Nur 337 final exam - Study guides, Class notes & Summaries

NUR 337 Final Exam Questions and Answers | Latest Update | 2024/2025 | Already Passed **What is the most important outcome to monitor when caring for a patient with an ineffective airway clearance diagnosis?** A) The patient's ability to speak in complete sentences B) The patient's ability to cough effectively C) The patient's breath sounds being clear to auscultation D) The patient's ability to move their legs without pain **What should the nurse do first when caring for a...

NUR 337 Final Exam 2023 (Answered Verified Solution 0-9 CIWA score that indicates absent to minimal withdrwal 10-14 CIWA score that indicates mild withdrawal (treatment with medication is required) 15-20 CIWA score that indicates moderate withdrawal, strong risk of delirium tremens (shaking, confusion, hallucinations) >20 CIWA score that indicates severe withdrawal B12 Administer this to prevent Wernicke's syndrome 4; 8 Determine CIAW-Ar score every ___ hours until it is < _...

CIWA score that indicates absent to minimal withdrwal Ans: 0-9 CIWA score that indicates mild withdrawal (treatment with medication is required) Ans: 10-14 CIWA score that indicates moderate withdrawal, strong risk of delirium tremens (shaking, confusion, hallucinations) Ans: 15-20 CIWA score that indicates severe withdrawal Ans: >20 Administer this to prevent Wernicke's syndrome Ans: B12 2 Determine CIAW-Ar score every ___ hours until it is < ___ for 24 hours to assess needs...

A postoperative patient has a nursing diagnosis of ineffective airway clearance. The nurse determines that interventions for this nursing diagnosis have been successful if which activity or assessment is observed? a. Patient uses the spirometer 10 times every hour. b. Patient's breath sounds are clear to auscultation. c. Patient's temperature is less than 100.4° F orally. d. Patient drinks 2 to 3 L of fluid in 24 hours. B? In the postanesthesia care unit (PACU), a patient's vital si...

During a mental status examination, a hospitalized client states that she cannot remember if she is married or if she has children. The nurse would document this as an example of what aspect of the mental status examination? Decreased judgment Decreased level of knowledge Poor insight Poor remote memory Ans: poor remote memory Which of the following are examples of subjective assessment data? (Select all that apply) Client states he has "no reason to live." Client's speech is slo...

NUR 337 Final Exam 2023 (Answered Verified Solution 0-9 CIWA score that indicates absent to minimal withdrwal 10-14 CIWA score that indicates mild withdrawal (treatment with medication is required) 15-20 CIWA score that indicates moderate withdrawal, strong risk of delirium tremens (shaking, confusion, hallucinations) >20 CIWA score that indicates severe withdrawal B12 Administer this to prevent Wernicke's syndrome 4; 8 Determine CIAW-Ar score every ___ hours until it is < _...

NUR 337 Final Exam 2023 (Answered Verified Solution 0-9 CIWA score that indicates absent to minimal withdrwal 10-14 CIWA score that indicates mild withdrawal (treatment with medication is required) 15-20 CIWA score that indicates moderate withdrawal, strong risk of delirium tremens (shaking, confusion, hallucinations) >20 CIWA score that indicates severe withdrawal B12 Administer this to prevent Wernicke's syndrome 4; 8 Determine CIAW-Ar score every ___ hours until it is < _...

During a mental status examination, a hospitalized client states that she cannot remember if she is married or if she has children. The nurse would document this as an example of what aspect of the mental status examination? Decreased judgment Decreased level of knowledge Poor insight Poor remote memory Correct Answer poor remote memory Which of the following are examples of subjective assessment data? (Select all that apply) Client states he has "no reason to live." Client's s...

0-9 Correct Answer CIWA score that indicates absent to minimal withdrwal 10-14 Correct Answer CIWA score that indicates mild withdrawal (treatment with medication is required) 15-20 Correct Answer CIWA score that indicates moderate withdrawal, strong risk of delirium tremens (shaking, confusion, hallucinations) >20 Correct Answer CIWA score that indicates severe withdrawal B12 Correct Answer Administer this to prevent Wernicke's syndrome 4; 8 Correct Answer Determine CIAW-Ar s...

NUR 337 Final Exam 2023 (Answered Verified Solution 0-9 CIWA score that indicates absent to minimal withdrwal 10-14 CIWA score that indicates mild withdrawal (treatment with medication is required) 15-20 CIWA score that indicates moderate withdrawal, strong risk of delirium tremens (shaking, confusion, hallucinations) >20 CIWA score that indicates severe withdrawal B12 Administer this to prevent Wernicke's syndrome 4; 8 Determine CIAW-Ar score every ___ hours until it is < _...