NUR102A Exam 2 Review: Ch. 41, 38, 39, & 41

A nurse is caring for a patient being treated for sleep apnea. Which types of ventilator support should the nurse be prepared to administer for this patient? (Select all that apply.)

• Assist-control (AC)

• Pressure support ventilation (PSV)

• Bilevel positive airway pressure (BiPAP)

• Continuous positive airway pressure (CPAP)

• Synchronized intermittent mandatory ventilation (SIMV)

Which nursing intervention is most effective in preventing hospital-acquired pneumonia in an older-adult patient?

• Discontinue the humidification delivery device to keep excess fluid from lungs.

• Monitor oxygen saturation, and frequently auscultate lung bases.

• Assist the patient to cough, turn, and deep breathe every 2 hours.

• Decrease fluid intake to 300 mL a shift.

The nurse is creating a plan of care for an obese patient who is experiencing fatigue related to ineffective breathing. Which intervention best addresses a short-term goal the patient could achieve?

• Sleeping on two to three pillows at night

• Sensibly reducing daily calorie intake

• Running 30 minutes every morning

• Stopping smoking immediately

The nurse determines that an older-adult patient is at risk for infection due to decreased immunity. Which plan of care best addresses the prevention of infection for the patient?

• Inform the patient of the importance of finishing the entire dose of antibiotics.

• Encourage the patient to stay up-to-date on all vaccinations.

• Schedule patient to get annual tuberculosis skin testing.

• Create an exercise routine to run 45 minutes every day.

A nurse is caring for a patient diagnosed with chronic obstructive pulmonary disease (COPD) who is receiving 2 L/min of oxygen. Which oxygen delivery device is most appropriate for the nurse to administer the oxygen?

• Nasal cannula

• Simple face mask

• Non-rebreather mask

• Partial non-rebreather mask

A nurse notices that a patient has a structural curvature of the spine associated with vertebral rotation. Which condition will the nurse most likely find documented in the patient’s medical record?

• Scoliosis

• Arthritis

• Osteomalacia

• Osteogenesis

A nurse is caring for a patient who is experiencing some symptoms related to arthritis. The nurse is teaching the patient about this process. Which information will the nurse include in the teaching session?

• This will affect synovial fluid.

• This will affect the body systemically.

• This involves mostly non–weight-bearing joints.

• This involves an increased risk for impaired weight bearing.

A nurse is following the no-lift policy when working to prevent personal injury from twisting. Which type of personal back injury is the nurse most likely trying to prevent?

• Thoracic

• Cervical

• Lumbar

• Sacral

The patient is brought to the emergency department with possible injury to the left shoulder. Which area will the nurse assess to best determine joint mobility?

• The patient’s gait

• The patient’s range of motion

• The patient’s ethnic influences

• The patient’s fine-motor coordination

A nurse is working in a facility that uses no-lift policies. Which benefits will the nurse observe in the facility? (Select all that apply.)

• Reduced number of work-related injuries

• Increased musculoskeletal accidents

• Reduced safety of patients

• Improved health of nurses

• Increased indirect costs