738 مشاهدات
في تصنيف الطب والصحة بواسطة (20.5ألف نقاط)

ھذه الاسئلة مكررة بكثرة في امتحان البرومترك


1-A patient with severe diverticulitis had surgery for placement of a colostomy. The patient is upset,

crying, and will not look at the colostomy.

Which of the following would be the highest priority nursing diagnosis at this time?

• Knowledge deficit, colostomy care

• B. Distorted body image correct answer

• C. Self-care deficit, toileting

• D. Alteration in comfort

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2-A 58 year-old man has been diagnosed with Stage IV prostate cancer with metastasis to the bones.

The patient refuses a medical management plan that includes chemotherapy and radiation. Although

the nurse believes that every possible intervention should be done to preserve life, the nurse

supports the patient’s decision. Which ethical principle underlies the nurse’s response?

• Fidelity

• Beneficence

• Non-maleficence

• Autonomy correct answer

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3- A nurse on the oncology unit is planning care for several children who care terminally ill.

Which of the following should be included in the plan of care of a child who practices

Catholicism?

• A.Notifying the crematory

• B. Discussing reincarnation

• C. Closing the eyes as death approaches

• D. Offering sacrament of the sick correct answer

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4-Patient with gout is encouraged to increase fluid intake.

What is the benefit of the fluids?

• A.Decrease inflammation

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• B.Increase calcium absorption

• C.Promote the excretion of uric acid correct answer

• D.Provide a cushion for weakened bones

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5-A. 45 year-old man who is hospitalized feels the constant need to keep things in order,

particularly whilst eating. The nurse observes him arranging the food on his plate into symmetrical

and equal bite-sized pieces. He constantly worries that the food served could be outdated and

potentially cause illness.

Which nursing diagnosis is most important?

• A.Ineffective verbal communication

• B.Self-esteem disturbance

• C.Impaired social interaction

• d.Anxiety correct answer

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6-A two month-old infant is brought to the clinic by her parents who report that the baby is having

breast feeding difficulties. The infant feeds every one-two hours for twenty minutes and seems to be

in pain afterwards. She regurgitates milk after each feed. At birth, she weighed 3.5 Kilograms and

her current weight is 4.2 Kilograms.

• Which initial home intervention would be most appropriate?

• A. offer milk-based formula before breastfeeding

• B. feed with rice cereal mixed with breast milk

• C. Schedule feeds regular every three hours.

• D. Position the baby upright after feeding correct answer

7-The nurse is assisting a patient to ambulate in the hall. The patient has a history of coronary artery

disease (CAD) and had coronary artery bypass graft surgery (CABG) 3 days ago. The patient

reports chest rated 3 on a scale of 0 (no pain) to 10 (sever pain). The nurse should FIRST:

• A.Determine how long it has been since the patient’s last dose of aspirin

• B.Obtain a chair for the patient to sit down correct answer

• C.Assess the patient’s radial pulse

• D.Ask the patient to take several slow, deep breaths

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8-A nurse is caring for an eight years old male cystic fibrosis.

Based on the nurse’s understanding of the disease what nursing intervention should the nurse expect

to perform?

• A.Restrict sodium and fluid intake

• B.Give anti-diarrheal medications

• C.Discourage coughing after postural drainage

• D.Administer pancreatic enzymes with each other correct answer

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10- A three year-old has returned to the clinic 4 days after being diagnosed with gastroenteritis and

dehydration. A parent reports that the vomiting has stopped, and the child is tolerating liquids, rice,

applesauce, and bananas. The diarrhea persists, but seems to be decreasing in volume. When

evaluating for signs of dehydration, the nurse will assess the patient’s skin turger by:

• Grasping the skin over the abdomen with two fingers and raising the skin with two

fingers

• Grasping the skin over the forehead with two fingers and raising the skin with two fingers

• Holding the patient’s mouth open and assessing the tongue for deep creases of furrows

• Drawing two tubes of blood and running a blood urea nitrogen (BUB) and creatinine (Cr)

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11-A 67 year-old man was admitted to the hospital following a closed bone fracture. An

intramedullary nail is inserted and the patient is placed in balanced skeletal traction. The following

day, the patient becomes restless, drowsy and confused. He has difficulty breathing and appears

very tired (see X-ray)

Which additional sign or symptom would require immediate intervention?

• Anxiety

• Cold skin

• Constipation

• Petechiae on chest

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12-An 82 year-old patient has Parkinson’s disease. During the assessment, the nurse would expect

which of the following actions to produce the MOST tremor activity of the hands?

• Eating with a fork

• Resting hands in lap

• Standing with hands loose at sides

• Rolling a small pill between the fingers

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13-A nurse is documenting in patient records several events that occurred during home health visits.

Which of the following is an example of the correct way to document patient information?

• Patient fell walking to bathroom. Busy preparing for sterile dressing change when patient left

the room.

• Patient got out of bed without assistance. Denies any symptoms when ambulating alone.

• Patient sitting in chair. Strict bedrest orders ignored.

• Patient showering. Electronic epidural infusion pump or floor by shower stall.

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14-A 54 year-old woman presents to the Emergency Department with sharp upper-right abdominal

pain that radiates to the right scapula. While performing the admission assessment, the patient

becomes nauseous and begins vomiting. She states that she has had pain in the upper right quadrant

previously but that this time it was far worse. There is a positive Murphy’s sign and an ultrasound

confirms gallbladder wall thickening and pericholecystic fluid collections. Which of the following

would most likely be associated with her clinical findings?

• Relief by drinking milk

• Alleviation with exercise

• Triggered by fatty meal

• Worsening on an empty stomach

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15-A 30 year-old married man presents to the clinic with complaint of feeling sad for the past three

months. He is unable to maintain a regular sleep routine, has lost his appetite and has difficulty

concentrating. He is prescribed a medication which prevents the reuptake of specific

neurotransmitters that could contribute to his mental health problems.

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Which side effects would be most important for the nurse to advise the patient of?

• Polyuria

• Photophobia

• Fluid retention

• Sexual dysfunction

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16-A 6 month-old premature infant is being discharged from the neonatal intensive care unit after

having no apneic periods for the past week. Although the child has had no apneic periods for the

past week, an apnea monitor will be sent home with the parents. The BEST short term goal relating

to the nursing diagnosis is ineffective breathing pattern related to apnea is that the:

• Apnea monitor will sound loudly and stimulate the child to breathe with the episodes of

apnea.

• Apnea monitor will sound loudly and alert the parents to stimulate the child to breathe

with episodes of apnea

• Child will have no episodes of apnea or cyanosis while on the apnea monitor

• Child will sleep in their parent’s bed each night until there is no apnea for two weeks.

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17-A 10 Cleary-old infant is having difficulty itching on and breast feeding. The infant is assessed

for the rooting reflex in the doctor’s

office (see images).

Which picture depicts the rooting reflex?

• A

• B

• C

• D

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18-A 60 years-old women present to the Emergency Department Triages Unit with labored

Breathing. She appears anxious and sweating profusely across the forehead. The symptoms had

begun suddenly one hour before, the jugular veins appear distended and she has a productive cough,

auscultation the respirations are wet and do not clear with coughing.

Which nursing diagnosis is most appropriate?

• A. Infective breathing pattern m

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• Ineffective airway clearance

• impaired gas exchange

• Pain in chest

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19- A home care nurse changes the dressing of a patient who has a chronic lower leg ulcer and a

history of left swelling. The wound bed is 3 cm diameter red in color and is covered with fibrous

yellow tissue (see image). What type of ulcer is most likely?

• . Arterial m

• . Venous

• . Decubitus

• . Neuropathic

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20- A nurse on the oncology unit is planning care for several children who are terminally ill. Which

of the following should be included in the plan of care of

a child who practices Catholicism?

• A. Notifying the crematory

• B. Discussing reincarnation

• C. Closing the eyes as death approach

• D. Offering sacrament of the sick

21- The responsibility for teaching patients how to take medications safely when they are

discharged from the hospital belongs to whom? m

• Nurse m

• Physician

• Dietitian

• Therapist

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22-The mother of on 11 month child reports that her does not seem to be in any pain but his testes

appear to be lager in the evening hours then in the morning. The nurse a light through the sac and

finds a bilateral fluid scrotum. m

• Observation until two years of age

• referral for surgical repair

• Twice daily massage for reabsorption

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• Position baby prone while sleeping

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23-A postoperative patient complaints of a abdominal pain and nurses. The patient has not had any

flatulence or bowel movement surgery, and the abdominal is distended with no bowel sounds. What

is most likely casuse?

• A. Abdominal infection

• B. Side effect of being NPO

• C. Side effect of narcotic pain medications

• D. Paralytic ileus

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24- A patient is attending a primary health clinic for regular checkup. He complains of constipation.

After assessment, the nurse instructed him to consume bulk-forming foods. Which of the following

is the best bulk-forming food?

• Fruit juice

• Raw meats m

• .Whole grains

• Milk products

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25-A public health Nurse is developing a care plan for a low-income community In which there is a

general low level of education and high level of crime the nurse is using the nursing process to

identify the community needs.

Which step should be utilized?

• A. Diagnosis

• B. Evaluation

• C. Assessment

• D. Intervention

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26-three year-old boy present to the pediatric clinic with his mother who complains that the child

has developed a skin rash. There is a clear drainage from the nose and he appears tired. The rash

first appeared on the face and then spread over the trunk and is now beginning to appear over the

hands. Some lesions show open ulcerations and other have crusted over. There are scratch marks

over the skin. Which finding would indicate the child is ready to return to school?

• A. Normal body temperature m

• B. Dry and scabbed lesions

• C. Nares of free of drainage

• D. Absence of rash over trunk

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27-After just returning from a surgical procedure that required general aesthesis, a patient is

difficult to arouse, breathing without assistance but having difficulty maintain the upper airway. The

nurse has been a select to obtain a nasal trumpet (see image).

Which picture shows a nasal trumpet airway?

• A

• B

• C

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28-Which of the following experience the terms pulse pressure?

• A. is the capacity of pulse

• B. relaztion of the ventricle

• C. is the maximum ventricular contraction m

• D. the difference between systolic and diastolic blood pressure

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29-A patient on a medical floor is diagnosed with pneumonias. Which of the following nursing

diagnoses takes priority?

• A. .Anxiety related to pain, dyspnea, and concern regarding illness

• B. Deficient fluid volume related to tachypnea, fever, or diaphoresis m

• C. ineffective airway clearance related to presence of tracheobronchial secretions

• D. Sleep deprivation related to change in environment

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30-year-old man takes cyclosporine 100 mg by mouth per day, he had a heart transplant two months

ago, he complains of stomach cramping diarrhea and muscle twitches. Which electrolyte is most

likely evaluated?

• m A. Calcium m

• B. Sodium m

• C. Magnesium m

• D. Potassium

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31-A nurse is assessing a four month-old formula fed infant, the parent reports the infant has been

irritable, crying excessively, not sleeping well, and vomiting. Gastro-esophageal reflux is expected.

• Place the infant in an infant seat after eating

• Give large frequent feedings

• Position the child a swing

• Thin formula with water

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32-In the scope of community nursing, epidemiology and vital statistics are very essential tools in

controlling disease spending, disease impact on the given population and effectiveness of the

preventive measure done. An outbreak of meals has been reported in the community. Which of the

following epidemiological actions should the nurse perform identify?

• A. Identify the disease that was reported

• B. classify the outbreak if sporadic or pandemic

• C. determine the date when the disease first occurred

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33-A patient with server diverticulitis had surgery for placement of a colostomy. The patient is

upset, crying, and will not look at the colostomy. Which of the following would be the highest

priority nursing diagnosis at this time?

• Knowledge deficit, colostomy care

• distorted body image

• self-care deficit, toileting

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34-A Five years-old child is brought into the emergency department complaining of pain in the right

hip Ares. The patient is not able to bear weight on the right leg.

• A. Faces pain rating scale

• B. Verbal rating scale

• C. Numeric rating scale

• D. Pain rating diary

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35-A patient is seen in the emergency department with complaints of engines Nitroglycerin (Nitrostat)

is ordered by the physician.

This medication is to be administration via which of the following routs?

• .Intradermal

• Buccal

• Parental

• Topical

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36-A home health care nurse visits a patient diagnosed with rheumatoid. The nurse gathers

information about the pain level after the use of the prescribed pain medication to check on the

effectiveness of the intervention. What is this phase of the nursing process called?

• Assessment

• Diagnosis

• Implementation

• Evaluation

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37-years old male patient has carries for ……………. In clinic, he had one episode of the angina 12

month ago but did not experience it again. His job involves notify … and he in experiencing

fatigue, lethargy and shortness of breath on exaction for the past few days, he is to be prepared for

history taking and physical.

What information should be gathered in detail during the history taking?

• Diet and exercise pattern

• Life style and occupational stress

• Past illnesses and health problem

• current health issues and activity

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38-A patient is scheduled for a bowel resection, the preoperative plan of care includes putting on

anti-embolism stockings prior to transferring the patient to the operating room. What these stocking

will do?

• Promote venous return

• Minimize joint stiffness

• . Encourage sustained maximum inspiration

• Support intestinal peristalsis.

39-A nurse is caring for an eight year-old male with cystic fibrosis. Based on the nurse’s

understanding of the decease what nursing intervention should the nurse expect to perform?

• Restrict sodium and fluid intake

• Give antidiarrheal medications

• discourage coughing after postural drainage

• Administer pancreatic enzymes with each meal

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40- A 69 year-old man is admitted to the intensive care unit following cardiac surgery. Two hours

after admission, the nurse performs a routine assessment and notes the patient’s chest tube drainage

is 200 milliliters and a dark red color. He has had 60 milliliters output from the indwelling urinary

catheter Blood pressure 138/68 mmhg Heart rate 76/min Respiratory rate 16/min Body temperature

37.0C oral Oxygen saturation 94% 6L/min nasal cannula Which finding should be reported to the

doctor?

a- Dark red chest tube drainage

b- Urinary output

c- Oxygen saturation

d- Chest tube output volume

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41-a home health care nurse visits a patient diagnosed with rheumatoid arthritis. The nurse gathers

information about the pain level after the use of the prescribed pain medication to check on the

effectiveness of the intervention.

What is this phase of the nursing process called?

• Assessment

• Diagnosis

• implementation

• Evaluation

42-A four year-old boy presented with a firm and non-tender mass that his mother had discovered in

the right upper abdominal quadrant. He was admitted to the hospital and underwent complete

surgical excision of a renal tumor that had extended beyond the kidney. The child was then

scheduled for radiation and chemotherapy treatment.

Which stage was the tumor?

• I

• II

• III

• IV

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43-A patient has returned to the Medical surgical unit after surgery for a benign ovarian tumor. The

nurse observes that in the first 30 minutes after admission to the unit, the patient’s abdomen is

rapidly distending and the patient complains of increasing pain.

What would the nurse anticipate? m

• aspiration pneumonia m

• surgical site infection m

• Retention of surgical supplies m

• intra-abdominal hemorrhage

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44-A 58 year-old man has been diagnosed with stage Iv prostate cancer with metastasis to the

bones. The patient refuses a medical management plan that includes chemotherapy and radiation.

Although the nurse believes that every possible intervention should be done to preserve life, the

nurse supports the patient’s decision.

Which ethical principle underlies the nurse’s response?

• fidelity

• beneficence

• .non-maleficence

• Autonomy CORRECT ANSWER

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45-A 40 year-old women presents to the clinic with cramping abdominal pain that corner every five

to ten minutes. She is unable to pass gas or a tool. The abdomen appears greatly distended. On

auscultation bowel sounds are quiet and hypoactive. On percussion, there is resonance. On

palpation, the abdomen is tender, without “guarding”. A rectal examination is performed and the

rectum is found to be empty.

Which of the following health problem would be most likely?

• . Diverticulitis m

• Obstruction CORRECT ANSWER

• . Appendicitis

• Crohn’s disease

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6- In the summer months, a five year-old girl present with a sore throat and a dairy cough that has

slowly become worse over the past three weeks. Her body temperature is 38.0 C. on auscultation,

there is wheezing and shortness of breath. She lives in an overcrowded house with thee where she

attends school.

Which is the greatest risk factor?

• Residing in a low-income neighborhood

• Exposure to a pathogen in summer season m

• Attending school

• Living in crowded condition CORRECT ANSWER

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47- 18. Marie with acute lymphocytic leukemia suffers from nausea and headache. These clinical

manifestations may indicate all of the following except

• effects of radiation

• chemotherapy side effects

• meningeal irritation

• gastric distension

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48- Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure

recognizes an adequate amount of high-biologic-value protein when the food the client selected

from the menu was:

• Raw carrots

• Apple juice

• Whole wheat bread

• Cottage cheese

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49-A premenopausal woman with a small body frame is at high risk for a condition in which bone

reabsorption exceeds the rate of bone formation. She drinks one-three cups of coffe per day since

she was 25 years old and smokes five-ten cigarettes per day for the past 20 years. The nurse advises

the patient to increase her dietary intake of milk and green leafy vegetables. Which additional

foods are most appropriate to recommend?

• Egg Yolk, cheese

• Peanuts, poultry

• Whole grains, cerals

• lentils and black beans

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53)Nurse is assessing a patient who is scheduled for a total hip arthroplasty in one week (see lab

resorts)

Test Result Normal values

WBC 12.0 4-10.5×109 /L

Platelets 132 130-400×109 /L

HCT 0.40 0.40-0.50

Hb 139 120-140 g/L

Glucose 5.3 3.5-6.5 mmol/L

What must nurse assess for the patient?

A. conjunctiva

B. muscle strength

C. Femoral pulses.

D.Axilla

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54 The nurse calls together an interdisciplinary team with members from medicine, social service,

the

clergy, and nutritional services to care for a patient with a terminal illness. Which of the following

types of care would the team MOST likely be providing?

a- Palliative

b- Curative

c- Respite

d- Preventive

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55 Prior to administering an enema, the nurse will assist the patient to assume what position

a) Prone with pillow under knees

b) Left-side with right knee flexed

c) Right-sidewithleftkneeflexed

d) On back with head of bed flat

56) Child is admitted with temperature of 38.5 C (101.3 F), loss of appetite and vomiting The nurse

observes several joints are red, swollen, warm and tender to touch. A non pruritic rash is on the

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child’s trunk. Laboratory test results include an elevate erythrocyte sedimentation rate (ESR), a

positive c- reactive protein, and an elevated white blood cell count (WBC). The nurse should

initiate the plan of care for:

a. Congestive heart failure

b. b. Meningitis

c. Rotovirus

d. Acute rheumatic fever correct answer

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57).

45-year-old patient is in a lower body cast following a motor vehicle accident. In order to minimize

muscle strength loss while in the cast, the nurse will instruct the patient in the performance of:

a. Isometric exercises

b. Passive range of motion exercises

c. Active-assistive range of motion exercises

d. Resistive range of motion exercises

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58 A patient who has a diagnosis of multiple sclerosis speaks slowly with long pauses between

syllables.The patient is MOST likely in what stage of multiple sclerosis?

Prodromal

Early

Middle

Late

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59) A 70 year-old quadriplegic man has ulceration on the left buttocks with full thickness skin loss.

Although several interventions have been used to promote healing. the ulcer does not improve (see

image).Which dietary insufficiency is most likely?

Vitamin D

Calcium

Protein correct answer

Vitamin c

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60)A patient who sustained extensive abdominal injuries in a motor vehicle accident has developed

a large stage II pressure ulcer on the coccyx. A new diagnosis of alteration in skin integrity is added

to the care plan.What is the BEST short-term goal for the patient?

A.Show evidence of healing within one week

B.Have no discomfort from the pressure ulcer

C.Eat at least 50% of each meal

D.Verbalize strategies to prevent further skin breakdown correct answer

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61) A nurse is caring for a postoperative patient who is on subcutaneous, low dose heparin. This

medication is used to prevent:

A.Deep vein thrombosis

B.Congestive heart failure

C.Paralytic Ileus

D.Pneumonia

62)when administering an antibiotic or a vaccine , the nurse must be alert for the possibility of :-

A.overdoses and CNS depression

B.sings of increasing infection

C.hypersensitivity and possible anaphylaxis

D. orthostatic hypotension

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63 Following an open-cholecystectomy, the nurse would instruct the patient to expect to resume

normal activities in:

• 1 to 2 weeks

• 2 to 3 weeks

• 4 to 6 weeks CORRECT ANSWER

• 6 to 8 weeks

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Position maintained post vitrectomy Correct answer– PRONE

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Pulse pressure is defined as which of the following:

• 1.Difference between systolic and diastolic pressure.

• 2.Difference between arterial and venous pressure.

• 3.Expansion of the artery as blood moves through it.

• 4.Difference between venous and systolic pressure

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Question 2 : what is the most probable type of arrhythmia in the following ECG (lead II )

A-Atrial Fibrilation

B- Atrial Flutter

C-Ventricular fibrillation

D-Supra-ventricular fibrillation

Correct Answer : A-Atrial Fibrilation الرجفان الاذینب

لكي تفھم اجابة السؤال لابد ان ینطبع في ذھنك النمط الطبیعي لتخطیط القلب لذلك انظر الى الصورة التالیة التي توضح النمط

الطبیعي

Normal Sinus Rhythm (NSR) (Image)

والان كیف نمیز الرجفان الاذیني

Atrial fibrillation is rapid and irregular beating of the atria

Atrial fibrillation is the most common serious abnormal heart rhythm

ماھي الخصائص الممیزة للرجفان الاذیني

1-absence عدم وجود of P waves

2-irregular R–R intervals

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