Test Bank for Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter 21-30

MULTIPLE CHOICE 1. The nurse is doing the primary survey of an adult who was in a motor vehicle collision. After the nurse determines that the patient has an unobstructed airway, which action would the nurse take next? a. Palpate extremities for bilateral pulses. b. Observe the patient’s resp...

: , MULTIPLE CHOICE 1. To decrease the risk for future hearing loss, which action would the nurse implement with well college students at the on-campus health clinic? a. Perform annual tympanometry. b. Schedule otoscopic examinations. c. Administer influenza immunizations. d. Discuss expos...

, MULTIPLE CHOICE 1. Which information would the nurse include when teaching patients about decreasing the risk for sun damage to the skin? a. Use a sunscreen with an SPF of at least 10 for adequate protection. b. Water-resistant sunscreens provide good protection when swimming. c. Try to ...

, MULTIPLE CHOICE 1. The nurse notes that a new patient at the outpatient clinic has dry, scaly skin; thin hair; and thick, brittle nails. Which action is the most important for the nurse to take? a. Instruct the patient about the importance of nutrition for skin health. b. Make a referral ...

, MULTIPLE CHOICE 1. When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes dry, pale, and hard skin. The patient states that the burn is not painful. Which term would the nurse use to document the burn depth? a. First-degree skin destruction b. Full-thickne...

MULTIPLE CHOICE 1. Which action would the nurse take to verify the correct placement of an oral endotracheal tube (ET) immediately after insertion and before securing the tube? a. Obtain a portable chest x-ray. b. Use an end-tidal CO2 monitor. c. Auscultate for bilateral breath sounds. d. Obs...

MULTIPLE CHOICE 1. A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? a. Ask the patient to lie down for complete a full physical assessment. b. Complete the health history and check for allergie...

MULTIPLE CHOICE 1. Which finding by the nurse most specifically indicates that a patient is not able to effectively clear the airway? a. Weak cough effort b. Profuse green sputum c. Respiratory rate of 28 breaths/min d. Resting pulse oximetry (SpO2) of 85% ANS: A The weak cough effort ind...

MULTIPLE CHOICE 1. The nurse provides discharge instructions after a rhinoplasty. Which statement by the patient indicates an accurate understanding of the instructions? a. “My nose will look normal after 24 to 48 hours.” b. “I can take 800 mg ibuprofen every 6 hours for pain.” c. “I...