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NUR1020 Final Exam Study Guide
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NUR1020 Final Exam Study GuideA nurse is focusing on acute and chronic care of individuals and families within a
community while enhancing patient autonomy. Which type of nursing care is the nurse
providing? - Answer Community- based
The nurse is reviewing a patient's database for significant changes and discovers that
the patient has not voided in over 8 hours. The patient's kidney function lab results are
abnormal, and the patient's oral intake has significantly decreased since previous shifts.
Which step of the nursing process should the nurse proceed to after this review? -
Answer diagnosis.
After a thorough assessment, the nurse should proceed to analyzing the data and
formulating a nursing diagnosis before proceeding with developing the plan of care and
determining appropriate interventions. The evaluation phase involves determining
whether the interventions were effective.
A nurse is conducting a nursing health history. Which component will the nurse
address? - Answer PT expectations
Two nurses are having a discussion at the nurses' station. One nurse is a new graduate
who added, "Patient needs improved bowel function related to constipation" to a
patient's care plan. The nurse's colleague, the charge nurse says, "I think your
diagnosis is possibly worded incorrectly. Let's go over it together." A correctly worded
diagnostic statement is: - Answer Constipation related to inadequate fluid intake
A patient has a diagnosis of pneumonia. Which entry should the nurse chart to help with
financial reimbursement? - Answer Used incentive spirometer to encourage coughing
and deep breathing. Lung congested upon auscultation in lower lobes bilaterally. Pulse
ox 86%. Oxygen per nasal cannula applied at 2 L/min per standing order.
A nurse adds the following diagnosis to a patient's care plan: Constipation related to
decreased gastrointestinal motility secondary to pain medication administration as
evidenced by the patient reporting no bowel movement in seven days, abdominal
distention, and abdominal pain. Which element did the nurse write as the defining
characteristic? - Answer Abdominal distention
Abdominal distention, no reported bowel movement, and abdominal pain are the
defining characteristics. Decreased gastrointestinal motility secondary to pain
medication is an etiology or related to factor. Constipation is the identified problem
derived from the defining characteristics.
An 85-year-old man has come in for a physical examination, and the nurse notices that
he uses a cane. When documenting general appearance, the nurse should document
this information under the section that covers: - Answer mobility.
Which older adult populations should have a comprehensive assessment of functional
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