Exam (elaborations)
UWorldal-Surgical Nursing Questions And Answers Latest Updated
- Course
- Institution
UWorld Medical-Surgical Nursing Questions And Answers Latest Updated
[Show more]
Seller
Follow
Ethanhope
Reviews received
Content preview
UWorld Medical-Surgical Nursing.Basic Care & Comfort/Pain Management
Alzheimer's Disease – Eating Problems
Test Id: 52084841
Question Id: 32803 (729561)
8 of 20
A A A
The nurse is providing care for a client with Alzheimer disease who often becomes
angry and agitated 20 minutes or more after eating. The client accuses the nurse of not
providing food, saying, "I'm hungry. You didn't feed me." The nurse should take which
action?
Unordered Options Ordered Response
1. Give the client gentle reminders that the client has already eaten
2. Say that the client can have a snack in a couple of hours
Serve the client half of the meal initially and offer the other half
3. later
Take a picture of the client having a meal and show it when the
4. client becomes upset
You answered this question incorrectly.
Time Spent: 128 Seconds
39% of people answered this question correctly.
Last Updated: 11/6/2015
Explanation
,UWorld Medical-Surgical Nursing.
Most clients with Alzheimer disease experience eating and nutritional problems
throughout the course of their disease. During the earlier stages, it is common for
clients to forget that they have eaten recently. The best approach is for caregivers to
give clients something to eat when they say they are hungry. Smaller meals throughout
the day, along with low-calorie snacks, are effective strategies for clients who forget that
they have eaten.
(Option 1) Reality orientation has been recommended in the past as a way to deal with
confusion (eg, dementia, Alzheimer disease), but research has shown that it may cause
anxiety and distress. Validation therapy is a newer and more therapeutic approach that
validates and accepts the client's reality.
(Option 2) Offering to provide a snack later does not address the client's stated need to
eat now. Delay in giving food will only further increase the client's anger and frustration.
(Option 4) Showing a picture of the client having a meal is confrontational and will
have no meaning to the client.
,UWorld Medical-Surgical Nursing.
Educational objective:
Clients with Alzheimer disease experience eating and nutritional problems throughout
the course of the disease. During the earlier stages, it is common for them to forget that
they have eaten recently. The best approach is for caregivers to give clients something
to eat when they say they are hungry.
Cardiovascular
Abdominal Aneurysm Repair - Immediate Follow-Up
Test Id: 52050973
Question Id: 33389 (729561)
1 of 20
A A A
The nurse cares for a client who had an abdominal aortic aneurysm repair 6 hours ago.
Which assessment would require immediate follow-up?
Unordered Options Ordered Response
1. Abdomen is soft, nondistended, and tender to touch
2. Blood pressure is 96/66 mm Hg and apical pulse is 112/min
3. Client rates pain as 4 on a scale of 0-10
4. Green bile is draining from the nasogastric tube
You answered this question incorrectly.
Time Spent: 117 Seconds
77% of people answered this question correctly.
Last Updated: 10/26/2015
, UWorld Medical-Surgical Nursing.
Explanation
Abdominal aortic aneurysms are surgically repaired when they measure about 6 cm or
are causing symptoms. Repair can be done via femoral percutaneous placement of a
stent graft (endovascular aneurysm repair) or via an open surgical incision of the
aneurysm with synthetic graft placement. The client must be monitored postoperatively
for graft leakage and hemodynamic stability. Adequate blood pressure is necessary to
maintain graft patency, and prolonged hypotension can lead to the formation of graft
thrombosis. Signs of graft leakage include a decreasing blood pressure and
increasing pulse rate.
(Option 1) Following surgery, the client will experience abdominal tenderness. The
abdomen should remain soft and nondistended. A rigid, distended abdomen would
indicate possible blood (graft leakage) in the cavity.
(Option 3) Pain is an expected finding following abdominal surgery. However,
increasing pain that is not relieved by medication can indicate possible graft leakage
and should be investigated.
(Option 4) During abdominal surgeries, it is customary to insert a nasogastric tube that
is left in place during the immediate postoperative period. Green bile-colored drainage
would be expected. Bloody drainage would cause concern.
Educational objective:
Following repair of an abdominal aortic aneurysm, hemodynamic stability is a priority.
Prolonged hypotension can lead to graft thrombosis. A falling blood pressure and rising
pulse rate can also signify graft leakage.
Cardiovascular
Bradycardia
Test Id: 52050973
Question Id: 30627 (729561)
2 of 20
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ethanhope. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $24.68. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now