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PNU 120 Taylor PrepU Chapter 17 Implementing Test With Complete Solution
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PNU 120 Taylor PrepU Chapter 17Implementing Test With Complete
Solution
The nurse is caring for a 10-year-old client who is newly diagnosed with a
seizure disorder. What variable would alter the nurse's approach to teaching
the client and parent? ANSWER The client has a 12-year-old sister who has
been treated for a seizure disorder for 3 years.
The nurse has taught the client self-catheterization, but the client is unable to
demonstrate the procedure in a return demonstration. What is the most
appropriate action by the nurse? - ANSWER Reinstate the appropriateness of
the method of instruction.
The nurse is preparing a client who has a bowel obstruction for emergency
surgery. What is the highest priority intervention with this client? - ANSWER
Explain to the client what to expect after the surgery.
Which of the following is an independent (nurse-initiated) action? - ANSWER
Assisting to alleviate a client's surgical fears
Which of the following statements best describes why the nurse must
continue to collect data? - ANSWER The nurse can revise the plan of care if
necessary.
Which of the following will the nurse need to implement the client's plan of
care? - ANSWER Client, family, and physician
An 87-year-old client has been hospitalized several times over the past few
, months due to exacerbations of chronic obstructive pulmonary disease and
elevated blood glucose levels. Which statement by the client may provide the
most likely cause for the changes in the client's health status? ANSWER "My
wife's been gone about 7 months now."
Which of the following are nursing interventions identified by the ANA in its
Nursing: Scope and Standards of Practice for Standard 5: Implementation?
Select all that apply. ANSWER The nurse documents the execution and any
modification, alteration or deviation, of the plan of care established.
The nurse executes the plan of care with use of community resources and
systems
The nurse executes evidence-based practice and delivered treatment
concerning the diagnosis or problem.
Which of the following activities is an appropriate delegation by the nurse
for the UAP to perform? SELECT Assist the client onto the bedside commode.
The nurse is auscultating a client's lung sounds and notices that this client
has left lower lobe crackles that were not present at the beginning of the
shift. What type of nursing intervention is the nurse providing? SELECT
Surveillance
The nurse is caring for a client who is recovering from a motor vehicle
accident. She plans to have the client start assuming some responsibility for
self-care. Which of the following would be the nurse's most appropriate
strategy? - ANSWER The nurse encourages the client to take a shower instead
of receiving a bed bath.
Sample Discharge planning for a mental health client includes living with
family members. The nurse learns that the family is no longer willing to have
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