Exam (elaborations)
VN wk 4 Fundamentals
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VN wk 4 Fundamentals1. The nurse is caring for a client with multiple areas of skin breakdown on the back. In which
position will the nurse choose to place the client to improve arterial oxygenation? - ANS prone
2. A client who has been lying prone reports shortness of breath and a sensation of choking. Into
which position will the nurse place the client? - ANS Fowlers'
3. A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing
action when the client reports nausea? - ANS Sit with the client and ask them about their feelings.
4. A nurse is using a mechanical lift to assist an obese client with limited mobility. Which client will
benefit the most from a mechanical lift? - ANS heavy
5. A client with Crohn's disease in remission is admitted to the nursing unit for follow-up care. The
remission state is characterized by: - ANS disappearance of signs and symptoms associated with the
disease.
6. A nurse is assessing an obese teenager who is unhappy and stressed out because she modeling
intervention for stress management for the client. Which action should the nurse has not lost weight
despite working out at the gym. The physician asks the nurse to try the perform when adhering to
the modeling intervention? - ANS Introduce the client to someone with a positive attitude.
7. A middle-aged client is distraught at receiving a diagnosis of type 2 diabetes in spite being
conscientious about her health for the majority of her adult life. The client tells the nurse, "I can't
believe I no longer have my health." The nurse should be aware that the World Health Organization
defines health as: - ANS state of physical, mental, and social well-being.
8. After experiencing an ST-wave elevation myocardial infarction, a 64-year-old man has been
admitted to the cardiac unit of the hospital for care. The nurse has completed a comprehensive
assessment and is creating a plan of care that is holistic in its focus. How can the nurse best integrate
the principles of holism into the client's care? - ANS By integrating each of the various dimensions of
the client's identity into his care
9. A nurse is planning the care of a client who will soon begin radiotherapy for the treatment of
breast cancer. The nurse has been identifying interventions that are rooted in the notion of holism,
which states that: local, - ANS Interactions between the mind and the body can profoundly influence
health.
, 10. The nurse is working in an acute care setting and performs primary, secondary, and tertiary
prevention Which activity performed by the nurse is classified as tertiary prevention? - ANS
Instructing a client how to use crutches
11. A child has been admitted to the medical center with severe depression and stress, and has been
avoiding going to school for these reasons, How should the nurse attempt to treat the child? - ANS
Find the factors that have caused stress and depression.
12. A nurse needs to transfer a client who has polio but has strong arms and upper body muscles to
the x-ray unit. Which transfer devices will be most suitable for the client? - ANS transfer board
13. A nurse has become involved in political efforts to ensure that a greater percentage of
AmericANS have access to affordable health care, regardless of their individual circumstances. This
view of health is reflective of what belief? - ANS Health is a right.
14. A public health nurse has been asked to participate in an initiative that is aimed at promoting the
use of ergonomics. What is the most likely goal of this initiative? - ANS promote comfort and health
in workplace settings
15. A nurse is referring a client with a preferred provider organization (PPO) to a specialist. Which
statement made by the nurse to the client demonstrates proper knowledge of PPOS? - ANS The
specialist should be in-network."
16. A 7-year-old child is admitted to a health care facility. His parents explain that the child is not
able to interpret what they say and so is not able to speak clearly. The child is also not able to
remember anything he is taught in school. What should the nurse conclude about the part of the
brain that is affected in this case? - ANS The cortex is affected.
17. A nurse had learned that more than 8% of Americans are currently living with diabetes mellitus.
This statistic represents what epidemiological concept? - ANS morbidity
18. A nurse is reading the goals stated in the Healthy People 2020 report. Which goal is targeted in
the Healthy People 2020 report? - ANS Reducing infections caused by key food-borne pathogens
19. A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects
tertiary level of prevention? - ANS Provide care transition at discharge for speech therapy.
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