Comprehensive Exam 3, Comprehensive
Exam 3 A, HESI COMP 3 b,
Comprehensive Exam c, Comprehensive
Exam 3 d
to avoid a false positive result for fecal occult blood in stool specimen, the nurse should instruct client to
avoid ingestion of which substances prior to collecting a sample? - ANS fish, beef, vit c, ibuprofen
The nurse manager is developing a plan to increase the local population's utilization of a new
community-based public clinic. Which approach should the nurse utilize to obtain the most impact on
developing a collaborative partnership with the community? - ANS Conduct a focus group in community
to gather data on culturally significant needs
Nursing's unique role in improving community health relies on an approach based on knowledge of the
community's diversities and specific needs, which is obtained through relationships with leaders and
members of the community.
The nurse instills an atropine ophthalmic solution into both eyes for a client who is having a routine eye
exam. Which side effects should the nurse tell the client to anticipate? - ANS Blurred vision
atropine ophthalmic solution is used during eye exams to dilate the pupil (mydriasis) and paralyze the
ciliary muscle (cycloplegic refraction) which prevents accommodation and causes blurred vision
A client is using an otic solution, hydrocortisone and polymyxin B (Otobiotic otic), for external otitis
media. Which therapeutic response should the nurse tell the client to expect? - ANS Decreases
inflammation and pain
The otic preparation of polymyxin B and hycrocortisone is a combo antibiotic and corticosteroid used to
reduce imflammation and control pain.
,the nurse is providing tracheostomy care for a client who has encrusted secretions inside the inner
cannula. Which solution should the nurse use to remove the debris? - ANS hydrogen peroxide
an oxidizing antiseptic is used as a cleansing agent to loosen dried secretions that collect on the inner
cannula and around the tracheostomy stoma.
The nurse is reviewing the lab results of an older client who is admitted to a medical unit, Which serum
chemistry values should the nurse recognize as most commonly affected by the aging process? - ANS
Calcium, potassium, sodium
An 11-year-old boy with oppositional defiant disorder becomes angry and defiant over the rules of the
day treatment mental health program. Which response by the nurse is the most effective way to defuse
the situation? - ANS Tell the child to go to the gym to play basketball
Redirecting the expression of feelings into nondestructive, age-appropriate behaviors, such as a physical
activity, helps a child learn how to moderate the expression of feelings and exert self-control. The least
restrictive alternative should be implemented before resorting to more restrictive measures
A male client with degenerative arthritis of the knees and hips takes an OTC NSAID for pain. During a
routine clinic visit, the client tells the nurse, "For the past month I've been having a lot of trouble
sleeping. I can't seem to fall asleep, and when I finally do get sleep, I find that I wake up a number of
times during the night." Which info should the nurse obtain first? - ANS How intense does the client rate
his pain on a scale of 1-10?
A client with degenerative arthritis may have sleep disturbances related to chronic pain, so the client's
pain intensity should be determined.
An adolescent who lost fifty pounds during the past 3 mo is hospitalized. during the admission
assessment, the client complains of dry skin, poor skin turgor, hair breakage, brittle nails, and a history
of menstrual cycle problems. Which finding is most important for the nurse to obtain additional
assessment info? - ANS Amenorrhea
,As a result of anorexia nervosa, a hypoestrogenic condition can result from a decreased percentage of
body fat and cuase amenorrhea, absence of three or more menstrual cycles, which should be
determined is this finding is a characteristic feature of anorexia or is the adolescent may possibly be
pregnant .
Which interventions should the nurse use when interacting with a client with Alzheimer's disease? - ANS
-Encourage verbal and nonverbal communication.
-Maintain a clam demeanor during all interactions.
frequent communication and a calm affect should be maintained with the client
An older Chinese client refuses to perform the range-of-motion and breathing exercises after a surgical
procedure and is hesitant to complete hygienic care and grooming. What cultural factor should the
nurse consider that is related to this client's behavior - ANS Reliance on family members to assist with
care
Which intervention demonstrates the nurse's accountability in a specific decision-making process - ANS
Evaluating a client's outcomes after implementation of care
Accountability involves follow-up and a reflective analysis of implementation of care and client
outcomes.
A male client gives a copy of his living will to the nurse upon admission to the hospital. What action
should the nurse implement if the client is unable to express his desire about life-prolonging measures?
- ANS Allow the client to die with dignity and without life-prolonging techniques.
A living will is an advance directive that is prepared when an individual is competent to make decisions
about end-of-life care that specifies withholding resuscitative measures that prolong life
, An adolescent client is admitted to the mental health unit for impulsivity and acting-out behavior at
scchool. What intervention should the nurse implement that is most beneficial for this client? - ANS
explain the consequences for breaking the unit rules
provide consistent expectations of behavior and are the most beneficial in establishing trust and
reinforcing acceptable behaviors for interacting with others
Which action should the hospice nurse implement to assist a client maintain self-worth during the end-
of-life process - ANS Plan regular visits with the client throughout the day
Helps the client maintain self-worth because it demonstrates that the client is worthy of others and the
nurse's time and attention
The nurse is providing comfort and palliative care for a terminally ill client who is experiencing nausea
and vomiting. Which action is best for the nurse to take to promote the client's comfort? - ANS Offer
high-protein foods
For some clients, an empty stomach exacerbates the nausea, so offering frequent, small amounts of
foods that appeal to the client, such as dry cracker or bland, high protein foods help nutritional status
Which information is most accurate for the nurse to use when calculating safe drug dosages for a child?
- ANS Body Surface Area
most accurate method of calculating pediatric doses is based on child's body surface area
What assessment finding should the nurse identify in a client with fluid volume excess - ANS Elevated
blood pressure
Blood pressure is the product of heart rate, stroke volume, and peripheral resistance, so an elevated
blood pressure occurs
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