Question

c. Kidney stones d. Arthritis in the Emergency Department via ambulance with the 14. A client arrives the left eye, increase left-sided nasolabial fold, and slurred speech e ollowing nurse identify for this client? signs posis increase left-sided nasolabial fold, and slurred speech. What prioriyoof prory level should the What priority level should the a. First level priority b. Second level priority c. Third Level priority d. Routine 15. A nurse assesses four clients. Which client assessment will require the nurve immediate focused assessment? Difficulty sleeping at night 3+ edema in the ankles Lack of bowel movement in 2 days Blanchable erythema in the sacral area a. b. c. d. 16. A nurse is educating a group of older adults about weight management using the BMI sale Which of the following clients has a healthy BMI? a. 70 year old female with a weight of 128 Ibs. and height of 70 inches b. 65 year old male with a weight of 150 lbs. and height of 68 inches c. 78 year old male with a weight of 200 Ibs. and height of 72 inches d. 90 year old female with a weight of 133 lbs. and height of 60 inches. 17. The client smoked 2 packs of cigarettes a day for 10 years and then I pack-a-day for 3 years. The nurse would calculate the smoking pack years as a. 3.5 pack years b. 11.5 pack years c. 20 pack years d. 23 pack years 18. A 50 year old client is admitted to the emergency Department following a motor vehicle accident. Chest X-Ray reveals left-sided pneumothorax. Which of the following assessment findings would the nurse expect when examining this client? Select all that apply Tachycardia, cyanosis Tracheal deviation to the left Hyperresonance on the left side of the chest Decreased breath sounds on the affected side Increased anterior-posterior diameter 2:2 a. b. c. d. e. 19. A nurse would anticipate hearing which type of breath sounds at the site indicated on the picture below? a. Adventitious b. Bronchial c. Vesicular

Answer 1

14.The patient shows symptoms related with central nervous problems like strike (ptosis,left naso labial fold and slurred speech) which has to be attended immediately .First level priority care includes this like airway,breathing, circulation ans vitals

Second level priority includes pain,medical problems and changes in lab values,altered consciousness

Third level priority are one where patients have lack not knowledge about the diseaseconditions

Ans:a.first level care

15.Difficulty sleeping can be first simply treated by comfort devices and zones,encouraging early meals,Luke warm showers befire bed time,avoiding caffeine in the night time can aide in sleep

3+ edema may occur due to any medical conditions, lying over night ,impaired circulation .Measures can be taken in accordance to the cause and then be reported .It can be problems associated with comgestive heart failure or other cardiac issues so to be addressed immediately

Blanching of skin in the sacral region means there is temporary obstruction of blood flow to that area,so it has up be addressed to prevent bedsore ,injury by at least by position

Ans:b.3+ edema in the ankle

16.The 79 years personBMI is 18.4 (normal)

For 65 years it is 22.8 (normal)

For 78 years it is 27.1 (0besity)

For 90 years it is 26 (obesity)

A nsa.65 year old male with weight of 150 pounds and height of 70 inch is normal

17. In the last three years he has smoked 1 pack a day so it will be approximately 12 packs a year

Ans:11.5