NUR 1140 Questions With 100%Verified Answers A+GRADED
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Course
NURSING 1140
Institution
NURSING 1140
NUR 1140 Questions With 100%Verified Answers A+GRADED
A nurse is caring for a client who is acidotic. The nurse asks the charge nurse why the client is breathing rapidly. What response by
the charge nurse is best?
a. Anxiety is causing the client to breathe rapidly.
b. The client is trying ...
NUR 1140 Questions With 100%Verified
Answers A+GRADED
A nurse is caring for a client who is acidotic. The nurse asks the charge nurse why the
client is breathing rapidly. What response by
the charge nurse is best?
a. Anxiety is causing the client to breathe rapidly.
b. The client is trying to get rid of excess body acids.
c. The rapid respirations cause buildup of bicarbonate.
d. An increased respiratory rate is due to increased metabolism. - correct answer...✔✔
ANS: B
The client is acidotic, and the respiratory system is attempting to compensate by
"blowing off" excess acid in the form of carbon
dioxide. The increased respiratory rate is not due to anxiety or increased metabolism.
An increased respiratory rate does not cause a
buildup of bicarbonate.
A client had a recent thromboembolism and must resume work which requires frequent
car and plane travel. What self-care
measure does the nurse teach to reduce the risk of impaired clotting in this client?
a. Get up and walk around at least every 2 hours while traveling.
b. Use a soft toothbrush and an electric razor for safety.
c. Be sure to sit with the legs elevated as much as possible.
d. Increase fiber in the diet so as not to strain to move the bowels. - correct answer...✔
✔ANS: A
Clients who are at risk of increased clotting (as evidenced by prior thromboembolic
event) can take several measures to reduce their risk of further problems. One measure
is to get up and walk frequently when sitting for a long period of time. Using a soft
toothbrush and an electric razor and needing to prevent constipation would be important
for a client at risk of bleeding. Elevating the legs is not as beneficial as ambulating.
A nurse is caring for four clients. Which client does the nurse assess first for impaired
cognition?
a. A 28-year-old client 2 days post-open cholecystectomy
b. An 88-year-old client 3 days post-hemorrhagic stroke
c. A 32-year-old client with a 20-pack-year history of smoking
d. A 42-year-old client with a serum sodium of 134 mEq/L (134 mmol/L) - correct
answer...✔✔ANS: B
AGRADESOLUTIONS
,There are many risk factors for impaired cognition including advanced age and diseases
and disorders that affect the brain. The
88-year-old client who is recovering from a stroke has two such risk factors and is at
highest risk for impaired cognition. The nurse
assesses this client first. The other clients have a much lower risk of developing
impaired cognition.
The assistive personnel (AP) reports to the registered nurse that a postoperative client
has a pulse of 132 beats/min and a blood
pressure of 168/90 mm Hg. What response by the nurse is most appropriate?
a. Ask the AP to repeat the client's vital signs in 15 minutes.
b. Assess the client for pain.
c. Ask the client if something is bothersome.
d. Instruct the AP to reposition the client - correct answer...✔✔ANS: B
The "fight-or-flight" syndrome can occur from sympathetic nervous stimulation due to
acute pain. Symptoms can include nausea, vomiting, diaphoresis, tachycardia,
tachypnea, hypertension, and dilated pupils. Since this client is postoperative, it is
reasonable to believe that he or she might be in pain. The nurse first assesses for pain
or discomfort and treats it. If the client is not in pain, the nurse would conduct further
assessments to determine the cause of the abnormal vital signs.
A client has urinary incontinence. Which assessment finding indicates that outcomes for
a priority nursing diagnosis have been
met?
a. Client reports satisfaction with undergarments for incontinence.
b. Client reports drinking 8 to 9 glasses of water each day.
c. Skin in perineal area is intact without redness on inspection.
d. Family states that client is more active and socializes more. - correct answer...✔✔
ANS: C
Urinary incontinence can lead to skin breakdown and possibility of infection. Skin that is
intact without redness shows that a major goal for this client has been met. Becoming
more social is a positive finding as many adults with incontinence limit their social
activities, but this psychosocial outcome is not the priority over a physical outcome.
Being satisfied with undergarments is also not the priority. Drinking adequate water can
sometimes help with incontinence and is important for general health, but is not directly
related to an important goal for this client.
The registered nurse asks the nursing assistant why a cardiac client's morning weight
has not yet been done. The nursing assistant
says, "I'll get to it, what's the big deal?" When deciding how to respond, the nurse
considers what information about weight?
AGRADESOLUTIONS
,a. Decisions on treatment often depend on the daily weight.
b. The nursing assistant needs to ensure that tasks are done on time.
c. Weight is the most accurate noninvasive indicator of fluid status.
d. A change in weight may indicate the need to change IV fluids. - correct answer...✔✔
ANS: C
Weight is the best (noninvasive) indicator of fluid status. Primary health care providers
may base treatment decisions on weight, because the weight reflects fluid balance, but
this answer does not explain why. IV fluid rates or solutions may change for the same
reason. The nursing assistant would perform tasks on a timely basis, but this is not
related to information about weight.
The nurse in the emergency department (ED) is caring for four clients. Which client
does the nurse assess for gas exchange
abnormalities first?
a. Involved in motor vehicle crash, has broken femur.
b. Brought in unconscious by roommate after opioid overdose.
c. Asthmatic client being discharged after bronchodilator therapy.
d. History of COPD, presents to ED after being bitten by a dog. - correct answer...✔✔
ANS: B
Opioid medications can cause respiratory depression, so this client is most at risk for
gas exchange problems. Diminished respirations will allow a buildup of carbon dioxide
in the blood. The clients with asthma and COPD have the potential for gas exchange
problems but this is not indicated in answer option as he or she is being discharged.
The client with a broken femur does
not have information suggesting gas exchange problems.
The nurse caring for a client with malnutrition assesses which laboratory value as the
priority?
a. Albumin
b. Prealbumin
c. Prothrombin time
d. Serum sodium - correct answer...✔✔ANS: B
Both albumin and prealbumin are indicators for nutrition. However, prealbumin changes
more rapidly with decreased nutrition, so it is the better test. Prothrombin time and
serum sodium are not directly related to nutritional status.
A nurse is planning primary prevention measures for community-dwelling adults to
prevent visual impairment. What action by the
nurse will best meet this objective?
a. Provide glaucoma screening.
AGRADESOLUTIONS
, b. Assess visual acuity.
c. Teach clients about instilling eyedrops.
d. Offer a healthy lifestyle class. - correct answer...✔✔ANS: D
Primary prevention activities are those designed to actually prevent the onset of a
disease or health problem. Secondary prevention focuses on screening and early
diagnosis/detection. Tertiary measures are those that offer treatment and rehabilitation.
Encouraging a healthy lifestyle through classes may help prevent diabetes, a common
cause of visual impairment, and is a primary prevention
measure. Assessing for glaucoma and visual acuity is a secondary prevention measure.
Teaching clients how to instill eyedrops is tertiary.
The nurse tells the staff development nurse he/she is very uncomfortable discussing
sexuality with clients, especially those who are older. What suggestion by the staff
development nurse is most appropriate?
a. "Find a trusted friend and role play."
b. "Don't worry it will get easier."
c. "A sexual assessment is usually not needed."
d. "It's hard for me to do, too." - correct answer...✔✔ANS: A
Discussing sexuality and sex is difficult for most people. Since it is important to be able
to assess this aspect of people's lives, the nurse needs to become comfortable. Role-
playing with a trusted friend will build confidence and comfort. Saying that it will get
easier and that it is hard for the staff development nurse too does not give the nurse any
ideas for improvement. Sexuality is important to assess.
A nurse is planning a community education event-related to impaired cellular regulation.
What teaching topics would the nurse
include in this event? (Select all that apply.)
a. Ways to minimize exposure to sunlight
b. Resources available for smoking cessation
c. Strategies to remain hydrated during hot weather
d. Use of indoor tanning beds instead of sunbathing
e. Creative cooking techniques to increase dietary fiber
f. How to determine sodium content in food? - correct answer...✔✔ANS: A, B, E
Disrupted cellular regulation can lead to both benign and malignant tumors (cancer).
Ways to minimize the risk of developing cancer include decreasing exposure to sunlight,
smoking cessation, and increasing dietary fiber. Tanning beds do not reduce the risk of
cancer as opposed to sunbathing. While staying hydrated is a good health measure, it is
not related to cellular regulation. Maintaining a normal intake of sodium is also not
related to cellular regulation.
AGRADESOLUTIONS
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