4N051 B Vol 2 UREs

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1. If a patient you are monitoring is receiving a blood transfusion and you notice distended neck veins and dyspnea. What should you do first?

Explanation

If a patient receiving a blood transfusion exhibits symptoms such as distended neck veins and dyspnea, it indicates a potential transfusion reaction or fluid overload. Stopping the transfusion is the first and most important step to prevent further complications. By discontinuing the transfusion, the healthcare provider can assess the patient's condition and determine the appropriate course of action. Continuing to monitor the patient without taking immediate action could lead to worsening symptoms and potential harm to the patient.

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4N051 B Vol 2 UREs - Quiz

This quiz titled '4N051 B Vol 2 UREs' assesses knowledge on patient management in medical settings, focusing on admission processes, patient treatment authorization, and aeromedical evacuation protocols. It... see moreis designed for medical technicians and nursing professionals to ensure compliance and efficiency in patient care. see less

2. What is the priority when providing care to a patient that has abused a substance?

Explanation

When providing care to a patient who has abused a substance, the priority should be to monitor vital signs and sustain life. This is because the immediate concern is ensuring the patient's safety and well-being. Drawing blood for alcohol and drug testing, contacting the First Sergeant, and contacting Security Forces may be important steps to take, but they are not the immediate priority when it comes to providing care to the patient.

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3. What should yo udo to help patients who become angry and hostile?

Explanation

Allowing patients to channel their hostility through verbal expression can be a helpful strategy in managing their anger and hostility. Verbal expression provides a safe outlet for patients to express their emotions and frustrations, which can help them feel heard and understood. It can also prevent the escalation of anger into physical aggression. By encouraging patients to express themselves verbally, healthcare professionals can create a supportive environment that promotes emotional well-being and facilitates effective communication between the patient and the healthcare team.

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4. To aid in preventing decubitus ulcers, patients positioning should be changed every

Explanation

To prevent decubitus ulcers, patients should have their positioning changed every two hours. This is because prolonged pressure on certain areas of the body can lead to the development of these ulcers, also known as bedsores. By changing the patient's position regularly, the pressure is redistributed, allowing blood flow to the affected areas and reducing the risk of tissue damage. Changing positions every two hours helps to maintain skin integrity and prevent the formation of decubitus ulcers.

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5. Which term is used to describe the sound that bones make as they rub together?

Explanation

Crepitus is the term used to describe the sound that bones make as they rub together. This sound can occur due to various reasons such as arthritis, fractures, or joint injuries. It is often described as a crackling or grinding noise and can be accompanied by pain or discomfort. Crepitus is commonly heard in conditions like osteoarthritis, where the cartilage between bones wears down, causing the bones to rub against each other.

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6. The person in charge of a bed to stretcher transfer should be positioned

Explanation

The person in charge of a bed to stretcher transfer should be positioned at the head of the bed on the stretcher side. This position allows the person to have better control and visibility during the transfer process. Being at the head of the bed allows the person to communicate with the patient effectively and ensure their safety. Additionally, being on the stretcher side provides better access to the necessary equipment and allows for a smoother transfer.

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7. Rehabilitation for a patient with a spinal cord injury is normally 

Explanation

Rehabilitation for a patient with a spinal cord injury is normally a lifelong process because they do not fully recover. Spinal cord injuries often result in permanent damage and loss of function, requiring ongoing therapy and support to manage the physical, emotional, and practical challenges associated with the injury. The goal of rehabilitation is to maximize the individual's independence and quality of life, adapting to their specific needs and abilities over time. Therefore, lifelong rehabilitation is necessary to optimize the patient's overall well-being and functional abilities.

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8. What diet is usually ordered for patients who have difficulty chewing or swallowing or need to alter the amount of residue in the digestive tract?

Explanation

The diet usually ordered for patients who have difficulty chewing or swallowing or need to alter the amount of residue in the digestive tract is a liquid diet. This type of diet consists of foods that are in liquid form, such as soups, juices, and smoothies. It is easier for patients with chewing or swallowing difficulties to consume and digest liquids, as they require less effort to break down. Additionally, a liquid diet helps to minimize residue in the digestive tract, making it suitable for individuals who need to avoid certain foods or have specific dietary restrictions.

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9. The diet that is inadequate in all nutrients and should not be given for more than three days is the

Explanation

A clear liquid diet consists of only transparent fluids like water, broth, and clear juices. It is low in nutrients and lacks essential proteins, fats, and fibers required for a balanced diet. This diet is typically prescribed for a short period, usually not exceeding three days, to allow the digestive system to rest and recover from illness or surgery. Prolonged adherence to a clear liquid diet can lead to nutritional deficiencies and should be avoided.

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10. Which precaution should be taken just prior to performing a procedure that uses the patient's nasogastric (NG) tube?

Explanation

Before performing a procedure that uses the patient's nasogastric (NG) tube, it is important to check for tube placement. This is crucial to ensure that the tube is correctly positioned in the patient's stomach and not in the lungs or other incorrect locations. Checking for tube placement helps to prevent potential complications and ensure the safety and effectiveness of the procedure.

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11. The side of the body that is affected by stroke is determined by the 

Explanation

The side of the body that is affected by a stroke is determined by the side of the brain that was traumatized. When a stroke occurs, it is usually caused by a blockage or rupture of blood vessels in the brain, leading to a lack of oxygen and nutrients to certain areas. Depending on which side of the brain is affected, the opposite side of the body may experience weakness or paralysis. This is because the brain controls the movement and sensation of the opposite side of the body. Therefore, the side of the brain that was traumatized is the determining factor in which side of the body is affected by a stroke.

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12. When caring for a child with nausea and vomiting, a primary concern would be 

Explanation

When caring for a child with nausea and vomiting, dehydration would be a primary concern. Nausea and vomiting can lead to fluid loss, which can quickly result in dehydration, especially in children. Dehydration can be dangerous and can lead to various complications, such as electrolyte imbalances, decreased urine output, and low blood pressure. Therefore, it is crucial to monitor the child's fluid intake and provide appropriate rehydration measures to prevent dehydration.

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13. What is the normal arterial oxygen saturation range?

Explanation

The higher the number the better for Oxygen saturation, just like money $$$.

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14. When providing skin care for the elderly, it is important to avoid using

Explanation

Alcohol can be drying and irritating to the skin, especially for elderly individuals who may already have dry or sensitive skin. It can strip the skin of its natural oils and cause further dryness and discomfort. Therefore, it is important to avoid using alcohol-based products when providing skin care for the elderly.

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15. What position When preparing a patient for insertion of a central venous pressure line, what maneuver is taught to the patient to decrease the chance of an air embolism? 

Explanation

When preparing a patient for insertion of a central venous pressure line, the maneuver that is taught to the patient to decrease the chance of an air embolism is the Valsalva maneuver. The Valsalva maneuver involves the patient holding their breath and bearing down, which increases the pressure in the chest and helps to prevent air from entering the bloodstream. This maneuver is commonly used during procedures that involve the insertion of central lines to minimize the risk of air embolism.

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16. When caring for a patient with the electrical burns at a facility,  your first priority is 

Explanation

When caring for a patient with electrical burns, the first priority is to manage the patient's airway. Electrical burns can cause damage to the respiratory system, including the airway, which can lead to difficulty breathing or even airway obstruction. Therefore, it is crucial to assess and ensure the patency of the airway to maintain proper oxygenation and ventilation. This may involve interventions such as positioning the patient, suctioning if necessary, or providing oxygen support. By prioritizing the management of the airway, healthcare professionals can prevent further complications and ensure the patient's safety and well-being.

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17. What would be the responsibility of the medical technician during a routine patient admission to a nursing unit?

Explanation

During a routine patient admission to a nursing unit, the responsibility of the medical technician would be to obtain the patient's vitals, height, and weight. This is important for assessing the patient's overall health and determining any potential medical issues. By obtaining these measurements, the medical technician can provide accurate information to the healthcare team and ensure appropriate care and treatment for the patient.

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18. What is the proper sequence for cleaning a wound?

Explanation

The proper sequence for cleaning a wound is to first remove the old dressing to assess the wound. Then, donning sterile gloves is important to maintain a clean and sterile environment. Finally, wiping from the wound out helps to prevent contamination by moving any debris or bacteria away from the wound site.

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19. What reflex action would be caused if you leave a heat treatment in place for a prolonged period of time?

Explanation

If a heat treatment is left in place for a prolonged period of time, the body's natural response would be reflex vasoconstriction. This means that the blood vessels in the affected area would constrict or narrow, reducing blood flow to that area. This reflex action helps to regulate body temperature and prevent overheating.

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20. Psychotherapy usually includes all of the following treatments except

Explanation

Psychotherapy is a form of treatment that focuses on improving a person's mental health and well-being. It typically involves talking to a trained therapist or counselor to address psychological issues. Hypnosis, psychoanalysis, and occupational therapy are all commonly used techniques in psychotherapy. However, electroconvulsive therapy (ECT) is not typically considered a form of psychotherapy. ECT is a medical treatment that involves passing electric currents through the brain to induce a controlled seizure, and it is primarily used for severe depression or other mental illnesses that have not responded to other treatments.

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21. Orthopaedic deformities, such as a clubfoot or wryneck, are categorized as

Explanation

Orthopaedic deformities such as a clubfoot or wryneck are categorized as congenital. Congenital means that these deformities are present at birth and are a result of abnormal development or formation of a body part. They are not caused by infection, pathology, or temporary factors.

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22. Which factors determine the technique you will use to move the patient up in bed?

Explanation

The technique used to move a patient up in bed is determined by the size and capabilities of the patient. Different techniques may be required depending on the patient's size and physical abilities. For example, a larger patient may require the use of a mechanical lift, while a smaller patient may be able to be moved manually. The patient's capabilities, such as their ability to assist with the movement or follow instructions, also play a role in determining the appropriate technique.

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23. What actions should you take when moving a patient on a venturi mask?

Explanation

When moving a patient on a venturi mask, it is important to monitor the patient during transport to ensure their condition remains stable. This involves closely observing their vital signs, oxygen saturation levels, and any signs of distress. Additionally, it is necessary to reassess the patient upon arrival to ensure their oxygen needs haven't changed and to make any necessary adjustments to their treatment plan. This is crucial for providing the best possible care and ensuring the patient's safety and well-being during the transfer.

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24. If an inpatient chart with doctor's orders for vital signs every four hours was blank for the day, you would assume the

Explanation

If an inpatient chart with doctor's orders for vital signs every four hours was blank for the day, the most reasonable assumption would be that the vital signs were not completed. This is because if the patient was off the unit having tests complete, it would be expected that the vital signs would still be recorded upon their return. If the patient was doing well and no problems were noted, the vital signs would still need to be monitored. While it is possible that the doctor may have changed the orders verbally, it is more likely that the vital signs were simply not completed as required.

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25. What is the proper method of annotating shift change totals on the DD form 792, Intake and Output Worksheet? 

Explanation

The proper method of annotating shift change totals on the DD form 792, Intake and Output Worksheet is to circle the last accumulated total. This means that at the end of each shift, the total intake and output should be calculated and circled to indicate that it is the final total for that shift. This allows for easy identification and tracking of the cumulative totals for each shift. No additional documentation or remarks are required for shift change totals.

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26. What considerations determine the steps in the routine admission process?

Explanation

The steps in the routine admission process are determined by the patient's condition and the facility policy. The patient's condition is a crucial factor as it helps determine the level of care and resources required for their admission. Facility policy also plays a role in determining the steps, as it outlines the protocols and procedures that need to be followed during the admission process. Other factors such as cost of admission per day, patient's distance from home, and patient's requests may be important considerations in some cases, but they are not the primary determinants of the steps in the routine admission process.

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27. Which devices can be used to slide a patient from the bed to a stretcher?

Explanation

Drawsheets and roller boards are devices commonly used in healthcare settings to safely transfer patients from a bed to a stretcher. A drawsheet is a flat sheet placed under the patient, which can be grasped and pulled to help slide the patient. A roller board is a specialized board with wheels that can be placed next to the bed, allowing the patient to be slid onto it and then rolled onto the stretcher. By using both a drawsheet and a roller board together, healthcare professionals can ensure a smooth and efficient transfer of the patient from the bed to the stretcher.

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28. What equipment is essential to have at the postoperative bedside after surgical amputation of a limb?

Explanation

A tourniquet is essential to have at the postoperative bedside after surgical amputation of a limb to control bleeding and prevent excessive blood loss. It is used to apply pressure to the limb, compressing the blood vessels and stopping the flow of blood. This helps in minimizing the risk of hemorrhage and maintaining hemostasis.

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29. Turning a patient on a Stryker frame quickly after a spinal cord injury can cause

Explanation

Turning a patient on a Stryker frame quickly after a spinal cord injury can cause cardiac arrest. This is because rapid movement or rotation of the body can lead to a sudden decrease in blood pressure, which can result in inadequate blood flow to the heart. This can disrupt the heart's normal rhythm and lead to cardiac arrest, where the heart stops pumping blood effectively. It is important to handle patients with spinal cord injuries carefully and avoid sudden movements to prevent such complications.

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30. Which reason is not appropriate for restraining a child?

Explanation

The reason "You have other tasks to do, and no time to sit with the child" is not appropriate for restraining a child because it prioritizes the caregiver's convenience over the child's safety and well-being. It is important to ensure the child's safety and provide appropriate supervision, especially in situations where there is a risk of injury or harm. Neglecting to provide proper supervision can lead to accidents or incidents that could have been prevented.

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31. How would you help stimulate the appetite of an elderly patient?

Explanation

Option D not that bad.

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32. What position should a patient be placed in for insertion of a central venous pressure line into a neck vein?

Explanation

The correct answer is Trendelenburg. When inserting a central venous pressure line into a neck vein, the patient should be placed in the Trendelenburg position. This position involves the patient lying flat on their back with the head tilted downward and the legs elevated. This position helps to increase venous return and reduce the risk of air embolism during the procedure.

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33. What precaution is taken for a postoperative patient who received a radioisotope implant? 

Explanation

Isolation is necessary for a postoperative patient who received a radioisotope implant to prevent the spread of radiation to others. Radioisotopes can emit radiation, which can be harmful to individuals who come into close contact with the patient. Therefore, isolating the patient helps to protect others from potential radiation exposure.

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34. A burn is classified as moderate if it involves

Explanation

A burn is classified as moderate if it involves full-thickness burns that involve 2 to 10 percent of the body surface. This means that the burn affects the entire thickness of the skin and covers a moderate amount of the body surface area. Full-thickness burns are more severe than partial thickness burns because they involve damage to all layers of the skin, including the dermis and underlying tissues. The percentage of body surface area affected is important in determining the severity of the burn, with 2 to 10 percent being considered moderate.

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35. How would you apply a dressing with the intention of debriding a wound?

Explanation

To apply a dressing with the intention of debriding a wound, the wet to dry method is used. This involves moistening a sterile gauze with a saline solution or wound cleanser and placing it onto the wound bed. As the dressing dries, it adheres to the wound and absorbs any debris or dead tissue. When the dressing is removed, it pulls away the debris along with it, promoting wound healing. This method is effective in removing necrotic tissue and promoting a clean wound bed for healing.

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36. What action, if any, should you take if you notice a child shows signs of abuse, such as burns and bruises?

Explanation

If a child shows signs of abuse, such as burns and bruises, it is important to report the suspected abuse. This is necessary to ensure the safety and well-being of the child. Reporting the suspected abuse can help initiate an investigation by the appropriate authorities, who can then take necessary actions to protect the child and provide the necessary support and intervention. It is the responsibility of all individuals to report suspected abuse, as it is a matter of child protection and welfare.

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37. Which pain management method must be closely monitored because it can results in a depressed respiratory system?

Explanation

Don't do drugs kids.

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38. Which type of patients exercise is provided for patients who are either unable or not allowed to exercise?

Explanation

Passive exercise is provided for patients who are either unable or not allowed to exercise. This type of exercise involves the therapist or caregiver moving the patient's limbs or body through a range of motion without any effort from the patient. It helps maintain joint flexibility, prevent muscle atrophy, and improve circulation in patients who are unable to move on their own or have restrictions on physical activity.

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39. During which child developmental stage is separation anxiety the most stressful?

Explanation

During the preschool stage, children typically experience separation anxiety as they begin to develop a sense of independence and autonomy. This stage, usually between the ages of 3 and 5, is a time when children are starting to separate from their primary caregivers and venture into new environments such as preschool or daycare. The unfamiliarity and uncertainty of these new settings can cause significant stress and anxiety for young children, leading to separation anxiety. Therefore, the preschool stage is considered the most stressful period for separation anxiety.

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40. When measuring urine output of an infant, one gram(g) of diaper weight is equal to 

Explanation

When measuring urine output of an infant, one gram of diaper weight is equal to one milliliter. This means that for every gram of weight gained by the diaper, it indicates that the infant has produced one milliliter of urine. This measurement is commonly used to monitor the hydration status and kidney function of infants.

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41. The normal adaptive mechanism used by children when they lose their sense of control is

Explanation

Regression is the correct answer because it refers to the psychological process where individuals revert back to earlier, more childlike behaviors and thought patterns in order to cope with feelings of loss of control. When children experience a loss of control, they may exhibit behaviors that they have outgrown, such as bed-wetting or temper tantrums. This regression allows them to temporarily escape from the stress and anxiety caused by the loss of control and regain a sense of security and comfort.

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42. When using an oxygen tent, how frequently should oxygen concentrations and temperature be checked? 

Explanation

When using an oxygen tent, oxygen concentrations and temperature should be checked every 1 to 2 hours. This is important to ensure that the oxygen levels are appropriate and the temperature is maintained within a safe range for the patient. Regular monitoring helps in preventing any potential risks or complications that may arise due to fluctuations in oxygen concentration or temperature.

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43. The physiological function that the hear sound S1(Lub) is associated with is

Explanation

The correct answer is closure of the mitral and tricuspid valves. The sound S1, also known as Lub, is the first heart sound that occurs during ventricular systole. It is caused by the closure of the mitral and tricuspid valves, which prevent blood from flowing back into the atria when the ventricles contract. This closure of the valves creates a sound that can be heard with a stethoscope.

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44. What is a way to help relieve most of the patient's concerns prior to surgery?

Explanation

Preoperative teaching is a way to help relieve most of the patient's concerns prior to surgery. By providing information about the procedure, potential risks, and what to expect during recovery, patients can feel more prepared and informed. This can help alleviate anxiety and address any questions or fears they may have, ultimately improving their overall experience and outcome.

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45. Which psychiatric term defines an irresistible urge to perform apparently meaningless actions?

Explanation

This is an example of compulsion. Starting to loose my mind powering through the creation of this reviewer.

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46. How are corneal abrasions detected?

Explanation

Fluorescein stain is used to detect corneal abrasions. This is because the stain is applied to the eye and any areas of the cornea that have been damaged or scratched will absorb the stain, appearing green under a blue light. This allows healthcare professionals to easily identify the presence and location of corneal abrasions, aiding in diagnosis and treatment. X-ray, venogram, and angiogram are not used for detecting corneal abrasions as they are imaging techniques that are more suitable for examining other parts of the body.

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47. Your behavior or actions in the presence of a patient who is anxious should be 

Explanation

When a patient is anxious, it is important for healthcare professionals to maintain a consistent behavior or approach. Consistency helps to establish trust and provides a sense of stability for the patient. By being consistent in their actions and communication, healthcare professionals can help to alleviate the patient's anxiety and create a calm and reassuring environment. This approach also ensures that the patient receives the same level of care and attention regardless of their anxiety levels.

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48. There is a high rate of success if a dentist carries out a tooth replacement procedure withing how many minutes of the accident?

Explanation

The explanation for the correct answer is that there is a high rate of success if a dentist carries out a tooth replacement procedure within 30 minutes of the accident. This is because the sooner the tooth is re-implanted, the higher the chances of it successfully reattaching to the bone and gums. Waiting longer than 30 minutes decreases the likelihood of a successful tooth replacement procedure.

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49. A patient who feels unloved, unneeded, inferior and hurt displays a behavior of 

Explanation

A patient who feels unloved, unneeded, inferior, and hurt may display a behavior of withdrawal. This means that the person may isolate themselves from others, avoid social interactions, and may not actively participate in activities or conversations. They may feel the need to withdraw from others because they believe that they are not valued or loved, which can lead to feelings of loneliness and sadness.

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50. Damage to the epidermis with possible damage to the dermis and its appendages is classified as what type of burn?

Explanation

Partial thickness burns involve damage to the epidermis and possibly the dermis and its appendages. This type of burn is characterized by redness, blistering, and pain. It is not as severe as a full thickness burn, which involves damage to all layers of the skin, or a superficial burn, which only affects the top layer of the skin.

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51. How do you apply moist heat?

Explanation

Application of moist heat? Hmmmm.

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52. Ideally, in what position is a patient placed before performing oropharyngeal suctioning?

Explanation

The ideal position for a patient before performing oropharyngeal suctioning is the semisitting position. This position allows for better visualization and access to the oropharynx, making suctioning more effective. It also helps prevent aspiration of secretions into the lungs by promoting drainage of secretions away from the airway. The modified lateral position, Trendelenberg, and supine positions are not as suitable for oropharyngeal suctioning as they may not provide optimal access to the oropharynx or drainage of secretions.

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53. What occurs in the third and final phase of spousal abuse?

Explanation

In the third and final phase of spousal abuse, the abuser typically apologizes and promises that the abuse will never happen again. This is known as the "honeymoon phase" or the reconciliation phase. During this phase, the abuser may try to manipulate and control the victim by making false promises and expressing remorse for their actions. However, it is important to note that this phase is often temporary and the cycle of abuse is likely to continue unless proper intervention and support are provided.

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54. The cramping, burning or crushing pain complained about by amputees in their missing limb is referred to as

Explanation

Phantom limb pain is the correct answer because it refers to the cramping, burning, or crushing pain experienced by amputees in their missing limb. This pain is perceived as if it is coming from the amputated limb, even though it no longer exists. This phenomenon is a well-documented and recognized condition that affects many amputees, and it is distinct from phantom limb sensation, which refers to the perception of still having the missing limb without any pain. It is also different from physiological and psychological phenomena, which are more general terms that do not specifically describe the pain experienced by amputees.

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55. Care must be taken to ensure patients do no strain while holding their breath when performing isometric exercises as that may cause

Explanation

When patients strain while holding their breath during isometric exercises, it can lead to an increase in blood pressure. This sudden increase in blood pressure can put excessive stress on the heart, potentially leading to a heart attack. Therefore, it is important to caution patients against straining while holding their breath during these exercises to prevent such complications.

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56. What should the solution temperature be during gastric gavage?

Explanation

The solution temperature during gastric gavage should be at room temperature. This is because extreme temperatures, such as hot or chilled solutions, can cause discomfort or harm to the patient. Lukewarm solutions may also not be suitable as they can irritate the stomach lining. Therefore, room temperature is the most appropriate temperature for gastric gavage to ensure patient comfort and safety.

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57. Closed-chestr drainage is a drainage system used to 

Explanation

Closed-chest drainage is a drainage system used to reexpand a collapsed lung. When a lung collapses, air or fluid accumulates in the pleural space, causing the lung to deflate. Closed-chest drainage involves the insertion of a chest tube into the pleural space to remove the accumulated air or fluid and allow the lung to reexpand. This procedure helps restore normal lung function and improves respiratory status.

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58. What cardiac related condition may be caused by a fall in the cardiac output resulting in cerebral ischemia?

Explanation

Syncope is a temporary loss of consciousness caused by a decrease in blood flow to the brain, often resulting from a fall in cardiac output. When the heart is unable to pump enough blood to meet the brain's oxygen demands, cerebral ischemia occurs, leading to syncope. Palpitations refer to an abnormal awareness of one's heartbeat, dyspnea is difficulty in breathing, and fatigue is a state of extreme tiredness. While these symptoms may be associated with cardiac conditions, they are not directly caused by a fall in cardiac output resulting in cerebral ischemia.

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59. The first stage of dying is

Explanation

The first stage of dying is denial. Denial is a common psychological defense mechanism that individuals use to cope with overwhelming or distressing situations. In the context of dying, denial allows individuals to temporarily avoid the reality of their impending death. It is a way for them to protect themselves from the emotional pain and fear associated with the idea of dying. Denial can manifest as a refusal to accept the diagnosis or a belief that the situation will improve. It is an initial stage that individuals may go through before eventually moving on to other stages of grief and acceptance.

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60. What affects an individual's feeling about themselves?

Explanation

An individual's feeling about themselves is influenced by their self-perception. Self-perception refers to how individuals perceive and evaluate themselves, including their beliefs, attitudes, and self-worth. It is the way individuals see themselves, which can impact their self-esteem, confidence, and overall sense of identity. Factors such as personal achievements, experiences, and self-reflection contribute to one's self-perception. Unlike socioeconomic status, opinions of others, or job title, self-perception is an internal factor that plays a significant role in shaping an individual's self-image and emotional well-being.

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61. As a minimum, how many minutes should you irrigate a patient's eye with chemical burns?

Explanation

To effectively irrigate a patient's eye with chemical burns, a minimum of 20 minutes is required. This duration allows for thorough flushing of the affected area to remove any remaining chemicals and reduce the risk of further damage. A shorter irrigation time may not be sufficient in completely removing the harmful substance, potentially leading to prolonged discomfort and complications. Therefore, it is crucial to adhere to the recommended minimum time of 20 minutes for proper eye irrigation in such cases.

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62. When does the rehabilitation process begin with a mentally ill patient?

Explanation

The rehabilitation process begins as soon as the patient is admitted because early intervention is crucial for the success of the treatment. Starting the rehabilitation process immediately allows for the implementation of appropriate therapies and interventions to address the patient's mental health needs. Delaying the rehabilitation process could result in a worsening of symptoms and hinder the patient's progress towards recovery. Therefore, initiating rehabilitation as soon as the patient is admitted ensures that they receive the necessary support and care from the beginning of their treatment journey.

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63. Which form is used to document a patients blood transfusion?

Explanation

Standard Form 518 is used to document a patient's blood transfusion.

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64. How is whole blood normally supplied?

Explanation

Young blood always supplied in 450 CCs by Uncle Drew.

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65. What has a significant impact on the patient's perceived quality of care and treatment?

Explanation

The professionalism and caring attitude of the staff have a significant impact on the patient's perceived quality of care and treatment. When the staff members exhibit professionalism, they are more likely to provide accurate and effective care, communicate clearly with the patient, and maintain a high level of competence. Additionally, a caring attitude promotes empathy, compassion, and patient-centered care, which can greatly enhance the patient's experience and overall satisfaction with their healthcare journey.

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66. Which individual is not authorized to see and treat patients?

Explanation

Registered Nurses are authorized to see and treat patients. Dentists, Physician Assistants, and Certified Nurse Midwives are also authorized healthcare professionals who can provide patient care. Therefore, the correct answer is Registered Nurses, as they are not the individuals who are not authorized to see and treat patients.

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67. Without provider approval, what is the maximum number of minutes antiembolism stockings may be removed?

Explanation

Antiembolism stockings are compression stockings that are used to prevent blood clots in the legs. These stockings are typically worn by patients who are bedridden or have limited mobility. It is important to keep the stockings on for as long as possible to ensure their effectiveness. However, without approval from a healthcare provider, the maximum amount of time that the stockings can be removed is 30 minutes. This is to prevent the risk of blood clots forming during the time the stockings are not being worn.

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68. What is the best reason for prepping the skin prior to surgery?

Explanation

Prepping the skin prior to surgery is important because it reduces the chance of infection. By thoroughly cleaning and disinfecting the surgical site, the risk of introducing bacteria or other pathogens into the incision area is minimized. This helps to create a sterile environment and promotes a successful surgical outcome.

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69. For patients who suffer from pain, the best way to ensure a successful exercise activity program is to

Explanation

Beginning the exercise program early in the patient's hospital stay is the best way to ensure a successful program for patients who suffer from pain. This is because starting the program early allows the patient to gradually build up their strength and endurance, which can help alleviate pain over time. It also gives the healthcare team more time to monitor the patient's progress and make any necessary adjustments to the program. By starting early, the patient is more likely to experience the benefits of the exercise program and be motivated to continue with it.

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70. A fracture that results from disease, such as metastatic cancer of the bone, is called

Explanation

A fracture that results from disease, such as metastatic cancer of the bone, is called a pathologic fracture. This type of fracture occurs when a weakened bone is unable to withstand normal stress and breaks more easily. In the case of metastatic cancer, the cancer cells weaken the bone structure, making it more susceptible to fractures. Pathologic fractures are different from traumatic fractures, which occur due to external forces or injuries, and congenital fractures, which are present at birth. Hairline fractures, on the other hand, are small cracks in the bone that do not fully separate the bone fragments.

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71. What actions, if any , should you take if your patient complains that his or her short leg cast feels tight?

Explanation

If a patient complains that their short leg cast feels tight, the appropriate action to take is to bivalve the cast. Bivalving involves cutting the cast along its length to create two halves, allowing for expansion and relieving pressure on the patient's limb. This can help alleviate discomfort and prevent any potential complications that may arise from a tight cast, such as restricted blood flow or nerve damage. Removing the cast entirely may not be necessary or practical, as the patient may still require immobilization. Petaling the cast involves creating small cuts or openings at the edges of the cast to relieve pressure, but bivalving is a more effective solution in this scenario.

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72. Which statement allows a patient to depart from the medical facility for a short period of time, usually between 24 and 48 hours?

Explanation

The correct answer is "Pass". This term refers to allowing a patient to temporarily leave the medical facility for a short period of time, typically between 24 and 48 hours. It implies that the patient has been given permission to leave and will return within the specified time frame.

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73. For patients using a nonrebreathing mask, the inspired oxygen concentration is 

Explanation

For patients using a nonrebreathing mask, the inspired oxygen concentration is 60 to 90 percent. A nonrebreathing mask is a device used to deliver high concentrations of oxygen to patients who need it. It has a one-way valve that allows the patient to inhale oxygen from a reservoir bag, while preventing the exhaled air from being rebreathed. The oxygen flow rate is set to ensure that the reservoir bag remains inflated, providing a constant supply of oxygen to the patient. The range of 60 to 90 percent indicates the concentration of oxygen in the inspired air, which is higher than what can be achieved with a simple face mask or nasal cannula.

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74. Which nursing activity is the main aspect of resolving nursing diagnoses? 

Explanation

Planning is the main aspect of resolving nursing diagnoses because it involves developing a comprehensive plan of care based on the assessment findings and nursing diagnoses. It includes setting goals, prioritizing interventions, and creating a roadmap for implementing and evaluating the effectiveness of nursing interventions. Planning ensures that the appropriate interventions are implemented to address the identified nursing diagnoses and achieve optimal patient outcomes.

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75. All that a person is, feels and odes is generally termed

Explanation

Personality refers to the unique combination of traits, behaviors, and patterns of thinking that define an individual. It encompasses a person's emotions, attitudes, and overall demeanor. While environment, character, and heredity can all influence personality to some extent, personality itself is a broader concept that encompasses all aspects of an individual's identity and how they interact with the world around them.

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76. Which exercise is not commonly used for postoperative patients?

Explanation

Standing hamstring stretches may not be commonly used for postoperative patients because they involve bending forward at the waist, which can put strain on the surgical site and potentially disrupt the healing process. It is important for postoperative patients to avoid exercises that could cause excessive strain or movement in the affected area. Instead, exercises that promote deep breathing, improve circulation, and maintain range of motion without putting stress on the surgical site are typically recommended.

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77. Which drug classification causes euphoria, excitement, dilated pupils, diaphoresis, tachycardia and rapid breathing

Explanation

Stimulants are a drug classification that can cause euphoria, excitement, dilated pupils, diaphoresis (excessive sweating), tachycardia (rapid heart rate), and rapid breathing. Stimulants work by increasing activity in the central nervous system, leading to heightened alertness and energy. Examples of stimulants include drugs like amphetamines, cocaine, and methamphetamine. These substances can produce a range of effects, including increased heart rate, elevated mood, and heightened senses.

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78. During catheterization of a male patient, at what angle is the penis held, and how many inches is the catheter inserted?

Explanation

not-available-via-ai

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79. For administration of an enema, the patient is preferably positioned

Explanation

The patient is preferably positioned on his or her left side for the administration of an enema. This position allows for gravity to assist in the flow of the enema solution into the rectum and colon. It also helps to prevent the solution from flowing back out. Additionally, the left side position helps to minimize discomfort for the patient during the procedure.

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80. Colostomy irrigations are performed to 

Explanation

Colostomy irrigations are performed to establish fecal control. This means that the procedure helps regulate and control the elimination of feces from the body. By performing colostomy irrigations, the patient can have more control over their bowel movements and prevent unexpected or uncontrolled bowel movements. This can improve their quality of life and reduce the need for wearing an ostomy appliance or experiencing odors.

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81. Which psychiatric term defines a mood disorder identified by feelings of elation and well-being, flight of ideas and physical over activity? 

Explanation

Mania is the correct answer because it is a psychiatric term that defines a mood disorder characterized by feelings of elation and well-being, flight of ideas, and physical overactivity. Neurosis refers to a milder form of mental disorder, obsession refers to persistent and intrusive thoughts, and psychosis refers to a severe mental disorder characterized by a loss of contact with reality.

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82. When observing and reporting on mentally ill patients, the most important factor to consider is

Explanation

When observing and reporting on mentally ill patients, behavior is the most important factor to consider. Behavior encompasses a wide range of actions, reactions, and patterns that can provide valuable insights into the patient's mental state and condition. It includes their actions, gestures, speech, and overall demeanor. By closely monitoring and documenting their behavior, healthcare professionals can better understand the patient's symptoms, changes in mood, signs of distress or improvement, and any potential risks or dangers. This information is crucial for accurate diagnosis, effective treatment planning, and ensuring the patient's well-being and safety.

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83. What is the guideline for the maximum minutes of time from pick up to the transfusion start of blood products?

Explanation

The guideline for the maximum minutes of time from pick up to the transfusion start of blood products is 30. This means that once the blood products are picked up, they should be transfused within 30 minutes to ensure their effectiveness and safety. Transfusing the blood products within this timeframe helps to minimize the risk of bacterial contamination or any other complications that may arise if the products are not administered promptly.

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84. To use the internal girdle of support, you must

Explanation

To use the internal girdle of support, it is necessary to simultaneously contract abdominal and buttocks muscles. This is because these muscles work together to provide stability and support to the core and pelvis. By contracting the abdominal muscles, such as the transverse abdominis, and the buttocks muscles, such as the gluteus maximus, the body can maintain proper alignment and control during movements. This contraction of both muscle groups helps to create a strong and stable core, which is essential for various activities and exercises.

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85. Which is a sign of uremia?

Explanation

Oliguria is a sign of uremia because it refers to a decreased production of urine. Uremia is a condition characterized by the buildup of waste products in the blood due to impaired kidney function. When the kidneys are not able to properly filter waste from the blood, urine production decreases, leading to oliguria. This can be a result of various underlying causes such as kidney disease, dehydration, or urinary tract obstruction. Hematuria refers to the presence of blood in the urine, polyuria refers to excessive urine production, and dysuria refers to painful urination, which are not specific signs of uremia.

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86. The semi-recumbent position should be avoided over long periods of time in patients with orthopaedic disorders because it

Explanation

The semi-recumbent position can promote flexion deformities of the hips in patients with orthopaedic disorders. This position involves sitting with the knees bent and the hips flexed, which can lead to tightening of the hip flexor muscles and weakening of the hip extensor muscles. Over time, this can result in a loss of range of motion and flexibility in the hip joints, leading to a flexion deformity where the hips are permanently bent. This can further exacerbate orthopaedic issues and cause discomfort and mobility limitations for the patient.

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87. How manhy pounds of baggage are allowed for a patient being aeromedically evacuated to another facililty?

Explanation

The correct answer is 66 pounds. This suggests that a patient being aeromedically evacuated to another facility is allowed to carry up to 66 pounds of baggage.

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88. A patient who is authorized to live outside the hospital while still receiving treatment is considered

Explanation

The correct answer is "subsisting out". When a patient is authorized to live outside the hospital while still receiving treatment, they are said to be subsisting out. This means that they are allowed to receive treatment while residing outside the hospital setting. This arrangement is often made for patients who are stable enough to continue their treatment while living in a more comfortable environment. It allows them to have some freedom and independence while still receiving the necessary medical care.

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89. Relative to the nursing process, what is a client goal?

Explanation

A client goal in the nursing process refers to a realistic and measurable statement that outlines the expected change in the patient's behavior. It serves as a target or endpoint for the care planning process, providing a clear focus for the nursing interventions and guiding the evaluation of the patient's progress. This goal should be achievable, specific, and measurable, allowing for the assessment of the patient's response to the interventions and the effectiveness of the care provided.

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90. What is the primary rehabilitation need of a mentally ill patient?

Explanation

The primary rehabilitation need of a mentally ill patient is to strengthen their defenses. This refers to helping the patient develop coping mechanisms and strategies to deal with their mental illness. By strengthening their defenses, the patient becomes better equipped to handle the challenges and stressors that may arise as a result of their condition. This can include building resilience, improving self-esteem, and enhancing problem-solving skills. By focusing on strengthening the patient's defenses, the rehabilitation process aims to empower the patient and improve their overall well-being.

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91. Which is a safe, stable gait that can be used by patients who can bear some weight on both legs?

Explanation

Four-point gait is a safe and stable gait that can be used by patients who can bear some weight on both legs. In this gait pattern, the patient moves one crutch forward followed by the opposite leg, then moves the other crutch forward followed by the other leg. This gait provides a wider base of support and allows for better weight distribution, making it suitable for patients who can partially bear weight on both legs.

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92. What complications could occur to the patient following a thoracentesis?

Explanation

Following a thoracentesis, which is a procedure to drain fluid or air from the pleural space of the lungs, complications such as shock, bleeding, and dyspnea can occur. Shock may result from a sudden drop in blood pressure due to fluid loss during the procedure. Bleeding can occur if a blood vessel is accidentally punctured during the insertion of the needle. Dyspnea, or difficulty breathing, can arise due to the release of trapped air or fluid from the pleural space, which may cause lung collapse or compression. These complications should be closely monitored and managed to ensure the patient's safety and well-being.

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93. WHy should your feet be parallel when you are standing?

Explanation

When your feet are parallel while standing, it helps to maintain balance by evenly distributing your body weight. This prevents any unnecessary strain on your back, hips, and legs. By keeping your feet parallel, you are ensuring that your body is properly aligned, reducing the risk of injury and discomfort in these areas. Additionally, maintaining this alignment can also help prevent strain in the neck, as it promotes a neutral posture.

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94. During catheterization of a female patient, how many inches is the catheter inserted for placement in the urinary bladder?

Explanation

During catheterization of a female patient, the catheter is typically inserted 2 to 3 inches for placement in the urinary bladder. This is the standard length required to reach the bladder and allow for proper drainage of urine.

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95. Which position is the bed placed in preparation to receive a postoperative surgical patient?

Explanation

The bed is placed in a high position in preparation to receive a postoperative surgical patient. This is because a high position allows for easier access to the patient and provides better visibility for the healthcare providers. It also helps in facilitating patient transfers and allows for proper positioning during procedures. Placing the bed in a high position ensures that the patient is at a comfortable height for the healthcare team to provide care efficiently and effectively.

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96. Pin care is required with what type of reduction of the bone?

Explanation

Pin care is required with open reduction, external fixation because in this type of reduction, the bone is surgically realigned and held in place with external pins or wires. These pins or wires protrude through the skin, creating an open wound. Proper care of these pins is essential to prevent infection and promote healing.

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97. When turning a patient, what is the most important precaution to take whether you are pushing or pulling a patient 

Explanation

When turning a patient, raising the far siderail is the most important precaution to take whether you are pushing or pulling a patient. This is because raising the far siderail provides support and stability to the patient, preventing them from falling off the bed during the turning process. It helps in maintaining their safety and reducing the risk of injuries.

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98. What condition occurs if CO2 builds up and mixes with water in the blood stream?

Explanation

Respiratory acidosis occurs when there is an excess buildup of carbon dioxide (CO2) in the blood, leading to an increase in acidity. This can happen when the lungs are unable to remove enough CO2 from the body, causing it to accumulate in the bloodstream. As a result, the pH level of the blood decreases, leading to respiratory acidosis.

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99. When helping a patient to ambulate, how should you stand and where should you place your hands?

Explanation

When helping a patient to ambulate, it is important to stand beside and a little behind the patient. This position allows the healthcare provider to provide support and assistance while maintaining a safe distance. Placing one hand on the patient's waist helps to stabilize them, while the other hand under the patient's near arm provides additional support and guidance. This positioning ensures that the patient feels secure and allows for better control and balance during ambulation.

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100. When planning activities for patients with psychological problems, your primary goal should be to

Explanation

When planning activities for patients with psychological problems, the primary goal should be to develop good rapport. This is because establishing a strong and trusting relationship with the patient is crucial for effective treatment. By developing good rapport, the patient is more likely to feel comfortable, open up, and actively participate in their treatment. Building a positive connection also helps in gaining the patient's trust and cooperation, which can significantly enhance the therapeutic process. Motivating the patient, reassuring them, and showing sincere concern are important aspects of developing rapport, but they are secondary to the overall goal of establishing a strong therapeutic relationship.

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A burn is classified as moderate if it involves
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What actions, if any , should you take if your patient complains that...
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For patients using a nonrebreathing mask, the inspired oxygen...
Which nursing activity is the main aspect of resolving nursing...
All that a person is, feels and odes is generally termed
Which exercise is not commonly used for postoperative patients?
Which drug classification causes euphoria, excitement, dilated pupils,...
During catheterization of a male patient, at what angle is the penis...
For administration of an enema, the patient is preferably positioned
Colostomy irrigations are performed to 
Which psychiatric term defines a mood disorder identified by feelings...
When observing and reporting on mentally ill patients, the most...
What is the guideline for the maximum minutes of time from pick up to...
To use the internal girdle of support, you must
Which is a sign of uremia?
The semi-recumbent position should be avoided over long periods of...
How manhy pounds of baggage are allowed for a patient being...
A patient who is authorized to live outside the hospital while still...
Relative to the nursing process, what is a client goal?
What is the primary rehabilitation need of a mentally ill patient?
Which is a safe, stable gait that can be used by patients who can bear...
What complications could occur to the patient following a...
WHy should your feet be parallel when you are standing?
During catheterization of a female patient, how many inches is the...
Which position is the bed placed in preparation to receive a...
Pin care is required with what type of reduction of the bone?
When turning a patient, what is the most important precaution to take...
What condition occurs if CO2 builds up and mixes with water in the...
When helping a patient to ambulate, how should you stand and where...
When planning activities for patients with psychological problems,...
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