Select All That Apply

The patient is diagnosed with obstructive sleep apnea. Identify the symptoms you would expect the client to exhibit. Select all that apply 1.) Bruxism 2.) Enuresis 3.) Daytime fatigue 4.) Snoring 5.) Drooling

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Why is an accurate description of the location of a wound important? Select all that apply 1.) Influences the rate of healing 2.) Determines the appropriate treatment choice 3.) Will affect the frequency of dressing changes 3.) Affects patient movement and mobility

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To promote wound healing, the nurse is teaching a patient about choosing foods containing protein. The nurse will evaluate that learning has occurred if the patient recognized which food(s) as an incomplete protein that should be consumed with a complementary protein? Select all that apply 1.) Whole grain bread 2.) Peanut butter 3.) Chicken 4.) Eggs

1, 2

Reasons for light palpation select all that apply 1.) surface lesions 2.) inflamed areas of skin 3.) skin texture 4.) internal organs 5.) deep pain

1, 2 &3

Select the factors known to affect sleep. Select all that apply 1.) Age 2.) Environment 3.) Lifestyle 4.) State of heath 5.) Ethnicity

1, 2, 3 & 4

Alcohol-based solutions for hand hygiene can be used to combat which types of organisms? Select all that apply. 1.) Virus 2.) Bacterial spores 3.) Yeast 4.) Mold

1, 3 & 4

The nurse is teaching a group of newly hired nursing assistive personnel (NAP) about proper handwashing. The nurse will know that the teaching was effective if the NAP demonstrate which of the following? Select all that apply. 1.) Uses a paper towel to turn off the faucet 2.) Holds fingertips above the wrists while rinsing off the soap 3.) Removes all rings and watch before washing hands 4.) Cleans underneath each fingernail

1, 3 & 4

Which of the following protect(s) the body against infection? Select all that apply. 1.) Eating a healthy, well-balanced diet 2.) Being an older adult or an infant 3.) Leisure activities three times a week 4.) Exercising for 30 minutes 5 days a week

1, 3 & 4

In performing a handoff, the nurse should communication information on... select all that apply

1.) teaching performed 2.) changes in clients status 3.) treatments administered

Purpose of the health assessment includes... select all that apply

1.) to collect info on health status of client 2.) synthesizes collected data 3.) evaluate client outcomes

The nurse obtains vital signs from a 56 yr old pt who underwent surgery yesterday which finding requires further assessment? Select all that apply 1.) Blood pressure 128/82 2.) Pulse 118 3.) 35 RR 4.) temp 97.6

2 & 3

Select the process(es) that occur(s) during the inflammatory phase of wound healing. Select all that apply 1.) Granulation 2.) Hemostasis 3.) Epithelialization 4.) Inflammation

2 & 4

community

do u live next to any industrial manufacturing plants

For crackles or rales

high pitched popping or low pitched bubbling of air moving through fluid

wheeze

high pitched screech like sounds (constricted areas)

rhonchi

low pitched continuous sounds of air moving through mucous that ~CLEAR WITH COUGHING~

functional ability

since u had ur stroke have u had prblms feeding urself

psychosocial

who can u talk to

family

who do u live w

The Centers for Disease Control and Prevention (CDC) is a federal agency devoted to infection control and prevention in healthcare settings. What are the goals of the CDC? Select all that apply. 1.) Reduce catheter-associated adverse events (infections) by 50% 2.) Reduce targeted antimicrobial-resistant bacterial infections by 50% 3.) Reduce all healthcare-associated infections by 75% 4.) Establish guidelines for safety, knowledge, and skills to reduce infections

1 & 2

The nurse is obtaining her patient's health history related to infections. What are appropriate questions the nurse will ask the patient? Select all that apply. 1.) "Have you recently traveled out of the country?" 2.) "How would you describe your current stress level?" 3.) "Do you know your approximate weight?" 4.) "What is your normal blood pressure and heart rate?"

1 & 2

Which action by the nurse breaches pt confidentiality? Select all that apply 1.) leaving pt data displayed on computer screen while others may view it 2.) maintaining logged in on computer after documenting pt care

1 & 2

What statements best describe the association between smoking and pulmonary infections? Select all that apply. 1.) Smoking interferes with respiratory functions, including the ability to move the chest, cough, and sneeze. 2.) Smoking increases alveolar elasticity, leading to overproduction of mucus that leads to pulmonary infections. 3.) Smoking decreases movement of the cilia in the lower airways, creating a favorable environment for bacterial growth. 3.) Nonsmokers chronically exposed to secondhand smoke have minimal risk for pulmonary infections.

1 & 3

The hospital nurse educator is preparing an orientation class for those newly hired on the surgical suite. Which of the following will the educator include in the orientation curriculum regarding hand and fingernail care? Select all that apply. 1.) Healthcare staff must routinely inspect their hands for breaks in skin. 2.) Artificial nails are permitted if properly secured to the nailbed. 3.) Wristwatches be may be worn as long as they are all metal. 4.) Healthcare staff are to avoid wearing nail polish at all times.

1 & 4

Which of the following questions would be affective for obtaining information from a patient? Select all that apply 1. ) How did it happen to you? 2.) What was your first symptom? 3.) When did you start having symptoms? 4.) Why did you not seek help sooner?

1, 2 & 3

A patient diagnosed with lung cancer who is receiving morphine complains of constipation. Which instructions by the nurse might help relieve the patient's constipation? Select all that apply 1.) "Be sure the amount of fruit, vegetables and fiber in your diet is adequate" 2.) "Drink at least eight 8-ounce glasses of water each day" 3.) "Avoid using stool softeners because they may become habit forming" 4.) "Increase your exercise routine to include 1 hour of exercise a day"

1 & 2

How does computerized documentation enhance communication? Select all that apply

1.) Legible and time dated 2.) Permits multiple simultaneous users

The nurse who understands EHR can... select all that apply

1.) facilitate evidence based nursing practice 2.) promote efficient use of the nurse's documentation time 3.) promote safety and outcomes

The community health nurse is preparing a teaching plan for emergency preparedness in the instance of a major disease outbreak. Which of the following will the nurse include in the plan for the home setting? Select all that apply. 1.) Keep a supply of broad-spectrum antibiotics. 2.) Have nonprescription drugs available. 3.) Store a 2-week supply of bottled water. 4.) Obtain an annual influenza vaccination.

2, 3 & 4

Which of the following patients would you expect to be at risk for decreased activity? Select all that apply 1.) Older adult who walks at the mall for physical activity 2.) Someone living in a skilled nursing facility 3.) Healthy adult who works as a computer programmer 4.) Obese child who enjoys video games

2, 3 & 4

A patient with tuberculosis is scheduled for computed tomography (CT). How should the nurse proceed? Select all that apply. 1.) Question the order because the patient must remain in isolation. 2.) Place an N-95 respirator mask on the patient and transport him to the test. 3.) Place a surgical mask on the patient and transport him to CT lab. 4.) Notify the computed tomography department about precautions prior to transport.

3 & 4

What are two risk assessment tools used in the US to evaluate a patient's risk for pressure ulcers? Select all that apply 1.) Pressure ulcer healing chart 2.) PUSH tool 3.) Braden scale 3.) Norton scale

3 & 4

Which statement by the new grad indications the further need for instruction about documentation? select all that apply 1.) I can wait until the end of my shift to document my care 2.) I find it easier to document when I go to lunch than after my shift report 3.) charting q 2 hrs is the most appropriate way to chart 4.) chart after every interaction

4

wellness

do u perform monthly breast examinations

diminished/decreased

far off hard to hear