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NURS 280 Exam 4 Questions and Answers |100% Pass

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 5/88 C) Adolescents D) Infants - Answer-d A father of a preschool-age child tells the nurse that his child "has had a constant cold since going to daycare." How 8. would the n...

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
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NURS 280 Exam 4 Questions and
Answers |100% Pass

A nurse documents the following on a client chart: "client manifests difficulties with spatial orientation,

memory 7. language, and changes in personality." What state of arousal/awareness does this describe?


A) Delirium


B) Dementia


C) Confusion


D) Locked-in syndrome - Answer✔✔-a


A client has an abrupt onset of a cluster of global changes in attention, cognition, and level of

consciousness. What 18. would be the most appropriate nursing diagnosis?


A) Acute Confusion


B) Chronic Confusion


C) Impaired Memory


D) Disturbed Sensory Perception - Answer✔✔-a


A nurse is caring for a person who is delusional. What is important for the nurse to do while

communicating with the 25. client?


A) Touch the client gently while talking.



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FIRST PUBLISH SEPTEMBER 2024


B) Avoid arguing about erroneous statements.


C) Reinforce reality for delusional statements.


D) Maintain eye contact at all times. - Answer✔✔-c


The nurse is caring for a client who suffered a stroke three days ago, and is assessing the client's state of

arousal. The 32. nurse knows that the part of the body responsible for a person being alert or aroused is

which of the following?


A) Reticular activating system


B) Renin-angiotensin-aldosterone system


C) Cranial nerves


D) Adrenal glands - Answer✔✔-a


The nurse caring for a client with emphysema has determined that a priority nursing diagnosis for this

client is


"Imbalanced Nutrition: Less Than Body Requirements related to difficulty breathing while eating." Based

upon this 1. diagnosis, which of the following is an appropriate nursing intervention to include in the

client's care plan?


A) Provide six small meals daily.


B) Provide three large meals daily.


C) Encourage the client to eat immediately before breathing treatments.


D) Encourage the client to alternate eating and using a nebulizer during meal time. - Answer✔✔-a


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FIRST PUBLISH SEPTEMBER 2024


The nurse is developing a plan of care for a client admitted with pneumonia. The nurse has determined

that apriority


nursing diagnosis for this client is "Ineffective Airway Clearance related to copious and tenacious

secretions." Based 2. upon this nursing diagnosis, what is an appropriate nursing intervention to include

in the client's care plan?


A) Encouraging the client to consume two to three quarts of clear fluids daily


B) Creating an environment that is likely to reduce anxiety


C) Positioning the client supine


D) Encouraging the client to decrease the number of cigarettes smoked daily - Answer✔✔-a


While the nurse is providing morning hygiene for a client who has a chest tube, the client has rolled over

quickly and the 3. chest tube has become disconnected from the drainage unit. How should the nurse

first respond to this event?


A) Submerge the end of the tube in sterile water.


NURSINGKING.COM


B) Clamp the tube near the end and also near the insertion point.


C) Place the end of the tube on a sterile surface and seek help promptly.


D) Clean the end of the tube with an alcohol swab and reconnect it to the drainage unit. - Answer✔✔-a


A client has had a head injury affecting the brain stem. What is located in the brain stem that may affect

respiratory 4. function?



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A) Chemoreceptors


B) Stretch receptors


C) Respiratory center


D) Oxygen center - Answer✔✔-c


Which of the following diseases may result in decreased lung compliance?


A) Emphysema


B) Appendicitis


C) Acne


D) Chronic diarrhea - Answer✔✔-a


A nurse is caring for a client with pneumonia. The client's oxygen saturation is below normal. What

abnormal 6. respiratory process does this demonstrate?


A) changes in the alveolar-capillary membrane and diffusion


B) alterations in the structures of the ribs and diaphragm


C) rapid decreases in atmospheric and intrapulmonic pressures


D) lower-than-normal concentrations of environmental oxygen - Answer✔✔-a


In what age group would a nurse expect to assess the most rapid respiratory rate?


A) Older adults


B) Middle adults


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