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Exam (elaborations)

NURS 299 Exam 2 with Complete Questions and Answers

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  • NURS 299

NURS 299 Exam 2 with Complete Questions and AnswersNURS 299 Exam 2 with Complete Questions and AnswersNURS 299 Exam 2 with Complete Questions and AnswersNURS 299 Exam 2 with Complete Questions and AnswersNURS 299 Exam 2 with Complete Questions and Answers A nurse is collecting data from a client w...

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  • October 13, 2024
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  • Exam (elaborations)
  • Questions & answers
  • NURS 299
  • NURS 299
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NURS 299 Exam 2 with Complete

Questions and Answers


A nurse is collecting data from a client who is reporting pain despite taking

analgesia. Which of the following actions should the nurse take to determine

the intensity of the client's pain?

A. Ask the client what precipitates the pain.

B. Question the client about the location of the pain.

C. Offer the client a pain scale to measure his pain.

D. Use open-ended questions to identify the client's pain sensations. -

ANSWER-C. Offer the client a pain scale to measure his pain.




A nurse is performing an assessment on a patient admitted to the unit

following treatment in the emergency department for severe bilateral eye

trauma. During patient admission the nurse's priority interventions include

which of the following? (Select all that apply.)

1. Conducting a home-safety assessment and identifying hazards in the

patient's living environment

,2. Reinforcing eye safety at work and in activities that place the patient at

risk for eye injury

3. Placing necessary objects such as the nurse call system and water in front

of the patient to prevent falls caused by reaching

4. Orienting the patient to the environment to reduce anxiety and prevent

further injury to the eye

5. Alerting other nurses and health care providers about patient's visual

status during hand off reports. - ANSWER-3. Placing necessary objects such

as the nurse call system and water in front of the patient to prevent falls

caused by reaching

4. Orienting the patient to the environment to reduce anxiety and prevent

further injury to the eye

5. Alerting other nurses and health care providers about patient's visual

status during hand off reports.




A 52-year-old woman is admitted with pneumonia, dyspnea and discomfort

in her left chest when taking deep breaths. She has smoked for 35 years and

recently lost over 10 lbs. She is started on intravenous antibiotics, high-

protein shakes, and 2 L 02 via nasal cannula. Her most recent vital signs are

HR 112, BP 138/82, RR 22, tympanic temperature 37.9° C (100.2° F), and

oxygen saturation 94%. Which vital sign reflects a positive outcome of the

treatment?

,1. Temperature: 37° C (98.6° F)

2. Radial pulse: 98

3. Respiratory rate: 18

4. Oxygen saturation: 96%

5. Blood pressure: 134/78 - ANSWER-1. Temperature: 37° C (98.6° F)

2. Radial pulse: 98

3. Respiratory rate: 18

4. Oxygen saturation: 96%




The licensed practical nurse (LPN) provides you with the change-of-shift vital

signs on four of your patients. Which patient do you need to assess first?

1. 84-year-old man recently admitted with pneumonia, RR 28, SpO2 89%

2. 54-year-old woman admitted after surgery for fractured arm, BP 160/86

mm Hg, HR 72

3. 63-year-old man with venous ulcers from diabetes, temperature 37.3° C

(99.1° F), HR 84

4. 77-year-old woman with left mastectomy 2 days ago, RR 22, BP 148/62 -

ANSWER-1. 84-year-old man recently admitted with pneumonia, RR 28, SpO2

89%

, The assistive personnel (AP) informs the nurse that the electronic blood

pressure machine on the patient who has recently returned from surgery

after removal of her gallbladder is flashing a blood pressure of 65/46 and

alarming. Place the care activities in priority order.

1. Press the start button of the electronic blood pressure machine to obtain a

new reading.

2. Obtain a manual blood pressure with a stethoscope.

3. Check the patient's pulse distal to the blood pressure cuff.

4. Assess the patient's mental status.

5. Remind the patient not to bend her arm with the blood pressure cuff. -

ANSWER-4. Assess the patient's mental status.

1. Press the start button of the electronic blood pressure machine to obtain a

new reading.

3. Check the patient's pulse distal to the blood pressure cuff.

2. Obtain a manual blood pressure with a stethoscope

5. Remind the patient not to bend her arm with the blood pressure cuff.




A healthy adult patient tells the nurse that he obtained his blood pressure in

"one of those quick machines in the mall" and was alarmed that it was

152/72 when his normal value ranges from 114/72 to 118/78. The nurse

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