View
223
Download
0
Category
Preview:
Citation preview
8/2/2019 Aha Exam 2 Revised
1/33
Tacara Berrain
Submitted 4/22/12 5:02 PM
Name Nur 223 Adv HA Exam 2 Apr 10, 2012
Status CompletedScore 92 out of 100 points
Instructions
Question 1
2 out of 2 points
When assessing an IV site, which of the following indicacte abnormal findings?
Answer
Selected Answers:swelling
redness
cool skin
Correct Answers:swelling
redness
cool skin
Question 2
0 out of 2 points
Select all of the following that are functions of the integumentary system.
Answer
Selected Answers:
8/2/2019 Aha Exam 2 Revised
2/33
functions to sense tempereature, pain, and touch
helps to regulate temperature of the body
vitamin D production
Correct Answers:
functions to sense tempereature, pain, and touch
helps to regulate temperature of the body
vitamin D production
protection against trauma and infection
protects from loss of water and electrolytes
Question 3
0 out of 2 points
A full thickness pressure ulcer that goes throw to bone is classified as a stage______ wound.
Answer
Selected Answer:
IV
Correct Answer:I
Question 4
2 out of 2 points
8/2/2019 Aha Exam 2 Revised
3/33
Match the description with the term.
Answer
Question Correct Match Selected Match
skin that has tenting D.
dehydration
D.
dehydration
skin that has itching, wheals A.allergic reaction
A.allergic reaction
skin that is red, swollen, tender, and warm C.
inflamed
C.
inflamed
skin that has itching B.
pruritus
B.
pruritus
Question 5
2 out of 2 points
Match the description to the appropriate definition.
Answer
Question Correct Match Selected Match
skin wound that is draining
serous fluid
B.
clear yellow
B.
clear yellow
skin wound that is drainagesanguinous fluid
A.bloody
A.bloody
skin wound that is draining
sero-sanguineous fluid
D.
blood mixed with
yellow, clear exudate
D.
blood mixed with
yellow, clear exudate
skin wound that is drainingpurulent exudate
C.infected
C.infected
Question 6
2 out of 2 points
Select all of the following that place the patient at risk for developing impaired
skin integrity.
Answer
Selected Answers:tanning in the sun between the hours of 11am and 3pm
8/2/2019 Aha Exam 2 Revised
4/33
patient immobilized due to a hipfracture
decreased albumin and protein levels in the blood
frequent or constant exposure to moisture
Correct Answers:tanning in the sun between the hours of 11am and 3pm
patient immobilized due to a hipfracture
decreased albumin and protein levels in the blood
frequent or constant exposure to moisture
Question 7
2 out of 2 points
Match the associated lesion with the name or treatment.Answer
Question Correct Match Selected Match
C.
caused by herpes
virus
C.
caused by herpes
virus
D.ringworm treat with
griseofulvin-monitorliver enzymes
D.ringworm treat with
griseofulvin-monitorliver enzymes
8/2/2019 Aha Exam 2 Revised
5/33
A.
immunocompromised
patients, treat withnystatin swish and
swallow
A.
immunocompromise
patients, treat withnystatin swish and
swallow
B.
after a course of
antibiotics
B.
after a course of
antibiotics
Question 8
2 out of 2 points
Your patient has an open lesion on his left ear.
Select all of the following that would support a nursing diagnosis of "Impaired skinintegrity" related to ineffective tissue perfusion.
Answer
Selected Answers:patient has been lying on left side for 4 hours without turning
patient has HR 56
patient has BP 90/50
Correct Answers:
patient has been lying on left side for 4 hours without turning
patient has HR 56
patient has BP 90/50
Question 9
2 out of 2 points
8/2/2019 Aha Exam 2 Revised
6/33
Select all of the following that are abnormal findings in the skin.
Answer
Selected Answers:jaundiced
cyanotic
pale
Correct Answers:jaundiced
cyanotic
pale
Question 10
2 out of 2 points
Match the intervention with the rationale for a client with impaired skin integrity.Answer
Question Correct Match Selected Match
reposition every
90 minutes to 2
hours
A.
removes pressure and allows
normal blood return response
A.
removes pressure and allows
normal blood return response
keep skin dryand clean, avoid
rubbingreddened areas
D.moisture softens the skin ;
rubbing in an area ofnonblanching erythema(doesn't turn white when you
push in on it) will cause
further tissue damage
D.moisture softens the skin ;
rubbing in an area ofnonblanching erythema(doesn't turn white when you
push in on it) will cause
further tissue damage
elevate head ofthe bed no more
C.the higher the head of the
C.the higher the head of the
8/2/2019 Aha Exam 2 Revised
7/33
than 30 degrees bed, the more likely shearing
forces will be present making
the wound worse
bed, the more likely shearing
forces will be present making
the wound worse
use a moisture
barrier ointmentover the wound
at least 3 times a
day
B.
will provide moisture to thewound which encourages
healing; will prevent the
sheets from rubbing on thearea thus decreasing friction
B.
will provide moisture to thewound which encourages
healing; will prevent the
sheets from rubbing on thearea thus decreasing friction
Question 11
2 out of 2 points
Select all of the following that are true with findings in assessing the skin.
AnswerSelectedAnswers: white patches on a person of genetic African descent are known as
vitiligo
jaundice, yellowing, is associated with liver or bile disease or
hemolytic (breaking apart of red blood cells) anemia whichmanifests as increased bilirubin levels
CorrectAnswers:
white patches on a person of genetic African descent are known as
vitiligo
jaundice, yellowing, is associated with liver or bile disease or
hemolytic (breaking apart of red blood cells) anemia which
manifests as increased bilirubin levels
Question 12
2 out of 2 points
A patient has an open lesion on the heal. Select all of the following that supports a
nursing diagnosis of "Impaired skin integrity related to impaired nutrition."Answer
8/2/2019 Aha Exam 2 Revised
8/33
Selected Answers:
albumin level of 1.5
patient is underweight and malnourished
Correct Answers:
albumin level of 1.5
patient is underweight and malnourished
Question 13
2 out of 2 points
Select all the following that are correct related to interventions/risk factors to
prevent pressure ulcers.
Answer
Selected
Answers: for a client with decreased mobility and poor nutrition -provide
adequate nutritional and fluid intake; consult a dietitian for nutritionalevaluation
to avoid friction and sheer, use a drawsheet and lift off surface;position at a 30 degree lateral turn; provide a trapeze to facilitate
movement
for a person with decreased sensory perception - assess pressure
points for signs of nonblanching reactive hyperemia (doesn't turnwhite, then red when released) and provide a pressure resdistribution
surface
for a person that is moist frequently - cleanse area and provide a
moisture barrier to the skin especially after incontinent episodes
Correct
Answers:
for a client with decreased mobility and poor nutrition -provide
8/2/2019 Aha Exam 2 Revised
9/33
adequate nutritional and fluid intake; consult a dietitian for nutritional
evaluation
to avoid friction and sheer, use a drawsheet and lift off surface;
position at a 30 degree lateral turn; provide a trapeze to facilitatemovement
for a person with decreased sensory perception - assess pressurepoints for signs of nonblanching reactive hyperemia (doesn't turn
white, then red when released) and provide a pressure resdistribution
surface
for a person that is moist frequently - cleanse area and provide a
moisture barrier to the skin especially after incontinent episodes
Question 14
2 out of 2 points
To assess skin turgor in the elderly, pull the skinAnswer
Selected Answer:
on the chest
Correct Answer:
on the chest
Question 15
2 out of 2 points
Which of the following is a Stage II pressure ulcer?
Answer
Selected Answer:
8/2/2019 Aha Exam 2 Revised
10/33
Correct Answer:
Question 16
2 out of 2 points
Select all of the following that are functions of the skin.Answer
Selected Answers:
sensory organ for touch
sensory organ for temperature
regulator of body temperature
Correct Answers:
sensory organ for touch
sensory organ for temperature
regulator of body temperature
Question 17
2 out of 2 points
Select all of the following that would support a nursing diagnosis of "Impaired skin
integrity related to infection".
Answer
Selected Answers:edges of wound red and warm, not approximated
8/2/2019 Aha Exam 2 Revised
11/33
yellow, foul-smelling drainage from the wound
presence of wound or a break in skin integrity
Correct Answers:
edges of wound red and warm, not approximated
yellow, foul-smelling drainage from the wound
presence of wound or a break in skin integrity
Question 18
2 out of 2 points
Cool, clammy skin occurs when surface blood vessels constrict shunting blood tointerior organs.
Answer
Selected Answer: True
Correct Answer: True
Question 19
2 out of 2 points
Match the skin condition with the associated term.Answer
Question Correct Match Selected Match
yellowish tent
to sclera and
skin
F.
liver or bile problem,
increased bilirubin, hemolyticanemia ( red blood cells split
apart and liver is unable to
process them quickly)
F.
liver or bile problem,
increased bilirubin, hemolyticanemia ( red blood cells split
apart and liver is unable to
process them quickly)
pale skin,nailbeds and
conjunctiva
C.anemia and decreased red
blood cells
C.anemia and decreased red
blood cells
8/2/2019 Aha Exam 2 Revised
12/33
bluish tent to
skin
A.
problem with oxygenation
A.
problem with oxygenation
skin that is
"red as a beet"
B.
flushed skin with blood flow
and dilated vessels
B.
flushed skin with blood flow
and dilated vesselsskin that is
cold and
clammy
E.
skin with blood vessels
constricted and blood is
shunted to the inner organs
E.
skin with blood vessels
constricted and blood is
shunted to the inner organs
skin that is
black, necrotic
D.
dead skin that needs to be
debrided
D.
dead skin that needs to be
debrided
Question 20
2 out of 2 points
Match the description of the lesion with the description or treatment.Answer
QuestionCorrect
Match
Selected
Match
rounded area with intense itching caused by fungus,
commonly known as ringworm, treated withantifungal such as lotrimin or nystatin
B.
tinea
B.
tinea
painful recurring blusters caused by a virus with
shortening of symptoms treated by Acyclovir
D.
herpes
D.
herpes
linear, itching lesions caused by a mite - treat with
Kwell or lindane - contact isolation, wash clothing,bedding in hot water,
F.
scabies
F.
scabies
honey colored lesions caused by strep skin infection,
treat with antibiotic
C.
impetigo
C.
impetigo
head or body infestation caused by organisms that
leaves eggs known as nits - treat with Kwell, Rid, or
lindane and wash all clothes and bedding in hotwater- place in contact isolation
G.
lice
G.
lice
inflammation of skin caused by contqact with
material that one is allergic to- treat by excising orwith chemotherapeutic drugs
E.
contactdermatitis
E.
contactdermatitis
dark, irregular, elevated lesion with assymetric A. A.
8/2/2019 Aha Exam 2 Revised
13/33
borders and variegated colors melanoma melanoma
Question 21
2 out of 2 points
Hemolytic anemia occurs when red blood cells lyse ( break apart) and liver cannot
process them quickly. Hemoglobin and other pigments are deposited in the skin
and the broken apart RBCs clump together in trying to get through the bloodvssels. Select all of the following that would be seen in a client with hemolytic
anemia.
Answer
Selected Answers:pain from clumping of the cells in the blood vessels
jaundice from deposition of bilirubin
Correct Answers:pain from clumping of the cells in the blood vessels
jaundice from deposition of bilirubin
Question 22
2 out of 2 points
A cardiac catherization is a procedure in which the catheter is inserted into theheart to obtain information about what is happening in the heart. Which of the
following should the nurse assess after the procedure?
Answer
SelectedAnswer:
assess the site for possible bleeding and check distal pulses to
assure blood flow to extremities
Correct
Answer:
assess the site for possible bleeding and check distal pulses toassure blood flow to extremities
Question 23
8/2/2019 Aha Exam 2 Revised
14/33
2 out of 2 points
Select all of the following that are functions of bloodlAnswer
SelectedAnswers: helps regulate fluid/electrolyte and acid-base balance
transport metabolic wastes products from cells to lungs, liver,
and kidneys
transport nutrients from GI tract to cells
transport oxygen from lungs to cells
regulate body temperature
protects by combating invasion of pathogens and other foreign
substances
Correct
Answers:
helps regulate fluid/electrolyte and acid-base balance
transport metabolic wastes products from cells to lungs, liver,and kidneys
transport nutrients from GI tract to cells
transport oxygen from lungs to cells
regulate body temperature
protects by combating invasion of pathogens and other foreignsubstances
8/2/2019 Aha Exam 2 Revised
15/33
Question 24
2 out of 2 points
Match the lymph nodes with the appropriate area for assessing them.
Answer
Question Correct Match Selected Match
under the chin A.submental
A.submental
under the jaw E.
submandibular
E.
submandibular
infection in front of the ear B.
preauricular
B.
preauricular
infection in the back of the head C.occipital
C.occipital
infection in the lower arm D.
epitrochlear
D.
epitrochlear
infection in the breast F.
axillary
F.
axillary
Question 25
2 out of 2 points
Select all of the following that are clinical manifestations of anemia.Answer
Selected Answers:
fatigue
pallor
palpitations, dyspnea
Correct Answers:
fatigue
8/2/2019 Aha Exam 2 Revised
16/33
pallor
palpitations, dyspnea
Question 26
2 out of 2 points
Fatigue is a subjective complaint with both acute and chronic illnesses. Select all
of the following that would be contributing factors in a nursing diagnosis offatigue.
AnswerSelected Answers:
sleep deprivation
stress
medication side effects
hemoglobin of 9 hematocrit of 30
Correct Answers:
sleep deprivation
stress
medication side effects
hemoglobin of 9 hematocrit of 30
Question 27
8/2/2019 Aha Exam 2 Revised
17/33
0 out of 2 points
Select all of the following that the nurse would find in a patient with occlusivevenous disease in the leg.
Answer
Selected Answers:
cold extremity
brown, pigmented skin from deposits of hemoglobin in theskin
Correct Answers:warm extremity
brown, pigmented skin from deposits of hemoglobin in the
skin
Question 28
2 out of 2 points
Select all of the following that are clinical manifestations/descriptions of sickle cellanemia.Answer
Selected
Answers: genetic disease
sickling of cells causes clumping that blocks flow in the blood
vessels resulting in pain
illness and dehydration precipitates sickle cell crises
keep hydrated and treat pain
Correct
8/2/2019 Aha Exam 2 Revised
18/33
Answers: genetic disease
sickling of cells causes clumping that blocks flow in the blood
vessels resulting in pain
illness and dehydration precipitates sickle cell crises
keep hydrated and treat pain
Question 29
2 out of 2 points
Select all of the following that are involved in blood clotting.
Answer
Selected Answers:
platelet aggregation
clotting factors such as prothrombin and thrombin
Correct Answers:
platelet aggregation
clotting factors such as prothrombin and thrombin
Question 30
2 out of 2 points
Select all of the following that are found in the normal physical assessment of the
cardiovascular system.Answer
Selected
Answers: + S1, S2 heart sounds
8/2/2019 Aha Exam 2 Revised
19/33
PMI (point of maximal intensity) is palpable in 4th intercostal
space, midclavicular line
absence of murmurs
no pedal edema
Correct
Answers:
+ S1, S2 heart sounds
PMI (point of maximal intensity) is palpable in 4th intercostal
space, midclavicular line
absence of murmurs
no pedal edema
Question 31
2 out of 2 points
Select all of the following that would be found in an arterial occlusive disorder in
the legs. Think of what happens when an artery is blocked and blood can't getthrough.
Answer
Selected Answers:hairless area
decreased pulses
cold extremity distal to the occlusion
Correct Answers:
8/2/2019 Aha Exam 2 Revised
20/33
hairless area
decreased pulses
cold extremity distal to the occlusion
Question 32
2 out of 2 points
When cells are injured, they release enzymes and biomarkers useful in thediagnosis of cardiac disease. Select all of the following that are correct related to
blood studies done to diagnose cardiac disease.Answer
SelectedAnswers: b-type natriuretic peptide (BNP) is levated in congested heart
failure
elevated homocysteine levels are used to predict risk of an
increased risk of a first cardiac event
elevated troponin and CK-MB (creatine kinase cardiac band) inheart attack
serum lipids - triglycerides, LDLs, cholesterol are elevated incoronary artery disease
c-reactive protein is elevated and is used to predict risk for
developing coronary artery disease
Correct
Answers:
b-type natriuretic peptide (BNP) is levated in congested heart
failure
elevated homocysteine levels are used to predict risk of an
8/2/2019 Aha Exam 2 Revised
21/33
increased risk of a first cardiac event
elevated troponin and CK-MB (creatine kinase cardiac band) in
heart attack
serum lipids - triglycerides, LDLs, cholesterol are elevated in
coronary artery disease
c-reactive protein is elevated and is used to predict risk for
developing coronary artery disease
Question 33
2 out of 2 points
Select all of the following associated with Coronary Artery Disease.Answer
Selected Answers:
increased cholesterol levels
high fat diet
atherosclerotic plaques in coronary (heart) blood vessels
Correct Answers:
increased cholesterol levels
high fat diet
atherosclerotic plaques in coronary (heart) blood vessels
Question 34
2 out of 2 points
8/2/2019 Aha Exam 2 Revised
22/33
Aplastic anemia is a disease in which the patient has peripheral blood
pancytopenial (decrease of al blood cell types due to problems with production inthe bone marrow.) Select all of the following that are clinical manifestations of
aplastic anemia.
Answer
Selected Answers:infection related to decreased WBCs
low hemoglobin related to decreased RBC production
bruising, easy bleeding related to decreased platelets
Correct Answers:infection related to decreased WBCs
low hemoglobin related to decreased RBC production
bruising, easy bleeding related to decreased platelets
Question 35
2 out of 2 points
Match the cardiac diagnostic test with the description.Answer
Question Correct Match Selected Match
exercise stress test B.
used to evaluate the effect
of exercise on the heart
B.
used to evaluate the effect
of exercise on the heartechocardiogram C.
used to evaluation valve
function, and ejection
fraction ( how much bloodejected with each beat) of
the heart
C.used to evaluation valve
function, and ejection
fraction ( how much bloodejected with each beat) of
the heart
8/2/2019 Aha Exam 2 Revised
23/33
MUGA test -
multigated
acquisition scan
A.
radioactive dye study used
to evaluate heart functionand valve function
A.
radioactive dye study used
to evaluate heart functionand valve function
angiography D.injected IV contrast
medium to obtain images ofblood vessels and diagnose
coronary artery disease
D.injected IV contrast
medium to obtain images ofblood vessels and diagnose
coronary artery disease
Question 36
0 out of 2 points
Select all that are true related to iron deficiency anemia.Answer
Selected
Answers: results from deficiency in diet or extensive bleeding
give liquid undiluted iron with a straw to avoid staining teeth
glossitis (inflammation of the tongue) and chelitis (inflammation
of the lips)
pallor
Correct
Answers:
results from deficiency in diet or extensive bleeding
give liquid undiluted iron with a straw to avoid staining teeth
give oral supplements of iron with a vitamin C source
glossitis (inflammation of the tongue) and chelitis (inflammation
of the lips)
8/2/2019 Aha Exam 2 Revised
24/33
pallor
Question 37
2 out of 2 points
Select the following that are acceptable outcomes for a client with a nursing
diagnosis Risk for Aspiration. (Outcomes, not interventions)
Answer
Selected Answers:breath sounds are clear
Correct Answers:breath sounds are clear
Question 38
2 out of 2 points
In assessing the cardiac system, which of the following would indicate a problem ?Answer
SelectedAnswers: patient's heart rate is 120
patient is unable to perform activities of daily living because of
fatigue
patient's hands and feet are cold from lack of circulation
pt complains of chest pain that radiates to the jaw and left arm
patient has BP of 90/50
patient has leg and ankle edema
8/2/2019 Aha Exam 2 Revised
25/33
Correct Answers:
patient's heart rate is 120
patient is unable to perform activities of daily living because offatigue
patient's hands and feet are cold from lack of circulation
pt complains of chest pain that radiates to the jaw and left arm
patient has BP of 90/50
patient has leg and ankle edema
Question 39
2 out of 2 points
In assessing the respiratory system, which of the following would indicate that the
person has a problem in the respiratory system?Answer
Selected
Answers: oxygen saturation of 86%
coughing up green secretions
abnormal breath sounds
can't speak more than 3 or 4 words without having to take a
breath in
Correct Answers:
oxygen saturation of 86%
8/2/2019 Aha Exam 2 Revised
26/33
coughing up green secretions
abnormal breath sounds
can't speak more than 3 or 4 words without having to take a
breath in
Question 40
2 out of 2 points
Select all that are appropriate outcomes for a client with nursing diagnosis ofInfection.
Answer
Selected Answers:
clear yellow urine
WBC 5-10,000
T < 99 F
Correct Answers:
clear yellow urine
WBC 5-10,000
T < 99 F
Question 41
2 out of 2 points
8/2/2019 Aha Exam 2 Revised
27/33
A 38 year old female refuses to look at her dressing after having a mastectomy for
breast cancer. She refuses to discuss the procedure and will not go out of the house.
She wears blouses that are three sizes too big. Select the appropriate nursingdiagnosis.
Answer
Selected Answer:Disturbed body image
Correct Answer:
Disturbed body image
Question 42
2 out of 2 points
Outcomes are expectations to be generated from the care given. Another term that
can be used is goals. Outcomes are the exact opposite of the assessment findingindicating the need for care. Select all of the following that would be accepted
goals for a client with a nursing diagnosis: Activity intolerance related to
generalized weakness.
Answer
Selected
Answers: abiltity to perform activities of daily living without exertional
dyspnea and significant change in vital signs; chest pain, diaphoresis,
or dizziness
verbalization of feeling less fatigued
hemoglobin/hematocrit 12/39
Correct
Answers:
abiltity to perform activities of daily living without exertionaldyspnea and significant change in vital signs; chest pain, diaphoresis,
or dizziness
verbalization of feeling less fatigued
hemoglobin/hematocrit 12/39
8/2/2019 Aha Exam 2 Revised
28/33
Question 43
2 out of 2 points
In assessing diagnostic labs and procedures, which of the following would indicate
a problem in the problem that the nurse would include on a problem list.Answer
Selected Answers:
glucose 50
hemoglobin 8
chest x-ray showing infiltrates in the lungs
electrocardiogram (EKG) showing a HR of 125
Correct Answers:glucose 50
hemoglobin 8
chest x-ray showing infiltrates in the lungs
electrocardiogram (EKG) showing a HR of 125
Question 44
2 out of 2 points
In assessing the Gastrointestinal system, which of the following would indicate a
problem?Answer
Selected Answers:
constipation
8/2/2019 Aha Exam 2 Revised
29/33
pain in the right upper quadrant
blood in the stools
diarrhea
vomiting blood
abdominal distention
Correct Answers:
constipation
pain in the right upper quadrant
blood in the stools
diarrhea
vomiting blood
abdominal distention
Question 45
2 out of 2 points
Ineffective tissue perfusion results from a decrease in oxygen due to lack of
perfusion (decreased blood flow) resulting in failure to nourish the tissues at thecapillary level. Select all of the following that are desired outcomes for a client
with Ineffective tissue perfusion (outcomes, not interventions)
Answer
Selected Answers:
8/2/2019 Aha Exam 2 Revised
30/33
BP within normal range
urine output > 30 ml/hr
capillary refil < 3 seconds
extremities warm with absence of pallor and cyanosis
Correct Answers:BP within normal range
urine output > 30 ml/hr
capillary refil < 3 seconds
extremities warm with absence of pallor and cyanosis
Question 46
2 out of 2 points
A patient was admitted after going on a drinking binge. He has a history of
dysphagia (difficulty swallowing), and a depressed gag reflex.Answer
Selected Answer:
Risk for aspiration
Correct Answer:
Risk for aspiration
Question 47
2 out of 2 points
Patient has BP 90/50, dry oral mucous membranes, has lost 3 pounds in 2 days; hasnot been able to keep anything down, has capillary refil > 3 seconds. Select the
8/2/2019 Aha Exam 2 Revised
31/33
appropriate nursing diagnosis.
Answer
Selected Answer:Fluid volume deficit
Correct Answer:Fluid volume deficit
Question 48
2 out of 2 points
In assessing the immune system, which of the following would indicate that the
person has an infection?Answer
Selected
Answers: cloudy urine
redness, pain, and yellow drainage from a wound
swollen, tender lymph nodes
increased erythrocyte sedimentation rate (ESR) - taking a longer
period of time for red blood cells to settle down in a test tube
WBCs in the urine
temperature of 101 F
Correct
Answers:
cloudy urine
redness, pain, and yellow drainage from a wound
swollen, tender lymph nodes
8/2/2019 Aha Exam 2 Revised
32/33
increased erythrocyte sedimentation rate (ESR) - taking a longer
period of time for red blood cells to settle down in a test tube
WBCs in the urine
temperature of 101 F
Question 49
2 out of 2 points
Patient complains of fatigue; is unable to put clothes on without stopping for rest;
heart rate increases with activity. Select the approprite nursing diagnosis.Answer
Selected Answer:Activity intolerance
Correct Answer:
Activity intolerance
Question 50
2 out of 2 points
Which of the following are anticipated outcomes for a nursing diagnosis of
Impaired Gas exchange? (outcomes, not interventons)Answer
Selected Answers:
pulse oximetery > 94%
RR 12-20
patient is alert and oriented x 3
apply oxygen to maintain pulse ox > 94%
Correct Answers:
8/2/2019 Aha Exam 2 Revised
33/33
pulse oximetery > 94%
RR 12-20
patient is alert and oriented x 3
apply oxygen to maintain pulse ox > 94%
Sunday, April 22, 2012 5:02:22 PM EDT
Recommended