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NR341 Complex Adult Health Exam 8 2024 $13.08
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NR341 Complex Adult Health Exam 8 2024

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NR341 Complex Adult Health Exam 8 2024

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  • 21 januari 2025
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NR341 Complex Adult Health Exam 8 2024
Which equipment gathered by a nurse who is preparing to administer an intramuscular injection
in the deltoid muscle of an adult client would indicate that the nurse is not sure of proper supplies
needed to administer the injection? Select all that apply.

A. Needle length of 5/8 to 1/2 inch
B. Needle length that is 1 to 1 1/2 inch
C. Syringe with 30 mL volume
D. Syringe volume of 0.5 mL
E. Syringe with 2-3 mL volume - a, c, d

The nurse asks the unlicensed assistive personnel assigned to a client who was admitted in fluid
overload to keep strict record of the clients intake and output for the shift. The client drink one
and a half E ounce serving of the whole milk, two bottles of water that or 0.75 L each, and half
cup of orange juice. What was the clients total intake for the shift?

A. 1230 mL
B. 1980 mL
C. 2100 mL
D. 1860 mL - b

A client who is being admitted to the medical floor has insomnia and is concerned about sleeping
in the hospital. What is important for the nurse to include in the clients care plan? Select all that
apply.

A. Placed the client in a room close to the nurses station
B. Cluster nighttime care to minimize trips to the clients room
C. Discourage the client from sleeping in the daytime
D. Keep the clients door open so the client can be observed
E. Use a nightlight in the clients room when possible - b, c, e

A client is receiving a transfusion of packed red blood cells. A few minutes into the transfusion
the client develops a reaction and the nurse intervenes. Placed the steps that the nurse takes in the
correct order, from start to finish. Ring order the options. Please only placed the letter of the
option in the blanks provided.

A. Notifies the healthcare provider and remains of the client
B. Observe client and measures vital signs every five minutes
C. Infuses 0.9% sodium chloride via the new line
D. Sends blood container, tubing, and record of transfusion to blood bank
E. Collects and sends clients urine and blood specimen's laboratory per protocol
F. Stops the blood in ministration and replaces IV tubing with new tubing - F
C
A
B

, D
E

The parish nurse presented an education session to a female members on breast self examination.
What statement by one member indicates misunderstanding of the teaching? Select all that apply.

A. " when I do my breast self examination, I should check my armpits as well."
B. "I will conduct my breast self examination when I am having my menstrual cycle"
C. " I am breast-feeding, so I do not need to perform breast examinations"
D. " I should observe my breast by placing my hands on my hips and standing in front of a
mirror."
E. " I should tell my husband that he should examine his breasts as well." - B C

The nurse assesses the client sacral pressure ulcer and notes that it has increased in size and
depth and the bone is now Exposed. Based on these findings, the nurse places calls to the wound
care nurse and the health care provider. What risk related to the wound assessment caused
urgency in the nurses calls to the health care provider and wound care nurse?

A. The client being upset
B. Bone erosion
C. Tissue necrosis
D. Osteomyelitis - D

The quality department has determined that there is an outbreak of clostridium Dificil (c. Diff)
on the geriatric unit because there have been five new cases this week and clients who have been
on the unit for over 7 days, including two clients in the same room. What might the unit
educators discover as the likely cause of the outbreak?

A. The faucet in one infected clients room was broken so the unlicensed assistive personnel
performed hand hygiene using the hand sanitizer
B. All clients with the infection were placed on contact isolation immediately when they were
determined to have the infection
C. The UAP changed gloves and wash hands with soap and water when caring for the two
infected clients in the same room
D. All five clients did not get the infection inside the hospital but were admitted with the
infection and was discovered later - A

The nurse arrives at 11 PM for the night shift and is assigned five clients. After report, the nurse
is planning the order in which the client will be seen. Place the clients in order to be seen by the
nurse from most to least critical. Rank order the options. Please only placed the letter of the
option in the blanks provided.

A. Client who had surgery, arrived back from the operating room at 1 PM and is stable
B. Elderly confused client who wanders into other clients rooms in the daytime
C. Client whose blood pressure at shift change was 180/96 and received as needed blood
pressure medication

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