A nurse is caring for an 82-year-old patient who was admitted to the health care facility for tachypnea and tachycardia. Which rationale below supports the clients condition? correct answers The heart and lungs work together to provide circulation of nutrients and oxygen. FA Davis Ch 17, pg. 323
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VNSG 1423 exam #1 || with 100% Correct Answers.
A nurse is caring for an 82-year-old patient who was admitted to the health care facility for
tachypnea and tachycardia. Which rationale below supports the clients condition? correct
answers The heart and lungs work together to provide circulation of nutrients and oxygen. FA
Davis Ch 17, pg. 323
A nurse is instructing a group of nursing students in measuring a client's respiratory rate. Which
guideline should the nurse include? correct answers Count each ventilation as one breathe Ch 17
pg.322-323
A nurse is caring for a client that has a fractured femur, the BP reading 140/49 mm Hg in the left
arm. Which action should the nurse take first? correct answers Ask the client if he/she is in pain
Ch 17 pg 329
A nursing student is assisting an 88 yr old client from a supine position to a sitting position to go
to the bathroom. The client faints. The nursing student understands that the cause of fainting is
due to correct answers Reduced vasoconstriction of the arteries. Ch 17 pg 329
When measuring the blood pressure after placing the cuff correctly on the arm, the nurse would
assess, which of the following? correct answers palpate the artery. Ch 17, pg 328
A nurse is caring for a client that has tuberculosis. According to CDC guidelines for transmission
based precautions. Which personal protective measures should the nurse implement? Select all
that apply (2/4) correct answers Enter airborne infection isolation room
Put on a fit-tested N95 respirator
Enter a private room with gown, N95
Put on N95
Ch 14, pg. 235-236
A nurse is caring for a client that has been placed in contact-based precaution due to infectious
diarrhea. The nurse should follow the CDC's guidelines by performing which intervention?
correct answers wash hands, put on gloves and gown before entering the room. Ch 14, pg 236
A nurse has a sterile package and has placed it on a clean surface in preparation of an invasive
procedure. What is the rationale for unfolding the first flap farthest from the body? correct
answers The nurse risks reaching across the sterile package. Ch 22, pg 428
A nurse is wearing sterile gloves to perform a sterile procedure. Which of the following items
listed below are considered sterile and can be touched by the nurse? Select all that apply (3/5)
correct answers A bottle containing a sterile solution
The edge of sterile drape
One sterile gloved hand touching the other sterile gloved hand
Irrigation catheter on the sterile field
The inner wrapping of an item on the on the sterile field
Ch 22, pg 427
, A nurse is preparing a sterile field for assisting a provider with a sterile procedure. The nurse
recognizes that which of the following has contaminated the field? correct answers The nurse
moistens a cotton ball with sterile normal saline and places it on the sterile field.
Ch22, pg 427-428
A nursing student identifies that parts of the syringe and needle are considered sterile. Which
part of the syringe and or needle was correctly identified by the nursing student as being sterile?
correct answers hub on the needle. Ch 22, pg 429-430
When opening a wrapper containing sterile gloves the nurse opens the outer wrapper and
discards it, positions the inner wrapped so the cuffs of the gloves are towards the nurse and
maintains sterility by touching the 1-inch vertical flaps of the inside wrapper. What is the nurse's
next step? correct answers Use non dominant hand to pick up the glove by the cuff Ch 22, pg
433, step 5
A nurse is assessing an adult client who has a fever, and a pulse rate of 102 bpm. The nurse
would expect the respiration rate to be: correct answers tachypneic Ch17, pg. 323
A nurse is reviewing with a newly hired nurse the difference in localized infection versus a
systemic infection. The nurse inddicated understanding when she states which of the following
are manifestations of a systemic infection? select all that apply (3/5) correct answers fever
malaise
increase pulse and respiratory rate
edema
pain or tenderness
Ch 14, pg 230
A client is admitted to the hospital with tuberculosis. Which of the following will prevent
microorganisms from floating from the client's room into the hallway? correct answers
placement of the client in an airborne infection isolation room Ch 14, pg 236
The nurse understands the importance of sterile technique during certain client care procedures.
Which procedure will require sterile technique? correct answers SubQ injection given Ch 14, pg
426
To help reduce hospital acquired infections (HAIs), the nurse's FIRST priority is to: correct
answers perform strict hand washing before and after care of each client Ch 14, pg 231
A nurse is caring for a client with a fever of 103.2 F. The client's wife asks "Why does his body
gets so hot like that?" Which is the best response by the nurse? correct answers "A fever is the
body's way of creating an environment that is harmful to germs" Ch 14, pg. 230-231
The nurse is preparing to administer a vaccination to a client who has many allergies. After
donning gloves and wiping the client's arm with an alcohol swab, the nurse notices the client has
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