NUR2214 / NUR 2214 EXAM 2 (Latest 2023 /
2024): Nursing Care of the Older Adult -
Rasmussen Two nursing students are shadowing a neurology nurse and together they observe a patient who is lying in the supine position with their arms and legs extended forming an “E-shape.” What does this patient’s position indicate?
- Damage to the pons or brain stem
- Damage to the spinal tract
- Damage to the cerebral hemisphere
- Damage to the lumbar spine
- Damage to the pons or brain stem
Rationale: The patient appears to be in a decerebrate position, which involves
damage to the pons or brain stem.A patient with osteoporosis is prescribed Risedronic (Actonel). What teaching
should go along with this medication? Select all that apply:
- Take medication 30 minutes before breakfast
- Take medication 2 hours after breakfast
- Take medication with an 8 oz glass of water
- Take medication right before going to bed
- Take medication during lunch
- Take medication while sitting up
- Take medication in the supine position
- Take medication 30 minutes before breakfast 1 / 4
- Take medication with an 8 oz glass of water
- Take medication while sitting up
- Diphenhydramine (Benadryl)
- Metoprolol (Lopressor)
- Amoxicillin (Moxatag)
- Methylprednisolone (Solu-Medrol)
- Methylprednisolone (Solu-Medrol)
- Antibiotics
- Anticholinergics
- NSAIDs
- Antihypertensive
- NSAIDs
A patient with multiple sclerosis (MS) has an acute exacerbation. What medication does the nurse anticipate the HCP ordering?
What are some likely medications for a patient with osteoarthritis?
Rationale: NSAIDs are the most effective treatment for patients with
osteoarthritis. Cox-2 Inhibitors are a very common NSAID used for osteoarthritis A nursing student observes a PA working in a cardiology clinic. The PA and the student assess an infant patient with a "machine-like heart murmur." The student notices the patient has a bounding heart pulse. The PA knows the teaching has
been successful when the student is able to identify the condition as:
- Pulmonary embolism
- Patent Ductus Arteriosus 2 / 4
- Coarctation of Aorta
- Tetralogy of Fallot
- Patent Ductus Arteriosus
- Vitamin D potentiates the effect of calcium
- Vitamin D helps absorb calcium
- Vitamin D helps reduce stomach secretions
- Vitamin D has the same effect as calcium
- Vitamin D helps absorb calcium
- Decerebrate position
- Spasmodic Torticollis
- Dystonia
- Decorticate position
- Decorticate position
Rationale: A "machine-like heart murmur" should be associated with Patent Ductus Arteriosus (PDA) A nurse overhears an HCP encouraging a patient to add Vitamin D to their diet as well as calcium. Later that day, the patient states, "I thought I just needed to increase my calcium intake. Why is Vitamin D necessary, too?" How should the nurse respond?
A nurse is working with a neurology patient who has increased intracranial pressure (ICP). During the assessment, the nurse notates abnormal posturing because they are lying the in the supine position with their arms flexed inward, forming a "C-shape." How should the nurse recognize this position?
The nurse should understand the normal range of intracranial pressure (ICP) is:
A. 5 - 15
B. 10 - 21 3 / 4
C. 15 - 30
D. 20 - 30
A. 5 - 15
Rationale: millimeters of mercury is how this is measured
What are some nursing interventions for a child suffering from Tetralogy of Fallot
(TOF)? Select all that apply:
- Decrease stimuli
- Place child in high fowler's position
- Weigh child at various times throughout the day
- Check peripheral pulses, including capillary refill
- Check for edema
- Prevent child from playing
- Decrease stimuli
- Check peripheral pulses, including capillary refill
- Family Systems Theory
- Sedentary lifestyle
- Growth and development
- Rare physiological changes
- / 4
Rationale: Children should still be allowed to play, just not in a way that will cause over-exertion. These patients should be placed in the semi-fowler's position. In addition, these patients should be weighed every day, at the same time, and ideally before breakfast.A student nurse receives education on how changes in mobility will occur throughout a person's lifespan. What are these expected changes considered to be part of?