NEW!!!NURS 280 EXAM 4 COMPREHENSIVE VERSION 4 GUIDE WITH VERIFIED ANSWERS| GALEN COLLEGE OF NURSING 2024
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Course
NURS 280
Institution
NURS 280
NEW!!!NURS 280 EXAM 4 COMPREHENSIVE VERSION 4 GUIDE
WITH VERIFIED ANSWERS| GALEN COLLEGE OF NURSING 2024
NEW!!!NURS 280 EXAM 4 COMPREHENSIVE VERSION 4 GUIDE
WITH VERIFIED ANSWERS| GALEN COLLEGE OF NURSING 2024NEW!!!NURS 280 EXAM 4 COMPREHENSIVE VERSION 4 GUIDE
WITH VERIFIED ANSWERS| GALEN CO...
1 | P a g e NEW!!!NURS 280 EXAM 4 COMPREHENSIVE VERSION 4 GUIDE WITH VERIFIED ANSWERS| GALEN COLLEGE OF NURSING 2024 A nurse documents the following on a client chart: "client manifests difficulties with spatial orientation, memory 7. language, and changes in personality." What state of arousal/awareness does this describe? A) Delirium B) Dementia C) Confusion D) Locked -in syndrome - CORRECT ANSWER >>>a A client has an abrupt onset of a cluster of global changes in attention, cognition, and level of consciousness. What 18. would be the most appropriate nursing diagnosis? A) Acute Confusion B) Chronic Confusion C) Impaire d Memory D) Disturbed Sensory Perception - CORRECT ANSWER >>>a A nurse is caring for a person who is delusional. What is important for the nurse to do while communicating with the 25. client? A) Touch the client gently while talking. B) Avoid arguing abou t erroneous statements. C) Reinforce reality for delusional statements. 2 | P a g e D) Maintain eye contact at all times. - CORRECT ANSWER >>>c The nurse is caring for a client who suffered a stroke three days ago, and is assessing the client's state of arousal. The 32. nurse knows that the part of the body responsible for a person being alert or aroused is which of the following? A) Reticular activating system B) Renin -angiotensin -aldosterone system C) Cranial nerves D) Adrenal glands - CORRECT ANSWER >>>a The nurse caring for a client with emphysema has determined that a priority nursing diagnosis for this client is "Imbalanced Nutrition: Less Than Body Requirements related to difficulty breathing while eating." Based upon this 1. diagnosis, which of the following is an appropriate nursing intervention to include in the client's care plan? A) Provide six small meals daily. B) Provide three large meals daily. C) Encourage the client to eat immediately before breathing treatments. D) Encourage the client to alternate eating and using a nebulizer during meal time. - CORRECT ANSWER >>>a The nurse is developing a plan of care for a client admitted with pneumonia. The nurse has determined that apriority nursing diagnosis for this clien t is "Ineffective Airway Clearance related to copious and tenacious secretions." Based 2. upon this nursing diagnosis, what is an appropriate nursing intervention to include in the client's care plan? A) Encouraging the client to consume two to three quart s of clear fluids daily B) Creating an environment that is likely to reduce anxiety C) Positioning the client supine D) Encouraging the client to decrease the number of cigarettes smoked daily - CORRECT ANSWER >>>a 3 | P a g e While the nurse is providing morning hyg iene for a client who has a chest tube, the client has rolled over quickly and the 3. chest tube has become disconnected from the drainage unit. How should the nurse first respond to this event? A) Submerge the end of the tube in sterile water. NURSINGKING .COM B) Clamp the tube near the end and also near the insertion point. C) Place the end of the tube on a sterile surface and seek help promptly. D) Clean the end of the tube with an alcohol swab and reconnect it to the drainage unit. - CORRECT ANSWER >>>a A client has had a head injury affecting the brain stem. What is located in the brain stem that may affect respiratory 4. function? A) Chemoreceptors B) Stretch receptors C) Respiratory center D) Oxygen center - CORRECT ANSWER >>>c Which of the following diseases may result in decreased lung compliance? A) Emphysema B) Appendicitis C) Acne D) Chronic diarrhea - CORRECT ANSWER >>>a A nurse is caring for a client with pneumonia. The client's oxygen saturation is below normal. What abnormal 6. respiratory process does this demonstrate? A) changes in the alveolar -capillary membrane and diffusion B) alterations in the structures of the r ibs and diaphragm C) rapid decreases in atmospheric and intrapulmonic pressures D) lower -than -normal concentrations of environmental oxygen - CORRECT ANSWER >>>a In what age group would a nurse expect to assess the most rapid respiratory rate? 4 | P a g e A) Older ad ults B) Middle adults C) Adolescents D) Infants - CORRECT ANSWER >>>d A father of a preschool -age child tells the nurse that his child "has had a constant cold since going to daycare." How 8. would the nurse respond? A) "Your child must have a health prob lem that needs medical care." B) "Children in daycare have more exposure to colds ." C) "Are you washing your hands before you touch the child?" D) "Be sure and have your child wear a protective mask at school." - CORRECT ANSWER >>>b A woman 90 years of ag e has been in an automobile crash and sustained four fractured ribs on the left side of her thorax. 9. Based on her age and the injury, she is at risk for what complication? A) Pneumonia B) Altered thought processes C) Urinary incontinence D) Viral influen za - CORRECT ANSWER >>>a Which individual is at greater risk for respiratory illnesses from environmental causes? A) A farmer on a large farm B) A factory worker in a large city C) A woman living in a small town D) A child living in a rural area - CORRECT ANSWER >>>b A nurse is beginning to conduct a health history for a client with respiratory problems. He notes that the client is having 11. respiratory distress. What would the nurse do next? A) Continue with th e health history, but more slowly. B) Ask questions of the family instead of the client. C) Conduct the interview later and let the client rest.
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