congruence on the part of the nurse implies: - ANSWERSusing communication tools in a genuine and spontaneous manner
1 day pot-op abdominal surgery. what is the first action the nurse should take after discovering that the client's wound has eviscerated? - ANSWERScover the incision with a moist s...
RN Fundamentals Final Questions &
Answers
congruence on the part of the nurse implies: - ANSWERSusing communication tools in
a genuine and spontaneous manner
1 day pot-op abdominal surgery. what is the first action the nurse should take after
discovering that the client's wound has eviscerated? - ANSWERScover the incision with
a moist sterile dressing
admitted to the hospital after being on bed rest at home. the client has been incontinent
and smells strongly of urine. his spouse states that she is sorry and embarrassed about
the unpleasent smell: - ANSWERSit must be difficult to care for someone who is
confined to a bed
orders a cleansing enema for a client having bowel surgery. which nursing intervention
is appropriate: - ANSWERSposition client on side
ambulating in hallway with bare feet. priority nursing action is: - ANSWERSget the
client's slippers and have them put them on
mouth care to client with total care: - ANSWERSturn the client on his side before
begining
while preparing for discharge the nurse teaches proper position for postural drainage.
the nurse knows that to achieve success in his teaching program, the info about the
client is most important: - ANSWERSclient's goal concerning his ability to be self-
sufficient
taking several medications to treat congestive heart failure and RA arrives that the clinic
reporting fatigue, anorexia, and nausea. assessment a priority? - ANSWERShave you
been taking your medication as prescribed
client who has type 1 diabetes is scheduled for an appendectomy. the client has been
NPO since midnight. there are no-preoperative orders for daily insulin dose. which
intervention is appropriate: - ANSWERScall the provider to request an insulin
insert a NG tube. the nurse understands that an improper use of the NG tube would be
for: - ANSWERSmaintaining NPO status
prescribed restraints for a client who is agitated. the nurse would put the client at risk
for: - ANSWERStying the restraint with a knot that cannot be easily undone
, reports SOB requests the help in changing positions. in addition to re-positioning the
client, the nurse's highest priority should be: - ANSWERSobserve, rate, depth, and
character of the client's respirations
when transcribing orders for a client admitted with an exacerbation of SLE a new nurse
notes that the provider prescribed med that in unfamiliar. the nurse should: -
ANSWERSconsult the medication reference book
following an emergency splenectomy, a 17 year old is admitted to the nursing unit from
PACU. the client reports severe abdomen pain, and the client's parents are asking to
see their child. the nurse's first action should be: - ANSWERScomplete a physical
assessment including post-op vitals
nurse is planning ROM for a client. the nurse understands that active ROM is performed
before passive ROM because: - ANSWERSactive ROM is used to determine limitation
of movement
nurse enters room and finds client in respiratory arrest, priority: - ANSWERSestablish
an open airway
client is prescribed hypothermia blanket. when caring for the client: - ANSWERSplace a
layer of cloth between the client and blanket
preparing client with a compression injury of the right leg for surgery. after administering
the pre-op bezodiazepidine, (ATIVAN) as prescribed, the nurse determines that the
medication was effective when the client states: - ANSWERSi feel very sleepy
client is being prepared for surgery after pre-op medication. the nurse makes sure that: -
ANSWERSconsent from has been signed
strict bed rest client. when entering room, nurse notices flames in waste basket. the
nurses priority action is to: - ANSWERSpull the client out into the hall in bed
misconception when: - ANSWERSorgan donation is strictly forbidden by the Baptist
Church
high fever, chills, and dehydration, the nurse knows that which lab test will not help the
provider confirm infection: - ANSWERSglucose
PACU following splenectomy. abdominal dressing is dry and intact and IV fluids are
infusing at 125 mL/hr. nursing priority: - ANSWERSmaintaining patent airway
client suddenly coughs a few times then attempts to cough and makes a whistling
sounds on inhalation. choking. heimlich maneuver: - ANSWERSboth arms around, fist n
between bottom of sternum and navel
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