Ellakiwale

Question 1 Type: MCSA The patient has respiratory difficulty due to changes in anatomic dead space. The nurse plans interventions based on changes in which physiological process? 1. Beginning of the gas exchange process 2. Neutralizing the air 3. Filtering the air 4. Separating the air Correct Answer: 3 Rationale 1: The anatomical dead space includes the structures from the nose to the terminal bronchioles. Air flows through the anatomical dead space, but these structures do not partic...

MULTIPLE CHOICE 1. What substance is released from the posterior pituitary gland and promotes water retention in the renal system? a. Renin b. Aldosterone c. Angiotensin d. Antidiuretic hormone (ADH) ANS: D ADH is released in response to increased osmolality and decreased volume of intravascular fluid; it promotes water retention in the renal system by increasing the permeability of renal tubules to water. Renin release is stimulated by diminished blood flow to the kidneys. Aldosterone ...

MULTIPLE CHOICE 1. A newly hired experienced nurse is preparing to change a patient’s abdominal dressing and hasn’t done it before at this hospital. Which action by the nurse is best? a. Ask another nurse to do it so the correct method can be viewed. b. Check the policy and procedure manual for the agency’s method. c. Change the dressing using the method taught in nursing school. d. Ask the patient how the dressing change has been recently done. ANS: B The Joint Commission requires...

Multiple Choice 1. During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? A) Take prescribed antibiotics. B) Use warm salt-water gargles. C) Dress warmly. D) Wash the hands frequently. Ans: D Chapter: 22 Cognitive Level: Application Difficulty: Easy Integrated Process: Teaching/Learning Objective: 2 Patient Needs: A-2 Feedback: Handwashing remains the most effective preventive measure to reduce the transmission of or...

MULTIPLE CHOICE 1. A patient scheduled for an early-morning electroconvulsive therapy (ECT) treatment asks a nurse, “Am I going to be able to eat breakfast before I go for ECT?” Which response by the nurse is most appropriate? a. “No, but you can have your breakfast when you get back to the unit.” b. “You can have a light, liquid breakfast along with your medications.” c. “You may only have enough liquids before the procedure to swallow your allergy medications.” d. “Yes...

MULTIPLE CHOICE 1. A nurse in the oncology clinic is providing preoperative education to a client just diagnosed with cancer. The client has been scheduled for surgery in 3 days. What action by the nurse is best? a. Call the client at home the next day to review teaching. b. Give the client information about a cancer support group. c. Provide all the preoperative instructions in writing. d. Reassure the client that surgery will be over soon. ANS: A Clients are often overwhelmed at a sudd...

TABLE OF CONTENTS Unit 1 Understanding Health Care Issues 1. Critical Thinking and the Nursing Process 2. Evidence-Based Practice 3. Issues in Nursing Practice 4. Cultural Influences on Nursing Care 5. Complementary and Alternative Modalities Unit 2 Understanding Health and Illness 6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances 7. Nursing Care of Patients Receiving Intravenous Therapy 8. Nursing Care of Patients with Infections 9. Nursing Care of Patient...

Multiple Choice 1. What is the first assessment the recovery room nurse makes on a newly admitted patient? A) Heart rate B) Nail perfusion C) Core temperature D) Patency of the airway Ans: D Chapter: 20 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing Process Objective: 1 Patient Needs: D-3 Feedback: Patency of the airway and respiratory status should be evaluated first, followed by cardiovascular status and the condition of the surgical site. 2. In wh...

MULTIPLE CHOICE 1. A patient has weakness on the right side and impaired reasoning after having a cerebrovascular accident (CVA). What part of the brain is affected? a. Left hemisphere of the cerebrum b. Right hemisphere of the cerebrum c. Left cerebellum d. Right cerebellum ANS: A Impaired motor strength on the right side in conjunction with impaired reasoning indicates a lesion in the left hemisphere of the cerebrum. The cerebellum controls balance and is not contralateral. DIF: Cogn...

MULTIPLE CHOICE 1. What is a principle of palliative care that can be included in the care of children? a. Maintenance of curative therapy b. Child and family as the unit of care c. Exclusive focus on the spiritual issues the family faces d. Extensive use of opiates to ensure total pain control ANS: B The principles of palliative care involve a multidisciplinary approach to the management of a terminal illness or the dying process that focuses on symptom control and support rather than o...