NUR 130: Exam One CORRECT QUESTIONS & ANSWERS(LATEST UPDATE 2024)
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Course
NUR 130
Institution
NUR 130
A nurse working with older adults in the community plans programming to improve morale and emotional health in this population. What activity would best meet this goal? - ANSWER Exercise program to improve physical function
A nurse caring for an older client on a medical-surgical unit notices th...
NUR 130: Exam One CORRECT QUESTIONS &
ANSWERS(LATEST UPDATE 2024)
A nurse working with older adults in the community plans programming to improve morale and
emotional health in this population. What activity would best meet this goal? - ANSWER Exercise
program to improve physical function
A nurse caring for an older client on a medical-surgical unit notices the client reports frequent
constipation and only wants to eat softer foods such as rice, bread, and puddings. What assessment
should the nurse perform first? - ANSWER Perform an oral assessment
A nursing faculty member working with students explains that the fastest growing subset of the older
population is which group? - ANSWER Old old
A nurse is working with an older client admitted with mild dehydration. What teaching does the nurse
provide to best address this issue? - ANSWER Having something to drink every 1 to 2 hours
A nurse caring for an older adult has provided education on high-fiber foods. Which menu selection by
the client demonstrates a need for further review? - ANSWER White rice
A home health care nurse is planning an exercise program with an older client who lives at home
independently but whose mobility issues prevent much activity outside the home. Which exercise
regimen would be most beneficial to this adult? - ANSWER Building strength and flexibility
An older adult recently retired and reports being depressed and lonely. What information should the
nurse assess as a priority? - ANSWER Role of work in the adults life
A nurse is assessing coping in older women in a support group for recent widows. Which statement by a
participant best indicates potential for successful coping? - ANSWER I have had the same best friends for
decades
, A home health care nurse has conducted a home safety assessment for an older adult. There are five
concrete steps leading out from the front door. Which intervention would be most helpful in keeping the
older adult safe on the steps? - ANSWER Installing contrasting color strips at the edge of each steps
A nurse working with older adults assesses them for common potential adverse medication effects. For
what does the nurse assess? (Select all that apply.) - ANSWER constipation, dehydration, weakness
A nurse manager institutes the Fulmer Spices Framework as part of the routine assessment of older
adults in the hospital. The nursing staff assesses for which factors? (Select all that apply.) - ANSWER
confusion, incontinence, sleep disorders
A visiting nurse is in the home of an older adult and notes a 7-pound weight loss since last months visit.
Which actions should the nurse perform first? (Select all that apply) - ANSWER assess the clients ability
to drive or transportation alternatives, determine in the client has dentures that fit properly, have a
client complete a 3-day diet recall
A hospitalized older adult has been assessed at high risk for skin breakdown. Which actions does the
registered nurse (RN) delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.) -
ANSWER keep clients skin clean and dry, obtain pressure relieving mattress, turn client every two hours
A nurse admits an older client to the hospital who lives at home with family. The nurse assesses that the
client is malnourished. What actions by the nurse are best? (Select all that apply.) - ANSWER perform
braden scale assessment, request a dietary consult, request high protein oral supplement between
meals
A nurse assesses a client recovering from coronary artery bypass graft surgery. Which assessment should
the nurse complete to evaluate the clients activity tolerance? - ANSWER Vital signs before, during, and
after activity
A nurse teaches a client with a past history of angina who has had a total knee replacement. Which
statement should the nurse include in this clients teaching prior to beginning rehabilitation activities? -
ANSWER let me know if you experience shortness of breath, chest pain or fatigue
A rehabilitation nurse prepares to move a client who has new bilateral leg amputations. Which is the
best approach? - ANSWER utilize a mechanical lift
, A nurse performs passive range-of-motion exercises on a semiconscious client and meets resistance
while attempting to extend the right elbow more than 45 degrees. Which action should the nurse take
next? - ANSWER only move the joint to which resistance is met
A nurse cares for a client with decreased mobility. Which intervention should the nurse implement to
decrease this clients risk of fracture? - ANSWER perform weight bearing activities
A rehabilitation nurse cares for a client who has generalized weakness and needs assistance with
activities of daily living. Which exercise should the nurse implement? - ANSWER Active range of motion
A nurse plans care for a client who is bedridden. Which assessment should the nurse complete to ensure
to prevent pressure ulcer formation? - ANSWER Nutritional intake and serum albumin levels
A nurse teaches a client about performing intermittent self-catheterization. The client states, I am not
sure if I will be able to afford these catheters. How should the nurse respond? - ANSWER you can reuse
these at home. clean technique rather then sterile
9. A nurse delegates the ambulation of an older adult client to an unlicensed nursing assistant (UAP).
Which statement should the nurse include when delegating this task? - ANSWER sit client on the edge of
the bed and let their legs dangle before ambulation
A nurse assesses a client who is admitted with hip problems. The client asks, Why are you asking about
my bowels and bladder? How should the nurse respond? - ANSWER to plan your care based on you
normal patterns
A nurse is caring for a client who has a spinal cord injury at level T3. Which intervention should the nurse
implement to assist with bladder dysfunction? - ANSWER use the cred maneuver every three hours
A nurse teaches a client who has a flaccid bladder. Which bladder training technique should the nurse
teach? - ANSWER Valsalva maneuver
A rehabilitation nurse cares for a client who is wheelchair bound. Which intervention should the nurse
implement to prevent skin breakdown? - ANSWER have the client to push ups in their chair
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