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Text Mode – Text version of the exam 1. Before being discharged, Mr. Heywood must be taught principles of good body mechanics. The nurse would be correct in telling Mr. Heywood that when he picks up something, he should: 2. The nurse applies a commercially made hot moist pack, called a hydrocollator, to the client’s lower back. To reduce the potential for a thermal injury the nurse should plan to: 3. Which one of the following observations would most indicate to the nurse that the skin over Mr. Heywood’s coccyx is becoming impaired? The skin: 4. Before turning Mr. Heywood to wash his back, which instruction should the nurse provide to minimize his discomfort? 5. Which of the following should the nurse use to provide support to Mr. Heywood’s spine? 6. Mr. Heywood is to remain in bed for the time being. Which position would the nurse find gives Mr. Heywood the most comfort? 7. Mr. Heywood is receiving 10 mg of Diazepam (Vatium) orally t.i.d. Besides diminishing anxiety, the nurse explains that this medication is also used to: 8. Mr. Barry Heywood, a construction worker, has been experiencing periodic bouts of law back pain. Now, in addition to the pain that radiates into his buttocks, he has some numbness and tingling in his legs. The physician suspects that Mr. Heywood has a herniated intervertebral disk in the lumbar spine. While assessing the disk to indicate that the pain is increased when: 9. Mr. Rumsey, who has not regained consciousness, rushed to surgery where his arm is amputated above the elbow. When Mr. Rumsey reacts from the anesthesia, he sees that his forearm is missing. He screams obscenities and sobs uncontrollably. Which of the following is the best action the nurse can take at this time? 10. In what position should the nurse place Mr. Rumsey while continuing with his assessment and care? 11. During a farming accident Mr. Steve Rumsey’s arm gets caught in a corn auger. His lower left arm and band are crushed. Which of the following assessments would the nurse typically find when the paramedics bring Mr. Rumsey to the hospital in shock? The client would have: 12. Ms. Angela Freeman has acute low back pain. She’ has pelvic-belt traction, which she uses intermittently throughout the day. When the nurse helps Ms. Freeman apply the pelvic traction, it would be best to place the top of the belt: 13. Ms. Rizal has acute rheumatoid arthritis. Her hands and spine are involved. When the nurse admits Ms. Rizal is most likely to tell the nurse that the first symptoms that caused her to seek health care was: 14. Before Ms. Elkins leaves the emergency department, the nurse demonstrates hew to apply the roller bandage. She is told to remove it for approximately 20 minutes and re-apply it three times a day. It is essential that the nurse tells Ms. Elkins to loosen-the bandage if: 15. The x-ray reveals that the bones are intact. The physician tells Ms. Elkins that she has severely sprained ankle. The physician directs the nurse to wrap Ms. Elkins foot with an elastic roller bandage referred to by some as an Ace bandage. Where should the nurse begin applying the bandage? 16. Following an injury in which Ms. Leona Elkins while climbing stairs, she experiencing immediate swelling of her ankle and pain on movement. Her physician has sent her to the hospital for x-ray. Which on of the following nursing measures would be most helpful for relieving the swelling while preparing to obtain the x-ray of Ms. Elkin’s lower leg? SITUATION: Mr. Ramos was barbecuing outdoors when the gas tank exploded. He sustained second degree and third degree burns of the anterior portion of BOTH arms, the upper half of his anterior trunk and the anterior and posterior portions of his left lower extremity. 17. The BEST initial management of burns that can be employed at the scene is generally which of the following: 18. At the emergency room, the nurse assessed the extent of the burn on the patient’s body. Based on the rules of nine. Which of the following is the BEST estimate of the burn? 19. Which one of the following .blood value determinations is most likely be useful to evaluate the adequacy of the fluid replacement? 20. The nurse is administering the prescribed IVF. When she evaluated the patient, she suspected fluid overload because of which finding? 21. The doctor orders MAFENIDE for application over the bum area. The nurse understands that one disadvantage of this drug is that: SITUATION: MARK Lester had been diagnosed with Stage 1 bronchogenic cancer. He had undergone lobectomy on the left lower lung. A two-bottle drainage system is inserted. 22. The patient is placed on bed post-operatively in what position? 23 Water-seal chest drainage involves attaching the chest tube to a: 24. If the nurse sees fluid moving up and down during inspiration and expiration on the water seal bottle, she should: 25. If the nurse sees vigorous and continuous bubbling in the second bottle, she should:Practice Mode
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Medical-Surgical Nursing Exam 7
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