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A client with an open wound has an order to irrigate the wound three times a day with dressing change. Which of the following principles will the nurse follow? (select all that apply) - ANSWERclean least infected to most infected, place syringe 1 inch above wound, clean skin around with antiseptic wipes first, do not let solution sit in wound Because the small intestine needs
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A client with an open wound has an order to irrigate the wound three times a day with dressing change. Which of the following principles will the nurse follow? (select all that apply) - ANSWERclean least infected to most infected, place syringe 1 inch above wound, clean skin around with antiseptic wipes first, do not let solution sit in wound Because the small intestine needs bile only a few times a day, bile is stored and concentrated in the: - ANSWERgallbladder The structure of the Nephron responsible for the reabsorption of water and solutes during urine formation is the: - ANSWERProximal Convoluted Tubule Which of the following is the major regulator of respiratory activity? - ANSWERPCO Which event occurs in response to an increase in thoracic volume? - ANSWERAir moves into and through the respiratory passages The nurse is caring for a client that had abdominal surgery 15 hours ago, what objective signs would the nurse expect to find if the client is experiencing pain? (Select all that apply) - ANSWERIncreased pulse High BP Increased respiratory depth/frequency Diaphoresis Which portion of the brain controls the basic vital functions of life? - ANSWERMedulla Which hormone is the mineralocorticoid that acts on the kidneys to regulate sodium and potassium levels? - ANSWERAldosterone What is the function of the thymus gland? (Select all that apply.) - ANSWERStimulates the maturation of lymphocytes into T cells Coordinates immune defenses What are the effects of the release of epinephrine and norepinephrine? (Select all that apply.) - ANSWERIncreased heart rateb. Vasoconstrictionc. Release of glucose reserves Systemic circulation occurs when blood is pumped from the left ventricle of the heart through all parts of the body and returns to the heart in the: - ANSWERRight atrium
The nurse performing passive range-of-motion exercises for the client will move each joint to the point of: - ANSWERPoint of pain With lifting or moving a client up in bed, the nurse should protect his or her back by: - ANSWERBending the knees A nurse is about to give a client a complete bed bath. What is the best action by the nurse to maintain the client's privacy? - ANSWERClose the curtain around patients bed Which enzymes are produced by the pancreas? (Select all that apply.) - ANSWERtrypsin (protease) lipase (steapsin) amylase (amylopsin) The inner surface of the small intestines contain millions of tiny finger-like projections called: - ANSWERVilli In a sprint race Jeremy burst out of the starting block and ran hard down the track. About 20 meters into the race he suddenly felt a sharp pain along the back side of his right thigh. Wincing, he slowed down and hobbled to a stop. What muscle or muscle group has Jeremy likely injured? - ANSWERHamstring What factors stimulate bone to grow thicker and wider in adults? - ANSWERWeight bearing exercises When contributing to a client's care plan, the cues and inferences that the nurse uses to choose a nursing diagnosis /problem are: - ANSWERa. Based on data obtained during assessment The nurse is preparing to auscultate the apical pulse. Where should the nurse place the stethoscope on the client' s chest? - ANSWER5th and 6th intercostal space A nurse is contributing to the plan care of a client who has acute dysphagia. Which of the following interventions should the nurse expect to include in the plan of care? - ANSWERTilt head forward while swallowing
How did soldiers from the Crimean War benefit from the changes in standards of care in the hospital ward applied by Florence Nightingale? (select all that apply) - ANSWERImproves hygiene Accurate record keeping Nutritional diet improvement New medical equipment The nurse checks the oxygen saturation of a client with pneumonia, the nurse is assuring which essential human need according to Maslow? - ANSWERphysiologic A nursing student is administering a water and soap solution enema to a client. Which of the following steps should the nurse perform to purge air from the tubing? - ANSWEROpen the clamp and fill with solution A nurse has inserted an indwelling catheter and is ready to document. Which of the following information is the nurse required to document? Select all that apply. - ANSWERDate Procedure Patient education Patient response A nurse is reinforcing teaching with a senior client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/84 mm Hg places him in which of the following categories? - ANSWERPrehypertension An older adult clientinal ong-term care facility had a stroke 4week sago and has been unable to move independently since that time. The nurse caring for the client should observe for which of the following findings that indicates a complication of immobility? - ANSWERRed area over the sacrum The nurse has an order for an indwelling catheter insertion on a new client. What is the primary reason for the nurse to use sterile technique? - ANSWERAvoid introduction of microorganisms A nurse intercepts a messenger at the nurses' station who has a flower delivery for a client on the unit. As the nurse accepts the flowers, the messenger says, "I know Ms. Welch from the neighborhood. What happened to her?" Which of the following responses should the nurse make? - ANSWER"It's my responsibility to remind you that we have to respect our clients privacy" A nurse helps a family understand that once hospice service is initiated, the focus of care changes from rehabilitation and restoration to what type of care? - ANSWERcomfort The nurse manager is providing an in-service regarding a "safe hospital environment." What will this education mainly focus on preventing? - ANSWERinjury