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Nsg 201 saunders review test 1 questions and answers

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Nsg 201 saunders review test 1 questions and answersNsg 201 saunders review test 1 questions and answers 1.ID: 9477033456 A client is being discharged home after a routine hip replacement surgery. The nurse is instructing the client on how to prevent postoperative complications. What statements by the client would indicate the need for further teaching? Select all that apply. A. “Limiting fiber is necessary to avoid diarrhea.” Correct B. “I should empty my bladder when I feel the urge.” C. “Avoiding pain medication will prevent constipation.” Correct D. “I should drink plenty of liquids like iced tea or coffee.” Correct E. “I should continue with my physical therapy and walking.” Rationale: Constipation is common after surgery due to pain medication, decreased movement, and anesthesia. Fiber intake should be encouraged as it promotes the prevention of stool retention. Although pain medication can cause constipation, it should not be avoided in the post-operative period. Drinking plenty of fluids is encouraged for both bowel and bladder maintenance, but the client should choose non-caffeinated options. Physical therapy, walking, and exercise will help prevent constipation. Emptying the bladder when the urge is present can help prevent urinary tract infections. Test taking strategy: Note the strategic words need for further teaching. These words indicate a negative event query and the need to select the incorrect client statements. Think about the measures needed for bowel and bladder control to answer correctly. Review: bowel and bladder maintenance. Level of Cognitive Ability: Evaluating Client Need: Physiological Integrity Integrated Process: Teaching and Learning Content Area: Fundamentals of Care: Perioperative Care Giddens Concepts: Client Education, Health Promotion HESI Concepts: Health Promotion, Teaching and Learning/Patient Education References: Giddens, J. (2013). Concepts for nursing practice. (p. 143). St. Louis, MO: Mosby. Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th ed., pp. 969, ). St. Louis: Mosby. Awarded 3.0 points out of 3.0 possible points. 2.ID: The nurse is caring for a Vietnamese client diagnosed with tuberculosis. The client speaks limited English. What should the nurse do to ensure the client and family receives the most accurate information? Select all that apply. A. Provide culturally sensitive education. Correct B. Encourage family members to obtain a tuberculosis skin test. Correct C. Provide written instructions in English for the client to reference. D. Encourage the client and family to wash all dishes by hand to prevent the spread of infection. Incorrect E. Urge all family and close contact community members to seek and complete treatment to enhance compliance. Correct Rationale: As always, the nurse must provide culturally sensitive education. Because tuberculosis is highly contagious, all family members and close community members should have a tuberculosis skin test, seek treatment, and remain compliant. A full course of 6-9 months of treatment is needed to prevent re-infection. Instructions written in English are not helpful for the client with l infection; rather a dishwasher should be used if available. Test Taking Strategy: Focus on the strategic word most to select correct options that relate to appropriate teaching for both the client and family members. Also, focusing on the data in the question will assist in answering. Review: Tuberculosis Level of Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process: Implem

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Nsg 201 saunders review test 1 questions a
re re re re re re re




nd answers
re




1.ID:re9477033456
Areclientreisrebeingredischargedrehomereafterreareroutinerehiprereplacementresurger
y.reTheen
r ursereisreinstructingrethereclientreonrehowretorepreventrepostoperativereco



mplications.reWhatrestatementsrebyrethereclientrewouldreindicaterethereneedreforre
furtherreteaching?
Selectreallrethatreapply.
A. “Limitingrefiberreisrenecessaryretoreavoidrediarrhea.”reCorrect
B. “IreshouldreemptyremyrebladderrewhenreIrefeelrethereurge.”
C. “Avoidingrepainremedicationrewillrepreventreconstipation.”reCorrect
D. “Ireshouldredrinkreplentyreofreliquidsrelikereicedreteareorrecoffee.”reCorrect
E. “Ireshouldrecontinuerewithremyrephysicalretherapyreandrewalking.”
Rationale:reConstipationreisrecommonreafterresurgeryredueretorepainremedication
,redecreasedremovement,reandreanesthesia.reFiberreintakereshouldrebereencourag
edreasreitep
r romotesretherepreventionreofrestoolreretention.reAlthoughrepainremedic



ationrecanrecauseecr onstipation,reitreshouldrenotrebereavoidedreinretherepost-
operativereperiod.reDrinkingreplentyreofrefluidsreisreencouragedreforrebothrebowelr
e andrebladderremaintenance,rebutretheecr lientreshouldrechooserenon-
caffeinatedreoptions.rePhysicalretherapy,rewalking,reandreexerciserewillrehelprepre
ventreconstipation.reEmptyingretherebladderrewhenrethereurgereis
presentrecanrehelprepreventreurinaryretractreinfections.
Testretakingrestrategy:reNoteretherestrategicrewordsreneedreforrefurtherreteaching.r
Theseew
e r ordsreindicaterearenegativereeventrequeryreandrethereneedretoreselectrethere



incorrectreclientesr tatements.reThinkreaboutretheremeasuresreneededreforrebowelrea
ndrebladderrecontrolreto
answerrecorrectly.reReview:rebowelreandrebladderremaintenance.
LevelreofreCognitivereAbility:reEvaluatingreCli
entreNeed:rePhysiologicalreIntegrityreIntegra
tedreProcess:reTeachingreandreLearning
ContentreArea:reFundamentalsreofreCare:rePerioperativereCare
GiddensreConcepts:reClientreEducation,reHealthrePromotion
HESIreConcepts:reHealthrePromotion,reTeachingreandreLearning/PatientreEducation
References:reGiddens,reJ.re(2013).reConceptsreforrenursingrepractice.re(p.re143).reSt.
Louis,reMO:reMosby.
Lewis,reS.,reDirksen,reS.,reHeitkemper,reM.,r e &reBucher,reL.r e (2014).reMedical-
surgicalr e

, nursing:reAssessmentreandremanagementreofreclinicalreproblemsre(9th
ed.,repp.re969,re1089-
1090).reSt.reLouis:reMosby.reAwardedre3.0repoi
ntsreoutreofre3.0repossiblerepoints.
2.ID:re9477039828
TherenursereisrecaringreforreareVietnamesereclientrediagnosedrewithretuberculosis.reThe
clientrespeaksrelimitedreEnglish.reWhatreshouldretherenurseredoretoreensurerethereclie
ntreanderfamilyrereceivesretheremostreaccuratereinformation?reSelectreallrethatreappl
y.
A. Providereculturallyresensitivereeducation.reCorrect
B. Encouragerefamilyremembersretoreobtainrearetuberculosisreskinretest.
Correct
C. ProviderewrittenreinstructionsreinreEnglishreforrethereclientretorereference.

, D. Encouragerethereclientreandrefamilyretorewashreallredishesrebyreha
ndretoep
r reventretherespreadreofreinfection.reIncorrect




E. Urgereallrefamilyreandrecloserecontactrecommunityremembersretoresee
kreandercompleteretreatmentretoreenhancerecompliance.reCorrect
Rationale:reAsrealways,retherenurseremustreprovidereculturallyresensitivereeducation.
Becauseretuberculosisreisrehighlyrecontagious,reallrefamilyremembersreandrecloser
e communityremembersreshouldrehaverearetuberculosisreskinretest,reseekretreatm
ent,reanderr emainrecompliant.reArefullrecoursereofre6-
9imited
remonthsreofretreatmentreisreneededretorepreventer e- the best way to prevent
English skills. Washing dishes by hand is rnot
infection.reInstructionsrewrittenreinreEnglishrearerenotrehelpfulreforrethereclientrewi
th
l
infection;reratherrearedishwasherreshouldrebereusedreifreavailable.
TestreTakingreStrategy:reFocusreonretherestrategicrewordremostretoreselectrecorrect
re optionsrethatrerelateretoreappropriatereteachingreforrebothrethereclientreandrefami
lyremembers.reAlso,refocusingreonretheredatareinretherequestionrewillreassistreinreansw
ering.
Review:reTuberculosis
LevelreofreCognitivereAbility:reApplying
ClientreNeeds:reSafereandreEffectivereCarereEnvironmentr
eIntegratedreProcess:reNursingreProcess:reImplementati

onerContentreArea:reFundamentalsreofreCare:reInfectionreC
ontrolerPriorityreConcepts:reClientreEducation,reInfection
HESIreConcepts:reInfection,reTeachingreandreLearning/PatientreEducation
References:reGiger,reJ.re(2013).reTransculturalrenursingreassessmentre&reintervention.
(6th
ed.rep.re445,re455).reSt.reLouis:reMosby.
Lewis,reS.,reDirksen,reS.,reHeitkemper,reM.,re&reBucher,reL.re(2014).reMedical-surgicalr e
nursing:reAssessmentreandremanagementreofreclinicalreproblemsre(9threed.,rep.re53
3).reSt.erLouis:reMosby.
Awardedre1.0repointsreoutreofre3.0repossiblerepoints.
3.ID:re9477038294
Areclientrewithreanxietyrehasrejustrebeenreseenrebyretherehealthrecarereproviderreand
re hasrebeenreprescribedrealprazolam.reThereclientreasksretherenurserehowrelongreitrew
illretakereforetr heremedicationretorebuildreuprearesteadyrestatereinreherrebody.reIfrethere
halfrelifereofrethisremedicationreisreapproximatelyre11rehours,reapproximatelyrehow
re longrewillreitretakerefor
thisremedicationretorebuildreupreandrereachrearesteadyrestate? hours
Incorrect

, CorrectreResponses
A.r e 55
Rationale:reTherehalfrelifereofrearemedicationreisrethereamountreofretimereitretakesrefo
rre50%reofetr heremedicationretoreleaveretheresystem.reSteadyrestatereisretherepointrew
hererethereconcentrationreofretheremedicationreisreequalrebasedreonretheremedicat
ion leaving
ife reof retherebodyresystemreandrenewremedicationreenteringre theresystem.reA
11 hours. For all medications, it takes approximately five times the half life
lprazolamre hasrearehalf
l
torereachresteadyrestate.reThereforeretheresteadyrestatereforrethisremedicationreisre
55rehourse(r 11rexre5re=re55).

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