chronicexam4review
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School
Galen College of Nursing *
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Course
NUR 265
Subject
Medicine
Date
Apr 3, 2024
Type
Pages
4
Uploaded by AgentKnowledge21336
What is the medicine a patient takes for a history of gout Colchicine (alopurinol) Patient with osteoarthiritis, instruct them how to slow the progression, what should you
educate them to do
Moving, swimming, walking Who would be at most risk with osteopenia for osteoporosis Small framed man on steroids and smokes Patient has gout that is controlled with exacerbation, what would you expect them to say is reason for it Celebrating promotion (beer, off of diet) Primary osteoporosis, safe home care Remove rugs Patient discharged for cataracts, if they experience what should they immediately contact doctor Severe eye pain patient with painful arthritic joints, what non pharm intervention can be done tens unit client with RA take prednisone daily, higher risk for fracture, what should they do every 2 years bone density exam DEXA patient with long history of arthritis pain, 115 pulse, 170/80, what intervention first assess for pain which of the following should the nurse include for exercises for people with osteoporosis brisk walk giving pain meds to a client with left hip replacement surgery, administer pain meds, but at the lowest dose to prevent side effects impaired vision, what statement requires further teaching use a razor to shave my face talking to client suspect hearing loss, what action by client would reinforce suspicion speak loud to the nurse, report dizziness or ringing of the ears, turning an ear
patient with primary open angle glaucoma, what findings would you observe mild eye itching/aching and headache, increase sensitivity to glare, progressive deterioration of peripheral fields, client has neuropathic pain to lower extremity, what medication for neuro pain gabapentin discharge instructions for laser surgery to remove cataracts, what statement indicates correct teaching I will avoid tying my own tennis shoes for several weeks following surgery Client has hearing loss in one ear, what should the nurse do Get the clients attention before talking to them Working in a long term care taking care of multiple clients, highest priority client is Perform a focused assessment on pt abd who hasn’t had a bowel movement in 3 days Implementing measures of preventing pressure ulcers, what action requires intervention if the nurse does Client head of the bed in semi-fowlers Client might have RA, what should you assess for Low grade fever, fatigue, and anorexia with weight loss Client has suspected retinal attachment I have the sensation of a curtain being pulled over Client with palliative care with opioids, you are correct in decreasing opioids if the client Request to be more alert during visit with long time friend Long term care, older client with Alzheimer’s, up at night walking around, what should the nurse do Increase exposure to light during the day and limit naps Caring for a client with REM (rapid eye movement) sleep disorder, you correctly explain this disorder to the client stating Disorder is more common in males over 60 years of age Nurse caring for older client in an acute care setting with zolpidem (ambien), what is the highest priority for nurse Document for client being on fall precautions
Nurse conducting initial assessment, client suspects sleep apnea , findings below confirm: Sleeping with 3 pillows Daytime sleepiness Reports of choking when waking from sleep Attending a conference as a nurse on sleep disturbances for the older adult , which statement is correct Time spent in bed increases, but time spent asleep decreases Caring for older client acute care setting difficulty sleeping at facility and at home, you understand which of the following regarding sleep patterns of the older adult population Chronic pain experienced by the client can interfere with quality and quantity of sleep Older client long term care, diagnosed with scabies, what should the nurse assess in the client Curved or linear ridges of the skin Older client admitted to rehab developed alteration in sleep pattern, what action is best to promote sleep Have the client go to bed same time as they did at home Firm, red, irregular scaley spot on chest of client, nurse expects what Squamous cell carcinoma Care of older client reports insomnia for several weeks, what is the best intervention Suggest that the client minimize bedroom lighting and use ear plugs while sleeping Teaching the client with newly diagnosed sleep apnea, been prescribed CPAP, it is appropriate to explain that the CPAP purpose is Prevent the airways from collapsing Assessing older client who frequently changes position and wakes up during the night which of the following factors does the nurse contribute to this issue Osteoarthritis to both hips Client with reddened area over coccyx, what values to monitor Prealbumin and lymphocytes Nurse preceptor and newly hired nurse are reviewing mobility and gait issues to help identify risk factors for falling, which finding by the nurse indicates the client is at risk for falling Shuffling gait
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Preparing a staff in service program related to restless leg syndrome, which of the following Is a recommended intervention Use of stretching techniques Assessing a client diagnosed with herpes zoster, what would you find in this client Painful vesicles Assessing client with paraplegia from spinal cord injury, reddened area over hips and sacrum, what should the nurse do Monitor hydration status Caring for older client suffering mobility issue, which statement is correct regarding using assistive devices Smart canes provides feed back to client and can detect when a fall has occurred Charge nurse reviewing incident with new nurse in which older client was injured by fall, which statement by new nurse requires immediate follow up The client was trying to reach their wheelchair after using their bedside commode Client with OA, recently repaired hip fracture, what is priority nursing diagnosis Decreased mobility due to surgical procedure Assessing male older , determine high risk for falls, what intervention is important to implement FIRST Provide urinal at bedside along with call light to call for assistance Care for a client high risk for falling, wont stay in bed, PCP puts order for side rail restraints only, what should the nurse use 2 full length rails