Exam (elaborations)
Nur 155 Exam 4 Questions and Correct Answers
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Exam of 12 pages for the course Nur 155 at Nur 155 (Nur 155 Exam 4)
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Nur 155 Exam 4 Questions and Correct AnswersA nurse is caring for a homeless patient and tells the manager, "I will make sure he
doesn't steal food from our nourishment center." What action by the manager is
best?
✓ ~~~ Inform the nurse that not all homeless people will steal.
The nurse is working with a patient from an unfamiliar culture. After assessing the
patient and the patient's cultural beliefs related to health care, what action by the
nurse is best?
✓ ~~~ Compare the cultural beliefs with his/her own.
A patient from an unfamiliar culture appears disinterested when the physician is
telling her about options for treatment of a new diagnosis. After the physician leaves,
the nurse attempts to talk to the patient and notices the same behavior. What action
by the nurse is best?
✓ ~~~ Investigate nonverbal communication patterns of this group.
The nurse is caring for a patient from a different cultural background. What action by
the nurse best demonstrates cultural maintenance?
✓ ~~~ Assist the patient with a healing ritual.
A home health care nurse is visiting the home of a patient whose culture is totally
unfamiliar to the nurse. What action by the nurse is best?
✓ ~~~ Watch family interaction patterns closely and try to copy them.
The student nurse asks why he needs to assess a patient's spirituality when he can
call the chaplain. What response by the nurse is best?
✓ ~~~ "Regulatory organizations list this as a required BSN competence."
The nurse concerned about a patient's spiritual needs can best address this by
which action?
✓ ~~~ Collaborating during interdisciplinary rounds
A patient died suddenly in the emergency department. Which action by the nurse
best provides the family connection with others?
✓ ~~~ Asking the family if there is someone the nurse can call for them
The nurse carefully reviews the patient's medication list. Which observation about
the list indicates the highest risk for serious drug-drug interactions?
✓ ~~~ The patient is taking a large number of medications.
The nurse is caring for a patient who is taking many prescription medications for
various health problems. Which direction from the nurse will help the patient avoid
dangerous drug interactions?
✓ ~~~ Have all of the prescriptions filled at the same pharmacy.
, The nurse administers a medication to the patient. Which symptoms indicate to the
nurse that the patient is having an allergic reaction rather than a side effect?
✓ ~~~ Itchy rash and difficulty breathing
The nurse suspects that the patient is experiencing a drug toxicity rather than a side
effect. Which question will the nurse ask to help confirm this suspicion?
✓ ~~~ "Have you been taking extra doses of the medication?"
The nurse is to administer 1 mL of prochlorperazine (Compazine) 10 mg IM to an
adult patient. Which syringe will the nurse select to administer the medication?
✓ ~~~ 3 mL syringe with 23 gauge, 1 1/2 inch needle
The nurse is caring for a patient recovering from knee replacement surgery. The
patient complains of severe pain in the knee after receiving hydrocodone with
acetaminophen (Vicodin) 2 hours previously. What is the nurse's best action?
✓ ~~~ Apply ice packs to the knee.
The nurse is caring for a patient who will be using a hydromorphone (Dilaudid) PCA
analgesia pump following surgery. Which intervention is the highest priority for the
nurse to include in the patient's care plan related to this pump?
✓ ~~~ Assess the patient's respiratory status frequently after PCA pump
started.
The nurse is caring for a patient who is recovering from thoracotomy surgery and
notes that the patient's pain is rated 9/10 and is unable to focus on anything. Which
intervention by the nurse is the highest priority?
✓ ~~~ Administer prescribed IV pain medication and evaluate impact in 30
minutes.
What is the priority nursing assessment for a patient who is receiving postoperative
epidural analgesia with hydromorphone (Dilaudid
✓ ~~~ Respiratory rate, depth, and pattern
Which assessment question helps the nurse determine the character of the patient's
pain?
✓ ~~~ What does the pain feel like?"
The nurse is caring for a trauma patient with the nursing diagnosis of acute pain r/t
fracture and muscle spasms. Which is an appropriate goal for this Nursing
diagnosis?
✓ ~~~ The patient will describe meditation techniques that can be used to
cope with pain.
The nurse is caring for an emergency room patient who died because of a mishap
with a loaded gun. The patient's body will be transported to the coroner's office for an
autopsy. Which items will the nursing staff remove from the body before it leaves the
hospital?
✓ ~~~ Necklace and watch
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