27 Nursing Management: Upper Respiratory Problems, 101 28 Nursing Management: Lower Respiratory Problems, 105 29 Nursing Management: Obstructive Pulmonary Diseases, 111 Section 6: Oxygenation Problems: Transport. 47 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease, 208 Section 10: Problems related to regulatory and reproductive mechanisms.
Health History and Physical Examination
What is the correct sequence of examination techniques to use when assessing the patient's abdomen. What adaptations to conducting the study would be appropriate for the patient (select all that apply).
Patient and Caregiver Teaching
The nurse is assessing a 48-year-old male patient and his family for learning needs related to the myocardial infarction the patient experienced two days ago. To promote the patient's self-efficacy during the teaching-learning process, the nurse should use which strategy.
Complementary and Alternative Therapies
What is the most important thing the nurse can do to address the patient's use of these products. The patient tells the nurse that she would prefer to control her blood sugar with herbal therapy.
Stress and Stress Management
Which emotion-focused coping strategies should the nurse encourage him to use to adjust to the physical and emotional stress of his illness (select all that apply). Priority Decision: After receiving the assigned patients for the day, the nurse determines that stress-relieving interventions are a priority for which patient.
Sleep and Sleep Disorders
Place the events below in the order in which they occur in the patient with obstructive sleep apnea (starting with 1). While caring for a patient following uvulopalatopharyngoplasty (UPPP), the nurse monitors the patient for any complications in the immediate postoperative period.
9 Pain
What actions should the nurse include in the care plan (select all that apply). What should the nurse explain to the patient to obtain the patient's participation in pain management?
Palliative Care at End of Life
Take the family members aside and explain that the patient may be able to hear them. Why was I here in the first place?” How does this comment help the nurse recognize the patient's needs.
Substance Abuse
What are the signs of withdrawal on which the nurse is basing this assessment (select all that apply). What is most important for the nurse to assess in order to plan care for the patient.
Inflammation and Wound Healing
What type of dressing would the nurse most likely use for the patient in question 14. The patient transfers from another facility with the description of a wound on her sacrum that is deep enough to see the muscle.
Genetics and Genomics
An ethical issue raised by genetic testing is the protection of privacy to prevent discrimination. An example of genetic testing required by all states is testing women for the hemophilia gene before marriage.
Altered Immune Responses and Transplantation
For the patient with allergic rhinitis, which therapy should the nurse order first? Number the following actions in order of priority that the nurse should perform for this patient.
Infection and Human Immunodeficiency Virus Infection
The nurse realizes that the patient understands the teaching about reducing the risk of antibiotic-resistant infections when the patient states which of the following options is available. After teaching a patient with HIV infection about the use of antiretroviral medications, the nurse realizes that further instruction is needed when the patient expresses this concern.
Cancer
Do not tell the patient about possible side effects of the medications to avoid anticipatory anxiety. What should the nurse encourage the patient to do to prevent the debilitating cycle of fatigue-depression-fatigue in patients receiving radiation therapy?
Fluid, Electrolyte, and Acid-Base Imbalances
Priority Decision: Number the following nursing actions related to the care of the patient's central venous access device (CVAD) in the appropriate order to complete these actions. Turn the patient's head to the side away from the CVAD insertion site when changing covers.
18 Nursing Management: Preoperative Care
Reassure the patient that the surgery will be over soon and that she will be fine. Preoperative medication is the last procedure before the patient is transported to the operating room.
Nursing Management
Intraoperative Care
To prevent agitation during the patient's recovery from anesthesia, when should the nurse begin the orientation explanations. What is included in the routine assessment of the patient's cardiovascular function during admission to the PACU.
Nursing Management: Postoperative Care
While assessing a patient in the PACU, the nurse finds that the patient's blood pressure is below the preoperative baseline. Priority Decision: The nurse marks drainage on the surgical dressing when the patient is transferred from the PACU to the clinical unit.
Nursing Assessment: Visual and Auditory Systems
Identify a specific finding identified by the nurse when assessing each of the patient's functional health patterns. When the patient has a diagnosis of hyperthyroidism, which can be found abnormal evaluation of the eye.
Visual and Auditory Problems
Which nursing action should be included in the management of the patient with otitis externa. While caring for a patient with otosclerosis, what finding would the nurse expect in the patient's history and physical.
Nursing Assessment
Integumentary System
Priority decision: What should the nurse do first when performing a physical assessment of the skin? The nurse notes that redness persists after palpation of a discolored lesion on the patient's leg.
Integumentary Problems
What does the nurse encourage the patient to do to prevent lichenification associated with chronic skin problems. What is the first nursing assessment that would be performed before the nurse makes an appointment for the patient with the physician to determine treatment.
Nursing Management: Burns
Identify the factors that increase nutritional needs of the patient during the emergent and acute phases of burns (select all that apply). What difference will it make anyway?” What would the nurse encourage the patient to do?
Nursing Assessment: Respiratory System
What other assessment should the nurse consider before making a judgment about the adequacy of the patient's oxygenation? When does the nurse record the presence of an increased anteroposterior (AP) diameter of the chest.
Upper Respiratory Problems
During preoperative teaching for the patient scheduled for a total laryngectomy, what should the nurse include. What is the most normal functioning method of speech restoration in the patient with a total laryngectomy.
Lower Respiratory Problems
The patient asks the nurse what he can do to find out if he is getting lung cancer. To determine whether a patient with a chest trauma has developed a tension pneumothorax, the nurse assesses the patient on what basis.
Obstructive Pulmonary Diseases
Which breathing technique should the nurse teach the patient with moderate COPD to promote expiration? What does the nurse take into account when planning postural drainage for the patient with COPD?
Nursing Assessment: Hematologic System
During the nursing assessment of a patient with anemia, what specific information should the nurse ask the patient about. What is most important for the nurse to ask the patient before the test.
Hematologic Problems
During the assessment of a patient with cobalamin deficiency, what manifestation would the nurse expect to find in the patient. What characteristics should the nurse be aware of when planning care for the patient with Hodgkin's lymphoma.
Cardiovascular System
What is a significant finding in the health history of a patient during an assessment of the cardiovascular system. Indicate whether the following is characteristic of the first heart sound (S1) or the second heart sound (S2).
Nursing Management: Hypertension
What are four priority lifestyle changes that should be investigated in the initial management of the patient. What do the nursing responsibilities include in the management of the patient with hypertensive urgency often.
Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
What does the nurse teach the patient based on the Therapeutic Lifestyle Changes diet (select all that apply). In counseling the patient about sexual activity after an MI, what should the nurse do.
Nursing Management: Heart Failure
The nurse monitors the patient in treatment for acute decompensated heart failure with the knowledge that. Which statement by the patient with chronic heart failure should lead the nurse to determine that additional discharge teaching is needed.
Nursing Management: Dysrhythmias
What is the rationale for using cardiac defibrillation in the patient experiencing ventricular fibrillation (VF). What should the nurse ask the patient when taking a nursing history (select all that apply).
Nursing Management: Inflammatory and Structural Heart Disorders
When taking a nursing history on a patient with myocarditis, what specifically should the nurse ask the patient about. When performing discharge teaching for a patient with any type of CMP, what should the nurse instruct the patient (select all that apply).
Vascular Disorders
What the nurse should teach the patient is one of the best ways to prevent the enlargement of the lesion. To help prevent thrombus embolization in a patient with VTE, what should the nurse teach the patient.
Gastrointestinal System
In the table below, indicate what percentage of total calories each of the nutrients contributes to this man's diet. What should the nurse expect to find during the assessment of the patient with protein-calorie malnutrition (select all that apply).
Nutritional Problems
The nurse monitors the laboratory results of the patient with protein-calorie malnutrition during treatment. To assess the effect of nutritional interventions for a patient with protein-calorie malnutrition, what is the best indicator the nurse should use.
Nursing Management: Obesity
Priority decision: When medications are used to treat obesity, what is most important for the nurse to teach the patient. Priority decision: When caring for the severely obese patient, what is the most important thing for the nurse to do.
Upper Gastrointestinal Problems
Priority Decision: Following a patient's esophageal dermastrostomy for esophageal cancer, which is most important for the nurse to do. The nurse evaluates that the management of the patient with upper GI bleeding is effective when assessment and laboratory findings show which result.
Lower Gastrointestinal Problems
For the patient admitted with inflammatory bowel disease (IBD), what treatments will be used to rest the bowel (select all that apply). The patient asks the nurse if his risk of colon cancer is increased because of the polyp.
Nursing Management: Liver, Pancreas, and Biliary Tract Problems
The nurse recognizes the need for further teaching when a patient with hepatitis B makes a statement. What treatment measures should the nurse teach the patient about (select all that apply).
