NURS 2539 (NURS 2539)

ASSESSMENT Question 1 Which statement regarding heart sounds is correct? Question 2 See full question 4s When assessing a family suspected of abusing its 4-year-old child, which behavior is the most important criterion that would suggest abuse? Question 3 See full question 11s A 13-year-old girl is being evaluated for possible Crohn's disease. The nurse expects to prepare her for which diagnostic study? Question 4 See full question 12s A nurse is caring for a client who has been diag...

SENSORY PERCEPTION Question 1 Which measure should the nurse include in the plan of care for a client with alcohol withdrawal delirium? Question 2 See full question 1m 7s A client is sitting in the corner of the dayroom cocking his head to one side as if he hears something, but no one is nearby. The nurse suspects he is having auditory hallucinations. Which question should the nurse ask first? Question 3 See full question 24s The mother of a 2-year-old is concerned because the child's ...

FUNCTIONAL ABILITY Question 1 When teaching parents of a toddler with congenital heart disease, the nurse should explain all medical treatments and emphasize which instruction? Question 2 See full question 14s A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to: Question 3 See full question 25s A client recovering from a pulmonary embolism is receiving warfarin. To co...

A nurse should encourage a client with a wound to consume foods high in vitamin C because this vitamin: You Selected:  enhances protein synthesis. Correct response:  enhances protein synthesis. Explanation: Remediation: Question 2 See full question 55s A painter who recently fractured his tibia worries about his finances because he can't work. To treat his anxiety, his physician orders buspirone, 5 mg by mouth three times per day. Which drugs interact with buspirone? You Selected:  Mon...

Question 1 See full question 4s In working with a rape victim, which intervention is most important? You Selected:  telling the client that the rapist will eventually be caught, put on trial, and jailed Correct response:  periodically reminding the client that she did not deserve and did not cause the rape Explanation: Remediation: Add a Note Question 2 See full question 2s When preparing discharge instructions for a client after an abdominal hysterectomy, the nurse should first: You Selec...

Question 1 See full question 1m 36s The physician orders dextrose 5% in water, 1,000 ml to be infused over 8 hours. The I.V. tubing delivers 15 drops/ml. The nurse should run the I.V. infusion at a rate of: You Selected:  32 drops/minute. Correct response:  32 drops/minute. Explanation: Remediation: Question 2 See full question 45s A physician orders a loop diuretic for a client. When administering this drug, the nurse anticipates that the client may develop which electrolyte imbalance? Yo...

CLINICAL DECISION MAKING/ CLINICAL JUDGEMENT Question 1 See full question 37s After learning that a roommate is HIV-positive, a client asks a nurse about moving to another room on the psychiatric unit because he no longer feels "safe." What should the nurse do first? You Selected:  Ask the client to describe his fears. Correct response:  Ask the client to describe his fears. Explanation: Remediation: Question 2 See full question 1m 3s A client is admitted to the psychiatric unit exhibiti...

HEALTH PROMOTION Question 1 See full question 20s An adolescent with well-controlled type 1 diabetes has assumed complete management of his disease and wants to participate in gymnastics after school. To ensure safe participation, the nurse should instruct him to adjust his therapeutic regimen by: You Selected:  increasing his morning dosage of intermediate-acting insulin. Correct response:  eating a snack before each gymnastics practice. Explanation: Remediation: Question 2 See full quest...

A client with terminal breast cancer is being cared for by a long-time friend who is a physician. The client has identified her sister as the agent in her health care power of attorney. The client loses decision-making capacity, and the sister tells the nurse, "A different physician will be caring for my sister now. I've dismissed her friend." In response, the nurse should: You Selected:  abide by the wishes of the sister who holds the durable power of attorney. Correct response:  abide...