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Level 2 - RNSG 1443 - Exam 1 Review Questions And Answers Latest Update
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Level 2 - RNSG 1443 - Exam 1 Review Questions And Answers Latest Update
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Solution 2024/2025Pepper
Level 2 - RNSG 1443 - Exam 1 Review
Questions And Answers Latest Update
The nurse is preparing a client who sustained a hip fracture for discharge.
The nurse should teach the client to avoid which of the following groups of
activities to prevent dislocation of the hip?
A. crossing legs, bending at hips, and sitting on low toilet seats
B. taking leisurely walks, low chair seats, and bending at hips
C. using reachers for applying shoes and socks, and sitting in chairs with
arms
D. all exercises, bedrest, and using raised toilet seats
A.
crossing legs, bending at hips, and sitting on low toilet seats
A client in traction slides down in the bed so that the feet touch the foot of
the bed. What should the nurse do to ensure that the pull of traction
remains uninterrupted?
A. release the weights, pull the client up in bed, and then reapply weights
B. ask the physician for a change in the amount of weight ordered
C. move the client up in bed without releasing the pull of traction on the
extremity
D. elevate the client's feet on a pillow
.
C.
move the client up in bed without releasing the pull of traction on the
extremity
The nurse is assessing a casted extremity of a patient. Which sign is
indicative of infection?
, Solution 2024/2025
Pepper
A. Dependent edema
B. Diminished distal pulse
C. Presence of a "hot spot" on the cast
D. Coolness and pallor of the extremity
.
C. Presence of a "hot spot" on the cast
Signs and symptoms of infection under a casted area include odor or
purulent drainage from the cast or the presence of "hot spots," which are
areas of the cast that are warmer than others. The health care provider
should be notified if any of these occur.
Signs of impaired circulation in the distal limb include coolness and pallor of
the skin, diminished distal pulse, and edema.
A patient being measured for crutches asks the nurse why the crutches
cannot rest up underneath the arm for extra support. The nurse responds
that knowing that which would most likely result from this improper
measurement?
A. A fall and further injury
B. Injury to the brachial plexus nerves
C. Skin breakdown in the area of the axilla
D. Impaired range of motion while the patient ambulates
.
B. Injury to the brachial plexus nerves
Crutches are measured so that the tops are two to three fingerwidths from
the axillae. This ensures that the client's axillae are not resting on the
crutch or bearing the weight of the crutch, which could result in injury to the
nerves of the brachial plexus.
, Solution 2024/2025
Pepper
Although the conditions in options 1, 3, and 4 can occur, they are not the
most likely result from resting the axilla directly on the crutches.
The nurse has conducted teaching with a patient in an arm cast about the
s/s of compartment syndrome. The nurse determines that the client
understands the information if the client states that he or she should report
which of the early symptom of compartment syndrome?
A. Cold, bluish-colored fingers
B. Numbness and tingling of the fingers
C. Pain that increases when the arm is dependent
D. Pain that is out of proportion to the severity of the fracture
B. Numbness and tingling of the fingers
The earliest symptom of compartment syndrome is paresthesia (numbness
and tingling in the fingers). Other symptoms include pain unrelieved by
opioids, pain that increases with limb elevation, and pallor and coolness to
the distal limb.
Cyanosis is a late sign. Pain that is out of proportion to the severity of the
fracture, along with other symptoms associated with the pain, is not an
early manifestation.
Which of following would indicate that your patient is in metabolic acidosis?
A. high pH, high HCO3
B. low pH, low pCO2
C. low pH, low HCO3
D. high pH, low pCO2
C.
low pH, low HCO3
The nurse assesses for hyperkalemia in a patient with which of the following
problems?
A. renal failure
, Solution 2024/2025
Pepper
B. nausea and vomiting
C. excessive laxative use
D. loop diuretic use
.
A.
renal failure
A patient with hypotension is in the emergency department being
evaluated. The patient's sodium level has come back at 149 mmol/L. What
interventions by the nurse would be most appropriate in caring for this
patient? Select all that apply.
A. Administer hypertonic solution IV as ordered
B. Perform neurological assessments at least every four hours
C. Limit oral intake of sodium
D. Encourage the patient to use incentive spirometry
E. Provide pain medication as ordered prn
B. Perform neurological assessments at least every four hours
C. Limit oral intake of sodium
.
Mrs. Brown had just received the diagnosis of colon cancer from her
gastroenterologist. She is crying and visibly upset when the nurse enters
her room. What is the best response from the nurse?
a. I understand that you are upset. Would you like me to arrange for you to
meet with someone who has had the same diagnosis and treatment plan?
b. Would you like to share what is troubling you or would you rather I just sit
with you for a while? Extend your hand to her but wait for her response
before responding or sitting quietly by her waiting for her response.
c. I'm sorry you are feeling so overwhelmed by your diagnosis. I will explain
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