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Fundamentals Pre-assessment Questions And Answers
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Fundamentals Pre-assessment Questions And Answers 2024-2025The nurse is caring for a client who has a stage 2 pressure ulcer. Describe the
characteristics of the ulcer. Partial-thickness skin loss involving the epidermis and the
dermis. The ulcer is visible and superficial and may appear as an abrasion, blister, or
shallow crater. Edema persists and the ulcer may become infected, possibly with pain
and scant drainage.
A nurse is caring for a client who is receiving chemotherapy and is developing
neutropenia. Which of the following should the nurse include in this client's education? -
Answer Avoid crowded events
Clients with neutropenia do not have enough circulating neutrophils to fight off
infections. This client should avoid crowds to prevent exposure to colds/viruses.
A nurse is caring for a client who is admitted for observation and has full range of
motion. Which is the best manner to encourage this client to void? - Answer client
bathroom
The goal is to encourage clients to continue independence and privacy if the client has
full function and is able to safely complete ADLs.
A client with a hearing loss has been fitted with a hearing aid. Which of the following
teaching points is important for the nurse to discuss with the client? - Answer The ear
mold should be washed with mild soap and water.
A nurse is caring for an older adult client who experiences delirium. Which intervention
will most effectively reduce the client's risk for falls? - Answer hourly rounding by the
nurse
This is important to note because, within the health care environment, hourly rounding by
nurses greatly reduces the occurrence of client falls, reduces the use of call lights, and
, increases client satisfaction.
A nurse is teaching a client about the Mediterranean diet who has recently been
diagnosed with hypertension. Which of the following statements by the client indicates
further teaching is needed? -Answer "I will limit my intake of red meat to twice weekly"
This statement made by the client would indicate that further teaching is needed.
According to the Mediterranean diet, red meat should be limited to two times a month.
A nurse is admitting a client who has tuberculosis and a productive cough. Which of the
following types of isolation precautions should the nurse initiate for the client? Answer
Airborne
Airborne precautions are taken when a client has an infection caused by small droplets
that become airborne and remain suspended in the air for a longer period of time.
Examples of infections requiring airborne precautions include tuberculosis and measles.
The client requires a negative-pressure airflow room, and staff must wear an N95
respirator during contact with the client.
A nurse is caring for a client who has Parkinson's disease. Which of the following
manifestations does the nurse expect to see? Answer Bradykinesia
The nurse would expect to find bradykinesia or difficulty moving with a client who has
Parkinson's disease
A nurse is caring for a client with celiac disease. Which foods should be removed from
the meal tray? - Answer tortillas
A nurse is caring for a client with a closed head injury. Pressure applied to the nail beds
of the client results in opening the eyes, and adduction of the arms with flexion of the
elbows and wrists is noted. The client also moans with stimulation. What is the client's
Glasgow Coma Score? - Answer 7
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