NURS 1871 exam 1 Case Questions with Revised Correct Answers Guaranteed Pass
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Grado
Nursing
Institución
Nursing
A critical care nurse is using a new research-based intervention to correctly position her
ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an
example of which Quality and Safety in the Education of Nurses (QSEN) competency?
1. Patient-centered care...
A nurse assesses a 78-year-old patient who weighs 108.9 kg (240 lb) and is partially immobilized
because of a stroke. The nurse turns the patient and finds that the skin over the sacrum is very red
and the patient does not feel sensation in the area. The patient has had fecal incontinence on and
off for the past 2 days. The nurse identifies the nursing diagnosis of Risk for Impaired Skin
Integrity. Which of the following outcomes is appropriate for the patient?
1. Patient will be turned every 2 hours within 24 hours.
2. Patient will have normal formed stool within 48 hours.
3. Patient's ability to turn self in bed improves.
4. Erythema of skin will be mild to none within 48 hours. - CORRECT ANSWER ✔️✔️ -4
A nurse completes the following steps during her shift of care. Which are the steps of nursing
assessment? (Select all that apply.)
1. The review of patient data in the medical record
2. Confirming a patient's self-report of abdominal pain by inspecting the abdomen
3. Reporting results of an ongoing assessment to a nurse working the next scheduled shift
, 4. Analyzing a set of signs revealing lower leg weakness and unsteady gait with a pattern of
mobility alteration
5. Conducting an interview of a family caregiver - CORRECT ANSWER ✔️✔️ -1, 2, 4, 5
A nurse conducts an assessment of a 42-year-old woman at a health clinic. The woman is
married and lives in a condo with her husband. She reports having frequent voiding and pain
when she passes urine. The nurse asks whether she has to go to the bathroom at night, and the
patient responds, "Yes, usually twice or more." The patient had an episode of diarrhea 1 week
ago. She weighs 300 lb and reports having difficulty cleansing herself after voiding or passing
stool. Which of the following demonstrate assessment findings that cluster to indicate the nursing
diagnosis Impaired Urination. (Select all that apply.)
1. Age 42
2. Dysuria
3. Difficulty performing perineal hygiene
4. Nocturia
5. Episode of diarrhea - CORRECT ANSWER ✔️✔️ -2, 4
A nurse enters a patient's room and begins a conversation. During this time the nurse evaluates
how a patient is tolerating a new diet plan. The nurse decides to also evaluate the patient's
expectations of care. Which of the following is appropriate for evaluating a patient's expectations
of care?
1. On a scale of 0 to 10 rate your level of nausea.
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