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TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, Verified Chapters 1 - 16, Complete Newest Version$17.99
TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, Verified Chapters 1 - 16, Complete Newest Version TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, Verified Chapters 1 - 16, Com...
1) A ilclient ilon ilthe ilmedical/surgical ilunit ilcomplains ilof ilsudden ilchest ilpains. ilWhich
ilaction ilwill iltheln
i urse ilimplement ilfirst?
A) Call ilthe ilhealthcare ilprovider.
B) Administer ilpain ilmedication.
C) Reassess ila ilnew ilset ilof ilvital ilsigns.
D) Turn ilclient ilfrom ilsupine ilto
illateral.liAnswer: il C
Explanation: ilA) ilThe ilnurse ilwill ilneed ilto ilreassess ilthe ilclient ilfirst, ilbefore ilcalling ilthe
ilhealthcareliprovider.
B) The ilnurse ilwill ilneed ilto ilreassess ilthe ilclient ilfirst, ilbefore iladministering ilpain ilmedication.
C) The ilnurse ilneeds ilto ilimplement ila ilnew ilset ilof ilvital ilsigns ilfirst ilwhen ilthere ilis
ila ilchange ilinlicondition.
D) The ilnurse ilwill ilneed ilto ilreassess ilthe ilclient ilfirst, ilbefore ilmoving ilthe ilclient, ilto ilavoid
ilmaking ilthelichange ilin ilclient's ilcondition ilworse.
Page ilRef: il2
Cognitive ilLevel: i l Applying
Client ilNeed/Sub: i l Physiological ilIntegrity: ilReduction ilof ilRisk ilPotential
Standards: ilNursing ilProcess: ilAssessment il| ilLearning ilOutcome: il1.1 il| ilQSEN
ilCompetencies:liPatient-Centered ilCare
AACN ilDomains iland ilComps.: ilDomain il2: ilPerson-Centered
ilCareliNLN ilCompetencies: il Relationship ilCentered ilCare
2) The ilnurse ilis ilobserving ilthe ilUAP iltaking ilthe iltemperature ilof ilan ilunconscious ilclient.
ilWhich ilroutelw i ill ilthe ilnurse ilquestion ilthe ilUAP ilusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanicli
Answer: il A
Explanation: ilA) ilThe iltemperature ilof ilan ilunconscious ilclient ilis ilnever iltaken ilby ilmouth.
ilThe ilrectal,lit ympanic, ilor ilscanner ilmethod ilis ilpreferred.
B) The ilrectal, iltympanic, ilor ilscanner ilmethod ilis ilpreferred.
C) The ilrectal, iltympanic, ilor ilscanner ilmethod ilis ilpreferred.
D) The ilrectal, iltympanic, ilor ilscanner ilmethod ilis
ilpreferred.liPage ilRef: il24
Cognitive ilLevel: i l Applying
Client ilNeed/Sub: il il il Safe iland ilEffective ilCare ilEnvironment: ilSafety iland ilInfection ilControl
ilStandards: il Nursing ilProcess: ilEvaluation il| ilLearning ilOutcome: il1.1 il| ilQSEN
ilCompetencies: ilSafetyliAACN ilDomains iland ilComps.: il Domain il5: ilQuality iland ilSafety
NLN ilCompetencies: i l Quality il& ilSafety
1
, 3) The ilnurse ilis ilchanging ila il2-month-old ilclient's ildiaper iland ilnotes ilthe ilclient ilfeels ilwarm
ilto iltouch.lW
i hich ilmethod ilshould ilthe ilnurse iluse ilto ilcheck ilthe ilbaby's iltemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
ilmembraneliAnswer: il C
Explanation: i l A) ilOral ilis ilused ilfor ilage il3 ilor ilolder.
B) The ilrectal ilroute ilis ilthe illeast ildesirable.
C) The ilaxillary ilroute ilmay ilnot ilbe ilas ilaccurate ilas ilother ilroutes ilfor ildetecting ilfevers ilin ilchildren.
D) The iltympanic ilmembrane ilmay ilbe ilused ilfor il3 ilmonths ilor
ilolder.liPage ilRef: il29
Cognitive ilLevel: i l Applying
Client ilNeed/Sub: i l Physiological ilIntegrity: ilReduction ilof ilRisk ilPotential
Standards: il Nursing ilProcess: ilEvaluating il| ilLearning ilOutcome: il1.2 il| ilQSEN ilCompetencies:
ilSafetyliAACN ilDomains iland ilComps.: il Domain il5: ilQuality iland ilSafety
NLN ilCompetencies: i l Quality il& ilSafety
4) A ilclient ilcomes ilin ilwith ilexacerbation ilof ilchronic ilobstructive ilpulmonary ildisease
il(COPD). ilWhichln i oninvasive ildiagnostic iltest ilwill ilthe ilnurse ilimplement ilto ilknow ilthat ilthe
ilclient ilis ilreceiving ilenough iloxygen?
A) Chest ilx-ray
B) Pulse iloximeter
C) Arterial ilblood ilgasses
D) Assessment ilof ilrespiratory
ilrateliAnswer: il B
Explanation: i l A) ilA ilchest ilx-ray ilis ilnot ilan ilintervention ila ilnurse ilcompletes.
B) A ilpulse iloximeter ilprovides ila ilnoninvasive ilmethod ilof ilmeasuring iloxygenation, ilor
iloxygen ilsaturation, ilin ilthe ilblood iland ilprovides ila ilpulse ilreading, ilwhich ilis ilespecially
ilhelpful ilfor ilthe ilclientliwith ila ilrespiratory ilillness ilor ildisease.
C) Arterial ilblood ilgases ilare ilan ilinvasive ildiagnostic iltest.
D) Assessing ila ilrespiratory ilrate ilis ilimportant ilfor ilthe ilnurse ilto ilimplement; ilhowever,
ilit ilis ilnot ilalidiagnostic iltest.
Page ilRef: il21
Cognitive ilLevel: i l Applying
Client ilNeed/Sub: i l Physiological ilIntegrity: ilReduction ilof ilRisk ilPotential
Standards: ilNursing ilProcess: ilImplementation il| ilLearning ilOutcome: il1.3 il| ilQSEN
ilCompetencies:liInformatics
AACN ilDomains iland ilComps.: il Domain il5: ilQuality iland
ilSafetyliNLN ilCompetencies: il Quality il& ilSafety
2
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