Nur 270 Final Exam Questions and 100% Correct Answers
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Course
NUR 270
Institution
NUR 270
The community health nurse is performing a home visit to an 84-year-old woman recovering from hip surgery. The nurse notes that the woman seems uncharacteristically confused and has dry mucous membranes. When asked about her fluid intake, the patient states, "I stop drinking water early in the day ...
Nur 270 Final Exam Questions and 100%
Correct Answers
The community health nurse is performing a home visit to an 84-year-old woman
recovering from hip surgery. The nurse notes that the woman seems
uncharacteristically confused and has dry mucous membranes. When asked about her
fluid intake, the patient states, "I stop drinking water early in the day because it is just
too difficult to get up during the night to go to the bathroom." What would be the nurse's
best response? ✅limiting your fluids can create imbalances in your body that can
result in confusion. Maybe we need to adjust the timing of your fluids
A nurse educator is reviewing peripheral IV insertion with a group of novice nurses. How
should these nurses be encouraged to deal with excess hair at the intended site?
✅clip the hair in the area
The nurse in the medical ICU is caring for a patient who is in respiratory acidosis due to
inadequate ventilation. What diagnosis could the patient have that could cause
inadequate ventilation? ✅Guillian barre syndrome
The nurse is assessing the patient for the presence of a Chvostek's sign. What
electrolyte imbalance would a positive Chvostek's sign indicate? ✅hypocalcemia
An OR nurse will be participating in the intraoperative phase of a patient's kidney
transplant. What action will the nurse prioritize in this aspect of nursing care?
✅monitoring the patient's physiologic status
A clinic nurse is conducting a preoperative interview with an adult patient who will soon
be scheduled to undergo cardiac surgery. What interview question most directly
addresses the patient's safety? ✅what prescription and nonprescription meds do you
currently take?
The perioperative nurse is constantly assessing the surgical patient for signs and
symptoms of complications of surgery. Which symptom should first signal to the nurse
the possibility that the patient is developing malignant hyperthermia? ✅tachycardia
As an intraoperative nurse, you know that the patient's emotional state can influence the
outcome of his or her surgical procedure. How would you best reinforce the patient's
ability to influence outcome? ✅incorporate cultural and religious considerations as
appropiate
The OR nurse acts in the circulating role during a patient's scheduled cesarean section.
For what task is this nurse solely responsible? ✅performing documentation
, The nurse is caring for a patient who is postoperative day 2 following a colon resection.
While turning him, wound dehiscence with evisceration occurs. What should be the
nurse's first response? ✅place saline soaked sterile dressing on wound
The nursing instructor is discussing postoperative care with a group of nursing students.
A student nurse asks, "Why does the patient go to the PACU instead of just going
straight up to the postsurgical unit?" What is the nursing instructor's best response?
✅The PACU allows the patient to recover from the effects of anesthesia, and the
patient stays in the PACU until he or she is oriented, has stable vital signs, and is
without complications."
The nurse is performing a respiratory assessment of an adult patient and is attempting
to distinguish between vesicular, bronchovesicular, and bronchial (tubular) breath
sounds. The nurse should distinguish between these normal breath sounds on what
basis? ✅their location over a specific area of the lung
The nurse is completing a patient's health history with regard to potential risk factors for
lung disease. What interview question addresses the most significant risk factor for
respiratory diseases? ✅Do you currently smoke or have you ever smoked?
The nurse caring for a patient with an endotracheal tube recognizes several
disadvantages of an endotracheal tube. What would the nurse recognize as a
disadvantage of endotracheal tubes? ✅the cough reflex is depressed
While assessing the patient, the nurse observes constant bubbling in the water-seal
chamber of the patient's closed chest-drainage system. What should the nurse conclude
✅the system has an air leak
A patient in the ICU has had an endotracheal tube in place for 3 weeks. The physician
has ordered that a tracheostomy tube be placed. The patient's family wants to know
why the endotracheal tube cannot be left in place. What would be the nurse's best
response? ✅when an endotracheal tube is left in too long it can damage thin lining of
the windpipe
A patient is being admitted to the preoperative holding area for a thoracotomy.
Preoperative teaching includes what? ✅correct use of the incentive spirometry
The nurse is caring for a patient whose recent unexplained weight loss and history of
smoking have prompted diagnostic testing for cancer. What symptom is most closely
associated with the early stages of laryngeal cancer? ✅hoarseness
The home care nurse is assessing the home environment of a patient who will be
discharged from the hospital shortly after his laryngectomy. The nurse should inform the
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