NUR 310 - Exam 2 (prepu questions) With Complete
Solutions
A 4-year-old child's parent is employed and works from home.
To accomplish their daily work, the parent allows the child to
watch television for 6 to 8 hours per day. Based on this
information, what nursing concern is applicable to this family?
Correct Answer altered parenting associated with failure to
provide stimuli for growth
A child is playing soccer and is involved in a head-to-head
collision with another player. Which assessment findings should
the nurse be alert to that may indicate a concussion? Select all
that apply.
A client admitted for fever, crackles in the lungs, and cough asks
the nurse, "If they do not know what type of bacteria caused my
pneumonia, why are they giving me these antibiotics?" What is
the appropriate response by the nurse? Correct Answer "We are
giving you broad spectrum antibiotics because they are active
for many types of bacteria."
,A client brought to the emergency room is unconscious and
cannot be aroused. The client is breathing and has a heartbeat.
What state of awareness is this client exhibiting? Correct
Answer Coma
A client has a diagnosis of HIV and has been admitted to the
hospital with an opportunistic infection that originated with the
client's normal flora. Why did this client most likely become ill
from his resident microorganisms? Correct Answer The client's
immune system became further weakened
A client has a diagnosis of HIV. Which statement would
concern the nurse? Correct Answer My dog likes to roam the
neighborhood and often eats from garbage cans.
A client has an inguinal hernia repair and later develops a
methicillin-resistant Staphylococcus aureus (MRSA) infection.
What is the most important factor to prevent this infection?
Correct Answer surgical asepsis
A client has expressed great relief at the improvement in their
hearing after irrigation of the ear canal yielded a large amount of
impacted cerumen. This client was experiencing a sensory
alteration related to: Correct Answer sensory reception.
A client has frequent readmissions for fall-related injuries.
Which is the most appropriate intervention by the nurse?
Correct Answer Arrange for a skilled home care assessment
A client has just been told that he has lung cancer. The health
care provider then describes several potential courses of
,treatment to the client. When the health care provider leaves the
room, the client asks the nurse, "What did he just say?" The
nurse understands that the client is experiencing: Correct
Answer sensory overload
A client has newly diagnosed cirrhosis and has pulled his
nasogastric (NG) tubing for the third time. The client's ammonia
level is above normal. Which nursing cocnern is appropriate for
this client? Correct Answer acute confusion
A client in a long-term care facility cannot control the direction
of thought content, has a decreased attention span, and cannot
concentrate. Which effect of sensory deprivation might the
client be experiencing? Correct Answer Cognitive Response
A client in a long-term care facility has become increasingly
unsteady. The nurses are worried that the client will climb out of
bed and fall. Which measure would be a priority
recommendation for this client? Correct Answer Placing the
client in a bed with a bed alarm
A client informs the nurse that she is not able to recall her phone
number or address, and this is disconcerting. The nurse
recognizes that the inability to recall information is indicative of
which sensory/perception problem? Correct Answer Impaired
memory
A client is admitted to the hospital with tuberculosis. Which
statement by the nurse explains how to reduce the risk of
transmission to others? Correct Answer "All visitors who enter
the room must wear N95/surgical masks."
, A client is immobilized following a traumatic amputation of
both legs. When planning this client's care, the nurse would be
alert for which factor that has the potential to contribute to
sensory deprivation in this client? Correct Answer Decreased
environmental stimuli
A client is refusing to take his prescribed medication. The client
states that the government is out to get him and is poisoning all
of his medication. The nurse understands that the client is
experiencing: Correct Answer a delusion.
A client returning from the operating room is unconscious. What
guidelines should the nurse consider when communicating with
this client? Correct Answer Talk to the client in a normal tone
of voice.
A client suffers from bloody diarrhea after eating contaminated
food at a local restaurant. The client has been infected with
a(an): Correct Answer bacteria
A client went missing from a long-term care facility and an
emergency code was called. After a search of 1 hour, the client
was discovered in a utility room that should have been
inaccessible. When responding to this event, staff should:
Correct Answer fill out an incident report, with the goal of
preventing a similar event in the future.
A client who hallucinates simply to maintain an optimal level of
arousal is experiencing: Correct Answer sensory deprivation.
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