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NUR 280 EXAM (ACTUAL EXAM) WITH 100+ QUESTIONS WITH VERY ELABORATED ANSWERS CORRECTRY WELL ORGANIZED LATEST 2024 – 2025 ALREADY GRADED A+ $13.99
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NUR 280 EXAM (ACTUAL EXAM) WITH
100+ QUESTIONS WITH VERY ELABORATED
ANSWERS CORRECTRY WELL ORGANIZED
LATEST 2024 – 2025 ALREADY GRADED A+
The nurse from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurse to the
client who
(a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator for
respiratory failure - ANSWERS-4. C. The management of a client following
abdominal surgery is standard. The postpartum nurse routinely cares for mothers
following caesarean section; therefore it is appropriate to assign this client; The
other choices are not appropriate to assign to this nurse.
The nurse in a well baby clinic has assessed several children today. It would
,be a priority for the nurse to suggest follow up for the child who is
(a) 2 months old with a positive babinski reflex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating - ANSWERS-5. D. A child
experiencing normal growth and development should be ambulating
independently by 12 months; the Babinski reflex disappears after 2 years of age;
an infant typically holds their own bottle by 6 months; stranger anxiety usually
develops at approximately 7 months
The nurse is caring for a mechanically ventilated client who was declared brain
dead. An Advance Directive is not documented on the medical record. It
would be most appropriate to obtain consent for organ donation from the
(a) client's primary care provider
(b) client's nurse manager
(c) closest living family member
(d) hospital's ethics committee - ANSWERS-6. C. Consent for organ donation is
given by a client's next of kin in the absence of an Advance Directive
The nurse has received report on four clients. The nurse should first
assess the client who has:
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading
of 90%
,(b) Parkinson's Disease and is demanding to leave the hospital against medical
advice (AMA)
(c) been admitted with suspected Guillian Barre Syndrome and has begun
plasmapheresis therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) -
ANSWERS-7. C. The client admitted with Guillain-Barre' Syndrome should be
assessed first because of the possibility of rapid progression of this illness and
neuromuscular respiratory failure; clients with COPD are likely to have pulse
oximetry readings of 90% related to chronic hypoxia; this client along with the
other two choices are important, but not the priority.
The nurse is reviewing medical prescriptions for newly admitted clients. It
would be a priority for the nurse to follow up with the physician if a client with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene)
prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions
(c) sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin) - ANSWERS-1. A.
The normal potassium level is 3.5 - 5.0 mEq/L. Giving Kayexalate in this situation
may cause the client to lose potassium, causing hypokalemia, therefore the drug
is not indicated; the therapeutic level for Dilantin is 10 - 20 mcg/ml, a level of 8 is
sub therapeutic thereby increasing the risk of seizure activity. Acetaminophen can
, be safely prescribed to clients with ASA sensitivity. Azithromycin (Zithromax) can
be safely prescribed for clients with sensitivity to Penicillin.
The nurse should intervene if the nurse notes a staff member
(a) obtaining a clients consent prior to their operative procedure after receiving
Ativan (lorazepam)
(b) placing a client on the affected side following surgical repair of a retinal
detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a client - ANSWERS-2. A.
Informed consent, explanation and decision making must occur before sedation is
given; therapeutic interventions for retinal detachment include bedrest with the
area of detachment in a dependent position to promote healing; the cast should
be handled with the palms of the hands while wet to prevent denting; a broad
base of support is used during transfers to prevent muscle injury.
The community health nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the client who
is
(a) 12 years old with Autism who is starting a new school and recently had a
URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent
Hemoglobin A1c of 13%
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