Nursing Process Quizlet Questions

Nursing Process Quizlet Questions Related

Review Nursing Process Quizlet Questions related questions and content

Mr. Kawasaki, a 23-year old industrial worker, was burned severely in an industrial accident. He has second degree burns on his right leg and arm, and on his left leg. He has third degree burns on his left arm. The triage nurse, using the rule of nines, estimates the extent of burn as:

  • A. 18%
  • B. 45%
  • C. 36%
  • D. 54%
Correct Answer: C

Rationale: The rule of nines is a method used to estimate the extent of burns on a patient's body. According to this rule, each major body part is assigned a percentage value that represents the total body surface area (TBSA). In this case, Mr. Kawasaki has second-degree burns on his right leg and arm (9% each) and left leg (9%) and third-degree burns on his left arm (9%). Adding these percentages together, we get a total of 36%, which corresponds to the extent of burn on Mr. Kawasaki's body.

Choice A (18%) is incorrect because it only considers one arm and one leg, neglecting the other affected areas. Choice B (45%) is incorrect as it overestimates the extent of burns by including additional body parts not affected. Choice D (54%) is also incorrect as it includes more body parts than those actually burned. Therefore, the correct answer is C (36%) as it accurately reflects the distribution of burns based

You may also like to solve these questions

A patient with a brain tumor is admitted to the medical unit to begin radiation treatments. Which nursing action should take priority?

  • A. Pad the patient’s side rails
  • B. Teach the patient what to expect during
  • C. Assess the patient’s pain level radiation treatments
  • D. Place the patient in isolation
Correct Answer: C

Rationale: The correct answer is C because assessing the patient's pain level is the priority when caring for a patient with a brain tumor about to begin radiation treatments. Pain management is crucial in providing comfort and ensuring the patient's well-being during treatment. Teaching the patient about what to expect and addressing any pain promptly are essential steps in delivering effective care.

Padding the side rails (choice A) is important for patient safety, but it is not the priority in this situation. Isolating the patient (choice D) is unnecessary unless there is a specific medical indication. Teaching the patient what to expect (choice B) is important but assessing and managing pain take precedence to ensure the patient's comfort and safety during treatment.

A patient has chronic respiratory acidosis related to long-standing lung disease. Which of the following problems is the cause?

  • A. Hyperventilation
  • B. Loss of acid by kidneys
  • C. Hypoventilation
  • D. Loss of base by kidneys CARING FOR CLIENTS REQUIRING INTRAVENOUS THERAPY
Correct Answer: C

Rationale: The correct answer is C: Hypoventilation. In chronic respiratory acidosis, the lungs cannot effectively eliminate carbon dioxide, leading to an accumulation of CO2 in the blood, causing acidosis. Hypoventilation results in decreased removal of CO2, exacerbating the acidosis.

A: Hyperventilation would lead to respiratory alkalosis, not acidosis.
B: Loss of acid by kidneys would result in metabolic alkalosis, not respiratory acidosis.
D: Loss of base by kidneys would lead to metabolic acidosis, not respiratory acidosis.

In summary, the main issue in chronic respiratory acidosis is inadequate elimination of CO2 due to hypoventilation, leading to acidosis.

A client with suspected lymphoma is scheduled for lymphangiography. The nurse should inform the client that this procedure may cause which harmless, temporary change?

  • A. Purplish stools
  • B. Redness of the upper part of the feet
  • C. Bluish urine
  • D. Coldness of the soles
Correct Answer: C

Rationale: The correct answer is C: Bluish urine. During lymphangiography, a contrast dye is injected into the lymphatic vessels, which can be excreted through the urine, causing it to appear bluish temporarily. This change is harmless and resolves on its own.

Incorrect Answers:
A: Purplish stools - This is not a common side effect of lymphangiography.
B: Redness of the upper part of the feet - Redness is not typically associated with this procedure.
D: Coldness of the soles - Coldness is not a known temporary change resulting from lymphangiography.

While the patient’s lower extremity, which is in a cast, is assessed, the patient tells the nurse about an inability to rest at night. The nurse disregards this information, thinking that no correlation has been noted between having a leg cast and developing restless sleep. Which action would have been best for the nurse to take?

  • A. Tell the patient to just focus on the leg and cast right now.
  • B. Document the sleep patterns and information in the patient’s chart.
  • C. Explain that a more thorough assessment will be needed next shift.
  • D. Ask the patient about usual sleep patterns and the onset of having difficulty resting.
Correct Answer: D

Rationale: The correct answer is D: Ask the patient about usual sleep patterns and the onset of having difficulty resting.
Rationale:
1. Establish rapport: Asking about usual sleep patterns shows empathy and builds rapport.
2. Holistic assessment: Understanding sleep patterns helps identify potential issues beyond the leg cast.
3. Gather information: Knowing the onset of sleep difficulty can reveal underlying causes.
4. Patient-centered care: Addressing sleep concerns aligns with patient needs.

Incorrect answers:
A: Focusing solely on the leg and cast disregards the patient's holistic well-being.
B: Documenting without addressing the patient's concern neglects the opportunity for intervention.
C: Delaying assessment till the next shift can worsen the patient's condition and delay appropriate care.

Which of the ff are the most significant symptoms of Hodgkin’s disease category B? Choose all that apply

  • A. Fever
  • B. Anemia
  • C. Night sweats
  • D. Thrombocytopenia
Correct Answer: C

Rationale: The correct answer is C: Night sweats. In Hodgkin's disease category B, the presence of night sweats signifies more advanced disease and higher tumor burden. Night sweats are a B-symptom, along with fever and weight loss, indicating systemic symptoms. Anemia (choice B) and thrombocytopenia (choice D) are not specific to Hodgkin's disease category B and can be present in various other conditions. Fever (choice A) is not exclusive to Hodgkin's disease category B and can occur in many infections and inflammatory conditions. Night sweats are specifically associated with Hodgkin's disease and are a key indicator of disease severity in this context.

Copyright © 2025 Nokea. All rights reserved.