NURS 365 ACTUAL EXAM 1

NURS 365 ACTUAL EXAM 1

ACCURATE SOLUTIONS

• What are the two types of incontinence associated with mixed

incontinence?Stress and urge Overflow and functional Transient and total Urge and overflow

• Describe the significance of friction rubs in a respiratory assessment.

Friction rubs are normal sounds in healthy lungs and indicate good airflow.Friction rubs are associated with heart murmurs and indicate cardiovascular issues.Friction rubs indicate inflammation of the pleural spaces and can suggest pleuritis or other respiratory conditions.Friction rubs are caused by fluid accumulation in the lungs and indicate pneumonia.

• A patient presents with stridor during an assessment. What should the

nurse prioritize in their immediate care plan?Assess and secure the airway Administer a bronchodilator Encourage deep breathing exercises Document the finding in the patient's chart

• To communicate with a resident who is cognitively impaired, the NA 1 / 4

should: 2 / 4

Speak loudly Keep her attention by speaking quickly Use words that are simple and specific Include detailed information

• What is the definition of subjective data in the context of nursing

assessments?Subjective data is measurable information obtained from physical examinations.Subjective data refers to the nurse's observations during patient assessments.Subjective data includes laboratory test results.Subjective data is what the person says about himself or herself during history taking.

• Describe the characteristics of mixed incontinence as mentioned in the

provided information.Mixed incontinence is solely related to cognitive impairments.Mixed incontinence only occurs during physical activity.Mixed incontinence is characterized by frequent urination without leakage.Mixed incontinence involves involuntary leakage associated with urgency and exertion, effort, sneezing, or coughing.

• Is a type of lung infection that occurs when a patient is immobile.

Secretions pool in the lungs, and the warm, dark, moist environment is ideal for bacterial growth, resulting in an infection is called hypoxemia embolus 3 / 4

hypostatic pneumonia atelectasis

• Describe the physiological cause of stridor and its significance in nursing

assessments.Stridor occurs due to muscle spasms in the diaphragm, suggesting respiratory fatigue.Stridor is a normal sound during expiration, indicating healthy lung function.Stridor is caused by obstruction in the pharynx or larynx, indicating potential airway compromise.Stridor results from fluid accumulation in the lungs, signaling pneumonia.

• Describe how urinary retention can contribute to the development of

urinary tract infections (UTIs).Urinary retention can lead to stagnant urine, which creates an environment for bacteria to grow, increasing the risk of UTIs.Urinary retention increases urine flow, which helps flush out bacteria.Urinary retention prevents the bladder from emptying, which reduces the risk of infection.Urinary retention has no effect on UTI development.

• What are the nutritional changes associated with immobility?

Increased calories, protein, appetite; positive nitrogen balance, calcium absorption decreases, enhanced GI Stable calories, protein, appetite; neutral nitrogen balance, calcium levels unchanged, normal GI

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