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NURS 3209 Holistic Nursing - Exam 1 Questions And Correct Answers
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NURS 3209 Holistic Nursing - Exam 1 Questions AndCorrect Answers
The client is receiving a medication IV piggyback and voices discomfort at the IV site.
Assessment of the site shows it is cool to the touch and slightly swollen. The best action
by the nurse would be to:
Slowing the rate of infusion until the client reports relief.
Monitoring of the site closely for any complications.
Apply a cool, moist compress for 20 minutes.
Discontinue the IV site and restart IV in a new location.
Discontinue the IV site and restart IV in a new location.
Unintentional injuries are a major cause of disability and death in the United States. For
adults, where does unintentional injury rank on the list of the top causes of death?
Fifth
Tenth
First
Eighth
Fifth
,A nurse is creating an educational plan for a client who will be discharged to home after
a successful course of treatment related to an infection of a wound. For this client,
which topic would the nurse be less likely to include?
infection signs and symptoms
monitoring of vital signs
hand hygiene practices
intravenous antibiotics
intravenous antibiotics
and
The nurse is going to administer a dose of intravenous medication as a bolus. How does
the nurse administer the medication?
simultaneously with other medication
all in one dose
for more than 3 hours
during an entire 12-hour shift
all at once
A nurse suspects that a client has a respiratory infection. The nurse is least likely to
assess this symptom.
productive cough
dyspnea
clear mucus
abnormal breath sounds
clear mucus
The nurse is checking the client's BP and HR for orthostatic hypotension. At what step
should the nurse intervene because of a potential danger?
,Client stands at bedside, becomes pale, diaphoretic.
Client is in supine position for 3 minutes and BP 120/70; HR 70; asymptomatic.
Client is asked to sit at edge of bed, feet dangling for 3 minutes; asymptomatic
After 3 minutes of sitting, BP 100/50; HR 90
Client stands beside bed, becomes pale, diaphoretic.
The nurse is preparing to change the client's wound dressing. Which of the following
actions best promotes infection control?
sterile gauze
sterile gloves
handwashing
clean environment
handwashing
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A nurse is performing an intradermal injection for a skin allergy test on a client. After
administration the nurse does not see a wheal, or blister, around the site of injection.
Which is the nurse's best action?
qn
Prepare a second syringe and inject the client at the same site.
Document the administration and then notify the primary care provider.
Document the administration was given correctly.
Choose a different site and reinject the medication.
ACdocument the administration and notify the primary care provider.
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, The nurse is caring for a 27-year-old client who exhibits possible symptoms of an
infected abdominal wound. The nurse should perform which action first and implement
based on the results of the laboratory test that confirm the client has
methicillin-resistant Staphylococcus aureus (MRSA) infection?
reverse isolation
airborne
droplet
contact
contact
The nurse is assessing the client's vital signs who has experienced a head injury and is
developing IICP. The nurse notes the client's respiratory rate is 8 breaths/minute. The
nurse would interpret this finding as which of the following?
This is within the normal rate of respiration.
Bradypnea is a response to IICP.
IICP most commonly results in the development of tachypnea.
Bradypnea is an uncommon occurrence in a client developing IICP.
Bradypnea is a response to IICP.
The nurse will perform a client's intramuscular injection and intends to apply the above
technique. Which is a potential benefit of this technique that the nurse should
recognize?
less risk for infection
less frequently medication administration
less irritation and pain of subcutaneous tissue
speedier administration of medication
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