Archer Quiz bank (Archer Questions and Answers) Verified 100% Correct!!
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Archer
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Archer
Archer Quiz bank (Archer Questions and Answers) Verified 100% Correct!!
The nurse should recognize that which of the following physical changes of the head and face are associated with the aging client? Select All That Apply.
- Wrinkles on the face
-increase in the growth of facial hair in mos...
Archer Quiz bank (Archer Questions and Answers) Verified 100% Correct!!
The nurse should recognize that which of the following physical changes of the head and face are associated with the aging client? Select All That Apply.
- Wrinkles on the face
-increase in the growth of facial hair in most older adults due to changes in hormone levels especially the androgen-estrogen ratio
-neck wrinkles due to aging process which causes the platysma muscle to shorten
Select the domain of pain that is accurately paired with its appropriate nonpharmacological, alternative, complementary pain management intervention
A. Reiki
B. massage
C. self-hypnosis
D. music therapy
Reiki is a nonpharmacological, alternative, complementary pain management intervention for the spirit or spiritual, domain of pain. Reiki is performed by the reiki therapist by placing their hands above the person, or lightly on the person, to promote the client's own healing processes including the management and control of pain.
While working in a post-operative unit, the nurse is assigned to take care of a 32-
year-old who is post-op day one from an appendectomy. The patient has not eaten for the past three days and is asking when she will be allowed to have a meal again. Upon consulting with the interdisciplinary team, the provider decides it is time to place a diet order for your patient. Which diet does the nurse expect the provider will order?
A clear liquid diet is the most appropriate choice for this patient. Clear liquid diets consist of foods and liquids that are transparent to light and are liquid when at body temperature. This diet is best for patients who have not had oral intake for some time, and for the first time, a patient eats after complete bowel rest.
Which screening tool would you use to screen clients for their current nutritional status?
The Patient-Generated Subjective Global Assessment is a screening tool you would use
to screen clients for their current nutritional status. The Patient-Generated Subjective Global Assessment, referred to as the PG-SGA nutritional assessment, is an assessment tool that can be used to assess nutritional status, among others, such as the Nutritional Screening Initiative screening and assessment tool.
The nurse is watching the monitor of a patient wearing a continuous cardiac monitor when it begins to alarm and fails to display any QRS complexes. Which nursing intervention should the nurse do first?
Ensure that the leads are correctly placed on the patient and have not been removed before calling code or contacting the physician
The nurse has had to apply physical restraints to a combative patient who has been physically aggressive toward the nursing staff. After initiating restraints, the
nurse must obtain a physician's order within which time frame? - within one hour
Written or verbal order must be obtained immediately. In case of emergency, a verbal order may be obtained but must be followed by a face-to-face evaluation by the physician and a written order within one hour. The evaluation should include the patient's physical and psychological status, behavior, appropriateness, and any complications resulting from the intervention
The nurse is attending a client who is 20 weeks pregnant and has completed patient education. Which of the following statements by the client indicates that she has a good understanding of her baby's development?
Fetus is approximately 20cm long or 7 ½ inches by 20 weeks gestation
NOTE:
First trimester- critical events include changes to the fertilized cell and the development of major organs and structures.
Second trimester - organs and structures continue to develop, and the woman becomes
more aware of the growing fetus.
Third trimester - the fetus gains weight, matures, and prepares for life outside the uterus.
Fetal lungs do not begin the movements of respiration until 24 weeks. The placenta provides oxygen to the fetus, and the developmental function of the lungs for breathing does not occur until birth.
Fetus can open its eyes at 28 weeks gestation
Fingernails begin to grow at ten weeks gestation but are not complete until 38 weeks
A young couple is at a well-baby clinic for their regular check-up. The couple asks about introducing solid foods to their child. The nurse replies that the earliest time they can add solid food to their child is at
4 to 6 months when the child's sucking reflex disappears
The nurse enters a patient's room and finds them lying on the floor. They report that they fell trying to get out of bed. The RN contacts the Charge nurse, who then
contacts the nursing supervisor and care provider to inform them of the accident.
Next, the nurse completes an incident report because
it will help gather data that will help promote quality care in the future and increase patient safety.
A woman in her 30th weeks of gestation was brought into the emergency department for falling down a flight of stairs. On evaluation, the physician notes a
rigid, board like abdomen; FHR=167bpm; with stable vital signs. Which obstetric emergency must be anticipated considering a possible abdominal trauma?
Abruptio placentae
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