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NUR 130: Exam One with Questions Solved 100% Correct |Verified Solutions
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NUR 130: Exam One with Questions Solved 100% Correct |Verified Solutions
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NUR 130: Exam One with Questions Solved 100%Correct |Verified Solutions
A nurse assesses a client recovering from coronary artery bypass graft surgery. Which
assessment should the nurse complete to evaluate the clients activity tolerance? - ✔✔Vital
signs before, during, and after activity
A nurse teaches a client with a past history of angina who has had a total knee replacement.
Which statement should the nurse include in this clients teaching prior to beginning
rehabilitation activities? - ✔✔let me know if you experience shortness of breath, chest pain
or fatigue
A rehabilitation nurse prepares to move a client who has new bilateral leg amputations. Which
is the best approach? - ✔✔utilize a mechanical lift
A nurse performs passive range-of-motion exercises on a semiconscious client and meets
resistance while attempting to extend the right elbow more than 45 degrees. Which action
should the nurse take next? - ✔✔only move the joint to which resistance is met
A nurse cares for a client with decreased mobility. Which intervention should the nurse
implement to decrease this clients risk of fracture? - ✔✔perform weight bearing activities
A rehabilitation nurse cares for a client who has generalized weakness and needs assistance
with activities of daily living. Which exercise should the nurse implement? - ✔✔Active range
of motion
A nurse plans care for a client who is bedridden. Which assessment should the nurse complete
to ensure to prevent pressure ulcer formation? - ✔✔Nutritional intake and serum albumin
levels
,A nurse teaches a client about performing intermittent self-catheterization. The client states, I
am not sure if I will be able to afford these catheters. How should the nurse respond? -
✔✔you can reuse these at home. clean technique rather then sterile
9. A nurse delegates the ambulation of an older adult client to an unlicensed nursing assistant
(UAP). Which statement should the nurse include when delegating this task? - ✔✔sit client
on the edge of the bed and let their legs dangle before ambulation
A nurse assesses a client who is admitted with hip problems. The client asks, Why are you
asking about my bowels and bladder? How should the nurse respond? - ✔✔to plan your care
based on you normal patterns
A nurse is caring for a client who has a spinal cord injury at level T3. Which intervention should
the nurse implement to assist with bladder dysfunction? - ✔✔use the cred maneuver every
three hours
A nurse teaches a client who has a flaccid bladder. Which bladder training technique should the
nurse teach? - ✔✔Valsalva maneuver
A rehabilitation nurse cares for a client who is wheelchair bound. Which intervention should
the nurse implement to prevent skin breakdown? - ✔✔have the client to push ups in their
chair
A nurse collaborates with an occupational therapist when providing care for a rehabilitation
client. With which activities should the occupational therapist assist the client? (Select all that
apply.) - ✔✔attaining independence with dressing, performing ADL's
An interdisciplinary team is caring for a client on a rehabilitation unit. Which team members are
paired with the correct roles and responsibilities? (Select all that apply.) - ✔✔Speech-
language pathologist Evaluates and retrains clients with swallowing problems, Physical
therapist Assists clients with ambulation and walker training, Vocational counselor Works with
clients who have experienced head injuries
, A rehabilitation nurse is caring for an older adult client who states, I tire easily. How should the
nurse respond? (Select all that apply.) - ✔✔use a cart to push your belongings if you tire
easy, plan to gather all the supplies needed for a chore prior to starting an activity, break large
activities into smaller parts and allow rest between
A nurse is caring for clients as a member of the rehabilitation team. Which activities should the
nurse complete as part of the nurses role? (Select all that apply.) - ✔✔coordinate rehab
team activities to to ensure implementation of plan of care, support the clients choices by
acting as an advocate for the client and family
A nurse teaches clients at a community center about risks for dehydration. Which client is at
greatest risk for dehydration? - ✔✔A 76-year-old who is cognitively impaired
A nurse is caring for a client who exhibits dehydration-induced confusion. Which intervention
should the nurse implement first? - ✔✔apply oxygen by mask or nasal cannula
After teaching a client who is being treated for dehydration, a nurse assesses the clients
understanding. Which statement indicates the client correctly understood the teaching? -
✔✔i will weigh myself each morning before i eat or drink
A nurse assesses a client who is prescribed a medication that inhibits angiotensin I from
converting into angiotensin II (angiotensin-converting enzyme [ACE] inhibitor). For which
expected therapeutic effect should the nurse assess? - ✔✔Blood pressure decrease from
180/72 mm Hg to 144/50 mm Hg
A nurse is assessing clients on a medical-surgical unit. Which adult client should the nurse
identify as being at greatest risk for insensible water loss? - ✔✔Anxious client who has
tachypnea
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