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Chapter 16 Osborn, Medical-Surgical Nursing, 2e

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Question 1 Type: MCMA A patient’s peripheral intravenous catheter has infiltrated several times during an 8-hour shift. The nurse realizes that the patient needs a central venous access device. Which intravascular devices could a properly trained nurse insert under the guidelines of the infusion nursing standards of practice? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. A triple-lumen catheter 2. A...

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Chapter 23. Nursing Care of Patients With Valvular, Inflammatory, and Infectious Cardiac or Venous Disorders

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Multiple Choice Identify the choice that best completes the statement or answers the question. 1. The nurse is reinforcing discharge instructions to a patient who has a mitral valve prolapse. What information should be included? a. “Begin a home aerobic exercise program.” b. “Perform hourly leg exercises if lying down.” c. “Deep breathe and cough hourly when awake.” d. “You may have a possible need for prophylactic anticoagulants.” 2. The nurse is reinforcing teaching for ...

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Chapter 22. Nursing Care of Patients With Hypertension

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Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A patient on antihypertensive medication has no insurance, three children, and reports feeling great and exercising daily. What should the nurse include in this patient’s teaching plan to promote compliance? a. Encourage increased rest periods. b. Provide names of support groups. c. Refer the patient for financial assistance. d. Schedule an annual physical examination. 2. A patient’s cur...

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Chapter 15: Health Promotion of the School-Age Child and Family

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MULTIPLE CHOICE 1. What statement accurately describes physical development during the school-age years? a. The child’s weight almost triples. b. Muscles become functionally mature. c. Boys and girls double strength and physical capabilities. d. Fat gradually increases, which contributes to children’s heavier appearance. ANS: C Boys and girls double both strength and physical capabilities. Their consistent refinement in coordination increases their poise and skill. In middle childhood...

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Chapter 15: Health Promotion of the School-Age Child and Family

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MULTIPLE CHOICE 1. What statement accurately describes physical development during the school-age years? a. The child’s weight almost triples. b. Muscles become functionally mature. c. Boys and girls double strength and physical capabilities. d. Fat gradually increases, which contributes to children’s heavier appearance. ANS: C Boys and girls double both strength and physical capabilities. Their consistent refinement in coordination increases their poise and skill. In middle childhood...

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Chapter 21: Social Responses and Personality Disorders

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MULTIPLE CHOICE 1. A patient tells a nurse about being in a relationship with a significant other for more than 1 year and states, “the person is available when I need support, but neither of us tries to control the other.” The nurse can correctly assess this relationship as: a. narcissistic. b. enmeshed. c. disconnected. d. interdependent. ANS: D Interdependent relationships allow reliance on others as well as independence. Each lets the other be dependent or independent without ne...

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Chapter 20: Nursing Management: Postoperative Care

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MULTIPLE CHOICE 1. On admission of a patient to the postanesthesia care unit (PACU), the blood pressure (BP) is 122/72. Thirty minutes after admission, the BP falls to 114/62, with a pulse of 74 and warm, dry skin. Which action by the nurse ismost appropriate? a. Increase the IV fluid rate. b. Continue to take vital signs every 15 minutes. c. Administer oxygen therapy at 100% per mask. d. Notify the anesthesia care provider (ACP) immediately. ANS: B A slight drop in postoperative BP wit...

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Chapter 14: Nutrition for Disorders of the Liver, Gallbladder, and Pancreas

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MULTIPLE CHOICE 1. If an otherwise healthy patient with normal body weight develops fatty liver disease, it would be especially important to evaluate their a. blood glucose level. b. alcohol intake. c. total fat intake. d. use of nonsteroidal anti-inflammatory drugs (NSAIDs). ANS: B Fatty liver disease can also be associated with diabetes, and so blood glucose level may also be somewhat relevant. A high fat intake may exacerbate but would not cause fatty liver disease. Use of NSAIDs doe...

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Chapter 17: Schizophrenia Spectrum Disorders

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MULTIPLE CHOICE 1. A person diagnosed with schizophrenia has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today the person shouts, “They’re all plotting to destroy me.” Select the nurse’s most therapeutic response. a. “Everyone here is trying to help you. No one wants to harm you.” b. “Feeling that people want to destroy you must be very frightening.” c. “That is not true. People here are trying to help if you will let t...

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Chapter 17: Health Promotion of the Adolescent and Family

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MULTIPLE CHOICE 1. How does the onset of the pubertal growth spurt compare in girls and boys? a. In girls, it occurs about 1 year before it appears in boys. b. In girls, it occurs about 3 years before it appears in boys. c. In boys. it occurs about 1 year before it appears in girls. d. It is about the same in both boys and girls. ANS: A The average age of onset is 9 1/2 years for girls and 10 1/2 years for boys. Although pubertal growth spurts may occur in girls 3 years before it appears...

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