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NUR 231 Exam 3 Questions And Answers
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NUR 231 Exam 3 Questions And AnswersThe nurse is providing preoperative education for a patient diagnosed with
endometriosis. A hysterectomy has been scheduled. What education topic should the
nurse be sure to include for this patient?
a. Menstrual periods will continue for several months, some of them heavy and painful.
b. Normal activity will be permitted within 48 hours following surgery.
c. After a hysterectomy, hormone levels remain largely unaffected.
d. The bladder should be emptied before surgery and a catheter may be inserted in the
operating room. -ANSWER d. ThD
A patient is admitted to the post-surgical unit following a total vaginal hysterectomy.
What is the most important nursing intervention during the first postoperative day?
a. The nurse should monitor the incision sites closely for bleeding and hemorrhage.
b. The nurse should provide sitz baths every 4 hours and give opioids PRN.
c. Counting and saving perineal pads and using pain control measures.
d. Restricting the use of analgesics except when the patient's pain becomes intolerable -
ANWER C
A patient is to be discharged to home following a hysterectomy. During discharge
education, the nurse has instructed the patient to avoid prolonged periods of sitting. For
this patient, this teaching reflects which risk of a surgical complication?
a. Pudendal nerve injury
b. Fatigue
c. Venous thromboembolism
,d. Hemorrhage - ANSWER C
A patient is post-operative day 1 following a vaginal hysterectomy. The nurse notices
that the patient's abdominal girth has increased in size, and the patient reports feeling
"bloated." Which nursing action is most appropriate?
a. Offering the patient an aspartame sweetened, carbonated drink.
b. Asking the patient to walk and offering a heating pad.
c. Offering an ice pack for the patient to apply to the perineum and suprapubic area.
d. Assist the patient onto the prone position. - ANSWER B
A 31-year-old patient has been admitted to the post-surgical unit following a
hysterectomy. The patient's care plan includes the risk for hemorrhage. What is the best
way for the nurse to monitor this patient's postoperative blood loss?
a. Ask the patient to ambulate to void and to have bowel movements on a commode.
b. Count and inspect each perineal pad used by the patient. *
c. Swab the patient's perineum for the presence of blood at least once per shift.
d. Leave the patient's perineum open to air to facilitate inspection. - ANWER B
A nurse is caring for a pregnant client and educating her about measures to prevent
cystocele, rectocele, and uterine prolapse during the postpartum period. The nurse
should instruct the patient to
a. Maintain perineal hygiene
b. Avoid constipation
c. Increased fluid intake for 2 weeks postpartum
d. Performance of pelvic muscle exercises * - ANSWER D
insulin to carb ratio - ANSWER 1 unit insulin to 15 g arbs
, ndiabetic food classification system - ANSWER a. 50-60% of calories should be from
carbohydrates
b. 20-30% from fats
c. Animal fats do not need to be removed from the diet.
d. 10-20% from protein
e. Low fat does not mean low sugar or low glycemic index.
diabetics and alcohol - ANSWER a. Talk to MD
b. Glucagon and hypoglycemia
c. Medical Bracelet
d. Alcoholic intake quantity
Educate friends
diabetes and exercise - ANSWER 1. FIT acronym
a. Frequency
i. Regular 3-4 times per week
b. Intensity
i. 60-80% of maximal heart rate
c. Time
i. Aerobic activity
ii. 20-30 mins with 5-10 min warm up
2. Relationship of exercise, insulin, & BS
a. need both insulin and glucose to exert
b. Exercise decreases BS
3. Patient education (Chart 51-4)
diabetic nursing managment - ANSWER i. Survival Skills Chart 51-5
ii. Continuing Education
1. able to recognize and distinguish examples of each of the above bolded areas
2. patho
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