1. The nurse is teaching an adult female client about health promotion. Which of the following should the nurse recommend as a primary prevention intervention?
a. Performing a breast self-examination (BSE).
b. Having a yearly physical with labs.
c. Receiving family planning services.
d. Checkin...
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Voorbeeld van de inhoud
GALEN COLLEGE OF NURSING (NUR 155 ) EXAM 2 2024 WITH 100%
ACCURATE SOLUTIONS
1. The nurse is teaching an adult female client about health
promotion. Which of the following should the nurse
recommend as a primary prevention intervention?
a. Performing a breast self-examination (BSE).
b. Having a yearly physical with labs.
c. Receiving family planning services.
d. Checking blood pressure every 3 months.
2. The nurse is caring for a client who has joint pain. The nurse
incorporates the nutritional status, sleep patterns, energy level,
and sense of well-bring into the plan of care. Which of the
following concepts is the nurse practicing?
a. Homeostasis
b. Individuality
c. Health promotion
d. Holism
3. The community health nurse is preparing to provide education to
an adolescent client regarding health promotion. Which of the
following health promotion topics is most appropriate for this
client?
a. Dental checkups
b. Preventive health screenings
c. Weight control
d. Peer group influences
4. The nurse is caring for a client who has a low serum albumin
level. Which statement by the nurse indicates a correct
understanding of albumin levels?
a. “The client is experiencing a rapid breakdown of protein.”
b. “This indicates a low level of iron circulating in the blood.”
c. “The results indicate prolonged malnutrition.”
d. “This indicates that the client has experienced blood loss.”
5. The nurse is preparing to discharge an elderly client who is at
, risk for aspiration. Which of the following should the nurse
recommend?
a. Prepare liquids at prescribed consistency
b. Tilt the head back when swallowing
c. Drink warm water instead of cold
d. Use extra pillow when eating in bed
6. The nurse is administering an intermittent gastrointestinal (GT)
feeding to a client. Which of the following actions is appropriate
for the nurse to take?
a. Aspiration and disposal of any residual prior to feeding
delivery.
b. Setting up feeding bag system to deliver the feeding at a fast
rate
c. Raising and lowering the syringe to adjust the flow rate of
the feeding.
d. Placing the head of the bed at 15 degrees with the client on
their left side
7. The nurse is caring for a client who is receiving prescribed
medication intravenously (IV). Upon assessment, the nurse notes
the IV site is swollen and cool to the touch. Which of the following
is most appropriate action for the nurse to take?
a. Slow the rate of the infusion and provide a warm blanket
b. Stop the infusion and start supportive treatment
, c. Call the primary health care provider (PHCP) and get order
for a new medication
d. Monitor the client closely since they need the medication
8. The nurse is caring for a client who was admitted to the
acute care unit with a decreased phosphorus level. Which of
the following should the nurse recommend?
a. Enforce strict isolation protocols
b. Strain all urine
c. Encourage consumption of a high- calorie carbohydrate diet
d. Encourage consumption of milk and yogurt
9. The nurse is caring for a client who is 5-days postoperative and
has been on bed rest. Which of the following interventions
should the nurse implement to decrease the client’s possibility
of developing hypercalcemia?
a. Assist the client to turn, cough, and deep breath every 2
hours
b. Measure vital signs every 4 hours
c. Assist the client to ambulate around the room at least 3
times daily.
d. Irrigate the client’s nasogastric (NG) tube every 2 hours.
10. The nurse is caring for a client who has had diarrhea for 48
hours abd has developed fatigue, restlessness, and
disorientation. Which of the following laboratory results should
the nurse correlate to these signs and symptoms?
a. Calcium
b. Sodium
c. Phosphate
d. Magnesium
11. The nurse is caring for a client who has hypokalemia.
Which of the following signs and symptoms should the
nurse expect to see?
a. Headache
b. Facial edema
c. Muscle weakness
, d. Abdominal cramping
12. The nurse is caring for a client who is diagnosed with an
elevated aldosterone level. The nurse should expect to find
a. An increased urine output
b. Urinary frequency
c. A decreased urine output
d. Urinary urgency
13. The nurse is caring for a client who has oliguria. The nurse
recognized that the client is experiencing
a. A urine output greater than 120 ml/hr
b. Increased hesitancy with voiding
c. A urine output less than 30 ml/hr
d. A foul odor associated with urination
14. The nurse is assessing the following assigned older adult clients
who have urinary catheters in place. Which client should the
nurse recognizes as being at greatest risk for developing a
urinary tract infection (UTI)?
a. The 65- year- old client who has a condom catheter
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