Which stage of anesthesia is termed surgical anesthesia? a) III With proper administration of the anesthetic, this stage may be maintained for hours. b) I Stage I is beginning anesthesia, as the patient breathes in the anesthetic mixture and experiences warmth, dizziness, and a feeling of detachment. c) II Stage II is the excitement stage, which may be characterized by struggling, singing, laughing, or crying. d) IV Stage IV is a stage of medullary depression and is reached when too much anesthesia has been administered.

Which stage of anesthesia is termed surgical anesthesia?
a) III
With proper administration of the anesthetic, this stage may be
maintained for hours.
b) I
Stage I is beginning anesthesia, as the patient breathes in the
anesthetic mixture and experiences warmth, dizziness, and a feeling of
detachment.
c) II
Stage II is the excitement stage, which may be characterized by
struggling, singing, laughing, or crying.
d) IV
Stage IV is a stage of medullary depression and is reached when too
much anesthesia has been administered.
by

1 Answer

Answer :

a) III
With proper administration of the anesthetic, this stage may be
maintained for hours.
by

Related questions

The preferred route of administration of medication in the most acute care situations is which of the following routes? a) Intravenous The IV route is the preferred parenteral route in most acute care situations because it is much more comfortable for the patient, and peak serum levels and pain relief occur more rapidly and reliably. b) Epidural Epidural administration is used to control postoperative and chronic pain. c) Subcutaneous Subcutaneous administration results in slow absorption of medication. d) Intramuscular Intramuscular administration of medication is absorbed more slowly than intravenously administered medication.

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Last Answer : a) Intravenous The IV route is the preferred parenteral route in most acute care situations because it is much more comfortable for the patient, and peak serum levels and pain relief occur more rapidly and reliably.

When the post-cardiac surgical patient demonstrates vasodilation, hypotension, hyporeflexia, slow gastrointestinal motility (hypoactive bowel sounds), lethargy, and respiratory depression, the nurse suspects which of the following electrolyte imbalances? a) Hypermagnesemia Untreated hypomagnesemia may result in coma, apnea, cardiac arrest.

Description : When the post-cardiac surgical patient demonstrates vasodilation, hypotension, hyporeflexia, slow gastrointestinal motility (hypoactive bowel sounds), lethargy, and respiratory depression, the nurse suspects ... and QT intervals, broad flat T waves), disorientation, depression, and hypotension.

Last Answer : a) Hypermagnesemia Untreated hypomagnesemia may result in coma, apnea, cardiac arrest.

During which stage of pressure ulcer development does the ulcer extend into the underlying structures, including the muscle and possibly the bone? a) Stage IV A stage IV pressure ulcer extends into the underlying structure, including the muscle and possibly the bone. b) Stage III A stage III ulcer extends into the subcutaneous tissue. c) Stage II A stage II ulcer exhibits a break in the skin through the epidermis or dermis. d) Stage I A stage I pressure ulcer is an area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

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Last Answer : a) Stage IV A stage IV pressure ulcer extends into the underlying structure, including the muscle and possibly the bone.

During which stage of pressure ulcer development does the ulcer extend into the subcutaneous tissue? a) Stage III Clinically, a deep crater with or without undermining of adjacent tissues is noted. b) Stage IV A stage IV pressure ulcer extends into the underlying structure, including the muscle and possibly the bone. c) Stage II A stage II ulcer exhibits a break in the skin through the epidermis or dermis. d) Stage I A stage I pressure ulcer is an area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

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Last Answer : a) Stage III Clinically, a deep crater with or without undermining of adjacent tissues is noted.

What is the major determinant in an individual patient's risk for perioperative complications? A. The surgical procedure. B. The length of the surgical procedure. C. The anesthetic technique (e.g., general, regional). D. The length of anesthesia. E. All of the above.

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Which of the following categories of medications may result in seizure activity if withdrawn suddenly? a) Tranquilizers Abrupt withdrawal of tranquilizers may result in anxiety, tension, and even seizures if withdrawn suddenly. b) Adrenal corticosteroids Abrupt withdrawal of steroids may precipitate cardiovascular collapse. c) Antidepressants Monoamine oxidase inhibitors increase the hypotensive effects of anesthetics. d) Diuretics Thiazide diuretics may cause excessive respiratory depression during anesthesia due to an associated electrolyte imbalance.

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In which stage of COPD is the forced expiratory volume (FEV1) < 30%? a) III Stage III patients demonstrate FEV1 < 30% with respiratory failure or clinical signs of right heart failure b) II Stage II patients demonstrate FEV1 between > 30% and 80% c) I Stage I is mild COPD with FEV1 < 70%. d) O Stage O is characterized by normal spirometry

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Which of the following statement(s) is/are true concerning the management of a patient with hemophilia A undergoing an elective surgical operation? a. Concentrates of factor VIII should be given several days prior to elective surgery b. The half-life of factor VIII concentrates is less than 24 hours c. A dose of 40–50 IU/kg of factor VIII concentrate should be given prior to the planned surgical procedure d. Factor VIII concentration administration should be given for the first 24 hours after surgery but may then be stopped if no abnormal bleeding has been observed e. A new recombinant preparation of factor VIII offers the advantage of being virus-free

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Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery? a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

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Last Answer : a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

Fentanyl (Sublimaze) is categorized as which type of intravenous anesthetic agent? a) Neuroleptanalgesic Fentanyl is 75-100 times more potent than morphine and has about 25% of the duration of morphine (IV). b) Tranquilizer Examples of tranquilizers include midazolam (Versed) and diazepam (Valium). c) Opioid Opioids include morphine and meperidine hydrochloride (Demerol). d) Dissociative agent Ketamine is a dissociative agent.

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Last Answer : a) Neuroleptanalgesic Fentanyl is 75-100 times more potent than morphine and has about 25% of the duration of morphine (IV).

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In which phase of the trajectory model of chronic illness are the symptoms under control and managed? a) Stable The stable phase indicates that the symptoms and disability are under control or managed. b) Acute The acute phase is characterized by sudden onset of severe or unrelieved symptoms or complications that may necessitate hospitalization for their management. c) Comeback The comeback phase is the period in the trajectory marked by recovery after an acute period. d) Downward The downward phase occurs when symptoms worsen or the disability progresses despite attempts to control the course through proper management.

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If tube feeding is continuous, the placement of the feeding tube should be checked a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located in the proper area for continuous feeding. b) every hour. Checking for placement each hour is unnecessary unless the patient is extremely restless or there is basis for rechecking the tube based on other patient activities. c) every 24 hours. Checking for placement every 24 hours does not meet the standard of care due the patient receiving continuous tube feedings. d) when a tube feeding is continuous, it is unnecessary to check placement. Even though the feedings are continuous, the placement must be assessed.

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Last Answer : a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located in the proper area for continuous feeding.

A patient with fungal encephalitis receiving amphotericin B complaints of fever, chills, and body aches. The nurse knows that these symptoms a) may be controlled by the administration of diphenhydramine (Benedryl) and acetaminophen (Tylenol) approximately 30 minutes prior to administration of the amphotericin. Administration of amphotericin B may cause fever, chills and body aches. The administration of diphenhydramine (Benedryl) and acetaminophen (Tylenol) approximately 30 minutes prior to the administration of amphotericin B may prevent these side effects.

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A steady state within the body is termed a) Homeostasis. When a change occurs that causes a body function to deviate from its stable range, processes are initiated to restore and maintain the steady state or homeostasis. b) Constancy. Constancy refers to the balanced internal state of the human body maintained by physiologic and biochemical processes. c) Adaptation. Adaptation refers to a constant, ongoing process that requires change in structure, function, or behavior so that the person is better suited to the environment. d) Stress. Stress refers to a state produced by a change in the environment that is perceived as challenging, threatening, or damaging to the person’s dynamic balance or equilibrium.

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Which of the following terms refers to the symptom of gastroesophageal reflux disease (GERD) which is characterized by a burning sensation in the esophagus? a) Pyrosis Pyrosis refers to a burning sensation in the esophagus and indicates GERD. b) Dyspepsia Indigestion is termed dyspepsia. c) Dysphagia Difficulty swallowing is termed dysphagia. d) Odynophagia Pain on swallowing is termed odynophagia.

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Irritation of the lips associated with scaling, crust formation, and fissures is termed a) leukoplakia. Leukoplakia is characterized by white patches, usually on the buccal mucosa.

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Which of the following statements reflect nursing interventions of a patient with post-polio syndrome? a) Providing care aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient. No specific medical or surgical treatment is available for this syndrome and therefore nursing plays a pivotal role in the team approach to assisting patients and families in dealing with the symptoms of progressive loss of muscle strength and significant fatigue. Nursing interventions are aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient.

Description : Which of the following statements reflect nursing interventions of a patient with post-polio syndrome? a) Providing care aimed at slowing the loss of strength and maintaining the physical, ... and cold are most appropriate because these patients tend to have strong reactions to medications.

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Regarding the surgical patient, which of the following terms refers to the period of time that constitutes the surgical experience? a) Perioperative phase Perioperative period includes the preoperative, intraoperative, and postoperative phases. b) Preoperative phase Preoperative phase is the period of time from when the decision for surgical intervention is made to when the patient is transferred to the operating room table.

Description : Regarding the surgical patient, which of the following terms refers to the period of time that constitutes the surgical experience? a) Perioperative phase Perioperative period includes the preoperative, ... care unit and ends after a follow-up evaluation in the clinical setting or home.

Last Answer : a) Perioperative phase Perioperative period includes the preoperative, intraoperative, and postoperative phases.

Which of the following terms refers to altered sensation of orientation in space? a) Dizziness Dizziness may be associated with inner ear disturbances.

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Which of the following states is characterized by a decline in intellectual functioning? a) Dementia Dementia is an acquired syndrome in which progressive deterioration in global intellectual abilities is of such severity that it interferes with the person’s customary occupational and social performance. b) Depression Depression is a mood disorder that disrupts quality of life. c) Delirium Delirium is often called acute confusional state. d) Delusion Delusion is a symptom of psychoses.

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Rejection of a transplanted kidney within 24 hours after transplant is termed a) hyperacute rejection. Hyperacute rejection may require removal of the transplanted kidney.

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Which of the following phases of psychological reaction to rape is characterized by fear and flashbacks? a) Heightening anxiety phase During the heightened anxiety phase, the patient demonstrates anxiety, hyperalertness, and psychosomatic reactions, in addition to fear and flashbacks.

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Last Answer : a) Heightening anxiety phase During the heightened anxiety phase, the patient demonstrates anxiety, hyperalertness, and psychosomatic reactions, in addition to fear and flashbacks.

Which of the following disorders is characterized by a group of symptoms produced by an excess of free circulating cortisol from the adrenal cortex? a) Cushing’s syndrome The patient with Cushing’s syndrome demonstrates truncal obesity, moon face, acne, abdominal striae, and hypertension.

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Last Answer : a) Cushing’s syndrome The patient with Cushing’s syndrome demonstrates truncal obesity, moon face, acne, abdominal striae, and hypertension.

Which type of sleep apnea is characterized by lack of airflow due to pharyngeal occlusion? a) Obstructive Obstructive sleep apnea occurs usually in men, especially those who are older and overweight. b) Simple Types of sleep apnea do not include a simple characterization. c) Mixed Mixed sleep apnea is a combination of central and obstructive apnea with one apneic episode. d) Central In central sleep apnea, the patient demonstrates simultaneous cessation of both airflow and respiratory movements.

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Last Answer : a) Obstructive Obstructive sleep apnea occurs usually in men, especially those who are older and overweight.

Which of the following “awareness contexts” is characterized by the patient, the family, and the health care professionals being aware that the patient is dying but all pretend otherwise? a) Mutual pretense awareness In mutual pretense awareness, the patient, the family and the health care professionals are aware that the patient is dying but all pretend otherwise. b) Closed awareness In closed awareness, the patient is unaware of his terminality in a context where others are aware. c) Suspected awareness In suspected awareness, the patient suspects what others know and attempts to find it out. d) Open awareness In open awareness, all are aware that the patient is dying and are able to openly acknowledge that reality.

Description : Which of the following awareness contexts is characterized by the patient, the family, and the health care professionals being aware that the patient is dying but all pretend otherwise? a) Mutual ... , all are aware that the patient is dying and are able to openly acknowledge that reality.

Last Answer : a) Mutual pretense awareness In mutual pretense awareness, the patient, the family and the health care professionals are aware that the patient is dying but all pretend otherwise.

Heparin therapy is usually considered therapeutic when the patient’s activated partial thromboplasin time (aPTT) is how many times normal? a) 1.5 to 2 The amount of heparin administered is based on aPTT results, which should be obtained in follow-up to any alteration of dosage. b) .5 to 1 The patient’s aPTT value would have to be greater than .5 to 1 times normal to be considered therapeutic. c) 2.5 to 3 An aPTT value that is 2.5 to 3 times normal would be too high to be considered therapeutic. d) .25 to .75 The patient’s aPTT value would have to be greater than .25 to .75 times normal to be considered therapeutic.

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Last Answer : a) 1.5 to 2 The amount of heparin administered is based on aPTT results, which should be obtained in follow-up to any alteration of dosage.

In which type of shock does the patient experiences a mismatch of blood flow to the cells? a) Distributive Distributive or vasogenic shock results from displacement of blood volume, creating a relative hypovolemia. b) Cardiogenic Cardiogenic shock results from the failure of a heart as a pump. c) Hypovolemic In hypovolemic shock, there is a decrease in the intravascular volume. d) Septic In septic shock, overwhelming infection results in a relative hypovolemia.

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Last Answer : a) Distributive Distributive or vasogenic shock results from displacement of blood volume, creating a relative hypovolemia.

The nurse recognizes that the patient with a duodenal ulcer will likely experience a) pain 2-3 hours after a meal. The patient with a gastric ulcer often awakens between 1-2 A.M. with pain and ingestion of food brings relief. b) vomiting. Vomiting is uncommon in the patient with duodenal ulcer. c) hemorrhage. Hemorrhage is less likely in the patient with duodenal ulcer than the patient with gastric ulcer. d) weight loss. The patient with a duodenal ulcer may experience weight gain.

Description : The nurse recognizes that the patient with a duodenal ulcer will likely experience a) pain 2-3 hours after a meal. The patient with a gastric ulcer often awakens between 1-2 A.M. with pain ... patient with gastric ulcer. d) weight loss. The patient with a duodenal ulcer may experience weight gain.

Last Answer : a) pain 2-3 hours after a meal. The patient with a gastric ulcer often awakens between 1-2 A.M. with pain and ingestion of food brings relief.

When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as a) emergency. Emergency surgery means that the patient requires immediate attention and the disorder may be life-threatening. b) urgent. Urgent surgery means that the patient requires prompt attention within 24-30 hours. c) required. Required surgery means that the patient needs to have surgery, and it should be planned within a few weeks or months. d) elective. Elective surgery means that there is an indication for surgery, but failure to have surgery will not be catastrophic.

Description : When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as a) emergency. Emergency surgery means that the patient requires immediate attention and the ... there is an indication for surgery, but failure to have surgery will not be catastrophic.

Last Answer : a) emergency. Emergency surgery means that the patient requires immediate attention and the disorder may be life-threatening.

Which of the following responsibility of the clinical pharmacist is in direct patient care area? a) Supervision of drug administration techniques. b) Providing drug information to physicians and nurses. c) Identify drugs brought into the hospital by patients. d) Reviewing of each patient’s drug administration forms periodically to ensure all doses have been administered.

Description : Which of the following responsibility of the clinical pharmacist is in direct patient care area? a) Supervision of drug administration techniques. b) Providing drug information to physicians and ... of each patient's drug administration forms periodically to ensure all doses have been administered.

Last Answer : d) Reviewing of each patient’s drug administration forms periodically to ensure all doses have been administered.

Advantages of B2C commerce are (i) Business gets a wide reach to customers (ii) Payment for services easy (iii)Shop can be open 24 hours a day seven days a week (iv)Privacy of transaction always maintained a. i and ii b. ii and iii c. i and iii d. iii and iv

Description : Advantages of B2C commerce are  (i) Business gets a wide reach to customers  (ii) Payment for services easy  (iii)Shop can be open 24 hours a day seven days a week  (iv)Privacy of transaction always maintained a. i and ii b. ii and iii c. i and iii d. iii and iv

Last Answer : c. i and iii  

During which step of cellular carcinogenesis do cellular changes exhibit increased malignant behavior? a) Progression During this third step, cells show a propensity to invade adjacent tissues and metastasize. b) Promotion During promotion, repeated exposure to promoting agents causes the expression of abnormal genetic information even after long latency periods. c) Initiation During this first step, initiators such as chemicals, physical factors, and biologic agents escape normal enzymatic mechanisms and alter the genetic structure of cellular DNA. d) Prolongation No stage of cellular carcinogenesis is termed prolongation.

Description : During which step of cellular carcinogenesis do cellular changes exhibit increased malignant behavior? a) Progression During this third step, cells show a propensity to invade adjacent tissues and ... of cellular DNA. d) Prolongation No stage of cellular carcinogenesis is termed prolongation.

Last Answer : a) Progression During this third step, cells show a propensity to invade adjacent tissues and metastasize.

The nurse teaches the patient with peripheral vascular disease to refrain from smoking because nicotine causes a) vasospasm. Nicotine causes vasospasm and can thereby dramatically reduce circulation to the extremities. b) slowed heart rate. Nicotine has stimulant effects. c) depression of the cough reflex. Nicotine does not suppress cough. Smoking irritates the bronchial tree, causing coughing. d) diuresis. Nicotine does not cause diuresis.

Description : The nurse teaches the patient with peripheral vascular disease to refrain from smoking because nicotine causes a) vasospasm. Nicotine causes vasospasm and can thereby dramatically reduce circulation to the ... the bronchial tree, causing coughing. d) diuresis. Nicotine does not cause diuresis.

Last Answer : a) vasospasm. Nicotine causes vasospasm and can thereby dramatically reduce circulation to the extremities.

Which type of chest configuration is typical of the patient with COPD? a) Barrel chest “Barrel chest” results from fixation of the ribs in the inspiratory position. b) Pigeon chest Pigeon chest results from a displaced sternum. c) Flail chest Flail chest results when the ribs are fractured. d) Funnel chest Funnel chest occurs when there is a depression in the lower portion of the sternum and is associated with Mafan’s syndrome or rickets.

Description : Which type of chest configuration is typical of the patient with COPD? a) Barrel chest Barrel chest results from fixation of the ribs in the inspiratory position. b) Pigeon chest Pigeon chest ... depression in the lower portion of the sternum and is associated with Mafan's syndrome or rickets.

Last Answer : a) Barrel chest “Barrel chest” results from fixation of the ribs in the inspiratory position.

A person suffering from carbon monoxide poisoning a) appears intoxicated. A person suffering from carbon monoxide poisoning appears intoxicated (from cerebral hypoxia). Other signs and symptoms include headache, muscular weakness, palpitation, dizziness, and mental confusion.

Description : A person suffering from carbon monoxide poisoning a) appears intoxicated. A person suffering from carbon monoxide poisoning appears intoxicated (from cerebral hypoxia). Other signs and symptoms include headache, ... pink to cherry red to cynanotic and pale and is not a reliable diagnostic sign.

Last Answer : a) appears intoxicated. A person suffering from carbon monoxide poisoning appears intoxicated (from cerebral hypoxia). Other signs and symptoms include headache, muscular weakness, palpitation, dizziness, and mental confusion.

Which of the following terms refers to surgical repair of the tympanic membrane? a) Tympanoplasty Tympanoplasty may be necessary to repair a scarred eardrum.

Description : Which of the following terms refers to surgical repair of the tympanic membrane? a) Tympanoplasty Tympanoplasty may be necessary to repair a scarred eardrum. b) Tympanotomy A tympanotomy is ... Ossiculoplasty An ossiculoplasty is a surgical reconstruction of the middle ear bones to restore hearing.

Last Answer : a) Tympanoplasty Tympanoplasty may be necessary to repair a scarred eardrum.

The term or disease associated with buildup of fibrous plaques in the sheath of the corpus cavernosum causing curvature of the penis when it is erect is known as a) Peyronie’s disease. Peyronie’s disease may require surgical removal of the plaques when the disease makes sexual intercourse painful, difficult, or impossible.

Description : The term or disease associated with buildup of fibrous plaques in the sheath of the corpus cavernosum causing curvature of the penis when it is erect is known as a) Peyronie's disease. ... refers to an uncontrolled, persistent erection of the penis occurring from either neural or vascular causes.

Last Answer : a) Peyronie’s disease. Peyronie’s disease may require surgical removal of the plaques when the disease makes sexual intercourse painful, difficult, or impossible.

Of the following stages of grieving as described by Kubler-Ross, which is the initial? a) Denial The stages include: denial, anger, bargaining, depression, and acceptance. b) Anger Anger is the second stage of the process. c) Bargaining Bargaining is the third stage of the process. d) Depression Depression is the fourth stage of the process.

Description : Of the following stages of grieving as described by Kubler-Ross, which is the initial? a) Denial The stages include: denial, anger, bargaining, depression, and acceptance. b) Anger Anger is the second ... is the third stage of the process. d) Depression Depression is the fourth stage of the process.

Last Answer : a) Denial The stages include: denial, anger, bargaining, depression, and acceptance.

While making your PM shift endorsement, you saw the nursing attendant receiving a package from a patient’s watcher. Your appropriate action would be A. Reprimand the nursing attendant right away B. Remind the patient that gift giving to any hospital staff is not allowed C. Review with the nursing attendant the hospital policy D. Endorse to the incoming shift for proper action

Description : While making your PM shift endorsement, you saw the nursing attendant receiving a package from a patient's watcher. Your appropriate action would be A. Reprimand the nursing attendant right away ... with the nursing attendant the hospital policy D. Endorse to the incoming shift for proper action

Last Answer : D. Endorse to the incoming shift for proper action

Passive range-of-motion exercises are indicated during which stage of rheumatic disease? a) Acute Passive range of motion is indicated because the patient is unable to perform exercises alone during an acute stage of rheumatic disease.

Description : Passive range-of-motion exercises are indicated during which stage of rheumatic disease? a) Acute Passive range of motion is indicated because the patient is unable to perform exercises alone ... Active range of motion and isometrics are recommended during the remission stage of rheumatic diseases.

Last Answer : a) Acute Passive range of motion is indicated because the patient is unable to perform exercises alone during an acute stage of rheumatic disease.

Officially, hypertension is diagnosed when the patient demonstrates a systolic blood pressure greater than ______ mm Hg and a diastolic blood pressure greater than _____ mm Hg over a sustained period. a) 140, 90 According to the categories of blood pressure levels established by the JNC VI, stage 1 hypertension is demonstrated by a systolic pressure of 140–159 or a diastolic pressure of 90–99.

Description : Officially, hypertension is diagnosed when the patient demonstrates a systolic blood pressure greater than ______ mm Hg and a diastolic blood pressure greater than _____ mm Hg over a sustained period. a) ... , 70 Pressure of 120 systolic and 70 diastolic falls within the normal range for an adult.

Last Answer : a) 140, 90 According to the categories of blood pressure levels established by the JNC VI, stage 1 hypertension is demonstrated by a systolic pressure of 140–159 or a diastolic pressure of 90–99.

Which stage of shock is best described as that stage when the mechanisms that regulate blood pressure fail to sustain a systolic pressure above 90 mm Hg? a) Progressive In the progressive stage of shock, the mechanisms that regulate blood pressure can no longer compensate, and the mean arterial pressure falls below normal limits. b) Refractory The refractory or irreversible stage of shock represents the point at which organ damage is so severe that the patient does not respond to treatment and cannot survive.

Description : Which stage of shock is best described as that stage when the mechanisms that regulate blood pressure fail to sustain a systolic pressure above 90 mm Hg? a) Progressive In the progressive stage of ... which organ damage is so severe that the patient does not respond to treatment and cannot survive.

Last Answer : a) Progressive In the progressive stage of shock, the mechanisms that regulate blood pressure can no longer compensate, and the mean arterial pressure falls below normal limits.