NURS 315 Exam 3 Questions With Solutions
When caring for a client who has Guillain-Barré syndrome, which assessment data obtained by
the nurse will require the most immediate action?
a. The client is incontinent.
b. The client has continuous drooling saliva.
c. The client's blood pressure is...
When caring for a client who has Guillain-Barré syndrome, which assessment data obtained by
the nurse will require the most immediate action?
a. The client is incontinent.
b. The client has continuous drooling saliva.
c. The client's blood pressure is 152/82 mm Hg.
d. The client complains of severe pain in the feet. b
Which manifestations is the nurse likely to document when performing a physical assessment on
a patient with dementia with Lewy bodies? Select all that apply.
a. Rigidity
b. Dementia
c. Physical growth delays
d. Bradykinesia
e. Postural instability
f. Mild to moderate intellectual disability a, b, d, f
,NURS 315 Exam 3 Questions With Solutions
A 62-year-old client is brought to the clinic by a family member who is concerned about the
client's inability to solve common problems. To identify whether the client's current mental status
indicates an early stage in dementia, which question should the nurse ask the client?
a. "Where were you were born?"
b. "How positive is your self-image?"
c. "What did you have for breakfast?"
d. "Do you have any feelings of sadness?" c
The nurse in the long-term care facility cares for a 70-yr-old man with late-stage dementia who is
undernourished and has problems chewing and swallowing. What should the nurse include in the
plan of care for this patient?
a. Limit fluid intake during mealtimes to prevent aspiration.
b. Turn on the television to provide a distraction during meals.
c. Provide thickened fluids and moist foods in bite-size pieces.
d. Allow the patient to select favorite foods from the menu choices. c
The home care nurse is visiting patients in the community. Which patient is exhibiting an early
warning sign of Alzheimer's disease (AD)?
a. A 65-yr-old male patient does not recognize his family members and close friends
,NURS 315 Exam 3 Questions With Solutions
b. A 59-yr-old female patient misplaces her purse and jokes about having memory loss
c. .A 79-yr-old male patient is incontinent and not able to perform hygiene independently.
d. A 72-yr-old female patient is unable to locate the address where she has lived for 10 years.
d
Which intervention will the nurse include in the plan of care for a client who has late stage
Alzheimer's disease?
a. Encourage the client to discuss events from the past
b. Maintain a consistent daily routine for the client's care
c. Reorient the client to the date and time every 2 to 3 hours
d. Provide the client with current newspapers and magazines b
A client with Alzheimer's disease is wandering the halls very agitated, asking for her "mommy"
and crying. What is the best response by the nurse?
a. Ask the client, "Why are you behaving this way?"
b. Tell the client, "Let's go get a snack in the kitchen."
c. Ask the client, "Wouldn't you like to lie down now?"
d. Tell the client, "Just take some deep breaths and calm down." b
, NURS 315 Exam 3 Questions With Solutions
You administer the Confusion Assessment Method (CAM) tool to K.P. to differentiate among
various cognitive disorders, primarily because:
a. delirium can be reversed by treating the underlying causes.
b. depression is a common cause of dementia in older adults.
c. nursing care should be based on the cause of the cognitive impairment.
d. drug therapy with antipsychotic agents is indicated in the treatment of dementia. a
The nurse is performing preoperative teaching for the older adult client who will be having a
cataract removed. Which instructions does the nurse include? Select all that apply.
a. "Cataracts are an opacity of the lens that can be caused by aging, sunlight, or trauma."
b. "You will need to wear a patch on your eye for several weeks after the surgery."
c. "Several different types of eyedrops are requested after surgery, and they have to be taken
several times a day for up to 4 weeks."
d. "You will receive a medication to help you relax. Then you will receive some different
eyedrops to dilate your pupils and paralyze the lens."
e. "Bring sunglasses with you on the day of your procedure."
f. "Can you show me how to put tear drops in your eyes?"
g. "You might experience bruising and swelling around the eye." a, c, d, e, f
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