Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide

Chapter 4

Answer Rationale 1 D Medication should always be left in original containers and never be placed in unmarked containers so children will not know what they are. Never refer to medication as candy and always have the number to the poison control center close by. 2 B Applying ice packs to snake bites is not an appropriate measure. 3 C A primary survey includes a rapid assessment for life threatening injuries and needs for resuscitation if needed. 4 D Tetanus toxoid is usually one of the first medications given to burn patients shortly after admission. 5 B Cholecystitis is extremely painful and pain should be the immediate priority diagnosis. Impaired skin integrity is not an issue until the patient has had surgery. Knowledge deficit and fluid volume deficit can be addressed secondary to pain. 6 A Anti-inflammatory drugs need to be avoided in wound patients. The nurse should also promote adequate nutrition and prevent infection with daily dressing changes and antibiotic compliance. Wounds should also be assessed daily for location, size, intact 7 A Burn patients have impaired circulation so pain medications need to be given intravenously. 8 C This type of burn heals best with daily wound cleansing, debridement, and sterile dressing changes. To prevent infection, dressing changes need to be performed once or even twice daily. Autografting is done by a surgeon. Any burn dressing changes must 9 C Since heartburn and reflux are the most common symptoms of hiatal hernia, this should be the first thing the nurse checks for. Dysphagia and regurgitation are other common symptoms. 10 A Preoperative teaching actually decreases anxiety in the patient. Preoperative teaching increases compliance, decreases length of stay in the hospital, and decreases complications. 11 B The enterostomal nurse teaches the patient with an ostomy to reduce stress and physical activity during acute episodes. Patients should decrease fiber intake, use anti-diarrheals, and avoid smoking. 12 B The appropriate goals for a laceration patient are to remain free from infection, keep dressing dry and intact, and change to report in the extremity distal to the laceration. Antibiotics need to be taken until it is gone regardless if there is infect 13 C With chronic gastritis, heartburn occurs after meals and not prior to eating. Diarrhea is not a symptom of chronic gastritis, but may occur with acute gastritis due to infected foods. Chronic gastritis caused by pernicious anemia usually does not have

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