Giddens Concepts for Nursing Practice Test Bank

Questions 14

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Giddens Concepts for Nursing Practice Test Bank Questions

Question 1 of 5

A client with preeclampsia begins to demonstrate manifestations of seizure activity. Which intervention by the nurse is most likely to protect the client and fetus from injury?

Correct Answer: B

Rationale: Placing the client on the left side and protecting the airway is the most appropriate intervention to protect the client and the fetus from injury during a seizure. This position helps to prevent aspiration of vomitus and maintains an open airway. Placing the client on the left side also enhances maternal and fetal perfusion by reducing pressure on the vena cava, improving blood flow to the placenta, and decreasing the risk of supine hypotensive syndrome. Elevating the client's legs (Option A) and placing the client in the supine position (Option C) are contraindicated as they may worsen the client's condition in the context of preeclampsia and seizure activity. Elevating the head of the bed (Option D) does not address the immediate need to protect the airway and maintain proper positioning during a seizure.

Question 2 of 5

The nurse is caring for a patient recovering from a below-the-knee amputation. What should be included in this patient�s plan of care? Select all that apply.

Correct Answer: A

Rationale: A. Elevate the stump: Elevation of the stump helps to reduce swelling and improve blood circulation, aiding in the healing process after the amputation.

Question 3 of 5

A community health nurse is providing education to a group of adults regarding myocardial infarction (MI). When discussing ways to prevent the number of MI-related deaths, which statement by the nurse is inappropriate?

Correct Answer: B

Rationale: While taking a baby aspirin daily can be beneficial for some individuals at increased risk of heart attacks or strokes, it is not a general recommendation for everyone to prevent myocardial infarction (MI). There are potential risks associated with aspirin use, such as gastrointestinal bleeding, which could outweigh the benefits for individuals at low risk of a heart attack. It is important for individuals to consult with their healthcare provider before starting any regimen of daily aspirin therapy. The other statements (A, C, D) focus on increasing awareness, knowledge, and prompt action in response to a suspected MI, which are appropriate measures for prevention and improving outcomes.

Question 4 of 5

The nurse is caring for a premature infant diagnosed with patent ductus arteriosus (PDA). Which medication should the nurse anticipate administering to this client?

Correct Answer: A

Rationale: Indomethacin is a medication commonly used to treat patent ductus arteriosus (PDA) in premature infants. PDA is a condition where the ductus arteriosus, a blood vessel that connects the pulmonary artery to the aorta, fails to close after birth. Indomethacin works by inhibiting prostaglandin synthesis, which helps to promote closure of the ductus arteriosus. This medication is often used in premature infants with PDA to prevent complications and improve outcomes. Propranolol is a beta-blocker used for different conditions, antibiotics are used to treat infections, and Prostaglandin E1 is used to maintain ductal patency in certain cardiac conditions where closure is not desired.

Question 5 of 5

Which nursing intervention related to perfusion can be performed independently?

Correct Answer: C

Rationale: Teaching relaxation techniques related to perfusion can be independently performed by a nurse without requiring supervision or intervention from a healthcare provider. This nursing intervention focuses on promoting stress reduction and improving overall perfusion by enhancing circulation and decreasing the workload of the heart. The nurse can educate the patient on various relaxation techniques such as deep breathing exercises, guided imagery, progressive muscle relaxation, and meditation to help optimize perfusion levels. Additionally, teaching relaxation techniques empowers the patient to actively participate in their care and improve their overall well-being.

Similar Questions

Which nursing intervention related to perfusion can be performed independently?
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A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity. Which clinical manifestations does the nurse anticipate during the client's assessment? Select all that apply.
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