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PNC EXAM 2 13-18 Questions and Answers with complete actual solution
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PNC EXAM 2 13-18 Questions and Answers with complete actual solution
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PNC EXAM 2 13-18A 24-year-old client presents to the emergency department with signs and symptoms of a
sickle cell crisis. The nurse quickly obtains the necessary laboratory tests to assist with the
assessment, as well as conducts an assessment of the client to determine the proper
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nursing care the client will require. Which type of assessment did the nurse perform in this
situation? - -Emergency
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A client cannot afford the treatment prescribed. Who would be the most appropriate
professional for the nurse to involve with the client's care? - -Nurse case manager
A client comes to a health care facility reporting abdominal pain and vomiting. The client's
spouse informs the nurse that the client went out for dinner the previous night. The report
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that the client went out for dinner the previous night is example of data from which type of
source? - -Secondary
A client has been admitted to the hospital for the treatment of exacerbation of chronic
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obstructive pulmonary disease. Which statement constitutes a long-term outcome for this
client? - -The client will return home able to conduct activities of daily living (ADLs)
without experiencing shortness of breath.
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A client has been diagnosed with a recent myocardial infarction. What collaborative problem
would be the priority for the nurse to address? - -PC: Decreased Cardiac Output
related to cardiac tissue damage
A client has just given birth to the client's first baby. The client reports to the nurse not
knowing very much about newborns because of limited exposure to them. Which is the
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priority nursing diagnosis for the nurse to address prior to discharge of this client? -
-Deficient Knowledge
A client is being admitted from the emergency room reporting shortness of breath, wheezing,
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and coughing. What would the nurse formulate as an appropriate nursing diagnosis? -
-Ineffective Airway Clearance
A client is newly diagnosed with diabetes and prescribed insulin injections. The nurse
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identifies the client's knowledge deficiency regarding insulin injection. Which intervention is
appropriate to address this deficiency? - -Teach the client how to administer insulin.
A client undergoing chemotherapy for breast cancer has lost all hair. The client states, "I
cannot stand to see myself without hair. I am disgusting." What would be the most
✅✅
appropriate nursing diagnosis for the nurse to use to address this client's problem? -
-Disturbed Body Image related to loss of hair
A client was admitted 2 days ago with sepsis. The nurse updates the client's care plan based
✅✅
on improvements in the client's condition. This is an example of which type of planning? -
-Ongoing
, A client who is scheduled for coronary angioplasty is concerned about whether the surgery is
✅✅
safe and wonders whether it would be beneficial. Which nursing diagnosis relates to this
client's condition? - -Fear related to potential risk and surgical outcomes
A client with end-stage chronic obstructive pulmonary disease (COPD) has the nursing
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diagnosis "Activity Intolerance." Which expected client outcome most directly demonstrates
resolution of the problem? - -Client will alternate rest periods with exercise throughout
the day.
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A client with food poisoning has the nursing diagnosis "diarrhea." Which expected client
outcome most directly demonstrates resolution of the problem? - -Client will have
formed stools within 24 hours.
✅✅
A client with HIV has been admitted to a health care facility. Which nursing diagnosis should
be the priority, keeping in mind the client's condition? - -Risk for Infection
A client, who has limited finances and limited capacity for education, requires home health
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care for a chronic illness. For the nurse to provide a high level of care to this client, the nurse
must first: - -implement critical thinking skills.
A hospital client has an aggressive fungal infection in the right eye that necessitates
evisceration (removal of the eye). Consequently, the client requires twice-daily packing and
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dressing changes to the orbit. Which of the nurse's actions in the care of this client most
clearly demonstrates interpersonal skills? - -Ensuring the client's privacy during
dressing changes and providing an explanation during the procedure
A nurse administers intravenous fluids to a client diagnosed with dehydration. After the fluids
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are completed, the client's blood pressure is increased and pulse is decreased. During the
final phase of the nursing process, what should the nurse do? - -Determine whether
the prescribed treatment was effective.
A nurse follows set guidelines for administering pain medication to clients in a critical care
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unit. This nurse's authority to initiate actions that normally require the order or supervision of
a physician is termed: - -Standing orders
A nurse has completed a client assessment and is preparing to identify appropriate nursing
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diagnoses. Which areas would the nurse likely address in the diagnosis? Select all that
apply. - -Impaired mobility
Imbalanced nutrition
Ineffective coping
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A nurse has developed a plan of care for an adult client. What nursing function is important
when using nursing diagnoses to guide the care of this client? - -Prioritize the nursing
diagnoses.
A nurse has identified a nursing diagnosis of "Imbalanced nutrition: less than body
requirements related to continued weight loss despite adequate intake." During the
implementation phase of the nursing process, which activities would be appropriate for the
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