Pregunta 1
Pregunta
What intervention would be most appropriate for a wound with a beefy red wound bed?
Pregunta 2
Pregunta
The nurse and other hospital personnel strive to keep the patient care area clean. This most directly illustrates the ideas of which nursing theorist?
Pregunta 3
Pregunta
Which of the following is considered a “practice” (as opposed to a belief or value)?
Pregunta 4
Pregunta
Pressure ulcers are directly caused by which of the following conditions at the site?
Respuesta
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Inadequate venous return
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Shearing forces
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Compromised blood flow
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Edema
Pregunta 5
Pregunta
A client incorporates alternative healthcare into her regular health practices. For which alternative therapy should the patient visit a formally trained practitioner?
Pregunta 6
Pregunta
While assessing a new wound, the nurse notes red, watery drainage. What type of drainage will the nurse document this as?
Respuesta
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Puro-sanguineous
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Sanguineous
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Sero-sanguineous
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Serous
Pregunta 7
Pregunta
A patient has an area of nonblanchable erythema on his coccyx. The nurse has determined this to be a stage I pressure ulcer. What would be the most important treatment for this patient?
Pregunta 8
Pregunta
When performing a spiritual assessment, who is the preferred source of information?
Pregunta 9
Pregunta
The nurse is helping an 82-year-old patient to ambulate in the hallway. Suddenly she states, “I feel so light-headed and weak,” as her knees begin to buckle. The nurse’s best action at this time would be to:
Respuesta
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Immediately release the transfer device and place a wheelchair behind the patient to prevent a fall.
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Grab her under the arms and hold her up as he calls for assistance.
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Assist the patient to slide down his leg as he guides her to a seated or lying position.
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Instruct the patient to grab the rail in the hallway while he calls for assistance.
Pregunta 10
Pregunta
What is the primary difference between acute and chronic wounds? Chronic wounds:
Respuesta
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Are full-thickness wounds, but acute wounds are superficial.
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Are usually infected, whereas acute wounds are contaminated.
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Exceed the typical healing time, but acute wounds heal readily.
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Result from pressure, but acute wounds result from surgery.
Pregunta 11
Pregunta
A client has a diagnosis of chronic pain. The physician has prescribed tramadol hydrochloride (Ultram) for the pain. The patient also receives therapeutic touch (TT) from a practitioner three times a week. In this situation, TT is considered to be which of the following?
Respuesta
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An alternative modality
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Holistic healthcare
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A placebo response
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A complementary modality
Pregunta 12
Pregunta
Which of the following describes the difference between dehiscence and evisceration?
Respuesta
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With dehiscence, there is a separation of one or more layers of wound tissue; evisceration involves the protrusion of internal viscera from the incision site.
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Dehiscence is an urgent complication that requires surgery as soon as possible; evisceration is not as urgent.
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Dehiscence involves the protrusion of internal viscera from the incision site; with evisceration, there is a separation of one or more layers of wound tissue.
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Dehiscence involves rupture of subcutaneous tissue; evisceration involves damage to dermal tissue.
Pregunta 13
Pregunta
In his later work, Maslow identified growth needs that must be met before reaching self-actualization. These needs include:
Respuesta
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Cognitive and aesthetic needs
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Physiological and self-esteem needs
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Love and belonging needs
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Safety and security needs
Pregunta 14
Pregunta
A patient has a contaminated right hip wound that requires dressing changes twice daily. The surgeon informs the nurse that when the wound “heals a little more” he will suture it closed. The nurse recognizes that the surgeon is using which form of wound healing?
Respuesta
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Regenerative healing
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Secondary intention
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Primary intention
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Tertiary intention
Pregunta 15
Pregunta
Three days after a patient had abdominal surgery, the nurse notes a 4-cm periwound erythema and swelling at the distal end of the incision. The area is tender and warm to the touch. Staples are intact along the incision, and there is no obvious drainage. Heart rate is 96 beats/min and oral temperature is 100.8°F (38.2°C). The nurse would suspect that the patient has what kind of complication?
Pregunta 16
Pregunta
What is the best rationale to gather data about patients’ use of herbal products?
Respuesta
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Patients' medication records must be kept accurate
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The nurse practice act requires RNs to monitor all drug dosages
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Herbal products need to be evaluated for research purposes
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Many herbs are known to interact with medications
Pregunta 17
Pregunta
While reading a journal article, the nurse asks herself these questions: “What is this about overall? Is it true in whole or in part? Does it matter to my practice?” What is this nurse doing?
Respuesta
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Reading the article analytically
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Formulating a searchable question
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Determining the soundness of the article
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Performing a literature review
Pregunta 18
Pregunta
An older patient with newly diagnosed osteoporosis asks the nurse to explain her health problem. Which of the following is the correct description of osteoporosis?
Respuesta
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Chronic inflammatory joint disease that must be treated with steroids
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Loss of bone density that increases the risk of fracture
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Degenerative joint disease that produces pain and decreased function
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Acute infection in the bone that must be treated with antibiotics
Pregunta 19
Pregunta
A patient hospitalized in a long-term rehabilitation facility is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure area on her coccyx measuring 5 cm by 3 cm. The area is covered with 100% eschar. What would the nurse identify this as?
Pregunta 20
Pregunta
North American healthcare culture typically reflects which culture?
Respuesta
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Asian
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European American
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Latino
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African American