N105: Essentials of Nursing Care - Health Differences

Essentials of Nursing Study Guide

©2017 Achieve Test Prep Page 152 of 160 97. As you are straightening the room, you notice that tissues in Mr.Severno's waste basket contain purulent, greenish yellow sputum. Based on this finding, which condition is he most likely suffering from? a. A lung tumor b. Viral bronchitis c. Pulmonary edema d. A bacterial infection 98. The Kardex indicates that your patient needs to increase her fluid intake. What is her most likely diagnosis? a. Renal failure b. Renal calculi c. Pulmonary edema d. Congestive heart failure 99. Armando Castrano is an 11-month-old infant with chronicrespiratory congestion. He is to receive postural drainage every three hours. You know that the first step you must take to perform this intervention is to: a. Suction his oropharynx b. Position him on pillows on your lap c. Administer the orderedanalgesic d. Obtain assistance so the infant can be properly restrained during theprocedure 100. As part of your clinical examination, you are required to assess the anterior fontanelle on a 7-month-old infant. To perform this assessment correctly, you must place the infant in which position? a. Supine b. Semi-Fowlers c. Upright d. Cradled securely in your arms or the parent'sarms 101. Mr. Benson is a 79-year-old obese man who has been on bedrest for several days following a cholecystectomy. The doctor has ordered him to sit in the chair for at least 15 minutes T.I.D. Your first intervention to carry out this order would be to: a. Lock the wheels of the bed b. Assure that the bed is in the lowest position c. Enlist the aid of another nurse d. Assess his ability to transfer from the bed to the chairindependently