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NUR 2206 Exam II
- When caring for the skin of patients of different age groups, which of the following should
the nurse consider?
-An infant's skin and mucous membranes are protected from infection by a natural immunity.-Secretions from skin glands are at their maximum from age 3 on.-The skin becomes thicker and leathery with aging and is prone to wrinkles and dryness.-An adolescent's skin ordinarily has enlarged sebaceous glands and in- creased glandular secretions.
Answer An adolescent's skin ordinarily has enlarged sebaceous glands and increased glandular secretions.
- During a bed bath, the correct procedure used when washing a limb is to
wash the extremity using short, circular motions wash the extremity using long strokes in the direction of proximal to distal wash the extremity using a back and forth scrubbing motion wash the extremity in the direction of distal to proximal
Answer wash the extremity using long strokes in the direction of proximal to distal
- When making an occupied bed, which of the following is most important for the nurse to do?
-Keep the bed in the low position -Use a bath blanket or top sheet for warmth and privacy -Constantly keep the side rails raised on both sides -Move back & forth from one side to the other when adjusting the linens
Answer Use a bath blanket or top sheet for warmth and privacy
- While making a bed, the nurse chooses to reuse the bedspread because it is not soiled. The
nurse should
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-fan-fold it and place it on the floor -drape it on the linen hamper while changing the sheets -fold it neatly and place it on the roommate's bed -remove and fold the spread, and place it on a clean work area
Answer remove and fold the spread, and place it on a clean work area
- When handling linen, what technique would minimize the spread of microorganisms?
rolling soiled linens to the middle of the bed placement of seamed side toward mattress fanning the linens before placing them on the mattress carrying the clean linens against one's uniform Answer placement of seamed side toward mattress
- When providing oral care for the comatose patient, the nurse should....
turn the pt.'s head to the side, with a basin placed under the mouth position the pt.upright with the head centered only administer mouth care if a gag reflex is present vigorously brush the teeth while wiping secretions from the mouth
Answer turn the pt.'s head to the side, with a basin placed under the mouth
- RN is caring for an 80-year-old patient who has become weak and fatigues easily. He is
unable to wash his body and always asks the nurse to brush his teeth. Based on this information, which of the following is an appropriate nursing diagnosis for this patient?
Risk for Impaired Skin Integrity related to immobility.Bathing/Hygiene Self-Care Deficit related to decreased strength and endurance.Social Isolation related to lack of visitors. 2 / 4
Impaired Oral Mucous Membrane related to inability to brush teeth
Answer
Bathing/Hygiene Self-Care Deficit related to decreased strength and endurance.
- What are some factors affecting mobility (when recognizing cues)?
Answer -development level -physical health -mental health -lifestyle
Answer sedentary vs. active
- What are the types of exercise?
Isotonic
Muscle shortening & active movement Isometric
Muscle contraction without shortening Isokinetic
Answer Muscle contraction with resistance
- What is isotonic exercise ?
Answer Muscle shortening & active movement
- What is isometric exercise ? 3 / 4
Answer Muscle contraction without shortening
- What is isokinetic exercise?
Answer Muscle contraction with resistance
- A patient performs rehabilitative exercises with a resistance machine after a knee injury.
The nurse interprets this type of exercise as which of the following?
- Isotonic
- Isokinetic
- Isometric
- Aerobic
- isokinetic
Answer
- What are some benefits of exercise?
Answer Cardiovascular (improv. circulation) Respiratory (improv. pulmonary function)
Musculoskeletal system (strengthen bones) Metabolic (incr. effc. of metabolism) Gastrointestinal (improved digestion & elimination) Genitourinary (efficiency in maintaining fluid) Skin (inc. circulation) Psychosocial (improved sleep & energy)
- What are some effects of immobility
Answer Cardiovascular (dec. circulation) Respiratory (pneumonia)
Musculoskeletal system (muscle atrophy) Metabolic (dec. metabolic rate) Gastrointestinal (dec peristalsis) Genitourinary (urinary stasis) fluid and endocrine shifts DEC metabolic rate Endocrine Psychosocial – depression
- MB is a 40-year-old man in a sedentary job who is beginning an exercise program.Which
- / 4
of the following effects will exercise have on his cardiovascu- lar system?
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