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NUR 306 Prep U Exam 1 Practice Question and answers already passed $14.49   Add to cart

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NUR 306 Prep U Exam 1 Practice Question and answers already passed

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  • NURS 306

NUR 306 Prep U Exam 1 Practice Question and answers already passed An inexperienced nurse has just performed percussion on a client's chest and detected hyper-resonance, which would tend to indicate emphysema. However, the client is 35 years old, appears healthy otherwise, and denies ever havin...

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  • November 19, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 306
  • NURS 306
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Academia199
NUR 306 Prep U Exam 1 Practice
Question and answers already passed
An inexperienced nurse has just performed percussion on a client's chest and
detected hyper-resonance, which would tend to indicate emphysema.
However, the client is 35 years old, appears healthy otherwise, and denies
ever having smoked. The nurse realizes that the data need to be validated.
Which method of validation would be most appropriate in this case?


Confirm that the client has truly never been a smoker by asking him.
Clarify the data by asking whether the client has experienced any trouble
breathing lately.
Repeat the percussion using the nondominant hand.
Verify the data by having another nurse come in to perform the percussion.
Verify the data by having another nurse come in to perform the percussion.


The most appropriate method of validation in this case would be to have
another nurse come in to perform the percussion. We know that the nurse is
inexperienced, and with all of the other information supplied, it is much more
likely that the discrepancy is due to improper percussion technique or faulty
interpretation of the sound than it is to the client actually having emphysema.
Repeating the procedure with the nondominant hand is not likely to change
the results. If the client appears healthy and has not reported breathing
difficulty, it is not likely that he has emphysema. If the client has already
denied smoking, asking him again will likely only insult him.




A client who takes oral contraceptives states that she often experiences
breast pain just before her menstrual cycle begins. When using the COLDSPA
mnemonic to assess the client's pain, the nurse should begin by asking which
of the following?

,"Would you describe the pain as being constant or as intermittent?"
"Is there anything that makes the pain worse or better?"
"How would you describe your pain? Is it sharp? Is it an ache?"
"Has the pain changed over time?"
"How would you describe your pain? Is it sharp? Is it an ache?"


The "C" in COLDSPA elicits the character of the client's pain. It does not
address alleviating and aggravating factors or the timing.




We have an expert-written solution to this problem!
A client has come to the physician's office several times in the last month with
a black eye, bruises, and lacerations on the lower extremities. The client
always explains having fallen and tripped. The nurse suspects abuse. The
next step should be to:


Call the police.
Report the findings to a supervisor.
Confront the client.
Call social services.
Report the findings to a supervisor.




The nurse managers of a home healthcare office wish to maximize nurses'
freedom to characterize and record client conditions and situations in the
nurses' own terms. Which of the following documentation formats is most
likely to promote this goal?

,SOAP notes
Focus charting
Narrative notes
Charting by exception
Narrative notes




A nurse on an oncology unit enters a client's room to auscultate bowel
sounds. What should the nurse do before auscultating?


Make sure the stethoscope is placed directly on the client's skin so that there
is complete contact with the skin surface
Disinfect the stethoscope after touching the client
Disinfect the stethoscope before touching the client
Put on a personal protection gown
Disinfect the stethoscope before touching the client




We have an expert-written solution to this problem!
The nurse is to collect a throat culture from a client. The nurse demonstrates
the best adherence to standard precautions by using which piece of protective
equipment?


Face mask
Gloves
Cover gown

, Eye goggles
Gloves




The nurse is preparing for a physical examination of a client. What should the
nurse do first?


Gather equipment
Hand hygiene
Auscultation
Palpitation
Hand hygiene




We have an expert-written solution to this problem!
The nursing instructor is teaching about the importance of good
communication and accuracy when documenting on the client chart. Some
things that are high-risk errors in documentation are the following: (Check all
that apply.)


Documenting the notification of the primary physician when the client's
condition changes
Performing an inadequate admission assessment
Charting in advance
Failing to record changes in a client's condition
Falsifying client records
Falsifying client records
Failing to record changes in a client's condition

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