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Fundamentals Online Practice 2019 A With NGN – With Complete Solutions (100% Correct)
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Fundamentals Online Practice 2019 A With NGN –With Complete Solutions (100% Correct)
A nurse is talking with an older adult client who is contemplating retirement.
The client states, "I keep thinking about how much I enjoy my job. I'm not sure
I want to retire." Which of the following responses should the nurse make?
A. "You would have so much more time to spend with your family."
B. "You should consider getting a part-time job or doing volunteer work."
C. "Let's talk about how the change in your job status will affect you."
D. "Why wouldn't you want to retire and relax?" ✔️Ans - C. "Let's talk about
how the change in your job status will affect you."
Rationale: This response is therapeutic because the nurse is encouraging the
client to verbalize feelings about the life transition of retirement.
A nurse is caring for a client who has herpes zoster and asks the nurse about
the use of complementary and alternative therapies for pain control. The
nurse should inform the client that this condition is a contraindication for
which of the following therapies?
A. Biofeedback
B. Aloe
C. Feverfew
D. Acupuncture ✔️Ans - D. Acupuncture
Rationale: The nurse should inform the client that herpes zoster, or any skin
infection, is a contraindication for the use of acupuncture. An open portal on
the skin's surface could increase the risk of further infection.
A nurse is assessing an older adult client's risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs? (Select
all that apply.)
A. Lacrimal apparatus
B. Pupil clarity
C. Appearance of bulbar conjunctivae
D. Visual fields
,E. Visual acuity ✔️Ans - B. Pupil clarity
D. Visual fields
E. Visual acuity
A nurse is caring for a child who has a prescription for a blood transfusion.
The child's parents have refused the treatment due to their religious beliefs.
Which of the following actions should the nurse take?
A. Examine personal values about the issue.
B. Tell the parents that this is a necessary procedure.
C. Inform the parents that the staff does not require their consent.
D. Contact a spiritual support person to explain the importance of the
procedure. ✔️Ans - A. Examine personal values about the issue.
Rationale: Nurses should examine their own personal values about the issue
in question in order to provide care that is without bias.
A nurse is caring for a client who is postoperative following a knee
arthroplasty and requires the use of thigh-length sequential compression
sleeves. Which of the following actions should the nurse take?
A. Assist the client into a prone position.
B. Place a sleeve over the top of each leg with the opening at the knee.
C. Make sure two fingers can fit under the sleeves.
D. Set the ankle pressure at 65 mm Hg. ✔️Ans - C. Make sure two fingers
can fit under the sleeves.
Rationale: The nurse should ensure that there is enough space for two fingers
to fit under the sleeve because any less space between the sleeves and the legs
can inhibit circulation when the sleeves inflate.
A nurse is reviewing evidence-based practice principles about administration
of oxygen therapy with a newly licensed nurse. Which of the following actions
should the nurse include?
A. Regulate the flow rate by aligning the rate with the top of the ball inside the
flow meter.
B. Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
C. Make sure the reservoir bag of a partial rebreathing mask remains deflated.
, D. Use petroleum jelly to lubricate the client's nares, face, and lips. ✔️Ans -
B. Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
Rationale: Evidence-based practice supports a flow rate of 1 to 6 L/min via
nasal cannula. Rates above 6 L/min have a drying effect and force clients to
swallow air excessively without increasing their fraction of inspired oxygen.
A nurse is caring for a client who is expressing anger about his diagnosis of
colorectal cancer. Which of the following actions should the nurse take?
A. Discuss the risk factors for colon cancer.
B. Focus teaching on what the client will need to do in the future to manage
his illness.
C. Provide the client with written information about the phases of loss and
grief.
D. Reassure the client that this is an expected response to grief. ✔️Ans - D.
Reassure the client that this is an expected response to grief.
Rationale: During the anger stage of the client's psychosocial adaptation to
illness, the nurse should support the client and explain that this is an expected
reaction to a cancer diagnosis.
A nurse is caring for a client who has pharyngeal diphtheria. Which of the
following types of transmission precautions should the nurse initiate?
A. Contact
B. Droplet
C. Airborne
D. Protective ✔️Ans - B. Droplet
Rationale: Droplet precautions are a requirement for clients who have
infections that spread via droplet nuclei that are larger than 5 microns in
diameter, including rubella, meningococcal pneumonia, and streptococcal
pharyngitis. The nurse should wear a mask when providing care or when
within 1 m (3 feet) of the client who has a disorder requiring droplet
precautions.
A nurse is responding to a call light and finds a client lying on the bathroom
floor. Which of the following actions should the nurse take first?
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