Nursing - 309 Exam 2 Questions With Detailed Collect Answers
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Nursing - 309
Institution
Nursing - 309
Nursing - 309 Exam 2 Questions With Detailed Collect Answers
A 15 old adolescent tells a school nurse, "I have persistent pain during my periods."
What should the nurse encourage her do to? - Answer-Have a gynecologic examination.
/.A 20 year old woman is being evaluated for possible to...
A 15 old adolescent tells a school nurse, "I have persistent pain during my periods."
What should the nurse encourage her do to? - Answer-Have a gynecologic
examination.
/.A 20 year old woman is being evaluated for possible toxic shock syndrome.
What question would the nurse ask? - Answer-"Do you use internal contraceptives?"
/.A 22 year old patient reports abdominal pain that stems to start several days before
her menstrual period.
What questions does the nurse ask in order to obtain a thorough menstrual history? -
Answer-"How old were you when you started menstruation?"
"Typically, how long does your period last?"
"How would you describe your menstrual flow?"
/.A 36 year old patient is diagnosed with dysfunctional uterine bleeding. During the
pelvic exam, the health care provider determines that the bleeding is acute and heavy.
What is the nurse's priority action? - Answer-Prepare to administer combination
hormonal therapy.
/.A client at the women's health clinic tells the nurse she has endometriosis.
What factors associated with endometriosis does the nurse anticipate the client will
report? - Answer-Rectal pressure.
Abdominal pain.
/.A client experiences a traumatic amputation of a leg in a motor vehicle accident. Which
nursing intervention INITIALLY should receive the lowest priority? - Answer-Teaching
residual limb care.
/.A client had an above the knee amputation of the left leg because of trauma from a
motor vehicle collision.
The health care provider orders ambulation with crutches until the residual limb is
healed and the client can be fitted with a prosthesis.
,What should be the nurse's FIRST intervention? - Answer-Determine if the client has
ever used crutches before.
/.A client has a total hip arthroplasty.
What should the nurse do when caring for this client after surgery? - Answer-Use a
pillow to keep the legs abducted.
/.A client has a total hip replacement.
Which clinical indicators of pulmonary embolism indicate that the plan to prevent
postoperative thrombus formation has been ineffective? - Answer-Unilateral chest pain.
Sudden onset of shortness of breath.
/.A client has a total knee replacement, and a continuous passive motion device is being
used.
The nurse concludes that the teaching was effective when the client states, "The goal of
this therapy to--" - Answer-Improve joint flexion."
/.A client has an amputation of a lower limb.
What instructions should the nurse give the client to prevent a hip flexion contracture? -
Answer-Lie on the abdomen 30 minutes four times daily.
/.A client has an anterior and posterior surgical repair of a cystocele and rectocele and
returns from the PACU with an indwelling catheter in place.
What should the nurse tell the client about the PRIMARY reasons for the catheter? -
Answer-Discomfort is minimized.
Urinary retention is prevented.
Pressure on the suture line is relieved.
/.A client has surgery to repair a fractured right hip.
Where should the nurse stand when assisting the client to ambulate? - Answer-On the
client's left side.
/.A client is admitted with a fracture of the neck of the femur.
In what position should the nurse maintain the client's affected extremity? - Answer-
Internal rotation with extension of the knee and hip.
/.A client is diagnosed with uterine fibroids, and the health care provider advises a
hysterectomy. The client expresses concern about having a hysterectomy at age 45
because she has heard from friends that she will undergo severe symptoms of
menopause after surgery.
What is the nurse's MOST appropriate response? - Answer-"Some women may
experience symptoms of menopause if their ovaries are removed with their uterus."
/.A client is in skin traction while awaiting surgery for repair of a fractured femur.
, The client reports leg discomfort and asks the nurse to release the traction.
Which is the nurse's BEST INITIAL response? - Answer-"I can't because the eights are
needed to keep the bone aligned."
/.A client is ready to walk with crutches after knee surgery.
Which crutch walking technique will the nurse most likely have to reinforce after the
client returns from physical therapy? - Answer-Three-point
/.A client past menopause undergoes an anterior posterior colporrhaphy.
What should the discharge teaching include? - Answer-Eating a high fiber diet.
/.A client that has prostate cancer attempts to urinate frequently, but voids in very small
amounts.
What is the most likely causative factor? - Answer-Retention.
/.A client who has a diagnosis of endometriosis is concerned about the side effect of hot
flashes from her prescribed medication. She tells the nurse that her mother found them
very uncomfortable during her menopause.
Which medication causes this side effect? - Answer-Leuprolide (Lupron)
/.A client who underwent an abdominal hysterectomy 3 days ago reports burning with
urination. Her urine output during the previous shift was 210 mL, and her temperature is
101.3 F.
Which of these actions prescribed by the health care provider will you implement first. -
Answer-Insert a straight catheter PRN for output of less than 300 mL/8 hr.
/.A client with a fractured hip is helped from the bed to a chair after surgery.
The nurse instructs the client to bear most of the weight on the unaffected leg before
sitting in a chair.
What should the nurse explain is the benefit of bearing most of the weight on the
unaffected? - Answer-Will help maintain the strength of the unaffected limb
/.A client with a fractured hip is placed in traction until surgery can be performed.
What should the nurse explain is the purpose of the traction? - Answer-Relieve muscle
spasm and pain.
/.A client with a third degree uterine prolapse is scheduled for a vaginoplasty.
What should the nurse anticipate the surgeon will order? - Answer-Apply moist
compresses to the uterus
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