Adult Health Proctored Exam (Viterbo University) Practice Questions

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• Temperature of 96.8°F
• Blood pressure 110/68
• Respiratory rate of 20 breaths/min
• Heart rate of 70 beats/min

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• Elevate the head of the bed immediately and notify the provider
• Administer PRN tylenol for the patient's headache
• Recheck all of the patient's vital signs
• Elevate the patient's knees and lower the head of the bed

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• Assess the level at which the client has intact sensation
• Determine the level at which the client has retained mobility
• Monitor respiratory effort and oxygen saturation level
• Check the blood pressure and pulse for signs of spinal shock

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• Flaccid paralysis and lack of sensation below the level of the injury
• Hypotension, bradycardia, and warm extremities
• Presence of hyperactive reflex activity below the level of the injury
• Severe headache, hypertension, and flushed face

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• Heparin
• Vitamin K
• Iron
• Protamine

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• Use non-steroidal anti-inflammatory drugs for discomfort.
• Limit sodium in the diet to 3.5 g/day.
• Place client in a lateral position.
• Limit fluid intake to 2 liters/day.

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• The patient is coughing
• The ETT has a cuff leak
• The ventilator tubing has become disconnected
• The patient is complaining of a headache 8/10 pain

Enter the numeric answer.

• ?

  Your Answer

  mL/hr

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• The spouse assists the client into a wheelchair and coaches deep coughing.
• The spouse assists the client into high-Fowler position and encourages taking a number of deep breaths.
• The spouse places hands on the client's lateral chest and pushes inward on exhalation.
• The spouse places hands below the client's diaphragm and pushes upward with exhalation.

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• Maintaining proper body positioning
• Preventing infection
• Maintaining adequate organ perfusion
• Avoiding the use of vasopressors