NUR 209 Questions and Correct Answers | Latest Update
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Course
Nur 209
Institution
Nur 209
A nurse is engaged in diagnostic reasoning to propose appropriate nursing
diagnosis for a client. Place the steps in the order that they would occur from
first to last during this process.
~:- Correct response: Organizing the existence of cues, Generating
possible diagnoses, Comparing cues ...
A nurse arrives at the home of an older adult client. The agency was called
because a neighbor noticed that the client was home alone. The nurse finds
the client alone in the living room. When asked about the client's daughter
who lives there and has been caring for her, the client says, "She went on
vacation for about a month. She'll be back soon." Further assessment reveals
that there are no other family members or services currently involved. The
nurse would identify this situation as:
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✓ ~:- abandonment
During a home health care visit, the nurse identifies a nursing diagnosis of
Caregiver Role Strain for a parent who is caring for a child dependent on a
ventilator. What subjective assessment data would support the nurse's
diagnosis?
✓ ~:- The parent states, "I cannot allow anyone else to help because
they won't do it right."
The night shift RN is caring for a hospitalized adult client who reports being
unable to sleep. The client states, "I just can't sleep here. I miss my home.
There are too many lights and it is too hot." Which would be the best nursing
diagnosis for this client?
✓ ~:- Disturbed sleep pattern
The nurse is performing an admission assessment on a young client admitted
to the unit. Which of the following are considered objective data? Select all
that apply.
✓ ~:- 38-year-old man
height 6' (1.82m)
weight 195 lb (89kg)
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A client has had major abdominal surgery and just returned to the unit from
the operating room. The nursing priority is to:
✓ ~:- complete postoperative assessment.
During morning report, the night nurse tells the day nurse that the client
refused to allow the technician to draw blood for laboratory testing. What
step would be essential for the day nurse to complete before selecting a
nursing diagnosis to address this issue?
✓ ~:- The nurse should determine the reason for the client's refusal.
When the nurse inspects a postoperative incision site for infection, which one
of the following types of assessments is being performed?
✓ ~:- Focused
A nurse designs a care plan to improve walking mobility in an older adult
client. When encouraged to implement the new strategies for ambulation
the client refuses to try and tells the nurse, "I find it easier to use a wheelchair."
What action by the nurse may have led to failure to meet the outcome?
✓ ~:- developing the plan without client input
Which statement appropriately identifies an at-risk nursing diagnosis for a
woman 78 years of age who is confined to bed?
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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025
✓ ~:- Risk for impaired skin integrity related to bed rest
A student takes an adult client's pulse and counts 20 beats/min. Knowing this
is not the normal range for an adult pulse, what should the student do next?
✓ ~:- Ask the instructor or a staff nurse to take the pulse.
A nurse takes the vital signs of a new hospital client admitted for severe
abdominal pain. Which initial step of the nursing process is this nurse
performing?
✓ ~:- Assessment
The RN is admitting a client to a medical unit. The nurse delegates the
measurement of the vital signs to unlicensed assistive personnel (UAP) while
she collects data. After completing the admission process the client reports a
severe headache, so the nurse reassesses the vital signs to find the client's
blood pressure extremely elevated. Whose responsibility is the accuracy of
the blood pressure measurement?
✓ ~:- the nurse
Nurses collect objective and subjective data when performing client
assessments. What is an example of objective data?
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