Nur 163 exam 2 with complete solutions
The nurse is caring for four patents today. Which finding should the nurse
immediately report to the RN? - -- Patient with positive Chvostek's signs
-Which patient finding should cause the nurse to encourage oral (PO) fluid
intake?
- - -Diarrhea
-The home health nurse is visiting a patient and notices the unpaid
caregiver is having caregiver strain. The nurse knows, when communicating
with the patient unpaid caregiver praise is the best way to improve caregiver
strain. Which of the following would be the best response to the caregiver? -
-I've noticed all your time and effort with the patient. You are very important
to the healthcare team"
-Which patient will the nurse determine to have potential for
hypernatremia? - -The patient who consumes excessive amount of table salt
-The LPN is preparing to discuss a plan of care with a 72-year-old patient
who is hard of hearing. When communicating with the patient. What is the
best approach? - -Speak in a low pitch tone and face level with the patient
-patient arrives in the emergency department (ED) and is diagnosed with
hyperkalemia. The nurse will monitor the patient for which possible
consequence of hyperkalemia. - -Cardiac arrhythmias
-Which of the following patients would least likely experience a fluid and
electrolyte imbalance? - -A 23-year-old with an upper extremity bone
fracture
-The older adult is waiting for test results from their doctor develops nausea
and excessive gas. Which is the probable cause of these symptoms? - -
Slowing of peristalsis
-Which nursing intervention would not be appropriate for a patient with fluid
volume excess? - -Increase in sodium intake
-The nurse is obtaining a health history from a new resident at the assisted
living facility. The nurse knows it is important to ask which question
regarding fluids and electrolytes? - -What medications, including dietary
supplements, do you take?"
, -Which is true of an older adult who used coping skills effectively during his
younger years? - -They will continue to use similar coping behaviors
throughout
-The LPN is providing teaching on the use of complimentary and alternative
therapies. Which statement by the geriatric patient shows an understanding
of the teaching? - -- I am looking forward to starting the medication classes,
and all the benefits it can have on my health
-Which of the following is associated with an age-related complication, and
could contribute to the geriatric patient's pain? - -Bone demineralization and
contractures
-The patient is having a cardiac catherization in the morning. Which of the
following is in response to stress? - -Decreased production of digestive
enzymes
-Which comment about stress is true? - -Interventions that reduce stress
are beneficial
-The nurse is evaluating the patient's use of a cane for left- sided weakness.
The nurse should intervene if the patient is observed performing which
action? - -Moving the cane when the right leg is moved
-Which strategy would be effective in reducing an elderly patient's stress? -
-Focusing on the emotions of the patient
-The nurse is caring for a patient recently transferred to a long-term care
facility from the community hospital. The patient refuses to eat, leave the
room, or take prescribed medication. Which action will the nurse take? - -
Provide continuity of care by having the same nurse assigned to the patient
as much as possible
-The nurse is making a home visit to a patient diagnosed with hypertension.
The patient's spouse died 3 months ago. Which behavior by the patient
suggests ineffective coping? - -Neglecting personal grooming
-The nurse is doing an assessment on a newly admitted elderly patient. The
patient states, "I don't have the funds to pay for this hospital, and I need to
leave." The nurse understands the elderly patient is having trouble coping
with this new situation. Which should be the best response by the nurse? - -
will notify Social Services and they can help you with getting assistance"
-The LPN recognizes there are two steps to an older adult's ability to assess
a stressor. The older adult must be able to evaluate the potential for harm
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