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NUR 3106- Final exam review Questions Solved 100% Correct
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NUR 3106- Final exam review Questions Solved100% Correct
A nurse reviews the serum potassium level and considers whether to give the medication
through the oral or intravenous route (IV). What phase of the nursing process is this?
A) Nursing Diagnosis
B) Planning
C) Implementation
D) Evaluation - Answer B) Planning
A nurse used spiritual rituals as an intervention in a patient's care. Which of the
following questions is most appropriate to evaluate its efficacy?
1. Do you feel the need to forgive your wife over your loss?
2. What can I do to help you feel more at peace?
3. Did either prayer or meditation prove helpful to you?
4. Should we plan on having your family try to visit you more often in the hospital? -
Answer 3
A nursing is caring for a client who is dyspneic and hypoxic. The nurse applied oxygen
and prompted the client to use the incentive spirometer. Which assessment finding best
indicates these interventions have been successful?
,A) Client is able to walk to the bathroom
B) Oxygen level of 95%
C) Increased volume achieved on the incentive spirometer
D) Restlessness - Answer B) Oxygen level of 95%
A nursing student is developing a plan of care for a 74-year-old-female patient who has
spiritual distress over losing a spouse. As the nurse develops appropriate interventions,
which characteristics of older adults should be considered? (Select all that apply.)
1. Older adults do not routinely use complementary medicine to cope with illness.
2. Older adults dislike discussing the afterlife and what might have happened to people
who have passed on.
3. Older adults achieve spiritual resilience through frequent expressions of gratitude.
4. Have the patient determine whether her husband left a legacy behind.
5. Offer the patient her choice of rituals or participation in exercise. - Answer 3,4,5
A patient has just learned she has been diagnosed with a malignant brain tumor. She is
alone; her family will not be arriving from out of town for an hour. The nurse has been
caring for her for only 2 hours but has a good relationship with her. What is the most
appropriate intervention for support of her spiritual well-being at this time?
1. Make a referral to a professional spiritual care adviser.
2. Sit down and talk with the patient; have her discuss her feelings and listen attentively.
3. Move the patient's Bible from her bedside cabinet drawer to the top of the over-bed
table.
4. Ask the patient whether she would like to learn more about the implications of having
this type of tumor. - Answer 2
A patient present to the hospital with severe diarrhea. The ABGs are as follows: pH 7.33,
PCO2 35, and a HCO3 20. Which acid-base imbalance is this patient experiencing?
, A) Respiratory Acidosis
B) Respiratory Alkalosis
C) Metabolic Acidosis
D) Metabolic Alkalosis - Answer C) Metabolic acidosis
ABG normal reference range: pH 7.35-7.45, PCO2 35-35, HCO3 21-28.
A patient who is confused is continually attempting to get out of bed. Which action by
the nurse best represents assessing the situation?
A) Determining if the patient's needs are met
B) Asking the family to stay with the patient
C) Instructing the patient to use the call light
D) Turning on a bed alarm - Answer A) Determining if the patient's needs are met
A patient who returned from surgery 3 hours ago following a kidney transplant is
reporting pain at a 7 on a scale of 0 to 10. The nurse has tried repositioning with no
improvement in the patient's pain report. Unmanaged surgical pain can lead to which of
the following problems? (Select all that apply.)
1. Delayed ambulation
2. Reduced ventilation
3. Catheter-associated urinary tract infection
4. Retained pulmonary secretions
5. Reduced appetite - Answer 1,2,4,5
A postoperative client has decreased oxygen saturations and shortness of breath. What
postoperative complication could be occurring?
A) Hemorrhage
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