Nurs104 Final Exam with Complete Solutions | Already Passed | Latest Update
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Course
Nurs104
Institution
Nurs104
Nurs104 Final Exam with Complete
Solutions | Already Passed | Latest
Update
A nurse will arrive at a nursing diagnosis through the nursing process step
of: - assessment.
A student nurse can begin to develop critical thinking skills by means of: -
listening attentively and focusing on the spe...
The participants of the planning stage of the nursing process during which
the health goals are defined include the: -✔✔ health team, the patient, and
the patient's family.
When a nurse prioritizes the patient care, consideration is given to: -✔✔
considering situations that may result in an alteration of health.
,When a patient states, "I can't walk very well," the first problem-solving step
would be to: -✔✔ find out what the problem is, such as weakness or poor
balance.
When a resident in the nursing home complains of constipation, the nurse
performs a digital rectal examination and finds a hard fecal mass. This is an
example of: -✔✔ assessment.
When the nurse checks to see whether a patient has had relief 45 minutes
after administering pain medication, the nurse is performing a(n): -✔✔
evaluation.
A nursing care plan consists of: -✔✔ nursing orders for individualized
interventions to assist the patient to meet expected outcomes.
A nursing diagnosis consists of: -✔✔ diagnostic labels formulated by the
North American Nursing Diagnosis Association-International (NANDA-I).
A patient with visual impairment is identified as at risk for falls related to
blindness. An appropriate intervention would be to: -✔✔ arrange
furnishings in room to provide clear pathways and orient the patient to
these.
An elderly patient with a medical diagnosis of chronic lung disease has
developed pneumonia. She is coughing frequently and expectorating thick,
, sticky secretions. She is very short of breath, even with oxygen running,
and she is exhausted and says she "can't breathe." Based on this
information, an appropriately worded nursing diagnosis for this patient is -
✔✔ Airway clearance, ineffective, related to lung secretions as evidenced
by cough and shortness of breath.
During the assessment phase of the nursing process, the nurse -✔✔
gathers, organizes, and documents data in a logical database.
The statements that are correctly stated as expected outcomes are: (Select
all that apply.) -✔✔ Patient will be able to ambulate using a walker
independently within 3 days., Patient will perform active range of motion
(ROM) of her upper extremities independently every 4 hours.
A nurse is caring for a patient with a medical diagnosis of right lower lobe
pneumonia. The patient is expectorating thick green mucus, has an oxygen
saturation level of 90%, and has audible crackles in the base of the right
lung. An appropriate nursing diagnosis for this patient is: -✔✔ Airway
clearance, ineffective, related to retained secretions as evidenced by
expectoration of thick green mucus, oxygen saturation level of 90%, and
audible crackles in the base of the right lung.
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