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PNR 110- Final Exam Review with Complete Solutions/ Correct-Verified Answers
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PNR 110- Final Exam Review with Complete Solutions/ Correct-Verified Answers
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PNR 110- Final Exam Review withComplete Solutions/ Correct-Verified
Answers
When giving an opioid you should check for - ANSWER RR depression.
Which patient is at greatest risk for developing a pressure injury?a. A 40-year-old paraplegic
man who is obese and uses a self-propelling wheelchair b. An 80-year-old woman with
Alzheimer disease, peripheral neuropathy, and urinary incontinencec. A 55-year-old man who
had surgery this afternoon and is difficult to aroused. A 75-year-old woman who is
postoperative day 2 for hip replacement surgery - ANSWER B. Rationale: The older woman had
more risk factors than any of the other choices: old age, Alzheimer disease, peripheral
neuropathy, and moisture (incontinence).
independent - ANSWER No medical order examples when giving a back rub, giving a bath.
Prevention of pressure injuries is promoted by: (Select all that apply)a. Changing the patient's
position every 2 hours b. Directly massaging reddened areasc. Keeping the heels of the
immobile patient of the bedd. Using lift devices such as a trapeze bare to move patient -
ANSWER Prevention of pressure injuries is promoted by: (Select all that apply)a. Changing the
patient's position every 2 hoursb. Directly massaging reddened areasc. Keeping the heels of
the immobile patient off the bedd. Using lift devices such as a trapeze bare to move patient
signs and symptoms of shock hypotension are - ANSWER Low blood pressure, restlessness or
signs of fear, thirst and nausea, cool, clammy skin, pale skin with cyanosis at lips and
earlobes, and rapid / weak pulse.
What intervention would the nurse implement for a patient with diarrhea - ANSWER Providing
a clear liquid diet.
, Peristalsis - ANSWER produces a sound in the abdomen that indicates movement of liquid
and gas caused by wavelike movement that pushes the contents of the gastrointestinal tract
forward.
ABNORMAL STOOL - ANSWER -Large amounts of mucus (irritation)
-fat (steatorrhea; foul smelling and float)
- pus (ulcer)
- parasites (tapeworm, pinworm, roundworm)
Maslow Hierarchy of Needs - ANSWER -Physiological
-Safety
-Love/belonging
-Self Esteem
-Self Actualization
Physiological - ANSWER -oxygen
-adequate Cardiovascular function
-adequate nutrition
-adequate elimination
Safety - ANSWER -protection from psychological harm
-freedom from anxiety and fear
-need for structure order and peaceful environment-active listening: to feel secure they
must feel that their needs are being accurately perceived.
Love/belonging - ANSWER BELONGING -communication -encouraging sharing of thoughts and
feelings -therapeutically interacting with the pt -adequate feedback, clarification and
validation of communication ARE ESSENTIAL
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