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CASAL 1 Exam – Questions & Comprehensive Answers
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CASAL 1 Exam – Questions & Comprehensive Answers
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CASAL 1 Exam – Questions & Comprehensive AnswersChronic protein malnutrition cause Right Ans - A:Low serum albumin level
Long-term protein deficiency is required to cause significantly lowered serum
albumin levels.
A client receiving high doses of chemotherapy. Which situation will cause the
nurse to intervene for this client? Right Ans - The florist delivers an
arrangement of fresh flowers.
Side effect of chemotherapy is the inability to fight infection secondary to
neutropenia. Fresh fruits and fresh flowers are sources of infection that must
be avoided for these clients.
Client's affect is flat, responds to questions with short answers, and reports
problems with sleeping. client reveals the loss of a life partner 1 month ago.
best action for this client? Right Ans - greif counselor
Administer diazepam, 4 mg IV push, to a client with severe anxiety. How many
milliliters should the nurse administer? _____ mL Right Ans - (1 mL × 4
mg)/5 mg = 0.8 mL
The nurse transcribes the postoperative prescriptions for a client who returns
to the unit following surgery and notes that an antihypertensive medication
that was prescribed preoperatively is not listed. Which action should the
nurse take? Right Ans - Contact the health care provider to renew the
prescription for the medication.
The nurse is preparing to administer 10 mL of liquid potassium chloride
through a feeding tube, followed by 10 mL of liquid acetaminophen. Which
action should the nurse include in this procedure? Right Ans - Administer
water between the doses of the two liquid medications.
Water should be instilled into the feeding tube between administering the two
medications to maintain the patency of the feeding tube and ensure that the
total dose of medication enters the stomach and does not remain in the tube.
These liquid medications do not need to be diluted when administered via a
,feeding tube and should be administered separately, with water instilled
between each medication.
During a routine assessment, an obese 50-year-old client states, "I feel so
unlovable because of my weight." Which is the best response by the nurse?
Right Ans - Ask the client to talk about specific concerns.
A client with frequent urinary tract infections (UTIs) asks the nurse to explain
a friend's advice about drinking a glass of juice daily to prevent future UTIs.
Which response is best for the nurse to provide? Right Ans - cranberry
juice maintains urinary tract health by reducing the adherence of Escherichia
coli bacteria to cells within the bladder.
The nurse is preparing to change the bed of a client who is non-responsive,
and receiving continuous enteral tube feedings. What step must the nurse take
prior to changing the bed? Right Ans - Stop the feeding for 15 minutes
prior to changing the bed.
Risk of aspiration
The nurse is preparing to administer 0.32 mL of medication subcutaneously.
What supplies will the nurse need to deliver the medication? (Select all that
apply.) Right Ans - A 1 mL syringe
Alcohol prep pads
A 24-gauge ¾″ needle
The best syringe is a 1 mL syringe as it is marked in 100ths; 3 mL syringes are
marked off in 10ths. Clean, not sterile gloves are needed. For sub-q, the 3/4″
needle is sufficient and less painful for the client.
The nurse manager of a skilled nursing (chronic care) unit is instructing UAPs
on ways to prevent complications of immobility. Which action should be
included in this instruction? Right Ans - Perform range-of-motion exercises
to prevent contractures.
The mental health nurse plans to discuss a client's depression with the health
care provider in the emergency department. There are two clients sitting
across from the emergency department desk. Which nursing action is best?
Right Ans - Discuss the client another time.
, Confidentiality must be observed at all times, so the nurse should not discuss
the client when the conversation can be overheard by others. Details of the
client can be identified when referring to the client by gender or age, even
when not using the client's name.
After the nurse tells an older client that an IV line needs to be inserted, the
client becomes very apprehensive, loudly verbalizing a dislike for all health
care providers and nurses. How should the nurse respond? Right Ans -
Calmly reassure the client that the discomfort will be temporary.
A 76-year-old client has returned from surgery. The nurse plans on decreasing
the chance of respiratory compromise for this client. What will the nurse
include in this client's plan of care? (Select all that apply.) Right Ans - Raise
the head of the bed to no less than a 45 degrees angle.
Have the client use an incentive spirometer 10 times every hour while awake.
Ask the client to take deep breaths and cough five times every hour while
awake.
As long as the client is not on a fluid restriction, offer no less than 2000 mL of
fluid to keep the body well hydrated and keep respiratory secretions loose.
Ambulation is key for this client. Sitting at the side of the bed is not a
replacement for ambulating. Having the client sit up helps expand the lungs.
Taking deep breaths, through coughing or incentive spirometry, helps expand
the lungs and decrease atelectasis.
The nurse is preparing the room for a client after a laparotomy with a 5 inch
midline abdominal incision. The nurse plans on teaching the client how to
splint the wound when coughing or deep breathing. What extra item will the
nurse place in the client's room? Right Ans - pillow
The purpose of splinting an incision is to offer additional support to the
wound. The client can hold a pillow or rolled up blanket against the abdominal
incision. The remaining items do not offer the level of support necessary to
splint the wound.
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