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NUR 340 Final Questions and answers latest update
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NUR 340 Final Questions and answers latest update
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Nur 340 FinalCerebrum function of all lobes - correct answer higher level thinking
(speech memory movement)
frontal -higher cognitive function, memory retention, voluntary eye
movements, voluntary motor movement, and speech in Broca's area.
temporal -somatic, visual, and auditory data and contains Wernicke's
speech area
parietal -spatial in formation and contains the sensory cortex.
occipital -Processing of sight
Brainstem function - correct answer vitals - heart & lung function,
sneezing, coughing, hiccupping, vomiting, sucking, and swallowing.
Cerebellum function - correct answer coordin ates voluntary movement
and maintains trunk stability and equilibrium
gout - correct answer pain in big toe is biggest clinical manifestation
can be primary or secondary
1 / 4
urate crystals deposit into joints & subQ tissues
usually on bedrest from extre me pain
What should be included in the nursing plan for prevention of skin
breakdown in a stroke patient? Select all that apply.
1
Good skin hygiene
2
Minimizing the frequency of position changes
3
Massaging the damaged area
4
Applying emollients to dry skin
5
Administering back rubs with alcohol for a cooling effect - correct
answer 1, 4
The skin of a patient with stroke is particularly susceptible to
breakdown related to loss of sensation, decreased circulation, and
immobil ity. Therefore the nursing prevention plan for skin breakdown
should include pressure relief interventions such as position changes,
application of emollients to dry skin, good skin hygiene, and early
mobility. Massage to the damaged area may cause additio nal damage
and should be avoided. Back rubs can be very relaxing, but should be
done with lotion or oil, not alcohol, which is very drying to the skin.
2 / 4
Text Reference - p. 1405
A patient presenting with pneumonia scores 5 on the CURB -65 scale.
What actio n should the nurse take?
1
Advise no treatment.
2
Advise treating at home.
3
Consider hospital admission.
4
Consider admission to an intensive care unit. - correct answer 4
CURB -65 is used in addition to clinical judgment in determining the
severity of p neumonia and the need for advanced medical care. A
patient scoring 5 on the CURB -65 scale means the condition is severe
and needs advanced medical care. Hence, the nurse should consider
admission to an intensive care unit. If the patient has symptoms of
pneumonia, advising no treatment is not an option. Treating at home is
advised when the score on CURB -65 scale is 0. Hospital admission is
considered when the score on the CURB -65 scale is 1 to 2.
Test -Taking Tip: After choosing an answer, go back and rere ad the
question stem along with your chosen answer. Does it fit correctly?
The choice that grammatically fits the stem and contains the correct
information is the best choice.
Text Reference - p. 523
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The nurse is teaching a student nurse about postoperative care for a
patient that has undergone laparoscopic cholecystectomy. Which
statements made by the student nurse indicate the need for further
teaching? Select all that apply.
1
"I will monitor for b leeding."
2
"The patient will need to return to the office in 7 to 10 days for
removal of stitches."
3
"The patient will use a bedside commode for the first 24 hours after
surgery."
4
"I will encourage the patient to practice deep breathing."
5
"I will most likely need to administer narcotics for pain control." -
correct answer 2, 3, 5
With laparoscopic cholecystectomy, there are small incisions that are
covered by small adhesive bandages that can be removed in about five
days. The stitches dissolve over time. Patients who have undergone
laparoscopic cholecystectomy can usually walk to the bathroom, so
there is no need for a bedside commode. Postoperative pain can usually
be controlled with over -the-counter pain relievers. A cholecystectomy
may result in changes in prothrombin time and may cause bleeding.
Therefore, the nurse should monitor for bleeding. Deep breathing Powered by TCPDF (www.tcpdf.org)
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