9 m hich of the following is only found within the skin of those who are ³red-haired´:
a m ºelanin
b m tratum rubrum
c m Trichosiderin
d m heomelanin
e m hromatophores
Question
O m The following steps of the nursing process are listed in proper sequence
a)m ssessment
b)m lanning
c)m ursing diagnosis
d)m
mplementation
e)m valuation
)m T )
£ m client returns froms surgery hich is the priority nursing diagnosis at this time?
a m
neffective breathing pattern
b m Deficient fluid volume
c m isk of bleeding
d m ltered in comfort: pain
O2 mhich of the following are objective data and which are subjective data
)m ausea
)m omiting
)m nsteady gait
D)m niety
)m ruises on the right arms and face
)m Temperature OO
c
QT
O m The rational nurse to spread their feet when they prepare to help raise a patien from chair
would be:
)m se the body¶s weight to assist movement
)m ºake a long steps
)m rovide a base support
D)m
acilitate use of the stronger back muscles
2 m ncik bu is eperiencing some difficulty breathing The nurse most appropriately assist
him ioto the:
)m Dorsal recumbent position
)m ateral position
)m
owlers position
D)m upine position
3 m hile doing range of motion eercise with a patient who is bedridden,the nurse is aware
that
)m eck hypertension should encourage should be encourage,particulary in older patient
)m ercise should be continued until the patient is fatigue
)m ercise should be done frequently to lessen pain for the patient
D)m ach joint is eercise to yhe point of resistance but not pain
4 m bedridden patient with pressure ulcer on the sacral admitted to your ward hich
nursing diagnosis would be priority?
)m isk of imbalance body temperature related to two stage pressure ulcer
)m
mpaired skin intergrity related immobility
)m
eeding self-care deficit related to weak
D)m ctivity intolerance related to prolong bed rest
c
5 m uan ni is 5£ years old who had an operation on her stomach The nurse is going to
dangle before ambulation fter sitting her on the edge of bed,which nursing
intervention should be perform before ambulation?
)m ssess her temperature
)m ssess her pulse and respiration
)m heck her oygenation
D)m emove antiembolism stocking
£ m The nurse accidentally knocks the bo in the floor hen picking the bo proper body
mechanism for the nurse is:
)m ower the body by fleing the knee
)m end from waist and hips
)m
le the knee and bend at the waist
D)m eep the legs straight and fle the waist
7 m ik aila £ years who had and operation on her right leg The nurse reposition her to the
left side and placing pillow between her leg and another to her back The nurse assesses
the proper placementof ik aila body to evaluate:
8 m
t is first day for uan iti after delivery The nurse wants to do sterile perineum care for
her The preferred position is:
)m Dorsal
)m ithotomy
)m upine
D)m ateral
mm