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NUR 104 Exam 2 with correct answers
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NUR 104 Exam 2 with correct answersThe nurse is performing risk assessment for depression on elderly clients in a long-term healthcare
facility. Which of the following is a nursing consideration when assessing the mental health of an older
adult? - ANSWER -Many older adults are reluctant to admit that they are depressed
A nurse is caring for an industrial accident victim who has suffered blood loss from a nicked blood vessel.
The nurse notice the victim has a medical alert bracelet. Which factor may lead to the inability of the
blood to clot in the client? - ANSWER -Deficiency in any of the coagulation factors
During a lecture on the hematologic and lymphatic systems, the nurse explains to the nursing students
the principal functions of blood and its homeostatic mechanisms. What does the nurse tell the students
are the functions of the hematologic system? - ANSWER -1. Delivery of nutrients and oxygen to cells
2. Removal of wastes
3. Blood volume regulation
The nurse is caring for an elderly client who is diagnosed with presbyopia. Which of the following
describes this condition? - ANSWER -Impaired vision that results from normal aging
When planning meals for older adults in long-term care facility, the nurse keeps in mind the hydration
needs of older adults. Which of the following is a nursing consideration related to intake of fluids for
these clients? - ANSWER -Older adults need to be encouraged to drink fluids
The nurse is preparing a transfusion for a client with type AB blood. Which of the following blood types
is considered the universal donor? - ANSWER -Type O
The ABO blood groups are inherited combinations of antigens and antibodies. A nurse is reviewing the
four blood groups with a client who is scheduled to have a blood transfusion. The client asks the nurse
which blood group is considered a universal recipient. Which blood group matches this description? -
ANSWER -AB
The nurse is preparing to administer a blood transfusion to a client who experiences postoperative
hemorrhaging. Which of the following is a guideline for this procedure? - ANSWER -Two licensed
personnel must identify the unit of blood
, The nurse is using remotivation techniques to treat an elderly client with depression. Which of the
following is an example of the use of this technique? - ANSWER -Reminiscing about a patient's past
accomplishments
The nurse is using therapeutic communication techniques when counseling residents of an assisted-
living facility. Which of the following is a recommended guideline for this process? - ANSWER -Place
older clients in double rooms to encourage social interactions
A nurse is explaining the importance of chemotaxis in fighting invading organisms. What is the role of
chemotaxis in fighting invading organisms and other foreign materials? - ANSWER -Engulfing of
particulate matter
An aging client has gone into depression and refuses to eat. What measure should the nurse take? -
ANSWER -Ask the client what their favorite foods are that can be prepared for them
During a lecture on the different types of white blood cells, the nurse explains that white blood cells
have different functions. Based on this information, what is the function of basophils? - ANSWER -
Involved in allergic and inflammatory reactions
During a lecture on the lymphatic system, the nurse explains to the student nurses the constituents of
lymph and the networking of lymphatic vessels. Based on this information, what is the best answer by
the nursing student about the functions of lymph tissues? - ANSWER -1. Filter blood
2. Destroy pathogens
A nurse is caring for an older adult who does not comply with the medication program because of
forgetfulness. What is the best technique for the nurse to do to help the client in taking her
medications? - ANSWER -Use organizers to place daily medications
During a lecture on the different types of white blood cells, the nurse explains to the student nurses that
these while blood cells have different functions. Based on this information, what is the function of
neutrophils? - ANSWER -First line of defense against bacteria
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