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- 7. Discuss complications related to SCI and what nursing actions would you do to prevent or mitigate these complications. Complication Description Intervention Reflexes Spasticity Skin Care Autonomic hyperreflexia (Autonomic Dysreflexia)1. A nurse is caring for an adolescent who is 1 hour post-operative followingan appendectomy. Which of the following findings should the nurse report to theprovider?a. Heart rate 63 / minuteb. muscle rigidityc. temperature 36.4 Celsius (97.5 Fahrenheit)d. abdominal paintch account 1. You have been injured in the laboratory (cut, burned, etc.). You should first: * a. Visit the school nurse after class. b. See a doctor after school. c. Tell the Science Instructor at once. O d. Apply First Aid yourself. 1 point tho worn:
- 5. Morphine sulphate is administered every four hours to a client with renal lithiasis to treat pain and renal colic. Which evaluation result should cause the nurse to provide a PRN dosage of naloxone? A. Unresponsive to verbal or tactile stimuli. B. Respiratory rate of 12 breath/minute. C. Statements about visual hallucinations. D. Complaints of increasing flank pain.F. Weighing the client daily at the same time and in the same clothes. 5. Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important? A A fever that started 3 days ago B. Lack of interest in food C. A recent episode of pharyngitis D. Vomiting for 2 daysExplain in 5-6 sentences 3. Explain the Bethesda System. 4. How will you instruct a patient that will undergo a brochoscopy?
- 19-The nurse is conducting staff in-service training on von Willebrand's disease. Which should the nurse include as characteristics of von Willebrand's disease? Select all that not apply. A. Easy bruising occurs. B. Gum bleeding occurs. C. It is a hereditary bleeding disorder. D. Treatment and care are similar to that for hemophilia. E. It is characterized by extremely high creatinine levels. F. The disorder causes platelets to adhere to damaged 73-When positioning the neonate with an unrepaired myelomeningocele, which of the following positions would be most appropriate ? a. supine the hip at 90 degree flexion b. right side-lying position with knees flexed c. prone with hips in abduction d. semi-fowler's position with chest and abdomen elevated1.A client is on magnesium sulfate for severe preeclampsia. The nurse must notify the attending physician regarding which of the following findings? I. Patellar and biceps reflexes of +3. II. Urinary output of 30 mL/hr. III. Respiratory rate of 16 rpm. IV. Serum magnesium level of 9 g/dL. 2.A woman with severe preeclampsia, 38 weeks’ gestation, is being induced with IV oxytocin (Pitocin). Which of the following would warrant the nurse to stop the infusion? I. Blood pressure 160/110. II. Frequency of contractions every 3 minutes. III. Duration of contractions of 130 seconds. IV. Fetal heart rate 156 with early decelerations.1- Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics should be included in the plan of care? A. Aerobic exercise to improve oxygenation B. Fluid restraint to 1 qt (1 L)/day C. A high-iron, high-protein diet D. Proper hand washing and infection avoidance 2- Sickle cell disease (SCD) primarily affects: A. children of African descent and Hispanics of Caribbean ancestry. B. children of Middle-Eastern and Indian descent. C. children of Asian descent. D. both African descent and Hispanics of Caribbean ancestry and Middle-Eastern and Indian descent.
- Directions: respond to the following statements by identifying if they are true or false. 1. You should always have a first aid kit in your car when you travel. 2. When you have a blister always open it to let the liquid out. 3. Never treat first degree burns yourself. 4. Frost bitten parts of your body should be put in water that is not too warm and not too cold. 5. If a person cannot breathe for a few minutes it can cause brain damage. 6. If a person gets into contact with a poisonous chemical substance flush the skin with a lot of water. 7. A person in shock breathes slowly. 8. If you lose a lot of blood in a few minutes you can die. 9. To stop bleeding put pressure on the artery that carries blood. 10. If a person has inhaled carbon monoxide, move him into a closed room. 11. Put oil or butter on a burn. 12. If a person is choking turn him or her to one side. 13. Call 144 for an ambulance. 14. You should always give first aid to a person even if you don’t know what to do. 15. When…3. The nurse is caring for a client diagnosed with acquired immunodeficiency syndrome (AIDS). Which sign/symptom indicates the presence of an opportunistic respiratory infection?A. Nausea and vomitingB. An arterial blood gas pH of 7.40C. A respiratory rate of 20 breaths per minuteD. Fever and exertional dyspnea4. In teaching a patient with SLE about the disorder, the nurse knows that the pathophysiology of SLE includesA. an autoimmune T-cell reaction that results in destruction of the deep dermal skin layer.B. circulating immune complexes formed from IgG autoantibodies reacting with IgG. C. the production of a variety of autoantibodies directed against components of the cell nucleus. D. immunologic dysfunction leading to chronic inflammation in the cartilage and muscles. 5. Validating / verifying data is an activity in the assessment. What are the techniques appropriate to verify questionable information? 1. Double-check information that is inconsistent with patient cues.2. Double…39-Which of the following values is considered normal for ICP? A. 25mm Hg B. Oto 15 mm Hg C. ۸۰/۱۲۰mm Hg D. 35to 45 mm Hg 40-During the acute stage of meningitis, a 3-year-old child is restless and irritable. Which of the following would be most appropriate to institute? A. Performing treatments quickly B. Allowing the child to play in the bathtub C. Keeping extraneous noise to a minimum D. Limiting conversation with the child