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Nursing 160 Exam 2 Adaptive Quizzing EXAM 2025 QUESTIONS AND CORRECT ANSWER
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Nursing 160 Exam 2 Adaptive Quizzing EXAM 2025 QUESTIONS AND CORRECT ANSWER
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Nursing 160 Exam 2 Adaptive Quizzing EXAM 2025QUESTIONS AND CORRECT ANSWER
The nurse assesses an elderly patient admitted to the hospital after a fall. What assessment
findings could place the patient at risk for developing pressure ulcers? - answer>>>-The patient
has urinary incontinence.
-The patient is immobilized due to a leg fracture.
-The patient has impaired sensory perception.
When assessing a patient prior to insertion of an enteral feeding tube, which finding should
alert the nurse to poor nutrition? - answer>>>Enlarged Spleen
The registered nurse instructs the nursing assistive person (NAP) to frequently reposition the
elastic strap on the patient's oxygen mask. What is the rationale behind this? - answer>>>To
prevent skin breakdown
Why would a primary health care provider ask the nurse to perform pulse oximetry on a patient
who is cyanotic? - answer>>>To assess oxygenation level
Why would a nurse apply a binder over an abdominal incision? - answer>>>To support the
wound
Rationale:
A binder over an abdominal incision supports the wound. A stretch pressure bandage is used to
reduce edema. An elastic pressure bandage is used to create pressure. An elastic bandage is
used to immobilize a body part.
p. 1218
, A patient is admitted to the emergency room with dyspnea and chest discomfort. Admission
vital signs include: heart rate (HR) 112, blood pressure (BP) 138/82, respiratory rate (RR) 22,
and oxygen saturation 90%. The patient is administered oxygen at 2 L via a nasal cannula.
Which change in vital signs on re-evaluation reflects a positive outcome of oxygen therapy? -
answer>>>Oxygen saturation: 96%
The nurse is caring for a patient who has a pneumothorax and has chest tubes. Which position
does the nurse prefer to treat the patient effectively? - answer>>>Semi-Fowler's
Rationale:
Chest tubes are used to treat a pneumothorax. The chest tube is a catheter inserted through
the thorax to remove air and fluids from the pleural space to prevent air or fluids from
reentering the pleural space, or to reestablish normal intrapleural and intrapulmonic pressures.
The semi-Fowler's position is preferred to evacuate air from the chest. The prone position is
preferred for examining the right lower lobe of the lateral segment of the lung. The sitting
position is preferred to examine the apical segments of the lung. The supine position is
preferred to examine the right upper lobe of the anterior segment of the lungs.
p. 924
The nurse has inserted a nasogastric tube into a patient. However, when the first feeding is
administered, the patient has pulmonary aspiration. Which action would have prevented this
complication? - answer>>>Verifying the placement of the tube through x-ray
The nurse is caring for a patient who has decreased mobility. Which intervention is a simple and
cost-effective method for reducing the risks of stasis of pulmonary secretions and decreased
chest wall expansion? - answer>>>Frequent change of position
A patient with right ventricular failure asks the nurse about this condition. Which information
should the nurse include in the explanation? - answer>>>-The right ventricle doesn't function
well, and fluid backs up in the systemic circulation.
-There may be an enlargement of the liver and spleen.
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