Answer Key
Medical-surgical Questions #4
-
University:
Texas Lutheran University -
Course:
NURS 340 | Complex Nursing Concepts & Practice I Academic year:
2023
-
Views:
143
Pages:
20
Author:
RexRed
The patient who had a stroke needs to be fed. What instruction should you give to
the nursing assistant who will feed the patient?
a Check the patient's gag and swallowing reflexes.
b Suction the patient's secretions between bites of food.
*c Position the patient sitting up in bed before you feed her.
d Feed the patient quickly because there are three more waiting.
The patient with migraine headaches has a seizure. After the seizure, which action
can you delegate to the nursing assistant?
a Perform neurologic checks.
b Restrain the patient for protection.
*c Take the patient's vital signs.
d Document the seizure.
You are supervising a senior nursing student who is caring for a patient with a right
hemisphere stroke. Which action by the student nurse requires that you intervene?
a The student assists the patient with passive range-of-motion (ROM) exercises.
b The student combs the left side of the patient's hair when the patient combs only the right side.
*c The student instructs the patient to sit up straight, resulting in the patient's puzzled expression.
d The student moves the patient's tray to the right side of her over-bed tray.
All of these nursing activities are included in the care plan for a 78-year-old man
with Parkinson's disease who has been referred to your home health agency. Which
ones will you delegate to a nursing assistant (NA)? (Choose all that apply).
*a Check for orthostatic changes in pulse and bloods pressure.
b Monitor for abnormal involuntary jerky movements of extremities.
c Monitor for improvement in tremor after levodopa (L-dopa) is given.
*d Assist the patient with prescribed strengthening exercises.
*e Remind the patient to allow adequate time for meals.
f Adapt the patient's preferred activities to his level of function.
You are mentoring a student nurse in the intensive care unit (ICU) while caring for a
patient with meningococcal meningitis. Which action by the student requires that
you intervene immediately?
a The student checks the patient's pupil response to light every 30 minutes.
b The student gives the patient a warm blanket when he says he feels cold.
c The student instructs the family that visits are restricted to 10 minutes.
*d The student enters the room without putting on a mask and gown.
You are preparing to admit a patient with a seizure disorder. Which of the following
actions can you delegate to LPN/LVN?
a Complete admission assessment.
*b Set up oxygen and suction equipment.
c Pad the side rails before patient arrives.
d Place a padded tongue blade at bedside.
A patient with a spinal cord injury at level C3-4 is being cared for in the ED. What is
the priority assessment?
*a Monitor respiratory effort and oxygen saturation level.
b Assess the level at which the patient has retained mobility.
c Determine the level at which the patient has intact sensation.
d Check blood pressure and pulse for signs of spinal shock.
Which action (s) should you delegate to the experienced nursing assistant when
caring for a patient with a thrombotic stroke with residual left-sided weakness?
(Choose all that apply).
*a Reapply pneumatic compression boots.
*b Assist patient to reposition every 2 hours.
c Check extremities for redness and edema.
*d Remind patient to perform active ROM.
For a male client with suspected increased intracranial pressure (ICP), a most
appropriate respiratory goal is to:
a prevent respiratory alkalosis.
*b promote carbon dioxide elimination
c lower arterial pH.
d maintain partial pressure of arterial oxygen (Pa02) above 80
mm Hg
The nurse is assigned to care for a female client with complete right-sided
hemiparesis. The nurse plans care knowing that this condition:
a The client has complete bilateral paralysis of the arms and legs.
*b The client has weakness on the right side of the body, including the face and tongue
c The client has lost the ability to move the right arm but is able to walk independently.
d The client has lost the ability to move the right arm but is able to walk independently.
Related Documents
- Inferential Biostatistics and it's Drawbacks
- ECT For Depression
- Autism Spectrum Disorder
- Somatic Symptom Disorder
- Lead Poisoning - Lecture Note
- Nursing: Types of Hypothesis
- ETOH (Substance Abuse Disorder)
- Delirium (Aka Acute Confusion)
- Conversion Disorder
- Adhd And Add
- Dementia (Ad-Alzheimers Disease)
- Assessment Tools For Depression
- Maois - Lecture Notes
- Tca Toxicity
- Selective Serotonin Reuptake Inhibitor
- Risk Factors And Warning Signs Of Suicide
- Serotonin And Norepinephrine Reuptake Inhibitors
- Types Of Depression
- Atypical Antidepressants
- Causes Of Depression
Medical-surgical Questions #4
of 20
Report
Tell us what’s wrong with it:
Thanks, got it!
We will moderate it soon!
Free up your schedule!
Our EduBirdie Experts Are Here for You 24/7! Just fill out a form and let us know how we can assist you.
Take 5 seconds to unlock
Enter your email below and get instant access to your document