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CASAL II Exam: Questions & Complete Solutions (100%) $8.99   Add to cart

Exam (elaborations)

CASAL II Exam: Questions & Complete Solutions (100%)

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  • Course
  • WGU CASAL
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  • WGU CASAL

CASAL II Exam: Questions & Complete Solutions (100%)

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  • September 23, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • WGU CASAL
  • WGU CASAL
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LeCrae
CASAL II Exam: Questions & Complete Solutions
(100%)

A 78-year-old Mexican American client is admitted to the hospital for
hypertension. His wife passed away 6 months ago, and his only child still lives
in Mexico. Which intervention does the nurse use in dealing with this client
following his admission? Right Ans - Assess for folk medicine use

incl. Surveillance, Reporting, Med admin, error prevention Right Ans -
National Council of State Boards of Nursing (NCSBN) breakdowns in nursing
practice

Develop standardized checklist (synthesize input vs. allow) Right Ans -
SHARE

Attitudes, Knowledge, Skills (not env, jgmt or values) Right Ans - Client
centered care competencies

Sleep, Problems eating/feeding, Incontinence, Confusion, Evidence of falls,
Skin breakdown (marker conditions for longer hospitalization) Right Ans -
SPICES

safe driving more than exercise, nutrition or mental health Right Ans -
Healthy lifestyle choices for active older adults

"Tell me about support network" > leading question about death of spouse
Right Ans - widowed client says life is not fun anymore

"which cognitive problem does the nurse suspect that the client may have
discussed with the client's son" (test said Dementia) Right Ans - Dementia
vs. Alzheimers

Yes: class, new skill, new physical activity No: R&R, solitary reminiscence,
meditate 30 min/day Right Ans - Promote cognitive health

Prednisone increases risk Right Ans - skin breakdown

, Pain, pallor, paralysis, paresthesia and pulselessness Right Ans - 5 Ps of
neurovascular compromise

indicated in pulse and color, not saturation Right Ans - Perfusion

pain with passive range of motion Right Ans - Compartment syndrome

appropriate for 5 day -3 week dwell Right Ans - Midline catheter

appropriate for appendectomy, possible high volume fluids Right Ans - 18
g IV

change 12 to 24 hour Right Ans - Intermittent IV set

3 is palpable cord of 1 inch Right Ans - Phelibitis grading

anticipate shift to epidural IV Right Ans - Transfer patient with IO access 2
days

clean skin, use 70% eth/clhex, iodine+2min, no clean gloves/fingertips or
shave Right Ans - Preparation for insertion

full body sterile drape prevents infection Right Ans - central line insertion

only compatible with NS, best admin <2 hour, no more than 4 Right Ans -
Packed RBCs

contraction of interstitial fluid Right Ans - Isotonic dehydration

fluid moves from plasma to interstitial, more common Right Ans - relative
dehydration

expansion of interstitial fluid Right Ans - Fluid overload

In fluid overload, electrolyte levels normal but blood count decreased Right
Ans - hemodilution

may cause increased drug availability in elderly Right Ans - decreased
blood flow to liver

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