Nur 110 Exam 2 Practice Questions Exams Questions And Answers 100% Verifed Answers A.docx

A pt has reduced muscle strength following a left-sided stroke and is at risk for falling. Which intervention is most appropriate for the nursing diagnostic statement, "Risk for falls"? {Ans: Assist pt into and out of bed every 6 hours or as tolerated}Which of these outcomes would be the most appropriate for a pt with a nursing diagnoses of "Constipation related to slowed gastrointestinal motility secondary to pain medications" {Ans: Pt will have one soft, formed bowel movement by end of shift}Which intervention is most appropriate for the nursing diagnostic statement, "Impaired skin integrity related to shearing forces"? {Ans: Perform the ordered dressing change twice daily}Nursing process nemonic {Ans: ADPIE Assessment Diagnosis Planning Implementation Evaluation}A nursing assessment for a pt with a spinal cord injury leads to several pertinent problems that a nurse can treat. While developing the plan of care, which nursing diagnosis is the highest priority for this patient? Risk for impaired skin integrity Risk for infection Spiritual distress Reflex urinary incontinence {Ans: Reflex urinary incontinence}Proper body mechanics includes which concept? Keeping the knees in a locked position Bending at the waist to maintain a center of gravity Holding an object away from