Exam (elaborations)
Basics Of Nursing Practice – Questions With Verified Solutions
- Course
- NURSING PRACTICE
- Institution
- NURSING PRACTICE
Basics Of Nursing Practice – Questions With Verified Solutions
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Basics Of Nursing Practice – Questions WithVerified Solutions
Health promotion efforts with the chronically ill client should include
interventions r/t primary prevention. What should this include? ✔️Ans -
Encouraging daily physical exercise
The nurse recognizes that which are important components of a
neurovascular assessment? (Select all that apply.) ✔️Ans - Capillary refill
Pulse and skin temp
Movement and sensation
The nurse administers a pneumococcal vaccine to a 70 year old client. The
client asks "will i have to get this every year like i do with the flu shot?". How
should the nurse respond? ✔️Ans - "It is unnecessary to have any follow-up
injections of the pneumococcal vaccine after this dose."
A client reports severe pain two days after surgery. After assessing the
characteristics of the pain, which initial action should the nurse take next?
✔️Ans - Obtain V/S
An 85 year old client has just been admitted to a nursing home. When
designing a plan of care for this older adult the nurse recalls the expected
sensory losses associated with aging. ✔️Ans - Diminished sensation of pain
Impaired hearing of high frequency sounds
The nurse caring for an older adult client who is aphasic. The client's family
reports that the primary nurse failed to obtain a signed consent form before
inserting an indwelling catheter to measure I&O. What should the nurse
manager consider doing before responding? ✔️Ans - A separate signed
informed consent for routine treatments is unnecessary
The nurse should place the client in which position to obtain the most
accurate reading of JVD? ✔️Ans - Raised to 45 degrees
The nurse is preparing discharge instructions for a client who has begun to
demonstrate sx of early Alzheimers. The client lives alone. The client's adult
children live nearby. According to the prescribed meds regimen the client is to
, take meds six times a day. What is priority nursing intervention to assist the
client with compliance with med-taking? ✔️Ans - Contact HCP and discuss
the possibility of simplifying the med regimen
A client expresses concern about being exposed to radiation therapy because
it can cause cancer. What should the nurse emphasize when informing the
client about exposure to radiation? ✔️Ans - Only a small part of the body is
irradiated
A nurse is obtaining a health history from the newly admitted client who has
chronic pain in the knee. What should the nurse include in the pain
assessment? (Select all that apply.) ✔️Ans - Pain history including location,
intensity and quality of pain
Pain pattern including precipitating and alleviating factors
What physiological changes that occur with aging must be taken into
consideration when the nurse provides care for the older adult? (Select all
that apply.) ✔️Ans - Urinary urgency
Loss of skin elasticity
Increased b/p
The nurse assesses a client's pulse and documents the strength of the pulse as
3+. The nurse understands that this indicates the pulse is: ✔️Ans - Full
A nurse is taking care of a client who has chronic back pain as a result of a
work injury. What nursing considerations should be made when determining
the client's plan of care? (Select all that apply.) ✔️Ans - Ask the client what is
the client's acceptable level of pain
Administer the pain medications regularly around the clock
A client is admitted for surgery. Although not physically distressed, the client
appears apprehensive and withdrawn. What is the nurse's best action? ✔️Ans
- Orient the client to the unit environment
A nurse is reviewing a plan of care for a client who was admitted with
dehydration as a result of prolonged watery diarrhea. Which prescription
should the nurse question? ✔️Ans - Parenteral albumin (Albuminar)
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