NU 301 Fundamentals Exam 3 Questions And All Correct Answers.
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Course
NU301
Institution
NU301
A) BP of 160/88 - Answer Which VS requires the follow-up by the nurse?
A) BP of 160/88
B) Pulse of 68
C) Respiration of 42
D) Temperature of 97.2
D) Explain the need to withhold the warfarin prior to surgery. (Increase bleeding during surgery) - Answer The nurse reviews the medication...
NU 301 Fundamentals Exam 3 Questions
And All Correct Answers.
A) BP of 160/88 - Answer Which VS requires the follow-up by the nurse?
A) BP of 160/88
B) Pulse of 68
C) Respiration of 42
D) Temperature of 97.2
D) Explain the need to withhold the warfarin prior to surgery. (Increase bleeding during surgery) -
Answer The nurse reviews the medications taken by Ms. Jackson. Ms. Jackson states she has been take
two medications: hydrochlorothiazide (Hydrodiruril), a diuretic, and warfarin (Coumadin), an
anticoagulant, every day for more than a year.
What nursing action is most important?
A) Observe the appearance of the client's oral mucosa.
B) Assess the client for any signs of excessive bruising.
C) Review the common side effects of each of the medications.
D) Explain the need to withhold the warfarin prior to surgery.
B) WBC of 14,000 mEq/L (the normal is 5,000-10,000 for adults) - Answer The nurse reviews Ms.
Jackson's properative lab test results drawn earlier in the week. Which serum lab value requires follow-
up by the nurse?
A) Sodium of135 mEq/L
B) WBC of 14,000/mm3
C) Creatinine of 0.8 mg/dl
D) Hemoglobin of 14 g/dl
, C) Demonstrate the deep breathing and coughing technique again. - Answer The nurse talks with Ms.
Jackson about what to expect the day of surgery and during the immediate postoperative period. The
nurse provides instructions regarding cough and deep breathing exercises. Ms. Jackson performs a return
demonstration by breathing in deeply through her mouth and exhaling forcefully and rapidly through
pursed lips.
Which action should the nurse implement?
A) Advise the client to avoid pursing her lips when exhaling.
B) Remind the client to cough after taking 2-3 breaths.
C) Demonstrate the deep breathing and coughing technique again.
D) Document successful completion of the return demonstration.
A) quietly sit with the client - Answer While discussing postoperative pain management strategies with
Ms. Jackson, the nurse observes Ms. Jackson begin to cry.
What action should the nurse take?
A) Quietly sit with the client.
B) Offer reassurance about the surgery.
C) Calmly continue the preoperative instructions.
D) Leave the room until the client has composed herself.
A) Have you had anything to eat/drink since midnight? - Answer The next week, Ms. Jackson arrives at
the surgery center 3 hours before her scheduled surgery. Which Q is most important for the nurse to ask
Ms Jackson during the admission interview?
A) "have you had anything to eat/drink since midnight?"
B) "Are any of your family members or friends here with you?"
C) "Do you understand you will be admitted to the hospital following surgery?"
D) "Did you bring any valuables with you that need to be stored during surgery?"
A) Ask Ms. Jackson if she has received enough info to sign the consent form. - Answer After completing
the admission interview, the nurse reviews Ms. Jackson's medical record and notes that the surgical
consent form is filled out but is not signed by the client. What action should the nurse take?
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