A resident who has had a cerebrovascular accident and has diminished sensation may be at risk for

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Basic Nursing Care Needs of the Patient PPT Questions

Question 1 of 5

A resident who has had a cerebrovascular accident and has diminished sensation may be at risk for

Correct Answer: C

Rationale: The correct answer is C: Burns. Diminished sensation following a cerebrovascular accident can lead to the inability to feel pain or temperature changes, increasing the risk of burns from hot surfaces or liquids. This is because the individual may not be able to sense when they are being burned, making them more susceptible to injuries. Rashes and warts (Option A) are not directly related to diminished sensation. Decreased urination (Option B) is more likely to be associated with issues in the urinary system rather than diminished sensation. Seizures (Option D) are neurological events that are not directly caused by diminished sensation.

Question 2 of 5

One complication of immobility for the integumentary system is

Correct Answer: D

Rationale: Pressure injuries are a common complication of immobility for the integumentary system due to prolonged pressure on the skin, leading to tissue damage. This can occur when a person remains in one position for an extended period, causing reduced blood flow and tissue breakdown. The other choices, constipation, blood clots, and muscle atrophy, are more related to the effects of immobility on other body systems such as the gastrointestinal, cardiovascular, and musculoskeletal systems respectively. However, pressure injuries specifically affect the skin and underlying tissues, making it the correct choice in this case.

Question 3 of 5

The stage of dying in which a person prepares for death is identified as

Correct Answer: D

Rationale: The correct answer is D: Acceptance. During the stage of acceptance, a person comes to terms with their impending death and begins to make peace with it. This stage involves a sense of calmness and readiness. Bargaining (A) involves trying to negotiate with a higher power to avoid death. Depression (B) entails feelings of sadness and hopelessness. Denial (C) is characterized by refusing to accept the reality of death. Acceptance is the final stage of the dying process as described by Elisabeth Kübler-Ross, indicating readiness and peace.

Question 4 of 5

A student is assessing a postoperative patient who has developed pneumonia. The plan of care includes positioning the patient in the Fowlers or semi-Fowlers position. What is the rationale for this position?

Correct Answer: D

Rationale: Fowler's position aids lung expansion, improving oxygenation in pneumonia.

Question 5 of 5

The mother of a 2 year old tells the nurse she always cleans the childs ears with a hairpin. What would the nurse tell the mother?

Correct Answer: C

Rationale: Hairpins risk eardrum perforation; the nurse must educate on safety.

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