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Exam (elaborations)

NUR 308 Exam 1 Questions and Solutions

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  • NUR 308
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  • NUR 308

Nurse cares for a dying client. Which manifestation of dying does the nurse treat first? Pain Nurse plans for client who is nearing end of life. Which question will nurse ask? Do you want to be at home at the end of your life? A nurse teaches client being admitted to hospice. Which include in cli...

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  • September 18, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 308
  • NUR 308
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twishfrancis
NUR 308 Exam 1 Questions and
Solutions
Nurse cares for a dying client. Which manifestation of dying does the nurse treat first?
✅Pain

Nurse plans for client who is nearing end of life. Which question will nurse ask? ✅Do
you want to be at home at the end of your life?

A nurse teaches client being admitted to hospice. Which include in client teaching?
✅Hospice care will focuses on holistic approach to health care. It is not designed to
hasten death, but rather to relieve your symptoms.

A clinic nurse is teaching a client prior to surgery. The client does not seem to
comprehend the teaching, forgets a lot of what is said, and asks the same questions
again and again. What action by the nurse is BEST? ✅Assess the client for anxiety.

An inpatient nurse brings an informed consent form to a client for an operation
scheduled for tomorrow. The client asks about possible complications from the
operation. What response by the nurse is best? ✅Do not have the client sign the
consent and call the primary health care providers.

The perioperative nurse manager and the postoperative unit manager are concerned
about the increasing number of surgical infections in their hospital. What action by the
managers is best? ✅Audit charts to see if the Surgical Care Improvement Project
(SCIP) outcomes were met.

A client has arrived in the inpatient post operative unit. What action by the inpatient
nurse takes priority? ✅Participating in hand-off report

A postoperative client vomited. After cleaning and comforting the client, which action by
the nurse is most important? ✅Auscultate lung sounds

A registered nurse (RN) is watching a new nurse change a dressing and perform care
around a Penrose drain. What action by the new nurse warrants interventions?
✅Securing the drain's safety pin to the sheets.

The post anesthesia care unit (PACU) nurse is caring for an older client following a
length surgery. The client;s pulse is 48 beats/min which is 20 beats/min lower than the
preoperative baseline. What assessment does the nurse make next? ✅Temperature

, The postoperative nurse is caring for a client who reports feeling "something popped:
after vomiting. What action by the nurse is best? ✅Gather sterile non adherent
dressings

A new perioperative nurse is receiving orientation to the surgical area and learns about
the surgical care improvement project (SCIP) goals. What major areas do these
measures focus on? ✅Infection prevention, thromboembolism prevention, and correct
hair removal

A nurse is learning about different surgical procedures and their classifications. Which
examples below does this include? ✅Liver biopsy: diagnostic, Arthroscopy:
preventative. Ileostomy: palliative. Total shoulder replacement: reconstructive, and body
contouring: cosmetic

A nurse recently hired to the preoperative area learns that certain clients are at higher
risk for venous thromboembolism (VTE). Which clients are considered to be high risk?
✅Morbidly obese client, client who smokes, client with severe heart failure, and
wheelchair-bound client.

client has received several doses of midazolam. The nurse assesses the client to be
difficult to arouse with respirations of 6 breathe/min. What actions by the nurse are most
important? ✅Administer oxygen per protocol, ensure suction is working, and transfer
the client to intensive care.

A nurse learns older adults are at higher risk for complications after surgery. What
reasons for this does the nurse understand? ✅Decreased cardiac output, decreased
oxygenation, frequent nocturia, mobility alterations, and slower reaction times.

A nurse working in the preoperative holding area performs which functions to ensure
client safety? ✅Check that consent is on the chart, ensure that the client has an
armband on, have the client help mark the surgical site, allow the client to use the toilet
before giving sedation, and assess the client for fall risks.

A nurse orienting to the postoperative area learns which principles about the
postoperative period? ✅Phase I requires intensive care unit monitoring, phase II ends
when the client is stable and awake, and vital signs may be taken only once a day in
phase III.

A nurse assesses a client who had a myocardial infarction and has a blood pressure
88/58 mm Hg. Which additional assessment finding would the nurse expect? ✅Heart
rate of 120 beats/min

A nurse assesses a client after administering a prescribed beta blocker. Which
assessment would the nurse expect to find? ✅Pulse decreased from 100 to 80
beats/min

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