NURS 325 Exam 3-Fundamentals. Complete Solution. Latest 2021.Question 1
1.42 out of 1.42 points
A nurse explains the function of the alveoli to a
... [Show More] patient with respiratory
problems. Which information about the alveoli’s function will the nurse share
with the patient?
Selected
Answer:
a.
Carries out gas
exchange
Answers: a.
Carries out gas
exchange
b.
Regulates tidal
volume
c.
Stores oxygen
d.
Produces
hemoglobin
Response
Feedback:
The alveolus is a capillary membrane that allows gas exchange of
oxygen and carbon dioxide during respiration. The alveoli do not
store oxygen, regulate tidal volume, or produce hemoglobin.
Question 2
1.42 out of 1.42 points
A home care nurse is inspecting a patient’s house for safety issues. Which
findings will cause the nurse to address the safety problems? (Select all that
apply.)
Selected
Answers:
a.
Stairway faintly lit
b.
Scatter rugs in the kitchen
c.
Absence of smoke alarms
Answers: a.
Stairway faintly lit
b.
Scatter rugs in the kitchen
c.
Absence of smoke alarms
d.
Level thresholds between bathroom and
bedroom
e.
Bathtub with grab bars
f.
Low-pile carpeting in the living room
Response
Feedback:
Assess the patient’s home for common hazards, including the
following: (1) loose area rugs and runner placed over carpeting, (2)
poor lighting in stairways, and (3) absence of smoke alarms.
Because of reduced depth perception, patients can trip on throw
rugs, runners, or the edge of stairs. A bathtub with grab bars is
safe and does not need to be addressed. Teach patients and family
members to keep all flooring in good repair, and advise them to
use low-pile carpeting. Thresholds between rooms need to be level
with the floor.
Question 3
1.42 out of 1.42 points
The nurse suspects the patient has increased afterload. Which piece of
equipment should the nurse obtain to determine the presence of this
condition?
Selected
Answer:
a.
Blood pressure cuf
Answers: a.
Blood pressure cuf
b.
Oxygen cannula
c.
Pulse oximeter
d.
Yankauer suction tip
catheter
Response
Feedback:
A blood pressure cuf is needed. The diastolic aortic pressure is a
good clinical measure of afterload. Afterload is the resistance to
left ventricular ejection. In hypertension the afterload increases,
making cardiac workload also increase. A pulse oximeter is used to
monitor the level of arterial oxygen saturation; it will not help
determine increased afterload. While an oxygen cannula may be
needed to help decrease the efects of increased afterload, it will
not help determine the presence of afterload. A Yankauer suction
tip catheter is used to suction the oral cavity.
Question 4
1.42 out of 1.42 points
The nurse enters the patient’s room and notices a small fire in the headlight
above the patient’s bed. In which order will the nurse perform the steps,
beginning with the first one?
1. Pull the alarm.
2. Remove the patient.
3. Use the fire extinguisher.
4. Close doors and windows.
Selected
Answer:
b.
2, 1,
4, 3
Answers: a.
1, 2,
3, 4
b.
2, 1,
4, 3
c.
2, 1,
3, 4
d.
1, 2,
4, 3
Response
Feedback:
Nurses use the mnemonic RACE to set priorities in case of fire. The
steps are as follows: Rescue and remove all patients in immediate
danger; Activate the alarm; Confine the fire by closing doors and
windows; and Extinguish the fire using an appropriate
extinguisher.
Question 5
1.42 out of 1.42 points
The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the
fourth time the patient is being admitted in the last 6 months for high blood
sugars. During the admission process, the nurse asks the patient about
employment status and displays a nonjudgmental attitude. What is the
rationale for the nurse’s actions?
Selected
Answer:
b.
A person’s compliance is afected by economic status.
Answers: a.
Employment status is an internal variable that impacts
compliance.
b.
A person’s compliance is afected by economic status.
c.
Noncompliant patients thrive on the disapproval of
authority figures.
d.
External variables have little efect on compliance.
Response
Feedback:
A person’s compliance with treatment is afected by economic
status. A person tends to give a higher priority to food and shelter
than to costly drugs or treatments. External variables can have a
major impact on compliance. Employment status is an external
variable, not an internal variable. A person generally seeks
approval and support from social networks, and this desire for
approval afects health beliefs and practices; noncompliance does
not occur from thriving on disapproval of authority figures.
Question 6
1.42 out of 1.42 points
A patient asks the nurse for a nonmedical approach for excessive worry and
work stress. Which therapy should the nurse recommend?
Selected
Answer:
c.
Meditation
Answers: a.
Ayurvedic
herbs
b.
Acupuncture
c.
Meditation
d.
Chiropractic
care
Response
Feedback:
Meditation is indicated for stress-related illness and is a
nonmedical approach. In addition, meditation increases
productivity, improves mood, increases sense of identity, and
lowers irritability. Acupuncture, ayurvedic, and chiropractic are all
medical approaches. The use of ayurvedic herbs has been
available for centuries to treat illness and is a type of whole
medical system. Acupuncture focuses on redirecting vital energy
(qi) in the body’s meridian energy lines to influence deeper internal
organs. Chiropractic therapy involves manipulation of the spinal
column and includes physiotherapy and diet therapy. [Show Less]