Question

Reduction Of Risk Potential/Physiological Adaptation 1. The nurse cares for a toddler diagnosed with pneumonia receiving oxygen in an oxyben tent. The toddler's mother reports to the nurse that her toddler's birthday is tomorrow and asks if the parents can have a party. It is MOST important for the nurse to follow up on which of the following statements if made by the mother? 1. "I plan to bring paper streamers to put on the wall." 2. "My child loves to look at Mylar balloons." 3. "I found the neatest candles to put on the cake." 4,"My child's grandparents are planning to come. 2. The home care nurse visits a client diagnosed with a cerebrovascular with a cerebrovascular accident with an uninhibited bladder. Which of the following actions by the nurse is MOST appropriate? 1. Encourage the client to drink 2000 ml per day. 2. Determines the client's voiding habits before CVA. 3. Instruct the client how to perform intermittent catheterization. 4. Ask the client to void before and after meals. 3. The nurse assesses a client diagnosed with Meniere's disease. The client's reports that even though he takes the prescribed medications regularly, he continues to have episodes of vertigo. It is MOST IMPORTANT for the nurse to ask which of the following questions? 1. "Tell me about your diet" 2. "How are things going at work." 3. "When were the Meniere's disease diagnosed?" 4. "What were the results of your last blood test?" 4. A man comes to the emergency room complaining of retrosternal chest pain and shortness of breath. His blood pressure is 110/70. pulse rate 100 and irregular, respirations 28. After attaching cardiac monitor, which of the following orders should the nurse implement FIRST? 1. Take the 12-lead electrocardiogram. 2. Administer oxygen per nasal prongs. 3. Administer morphine sulfate subcutaneously. 4. Restrict his fluid and sodium intake. 5. The nurse cares for a 72 year old client diagnosed with bilateral cataracts. The client repeatedly asks the nurse, "Why did this happen to me.?" Which of the following statements by the nurse is BEST? 1. "As you age, the lenses of the eyes gradually lose moisture and their density increases." 2. The pressure within eye gradually lose moisture and their density increases. 3. "The lenses in your eyes become hardened and inflexible." 4. "This happened because your retina detached form the inner part of the eye."

Answer 1

1.Pneumonia is a condition in which the respiratory tractbis affected leading to secretion ,breathing difficulties. Any thing which can trigger the symptoms like dust,pollution,smoke ,should be strictly avoided.Litting a candle on a etable is always harmful because of the flame and fume after litting off the candle and to be avoided.Th other statement doesn't cause any infec tion to the child

Ans:3.I found the neatest candle to put on the cake

2.In cerebrovascular accident the injury to the spinal cord are possible leading to trouble in lower motor neuron function.One of its function is to control the bladder. Most of them loose the function resulting in incontinence or uninhibited bladder.In this condition the patient has poor sensation on the fullness and when to void so intermittent catheterization can be helpful in draining the urine to reduce discomfort, The other measures like drinking water in excess quantity can lead to more urine production, assessing earlier urinary pattern will not be useful post CVA.Voiding before and after meal is possible only when the bladder is full otherwise cannot be encouraged

Ans:3.Instruct the client how to perform intermittent catheterization

3.Meneiner 's disease is a chronic condition which can't be cured but can be treated symptomatically.The symptoms experienced by the patient are vertigo,earing loss from one ear to both ears,nausea,vomiting .The high salt diet, stress,migraine,infection,blow to head

Ans:1.Tell me about your diet

4.The cardiac monitor records the heart rate,rhythm,blood pressure, respiratory rate ,SPO2,and temperature.After connecting the patient to the monitor .The monitor gives a continuous ECG to monitor.There are high chance of patient myocardial tissues to land up in oxygen deprivation ,so immediately the nurse shoukd connect oxygen to prevent complications. Morphine is administered only after order.Restricting fluid and sodium intake dies not help to resolve pain.

Ans :2.Administer oxygen per nasal prongs

5.Cataract is most common when people age,here the lens losses its opacity due to protein clumping making the light not to be reflected in eyes causing blurred vision

Ans:1.As you age,the lenses of the eyes gradually lose moisture and their density increases