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TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, All Chapters 1 to 16, Complete A+ Graded, ISBN: 9780136909491$20.99
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TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, All Chapters 1 to 16, Complete A+ Graded, ISBN: 9780136909491
TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, All Chapters 1 to 16, Complete A+ Graded, ISBN: 9780136909491
TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, All Chapters 1 t...
1) Aeclienteonetheemedical/surgicaleunitecomplainseofesuddenechestepains.eWhicheactionewillethee
nurseeimplementefirst?
A) Calletheehealthcareeprovider.
B) Administerepainemedication.
C) Reassesseaeneweseteofevitalesigns.
D) Turneclientefromesupineetoelateral.e
ANSWER:e C
Explanation:eA)eTheenurseewilleneedetoereassessetheeclientefirst,ebeforeecallingetheehealthcaree
provider.
B) Theenurseewilleneedetoereassessetheeclientefirst,ebeforeeadministeringepainemedication.
C) Theenurseeneedsetoeimplementeaeneweseteofevitalesignsefirstewhenethereeiseaechangeei
necondition.
D) Theenurseewilleneedetoereassessetheeclientefirst,ebeforeemovingetheeclient,etoeavoidemakingeth
eechangeeineclient'seconditioneworse.
PageeRef:e2
CognitiveeLevel:e Applying
ClienteNeed/Sub:e PhysiologicaleIntegrity:eReductioneofeRiskePotential
Standards:eNursingeProcess:eAssessmente|eLearningeOutcome:e1.1e|eQSENeCompetencies:eP
atient-CenteredeCare
AACNeDomainseandeComps.:eDomaine2:ePerson-
CenteredeCareeNLNeCompetencies:e RelationshipeCenteredeCare
2) TheenurseeiseobservingetheeUAPetakingetheetemperatureeofeaneunconsciouseclient.eWhicherout
eewilletheenurseequestionetheeUAPeusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanice
ANSWER:e A
Explanation:eA)eTheetemperatureeofeaneunconsciouseclienteiseneveretakenebyemouth.eTheerectal,et
ympanic,eorescanneremethodeisepreferred.
B) Theerectal,etympanic,eorescanneremethodeisepreferred.
C) Theerectal,etympanic,eorescanneremethodeisepreferred.
D) Theerectal,etympanic,eorescanneremethodeisepreferre
d.ePageeRef:e24
CognitiveeLevel:e Applying
ClienteNeed/Sub:eee SafeeandeEffectiveeCareeEnvironment:eSafetyeandeInfectioneControleStandards
:e NursingeProcess:eEvaluatione|eLearningeOutcome:e1.1e|eQSENeCompetencies:eSafetyeAACNeDom
ainseandeComps.:e Domaine5:eQualityeandeSafety
NLNeCompetencies:e Qualitye&eSafety
1
, 3) Theenurseeisechangingeae2-month-
oldeclient'sediapereandenotesetheeclientefeelsewarmetoetouch.eWhichemethodeshouldetheenurseeus
eetoechecketheebaby'setemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanicemembran
eeANSWER:e C
Explanation:e A)eOraleiseusedeforeagee3eoreolder.
B) Theerectalerouteeisetheeleastedesirable.
C) Theeaxillaryerouteemayenotebeeaseaccurateeaseothererouteseforedetectingefeverseinechildren.
D) Theetympanicemembraneemayebeeusedefore3emonthseoreolder
.ePageeRef:e29
CognitiveeLevel:e Applying
ClienteNeed/Sub:e PhysiologicaleIntegrity:eReductioneofeRiskePotential
Standards:e NursingeProcess:eEvaluatinge|eLearningeOutcome:e1.2e|eQSENeCompetencies:eSafetyeA
ACNeDomainseandeComps.:e Domaine5:eQualityeandeSafety
NLNeCompetencies:e Qualitye&eSafety
4) Aeclientecomeseinewitheexacerbationeofechroniceobstructiveepulmonaryediseasee(COPD).eWhichen
oninvasiveediagnosticetestewilletheenurseeimplementetoeknowethatetheeclienteisereceivingeenougheo
xygen?
A) Chestex-ray
B) Pulseeoximeter
C) Arterialebloodegasses
D) Assessmenteoferespiratoryerat
eeANSWER:e B
Explanation:e A)eAechestex-rayeisenoteaneinterventioneaenurseecompletes.
B) Aepulseeoximetereprovideseaenoninvasiveemethodeofemeasuringeoxygenation,eoreoxygenesa
turation,einetheebloodeandeprovideseaepulseereading,ewhicheiseespeciallyehelpfuleforetheeclientew
itheaerespiratoryeillnesseoredisease.
C) Arterialebloodegaseseareeaneinvasiveediagnosticetest.
D) Assessingeaerespiratoryerateeiseimportanteforetheenurseetoeimplement;ehowever,eiteisenote
aediagnosticetest.
PageeRef:e21
CognitiveeLevel:e Applying
ClienteNeed/Sub:e PhysiologicaleIntegrity:eReductioneofeRiskePotential
Standards:eNursingeProcess:eImplementatione|eLearningeOutcome:e1.3e|eQSENeCompetencies:eIn
formatics
AACNeDomainseandeComps.:e Domaine5:eQualityeandeSafetyeNLNeC
ompetencies:e Qualitye&eSafety
2
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