh-pitchedlsoundsloflshortldurationlheardlonlinspiration
d.lAlserieslofllong-duration,ldiscontinuous,llow-pitchedlsoundslduringlinspiration


Answer:
c.lDiscontinuous,lhigh-pitchedlsoundsloflshortldurationlheardlonlinspiration

,Finelcrackleslarellikelyltolbelheardlinlthelearlylphaseloflheartlfailure.lFinelcrackleslareldisconti
nuous,lhigh-
lpitchedlsoundsloflshortldurationlheardlonlinspiration.lRhonchilarelcontinuouslrumbling,lsnorin
g,lorlrattlinglsoundslmainlylonlexpiration.lCourselcrackleslarelalserieslofllong-
duration,ldiscontinuous,llow-pitchedlsoundslduringlinspiration.lWheezeslarelcontinuouslhigh-
pitchedlmusicallsoundslonlinspirationlandlexpiration.




Q:lThelnurselteacheslalpatientlaboutlpulmonarylfunctionltestingl(PFT).lWhichlstatement,liflm
adelbylthelpatient,lindicateslteachinglwasleffective?

a.lIlwillluselmylinhalerlrightlbeforeltheltest.
b.lIlwontleatlorldrinklanythingl8lhourslbeforeltheltest.
c.lIlshouldlinhaleldeeplylandlblowloutlaslhardlaslIlcanlduringltheltest.
d.lMylbloodlpressurelandlpulselwilllbelcheckedleveryl15lminuteslafterltheltest.


Answer:
c.lIlshouldlinhaleldeeplylandlblowloutlaslhardlaslIlcanlduringltheltest.

ForlPFT,lthelpatientlshouldlinhaleldeeplylandlexhalelasllong,lhard,landlfastlaslpossible.lTheloth
erlactionslarelnotlneededlwithlPFT.lTheladministrationloflinhaledlbronchodilatorslshouldlbelavo
idedl6lhourslbeforelthelprocedure.




Q:lThelnurselobserveslalstudentlwholisllisteningltolalpatientsllungslwholislhavinglnolproblem
slwithlbreathing.lWhichlactionlbylthelstudentlindicateslalneedltolreviewlrespiratorylassessmentl
skills?

a.lThelstudentlstartslatlthelapicesloflthellungslandlmovesltolthelbases.
b.lThelstudentlcompareslbreathlsoundslfromlsideltolsidelavoidinglbonylareas.
c.lThelstudentlplaceslthelstethoscopeloverlthelposteriorlchestlandllistenslduringlinspiration.
d.lThelstudentlinstructslthelpatientltolbreathelslowlylandlallittlelmoreldeeplylthanlnormallthroug
hlthelmouth.


Answer:
c.lThelstudentlplaceslthelstethoscopeloverlthelposteriorlchestlandllistenslduringlinspiration.

,Listeninglonlylduringlinspirationlindicateslthelstudentlneedslalreviewloflrespiratorylassessmentl
skills.lAtleachlplacementloflthelstethoscope,llistenltolatlleastlonelcycleloflinspirationlandlexpira
tion.lDuringlchestlauscultation,linstructlthelpatientltolbreathelslowlylandlallittleldeeperlthanlnor
mallthroughlthelmouth.lAuscultationlshouldlproceedlfromlthellunglapicesltolthelbases,lcompari
ngloppositelareasloflthelchest,lunlesslthelpatientlislinlrespiratoryldistresslorlwillltireleasily.lIflso
,lstartlatlthelbasesl(seelFig.l26-
7).lPlacelthelstethoscopeloverllungltissue,lnotloverlbonylprominences.




Q:lThelpatientlhaslsicklelcelllcrisislandlislbeingldischargedlwhatlshouldlyoulinstructlthem?

Answer:
H.O.P

Hydration




Q:lWhatlareladverselreactionsloflreceivinglblood?

Answer:
-llowlbacklpain
-lchills
-ltachycardia




Q:lWhatlwouldlalpatientlwithlulcerativelcollitislhavelanemia?

Answer:
chroniclbloodllosslcauseslanemia




Q:lWhatlarelpossiblelrisklfactorslforlperniciouslanemia?

, Answer:
-lgastriclbypass
-lalcoholism
-lPPIllongltermluse




Q:lWhatlarelsymptomsloflangina?

Answer:
-ldiaphoresis
-lfatigue
-ldizziness
-ltachycardial
-labdominallissue

NOlHEADACHE
NOlORTHOPNEA




Q:lWhatlpatientleducationlshouldlthelnurselprovidelaboutlthelmedicationlCaptopril?

Answer:
Avoidlsaltlsubstitutes




Q:lWhatlisltheluselofllisinopril?

Answer:
antihypertensivel
-ldecreaseslBP




Q:lWhatldoeslthelabsenceloflthelPlwavelindicate?

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