Midterm

106問 • 2年前

問題一覧

The nurse is assisting a patient with aquatherapy. The patient likely has which condition?

arthritis

The nurse is collecting data on a patient. Which of the following would be considered subjective?

Patient report of shortness of breath

The nurse is caring for a patient from Germany who does not speak or understand English. Which action best facilitates communication?

use an interpreter to translate

A patient informs the nurse she is taking echinacea. the nurse suspects the patient is attempting to treat which condition?

flu

The nurse is caring for a patient using the nursing process. which step should the nurse take first?

assessment

A patient who is a Jehovah’s Witness has severe gastrointestinal bleeding and a dangerously low hemoglobin level. the patient is fully alert and competent and refuses to accept the blood transfusion ordered by the physician. which action by the nurse is appropriate

ensure the patient understands possible consequences and respect the patients wishes

a patient experiencing symptoms of menopause asks the nurse which herbal remedy can help alleviate the symptoms. which remedy should the nurse suggest?

black cohosh

The nurse is caring for a patient who begins to exhibit difficulty swallowing. which discipline will the nurse likely include in the patients care?

speech pathologist

a nurse manager has to make a decision about scheduling and asks the nurse on the unit before making a decision. this demonstrates which style of leadership?

democratic

The LPN enters the room of a patient who is angry and yells “I asked 5 minutes ago for pain medication. I’m going to call the CEO of the hospital if you don’t get it for me now” Which statement by the nurse demonstrates intellectual empathy?

I’m sorry you had to wait, I know you must be in a lot of pain

The nurse is working on ensuring all care plans are individualized to meet each patients specific needs. this focuses on which area of QSEN?

patient centered care

a low health literacy level can lead to which outcome?

poor health outcome

The nurse is reviewing a medication list for a patient about to undergo abdominal surgery. Which would warrant a phone call to the surgeon? (Select all that apply)

ginko, ginseng, garlic

A patient with migraines tells the nurse she is using a technique to alleviate pain that involves pressure and kneading of the body. the nurse knows the patient is using which technique

massage therapy

During a patient care conference, the health care providers (HCP) are reviewing potential outcomes based on individual interventions. Which bioethical theory is being demonstrated during this care conference?

ultitarianism

The nurse is reviewing four articles for research and notes the evidence presented in one article is weaker than others. which level of research is the nurse most likely reviewing?

Level IV

The nurse is administering morphine to a patient with a pain level of 8 out of 10 on the numerical pain scale. this describes which step of the nursing process?

implementation

a patient with chronic pain tells the nurse she wants to learn more about body-based modalities. The nurse will teach the patient about which techniques? (Select all that apply.)

chiropractic medicine, aquatherapy, acupressure

The nurse is assessing a group of patients. which patient does the nurse identify at highest risk for stroke?

African American male

The nurse is helping a patient understand all of the functions of the skeleton. which function is incorrect?

it is the main system responsible for body movement

A patient is scheduled for magnetic resonance imaging of the pelvis. which of the following actions would the nurse take first if during data collection it was revealed that the patient had a previous surgery for heart problems?

ask if there is any metal in the patients body such as a pacemaker or other cardiac implant

The nurse is caring for a patient who has undergone a right knee arthroscopy. two hours after the procedure, the patients right pedal pulse is diminished compared with the previous assessment. what action should the nurse take?

notify the surgeon

The nurse is caring for a patient with a suspected bone tumor. which serum laboratory result indicates to the nurse that this health problem is present?

elevated alkaline phosphatase

The nurse is collecting data on a patient who is experiencing hip pain. which data does the nurse consider to be subjective?

a pain level of 7 on a 0-10 pain scale

The nurse is providing care for a patient before a myelography for diagnosis of a spinal column condition. which statement regarding nursing care related to this procedure is correct?

you will be head down in bed so the medium flows to the neck

The nurse is providing care for a patient scheduled for an arthrography. which explaination about pain during the procedure does the nurse provide?

there is a temporary pain during dye injection

Whil educating a patient about the vertebral column, the nurse is correct by stating it consists of:

7 cervical vertebrae, 12 thoracic vertebrae, 5 lumbar vertebrae, sacrum, and coccyx

A patient diagnosed with curvature of the spine asks the nurse why breathing is so much more difficult. Which answer by the nurse best answers the question?

The thoracic cage has lost some flexibility

The nurse is caring for a patient with a fractured left leg. which of the following findings during a neurovascular assessment of the lower extremities would the nurse recognize as a priority to report to the health care provider?

pallor of the left leg

a patient is receiving care for a torn ligament at the insertion site of an upper arm muscle. the patient asks the nurse how this condition will affect movement. which information will the nurse correctly share?

the movement of the arm will seem normal

which of these are age related changes to the musculoskeletal system? (select all that apply)

decreased muscle mass, changes in posture and gait changes, decrease in intervertebral space

A female patient arrives at the HCP’s office for a routine checkup. the nurse notes that the patient has several risk factors of osteoporosis. which test does the nurse expect the HCP to prescribe?

a dual energy x ray absorptiometry (DEXA scan)

The nurse prepares a patient for a diagnostic test of the entire skeletal system. The nurse administers a sedative because the patient is too restless to lie still during the required 90 minutes of testing. The patient understands this diagnostic test will include the injection of a radioisotope. This will facilitate imaging during various intervals to reveal the location of infections or tumors such as osteosarcoma. Which diagnostic test is the nurse preparing the patient for based on the current data?

nucleur medicine scan

The nurse is preparing material for a presentation about the musculoskeletal system. which information is inaccurate in regard to functioning of this system?

joint articulations are maintained by moisture from the lymph system

The nurse is collecting data for a patient with osteoporosis. which serum calcium result indicates the typical changes that occur in serum calcium levels with osteoporosis?

6.5mg/dl

A patient was an unrestrained passenger in a motor vehicle accident and hit the windshield. In addition, the patient’s leg was fractured. The nurse knows a neurovascular check needs to be completed to check for the "6 P's" which includes which of the following? (select all that apply)

pulselessness, pain, paralysis, poikilothermia

A patient is prepared for a nuclear medicine scan of the skeleton, using gallium and thallium as the radioisotopes. Which nursing care will the nurse provide if the scan reveals high thallium concentrations?

extend a willingness to sit and talk with the patient

The nurse is providing care for a patient who is diagnosed with rhabdomyolysis from a crushing injury. Laboratory results indicate elevated levels of CK, myoglobin, and serum potassium. Which nursing care is most important for the nurse implement?

observe the color and amount of urine

The physician is discussing “epiphyses.” As the nurse, you know this refers to

two ends of long bones attached to the shaft

Which of the following statements is inaccurate when describing the composition and function of the epidermis?

the epidermis consists of areolar and adipose tissue

Which of the following statements is most correct about the dermis?

extensive collagen fibers give the skin its strength and elasticity

The subcutaneous layer is referring to which layer of skin?

hypodermis

The nurse is explaining the purpose of different hair types to a patient. Which of the following statements are correct? (Select All That Apply, there are 3 correct answers,

eyelashes and eyebrows keep dust and sweat out of eyes, hair in the nostrils filters air entering the nasal cavities, hair on the head provides thermal insulation

Free nerve endings differ from excapulated nerve endings in the following ways (select all that apply)

free nerve endings have receptors for heat,cold, and pain, encapsulated nerve endings are specific for touch and pressure

Which of the following applies to eccrine glands

they are widespread throughout the body but especially abundant on the palms, soles, forehead, and upper torso

The nurse is discussing acne with a. patient and explains that the sebaceous glands have what effect on pimples and blackheads?

sebum production increases during adolescence due to hormonal changes which may cause pimple and blackhead formation due to the overabundance of sebum in gland ducts

which of the following statements about the apocrine glands is true?

they are scent glands that respond to stress and sexual stimulation and begin to function at puberty

As a patient ages, collagen and elastin fibers deteriorate which causes this alteration in their skin (select all that apply)

wrinkles develop, skin become thinner and more fragile

The nurse is assessing a skin lesion on a patient and notes that this particular lesion consists of a closed sac or pouch which consists of semisolid, solid, or liquid material. the nurse identifies this lesion as

a cyst

The nurse is assessing a skin lesion on a patient and notes that the lesion is a solid raised lesion is less than 1 cm in diameter due to superficial thickening in the epidermis. Which of the following skin lesions does this apply to?

papule

The nurse is completing a skin assessment on her patient and notes small, blisterlike raised areas that contain serous fluid and are up to 1 cm in diameter. Which of the following skin lesions has this nurse found?

vesicles

Which of the following best describes a reticular configuration of skin lesions?

lesions form a mesh like network

The nurse caring for her patient notes lesions that merge so that discrete lesions are not visible or palpable. which of the following is the proper name for this configuration

confluent

Which of the following nail abnormalities presents as transverse depression in the nails?

beau lines

The nurse is collecting a viral culture from a wound to send to the laboratory. Which of the following is the correct process to obtain this specific type of culture?

gently express fluid from an intact vesicle with a sterile cotton swab and place in a specified culture tube

A Scratch Test is being performed on your patient for suspected allergic contact dermatitis. Which of the following statements do you, as the nurse, provide to the patient about the test so they are well informed of what to expect?

the skin will be superficially pricked with an allergen for an immediate reaction

The nurse is educating their patient about the use of open wet dressings as a treatment. Which of the following statements by the patient indicates they understand the importance of this treatment?

these dressings will promote drainage of affected areas and decrease inflammation

which of the following treatments should be avoided in patients with respiratory diseases or tracheostomies?

powders

The nurse is caring for a patient with osteoarthritis and notices bony nodes on joints of the patients fingers. the nurse knows these are called

herberden and Bouchard nodes

A patient reports pain after application of a cast to treat a left lower tibial fracture. The nurse monitors the left foot. Which symptom would the nurse identify as compartment syndrome?

the patient reporting severe and increasing pain after the application of a cast

Your patient recently had a Basic Metabolic Panel drawn: Potassium 4.1 Sodium 130 Calcium 9.3 How do you interpret these findings?

hyponatremia

nucleus medicine scan

poikilothermia, pain, pulselessness, paralysis

The home-care nurse is attending to a patient with osteomyelitis in a lower extremity from a traumatic bone fracture. The patient has an open wound that is infected. Which observation prompts the nurse to provide additional information to the patient and family?

clean techniques is used when the dressing is changed

The nurse finds an older adult patient on the floor after an attempt to return from the toilet to the bed. The patient reports pain to the right groin area, and the nurse notes that the right leg appears shorter and misaligned compared to the left. Which is the priority action by the nurse?

immobilize the extremity at the hip, delegate vital signs, and alert HCP

Which of the following is a disease modifying antirheumatic drug used to treat rheumatoid arthritis

etanercept (Ebrel)

the nurse is caring for a patient with Paget disease and noticed which of the following as the hallmark sign of this disease?

abnormally weak bones and deformities

The nurse is teaching a patient with Gout about foods to avoid to prevent a flare up. which of the following foods should this patient avoid?

food high in purines

You receive the following results from your patients arterial blood gas: pH 7.29 CO2 40 HCO3 20 You interpret this as:

metabolic acidosis

Which of the following is a modifiable risk factor for osteoporosis

sedentary lifestyle

The nurse collects data on a patient's left knee and notes redness, swelling, and pain. The health-care provider suspects septic arthritis and will perform a diagnostic procedure to aspirate synovial fluid for laboratory analysis. Which procedure does the nurse anticipate for this patient?

arthrocentesis

The nurse notes partial tearing of muscle fibers and pain with inability to move the affected body part in a patient with a diagnosed strain. The nurse identifies this type of strain as which of the following?

moderate

observe the color and amount of urine

A patient who has a displaced midshaft fracture of the left femur is in balanced suspension skeletal traction with 35 pounds of weight. The patient reports calf pain and redness. Which action should the nurse take?

notify the RN as this could indicate a possible DVT

The patient diagnosed with a sprain asks the nurse to explain the difference between a sprain and a strain. Which of the following education should the nurse include?

strains are soft tissue injuries while sprains occur due to excessive stretching of ligaments

The nurse reviews the Basic Metabolic Panel for their patient and notes that the following value indicates the patient is experiencing hyperkalemia

5.6mEq/L

The nurse is providing care for a patient following an open reduction of a compound fracture. Which neurologic finding does the nurse report immediately to the HCP or registered nurse (RN)?

there exists numbness and tingling sensations

The nurse provides care to and older adult patient who reports pain and stiffness in both knees. Which is the most likely rationale for the patients symptoms?

articular cartilage wears down and becomes rough

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must remember in which way RA care is different from osteoarthritis care. Which nursing care does the nurse specifically provide for the patient with RA?

it is essential to monitor all body systems for effects of the disease

The nurse performs data collection for a patient with a diagnosis of carpal tunnel syndrome. Which are clinical manifestations that the nurse anticipates? Select all that apply- 2 correct answers.

Positive Phalen Test, work history as a factory worker completing repetitive movements

Which of these serum blood tests would the nurse review as an indicator of bone health?

calcium

The RICE acronym includes which of the following?

Rest, elevate, ice, compress

The nurse is providing care for a patient being treated after a complicated femur fracture. The nurse has noticed drowsiness, tachycardia, and a low-grade fever. Which additional manifestation alerts the nurse to the possibility of a fat emboli?

presence of a petechial rash on chest and neck

Which of the following is a primary malignant tumor that is considered the most common and most fatal, affecting males more commonly than females?

Osteosarcoma

A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication?

it blocks formation of uric acid

The nurse is providing care for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient?

monitoring pin and wound sites for signs of infection

Early signs and symptoms of Rheumatoid Arthritis includes which of the following? (Select all that apply- 2 correct answers).

reddened,warmed, stiff, and painful joint, bilateral, symmetrical joint inflammation

The nurse is preparing for a home visit to a patient after surgery for a compound fracture. Which specific care does the nurse anticipate for this patient?

changing wound dressings

The orthopedic office nurse provides care to a patient who sustained an injury after a fall on an icy patch of sidewalk a year ago. The patient states, “I still cannot move my knee well because of the pain and swelling.” Which diagnostic test should the nurse anticipate will be prescribed by the health care provider?

athroscopy

The nurse witnesses a fellow hiker on a trail fall and suspects a fractured left radias. Which intervention should the nurse implement?

immobilize the joints above and below the fracture, do not attempt to realign

The nurse reviews the following results for an arterial blood gas (ABG). How does the nurse interpret these results? pH 7.49, PCO2 30, HCO3 25

respiratory alkalosis

Which of the following applies to osteoarthritis

activity increases joint pain

This is a protein found in striated muscle;it gives muscle its red color and becomes elevated when skeletal muscle is damaged

myoglobin

Which of the following is an antiresorptive biphosphonate medication that is used to treat osteoporosis

alrndronate (fosomax)

The nurse is collecting data from a patient suspected of developing a fat embolus from a fracture of the right femur. Which manifestations does the nurse expect? (Select all that apply- 3 correct answers.)

tachycardia, petechiae, mental confusion

An older adult patient asks the nurse why it is important to take calcium and vitamin D supplements. which response by the nurse is appropriate?

calcium is important to prevent bone loss and vitamin D helps your body to absorb calcium

The nurse reviews a patient's medical history, noting chronic asthma with a longstanding history of steroid use. Which type of fracture is this patient at most risk of acquiring?

pathological

The nurse is reviewing the laboratory results for a patient with severe bone pain. Which condition does the nurse suspect if the ALP level is elevated?

paget disease

100

The nurse asks the patient to perform which of these to check muscle strength? Select all that apply- 2 correct answers.

squeeze nurses hands, push feet against nurses hands

Anatomy test 1

Zoey · 89問 · 2年前

Anatomy test 1