This test questions threw me for a loop... Please Help!

[NurseLoveJoy88]

I just finished my 2nd med surg 2 exam and thankfully I passed ! However, I did not like some of the questions, so I thought I'd post them here and you guys can either help me understand what I did wrong or agree that these are some really bad test questions.

Lecture- Vascular System

1) The client is 2 days post-op after having varicose vein surgery. You decide more pt. teaching is needed whent the pt. states I should not:

a. wear elastic compression stockings continously

b. walk 30 minutes/ day

c. dry my incision after taking a shower

d. apply lotion.

( I picked A and got it wrong)

2) A clients family history reveals lower extremity circulation problems. The nurse should tell the client:

a. Take your antihypertensives as prescribed

b. Do not consume more than 2-3 alcoholic drinks daily

c. Jog for 30 minutes 3x a week

d. Take 2 adult aspirins a day.

( I chose c and got it wrong)

3) A patients spouse has parkinsons disease. The nurse would expect which statement from the clients spouse:

a. He writes big with big loop circles

b. He has tremors in both hands when active.

c. He lads behind me and doesnt' know where he is when we go on walks

d. He can't hear me over the telephone.

( I chose c... the three cardinal signs of parkinsons is : tremors ( unilateral ), bradykinesia ( slow, shuffling gait), and ridgity.. C described bradykinsia but I still got it wrong...)

4) A client just suffered a stroke. The nurse is now determining whether the client can eat or not. The nurse deteremined that the pt. has an intake gag reflex, what is the next nursing action?

a. Assess if the patient can move head

b. Offer liquids so that it'll be easier for the pt. to follow

c. insert an ng tube

d. Sit the pt. in an upright postion with the neck flexed forward.

( I chose A and got it wrong)

These are the main questions that threw me for a loop. I don't understand why I got these wrong but I did. Before I reveal the correct answers I want to see what you all think first. And then when I got some of these questions wrong the instructor says " How could you have gotten that one wrong" I reply " I don't know, I guess I'm just an idiot ! "

Please stay tunned for the " correct " answers.

Thanks and have a good night.

[NurseLoveJoy88, ASN, RN]

patient has late stage alzheimers disease. what nursing action is best:

a. use simple statements.

b. orient the pt. daily

c. put written lists around the patients room

d. take the pt. to the snoelzelen room.

a snoelzelen room is a therapeutic course of treatment that needs to be performed on a regular basis. it is not available to the majority of the nursing facilities.

• http://nncf.unl.edu/family/alzheimers/supports-tips-respite/alzheimers-disease-caregivers-manual/section-8/training-requirements-nursing-assistants- - "use of communication skills in dementia patient management. this includes use of short simple sentences, eye contact, physical and verbal cues, and touch."
  

thanks again daytonite ! i don't know why i didn't think of that at first. i was also reviewing these questions with my mom who is a rn in ltc and she said the exact same thing also, that many ltc facilities don't even have a snoelzelen room.

well , hopefully you other nursing students can learn from my test mistakes. i'm sure you may see questions like these on your nursing exams !

[Daytonite, BSN, RN]

you gotta love some of these dementia patients. we had the cutest little confused dementia resident that would wander up to the nurses station when we were busy and stand very politely waiting to be noticed. it was interesting to watch the response of these patients to the way they were treated. some of the cnas who were tired and frustrated with him would say, "what do you want now?" or "i told you to go back to your room." he would say he wanted to make a reservation for dinner. what i used to do is look at him very sincerely and ask what i could do for him. "i want to make a dinner reservation." "i can do that," i would say, and pick up the phone and act like i was placing a dinner reservation for him. i would ask him how many people were in his party and he would tell me. when i was through i would tell him he had a reservation for the 5 pm seating and someone would come and escort him to the dining room when it was time. he was happy with that and would go back to his room. the point is that he was having anxiety over this dinner reservation issue and some didn't recognize it. whether it was a real thing or not, it was the anxiety that needed to be addressed and not his disorientation. in some patients it could have led to a flare up of violence. the cnas who worked in our alzheimer's unit were specially picked for their calm demeanor. the patients in the alzheimer unit were allowed to wander and the cnas needed to be flexible to rules and procedures because things had to be done by the resident's schedules. if a resident wanted to eat at 2am then that is what we made happen.

[NurseLoveJoy88, ASN, RN]

you gotta love some of these dementia patients. we had the cutest little confused dementia resident that would wander up to the nurses station when we were busy and stand very politely waiting to be noticed. it was interesting to watch the response of these patients to the way they were treated. some of the cnas who were tired and frustrated with him would say, "what do you want now?" or "i told you to go back to your room." he would say he wanted to make a reservation for dinner. what i used to do is look at him very sincerely and ask what i could do for him. "i want to make a dinner reservation." "i can do that," i would say, and pick up the phone and act like i was placing a dinner reservation for him. i would ask him how many people were in his party and he would tell me. when i was through i would tell him he had a reservation for the 5 pm seating and someone would come and escort him to the dining room when it was time. he was happy with that and would go back to his room. the point is that he was having anxiety over this dinner reservation issue and some didn't recognize it. whether it was a real thing or not, it was the anxiety that needed to be addressed and not his disorientation. in some patients it could have led to a flare up of violence. the cnas who worked in our alzheimer's unit were specially picked for their calm demeanor. the patients in the alzheimer unit were allowed to wander and the cnas needed to be flexible to rules and procedures because things had to be done by the resident's schedules. if a resident wanted to eat at 2am then that is what we made happen.

cute story. :loveya: