Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide 72. In a patient that has Parkinson’s disease, a priority nursing diagnosis would be impaired physical mobility related to tremors and bradykinesia. Which of the following would be an appropriate intervention to assist with safe ambulation? a. Have the patient slide his feet forward with each step and keep feet in contact with the floor b. Have the patient take small steps in a straight line in front of his feet c. Allow the patient to ambulate with assistance only d. Teach the patient to rock side to side to help start the legs moving 73. A woman with multiple sclerosis is suffering from a weak cough and dysphagia. Which nursing intervention would be appropriate to prevent respiratory complications? a. Administer supplemental oxygen when the patient needs to cough and clear the lungs b. Sit the patient up straight with the head flexed forward to the sternumwhen eating c. Allow the patient to talk about her anxiety to help her breathebetter d. Encourage her to take large doses of vitamins and explain how they help respiratory efforts 74. You just recently admitted a patient to the floor with suspected Legionnaire’s disease. He has a fever of 103.5 ◦ F, cough, chest pain, dyspnea, and diarrhea. The admitting doctor has ordered Erythromycin 1 Gram IVPB every six hours, O2 at 21LPM/NC, Tylenol GRXX PO every four hours PRN for fever, Robitussin AC 5 ml every 6 hours PRN for cough, and blood cultures X3. What would be a priority nursing action? a. Administration of Robitussin for cough b. Initiation of oxygen c. Administration of the antibiotic d. Ensuring blood cultures have been drawn and sent to the lab 75. While you are working in an urgent care clinic, a patient is getting ready to go home. He saw the physician for a sprained ankle, and fracture has been ruled out on x-ray. In giving the patient discharge instructions, you teach your patient to do which of the following for at least24-hours? a. Rest the affected foot b. Apply a heating pad c. Elevate the foot on a pillow while lying down d. Apply an ace wrap 76. What is the major complication of untreated increased ICP (intracranial pressure)? a. Blindness b. Hypertension c. Brain herniation d. Renal failure

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