A 92-year-old frail female nursing home patient was admitted for dehydration, anemia, and respiratory symptoms. She has type 2 diabetes and low albumin levels, is underweight, and continues to smoke cigarettes. The patient is on complete bed rest in a hospital bed with an alternating pressure mattress overlay. She is not able to turn herself in bed and must be assisted to change position. Based on this description of the patient, which factor classification dominates her vulnerability and risk for injury?

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Perioperative Nursing Care NCLEX Questions Questions

Question 1 of 5

A 92-year-old frail female nursing home patient was admitted for dehydration, anemia, and respiratory symptoms. She has type 2 diabetes and low albumin levels, is underweight, and continues to smoke cigarettes. The patient is on complete bed rest in a hospital bed with an alternating pressure mattress overlay. She is not able to turn herself in bed and must be assisted to change position. Based on this description of the patient, which factor classification dominates her vulnerability and risk for injury?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

When creating a vascular or intestinal anastomosis (connecting two tubular structures together), the surgeon will typically suture one-half of the anastomosis with one half of the suture and the other half of the anastomosis with the other half of the suture. This technique minimizes the drag and wear on the suture material and needle. The correct name for this type of suture and needle is:

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The intensive care unit (ICU) nurse educator will determine that teaching about arterial pressure monitoring for a new staff nurse has been effective when the nurse

Correct Answer: B

Rationale: Choice B as aligning the stopcock with the phlebostatic axis ensures accurate arterial pressure readings. Frequent recalibration (choice A) is unnecessary, flat positioning (choice C) isn't required readings are valid up to 45 degrees and the axis' anatomic position (choice D) remains constant. This reflects safe care per NCLEX, emphasizing precision in hemodynamic monitoring. Proper leveling prevents errors, ensuring reliable data critical for ICU decision-making.

Question 4 of 5

The nurse notes premature ventricular contractions (PVCs) while suctioning a patient's endotracheal tube. Which action by the nurse is a priority?

Correct Answer: C

Rationale: Choice C as PVCs during suctioning suggest hypoxemia, requiring immediate cessation and oxygenation. Lowering pressure (choice A) doesn't address hypoxia, documentation (choice B) delays care, and medications (choice D) are unnecessary if hypoxia resolves. This prioritizes physiological integrity per NCLEX, ensuring oxygen delivery in critical care.

Question 5 of 5

The nurse responds to a ventilator alarm and finds the patient lying in bed holding the endotracheal tube (ET). Which action should the nurse take next?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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