The nutritional alteration most frequently encountered in hospitalized patients is
a. respiratory quotient (RQ).
b. protein-calorie malnutrition.
c. fat-calorie malnutrition.
d. gluconeogenesis.
Question 2Abnormal heart sounds are labeled S3 and S4 and are referred to as __________ when auscultated during a tachycardic episode.
a. Korotkoff sounds
b. pulse pressure
c. murmurs
d. gallops
Question 3For sedation and analgesia management of mechanically ventilated critical care patients, put the following steps in the appropriate order in which the nurse should perform them
1 . Using an accepted pain scale, assess the patient's level of pain, and if the patient is hemodynamically stable, medicate appropriately with morphine sulfate.
2 . Assess the degree of agitation and anxiety with an appropriate sedation scale and select an appropriate medication treatment.
3 . Attempt nonpharmacologic treatments; optimize the environment.
4 . Reassess the level of sedation, agitation and anxiety, and pain minimally every 2 hours or as indicated per facility standards.
5 . Rule out and correct reversible causes.
6 . Assess the patient's level of comfort.
a. 1, 2, 6, 5, 3, 4
b. 6, 5, 1, 2, 3, 4
c. 6, 5, 3, 1, 2, 4
d. 4, 1, 2, 6, 5, 3
Question 4The patient's feeding tube is occluded and cannot be flushed. The nurse knows that the best irrigant for feeding tube occlusion is
a. cola.
b. pancreatic enzyme.
c. water.
d. juice.
Question 5_____ are created by the turbulence of blood flow through a vessel caused by constriction of the blood pressure cuff.
a. Korotkoff sounds
b. Pulse pressures
c. Murmurs
d. Gallops
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