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exam 3 review questions

Terms in this set (16)

A patient says to the nurse, "I am very nervous about my surgery tomorrow, I hope nothing goes wrong". What is the most therapeutic response by the nurse?
A."Don't worry, everything will be okay."
B."Let's discuss your questions and concerns."
C."Your doctor has operated on many other patients, he is very talented."
D."Would you like a medication to help with your anxiety?"
B
During a skin assessment, the nurse notes partial-thickness breakdown that extends into the dermis. The nurse documents this as a:
A.Deep tissue injury
B.Stage I pressure injury
C.Stage II pressure injury
D.Stage III pressure injury
C
A nurse is about to go into a patient's room and sees that they are under contact precautions. The nurse should put on (SATA):
A.Gown
B.Gloves
C.Surgical Mask
D.Goggles
E.Respirator
A,B
Which of the following is NOT part of the orientation phase of the helping relationship?
A.Nurse introduces themself to the patient
B.The nurse gathers initial data about the patient
C.The patient expresses feelings & concerns to the nurse
D.The nurse and patient establish goals for the relationship
C
Which of the following are systemic signs & symptoms of infection (SATA):
A.Redness
B.Fever
C.Swelling
D.Decreased WBC count
E.Tachycardia
F.Lethargy
B,E,F
•Gingivitis
•Inflammation of the tissue surrounding the teeth
•Periodontitis
•inflammation of the gums
•Stomatitis
•inflammation of the oral mucosa
•Glossitis
•inflammation of the tongue
•Halitosis
•offensive breath odor
A nurse is educating a patient on denture care. The nurse knows that teaching was effective when the patient states:
A."I will wear my dentures 24/7 to ensure they fit well in my mouth."
B."I will clean my dentures every other day."
C."I will wash my dentures with hot water to get rid of any bacteria."
D."I will remove and rinse my dentures after meals."
D
A nurse is taking care of a patient on bedrest for a hip fracture. Which of the following is the MOST important intervention:
A.Administering supplemental oxygen to help the patient breath
B.Encouraging the patient to drink more water
C.Turning/repositioning the patient at least every 2 hours
D.Calling the patient's family asking to visit so the patient doesn't get lonely
C
Which of the following is true about SBAR:
A.Situation & Background (S & B) provide subjective data
B.Nurses only use it when communicating with the doctor
C."R" stands for rationale and is when the nurse states what they think the problem is
D.SBAR helps prevent miscommunication
D
A nurse is helping a patient with third-degree burns choose a meal that will best promote healing. Which meal should the patient choose?
A.Roasted chicken, baked beans, & Greek yogurt
B.Steak, mashed potatoes, & fruit salad
C.Fish tacos, rice, & cauliflower
D.Pasta with tomato sauce & garlic bread
A
•Periodontitis
•inflammation of the gums
•Stomatitis
•inflammation of the oral mucosa
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