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FUNDAMENTALS KAPLAN TEST BANK ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ $16.99
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FUNDAMENTALS KAPLAN TEST BANK ACTUAL EXAM 10 0 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ The nurse and the licensed practical nurse (LP/LVN) provide care to clients on the medical floor. Which task can the nurse delegate to the LPN/LVN? - ....ANSWER...Administer a tap -water enema. A two day postoperative client reports pain, tenderness, and r edness of the right calf. Which findings are most critical for the nurse to report to the health care provider? - ....ANSWER... Chest pain and shortness of breath. An older adult client is diagnosed with a fractured femur after a fall and is recovering at home with a walker. The home health nurse educates the client about fall prevention. Which nursing observation in the home indicates the client has an understanding the information provided? - ....ANSWER... The bathroom is equipped with grab bars . The nurs e knows which statement is an important fact about warfarin? - ....ANSWER ...It has a prolonged action. The nurse instructs a client how to successfully begin a regular exercise program. The nurse determines teaching is successful if the client makes which statement? - ....ANSWER ..."I am making a commitment to exercise regularly." A client is admitted to the medical unit with a temperature of 101°F (38.3°C) and a white blood cell (WBC) count of 3,000/mm? (3 X 10°). The nurse institutes which precautions? - ....ANSWER... Neutropenic precautions. The nurse provides care for a client on the medical surgical floor who is experiencing difficulty sleeping at night. Which nursing action is most appropriate to promote adequate sleep for the client? - ....ANSWER... Avoid unnecessary lights, noises, and interruptions at night. The nurse identifies which diet best meets the needs of a client with multiple wounds? - ....ANSWER... High-vitamin C, high -protein, high -carbohydrate diet. The nurse cares for an older adult cl ient and provides education about dietary needs. Which information is included in the teaching? - ....ANSWER... As metabolism decreases, caloric need decreases. The nurse identifies which findings are characteristic of chronic pain? - ....ANSWER... Withdraw al and fatigue . The nurse teaches a client how to maintain an adequate intake of protein. The nurse determines teaching is most effective if the client chooses which foods for breakfast? - ....ANSWER... Scrambled eggs and whole wheat bread. • A client ret urns from surgery with a drain sutured into the surgical wound. Which explanation is the purpose of the drain? - ....ANSWER... It decreases fluid accumulation within the tissues. One morning, a client demonstrates helpless behavior and tells the nurse, "I do not have enough strength to make my bed." When the nurse offers to assist, the client states, "No one here likes me. You all hate me!" Which response by the nurse is best? - ....ANSWER ..."You seem upset. Let's sit down in your room to talk about it." The nurse helps a client cough and deep breathe after surgery. For coughing and deep breathing to be most effective, the nurse assists the client to assume which position? - ....ANSWER... High Fowler. (allows the client to deep breathe and cough most effect ively) The nurse provides care for a client following surgery to repair a broken femur. The client is restless, perspiring, and grimaces when trying to move in the bed. Which is the most appropriate intervention for the nurse to implement first? - ....ANSWER... assess the client's pain level The nurse observes a staff member prepare to leave the room of a client on droplet precautions. The nurse intervenes if which action is observed? - ....ANSWER... The staff member holds onto the outer surface of the face mask while pulling mask away from face. A client asks the nurse to provide examples of foods rich in vitamin C. Which food is a good source of vitamin C? - ....ANSWER... Tomatoes. (citrus fruits, apricots, and strawberries are excellent sources of vitamin C.) In which situation does the nurse consider withholding morphine until further assessment is completed? - ....ANSWER ...Client's level of consciousness fluctuates from drowsy to let hargic. The nurse cares for a client with an open, draining wound on the lower left leg. The client has a white blood cell count of 16,000/mm (16 x 10°/L). Which intervention does the nurse anticipate in the client's plan of care? - ....ANSWER... Obtain a culture of the wound and send to the laboratory.
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