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Fundamentals Nursing Prep U Chapter 14 Implementing Exam
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Fundamentals Nursing Prep U Chapter 14Implementing Exam 2024-2025
The nurse is changing a client's abdominal incision dressing using sterile technique.
During the creation of the sterile field, the nurse drops the forceps onto the floor. The
nurse cannot continue with the dressing change because no other supplies are
available in the room and no one is available to retrieve replacement forceps. For which
has the nurse failed to provide planning? ANSWER Equipment and personnel
A nurse is going to instruct a client on the care of self following cataract surgery. Which
of the following would the nurse do first? - ANWER Identify the client's acceptance of the
regime.
The nurse has assessed a client and has found that the client presents with adventitious
breath sounds and low oxygen saturation. The nurse is performing what type of nursing
intervention? - ANWER Surveillance
The nurse is assigned a client who had an uneventful colon resection two days ago and
requires a dressing change. To which nursing team member should the nurse not
delegate the dressing change? - ANSWER Nursing assistant
A nurse is administering metformin to a client who has a new onset of diabetes mellitus
type 2. Which of the following steps of nursing process is the nurse using? - ANSWER
Implementation
A client is admitted with an acute exacerbation of COPD and is receiving care from both
a RN and a LPN. Which nursing actions can the RN delegate to the LPN? (Select all that
apply.) ANSWER • Obtaining pulse oximetry • Auscultating breath sounds •
Administering an oral antibiotic
Dyspnea The client's respiratory rate is 44 with a SaO2 of 89% (0.89 L). The nurse raises
the head of the bed and begins oxygen therapy at 3 L/min via nasal cannula. For which
, actions by the nurse would it be evident that the interventions are effective? Choose all
that apply. - ANSWER • The client's respiratory rate slows.
• The client states, "I can breathe easier now."
• The client's oxygen saturation improves.
The nurse is preparing teaching related to wound care for an adult client. Which of the
following factors would be the one the nurse would want to modify in the teaching plan?
- ANSWER • The client is blind.
• The client refuses a need for teaching.
A nurse case manager is speaking to a group of students about the role of a case
manager. One student asks the case manager if she misses providing care to clients.
What is the best response by the case manager? - ANSWER "I provide indirect care to
my clients by coordinating their treatment with other disciplines."
The emergency department has a strict protocol on the method of IM injections. A nurse
that works in the emergency department has just learned of a new method that will
decrease the pain associated with an IM injection and wishes to use it. What is the best
way for the nurse to implement the new method? ANSWER Petition to change the
protocol based on the new evidence.
One hour after receiving antihypertension medication, the client reports
lightheadedness and dizziness. What is the nurse's first action? - ANSWER Check the
client's blood pressure.
The nurse is surgically preparing a client when the client tells the nurse that he does not
wish to undergo the surgery. What is the nurse's best action? - ANSWER Talk with the
client about reasons for canceling surgery.
A client receiving home care for myasthenia gravis says, "This medication is just too
expensive. I have been taking only half of what the physician ordered." What is the best
way for the nurse to meet this client's need? - ANSWER Collaborate with other
disciplines to determine the best way to meet the client's medication needs.
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