240 Final Exam With Simple Questions And Correct Answers
1 view 0 purchase
Course
240 Fin
Institution
240 Fin
of the following patient data collected during a nursing assessment, which would be
classified as subject data? - CORRECT ANSWER-nausea, abdominal pain
based on an established plan of care, a nurse turns and positions a patient every 2
hours. What part of the nursing process is the nurse using...
240 Final Exam With Simple Questions
And Correct Answers
of the following patient data collected during a nursing assessment, which would be
classified as subject data? - CORRECT ANSWER-nausea, abdominal pain
based on an established plan of care, a nurse turns and positions a patient every 2
hours. What part of the nursing process is the nurse using? - CORRECT ANSWER-
Implementing
a nursing diagnosis is written as Self-Care Deficit related to weakness and fatigue as
manifested by patient needing assist with AM care. What does the phrase "self-car
deficit" identify? - CORRECT ANSWER-the health state or problem of the patient
which of the following is an example of a well-stated nursing intervention - CORRECT
ANSWER-Offer patient 100mL of water 2 hours while awake
which of the following outcomes/goals is correctly written? - CORRECT ANSWER-the
patient will be able to verbalize signs and symptoms of infection prior to discharge
what is the purpose of evaluation in the nursing process? - CORRECT ANSWER-to
direct future nursing interventions
critical thinking can best be described as - CORRECT ANSWER-a conscious
examination of ones own thinking process
A women presents to the clinic with concerns about pediculosis. The nurse understands
that a positive assessment for pediculosis would include which of the following? -
CORRECT ANSWER-oval, white dots stuck to the hair shafts
A patient at the clinic is complaining of a rash. The nurses assess the patient and notes
several flat, rounded reddened areas that are non-palpable. what term will most likely
be used to describe this rash when documenting? - CORRECT ANSWER-macules
a patient presents to the emergency room and is diagnosed with petechiae on the right
lower extremity. when performing care for the patient what will the nurse expect to see
on the patients leg? - CORRECT ANSWER-pinpoint size, purple or red dots that do not
blanch
the nurse is performing AM hygiene care for a patient with dentures. which of the
following should the nurse include when providing care for this patient? - CORRECT
ANSWER-use of a barrier in the sink is recommended
, the nurse is assessing a 40 year old patients skin turgor and documents it as elasticity
create then five seconds. what is the nurses most accurate possibility for interpretation
of this finding? - CORRECT ANSWER-the client is dehydrated
purple/pink fingers and nails would present will what problem? - CORRECT ANSWER-
decreased oxygen exchange
a nurse enters a patients room and finds the patient sitting in his chair. he states "I fell in
the shower but I got myself back into the chair" what is the most appropriate
documentation in the patients chart? - CORRECT ANSWER-patient stated "I fell in the
shower but I got myself back into the chair"
which of the following data entries follows the recommended guidelines for documenting
data? - CORRECT ANSWER-following administration of oxygen, blood pressure was
126/64, pulse 80, respirations 18
a student has reviewed a patients chart before beginning assigned care. which of the
following actions violates patient confidentiality? - CORRECT ANSWER-writing the
patients name on the students care plan
a patient asks to see his medical record (chart). how would the nurse respond? -
CORRECT ANSWER-"I will get your chart and provide you with privacy to read it"
when taking a telephone order from a physician, the nurse verifies the order by? -
CORRECT ANSWER-repeating the order back to the physician
upon reviewing the chart, the nursing instructor notes that appropriate documentation is
evident when the student nurse does which of the following: - CORRECT ANSWER--
uses quotes to indicate patients statement
-documents the time the patient left the unit to go to another department
-dates and signs all entries in the chart
which of the following techniques will help to ensure maintaining surgical asepsis? -
CORRECT ANSWER-starting a dressing over when sterility has been compromised
the nurse is conducting a class on appropriate hand hygiene and is discussing an
alcoholic-based hand rub. then nurse knows teaching has been effective when the
participants state they will use alcohol-based rub as opposed to handwashing under
what conditions? - CORRECT ANSWER-when hands are not visibly soiled
the nurse is caring for a client who has a Braden scale score of 17. which of the
following is an appropriate nursing action? - CORRECT ANSWER-implement a turning
and positioning schedule
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICS56. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
