Fundamental Final Exam 3 |Actual Questions
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,A client has been admitted to a post-surgical unit with a patient-
controlled analgesia (PCA) system. Which statement is true of this
medication delivery system? - Answer The dose that is delivered
when the client actives the machine is preset
Which nursing intervention would be appropriate for preventing
urinary tract infection? - Answer Perineal cleaning after each
incontinent episode
You are caring for a 49-year-old client in an acute care facility. Your
client recently had an increase in blood pressure. The baseline blood
pressure was 110/68 and the client now has a blood pressure of
200/110. You determine that you need to call the provider. Which
information will be provided as the "B" in the ISBARR communication
technique? - Answer Blood pressure of 200/110
A client is receiving physical therapy following knee surgery. This is an
example of what type of care. - Answer Tertiary
The nurse is caring for a patient who has a stage III pressure ulcer.
Which type of healing will the nurse focus the care plan? - Answer
Secondary intention
A client suddenly begins to feel light-headed and dyspneic. What
objective data anticipate finding in the focused assessment? - Answer
Tachypnea
What is an appropriate outcome for a client who needs nursing
assistance with voiding? - Answer The client will empty the bladder
completely at least every four hours while awake with nursing
assistance.
, What nursing organizational statement defines the social context of
nursing and the standards of professional nursing practice? - Answer
The ANA Nursing's social policy statement
Which of the following are culturally sensitive considerations? (Select
all that apply) - Answer a. Recognizing that culture is an important
component of individuality.
b. Recognizing that each person holds various beliefs about pain.
c. Respecting patient's right to respond to pain in their own manner.
f. Allowing people of different cultures the right to worship as they
please.
A female resident in a long- term care facility is embarrassed about her
incontinence. What nursing intervention could aid in meeting the goal
of reducing incontinence episodes? - Answer Teach the patient
Kegel exercises at regular intervals daily.
The client who is bed-bound complains of lower abdominal pain and
pelvic pressure. Bowel sounds are present in all four quadrants and last
bowel movement was yesterday. What should be assessed next? -
Answer Ask the patient when they last voided.
How would you describe the event when a coworker verbalizes that all
members of the culture are the same? - Answer The nurse is
stereotyping a client.
Which of the following is not a primary role of the nurse? - Answer
Diagnostician
and Verified Answers| Updated
https://www.stuvia.com/user/thinktrek
+1(305) 565-6365
,A client has been admitted to a post-surgical unit with a patient-
controlled analgesia (PCA) system. Which statement is true of this
medication delivery system? - Answer The dose that is delivered
when the client actives the machine is preset
Which nursing intervention would be appropriate for preventing
urinary tract infection? - Answer Perineal cleaning after each
incontinent episode
You are caring for a 49-year-old client in an acute care facility. Your
client recently had an increase in blood pressure. The baseline blood
pressure was 110/68 and the client now has a blood pressure of
200/110. You determine that you need to call the provider. Which
information will be provided as the "B" in the ISBARR communication
technique? - Answer Blood pressure of 200/110
A client is receiving physical therapy following knee surgery. This is an
example of what type of care. - Answer Tertiary
The nurse is caring for a patient who has a stage III pressure ulcer.
Which type of healing will the nurse focus the care plan? - Answer
Secondary intention
A client suddenly begins to feel light-headed and dyspneic. What
objective data anticipate finding in the focused assessment? - Answer
Tachypnea
What is an appropriate outcome for a client who needs nursing
assistance with voiding? - Answer The client will empty the bladder
completely at least every four hours while awake with nursing
assistance.
, What nursing organizational statement defines the social context of
nursing and the standards of professional nursing practice? - Answer
The ANA Nursing's social policy statement
Which of the following are culturally sensitive considerations? (Select
all that apply) - Answer a. Recognizing that culture is an important
component of individuality.
b. Recognizing that each person holds various beliefs about pain.
c. Respecting patient's right to respond to pain in their own manner.
f. Allowing people of different cultures the right to worship as they
please.
A female resident in a long- term care facility is embarrassed about her
incontinence. What nursing intervention could aid in meeting the goal
of reducing incontinence episodes? - Answer Teach the patient
Kegel exercises at regular intervals daily.
The client who is bed-bound complains of lower abdominal pain and
pelvic pressure. Bowel sounds are present in all four quadrants and last
bowel movement was yesterday. What should be assessed next? -
Answer Ask the patient when they last voided.
How would you describe the event when a coworker verbalizes that all
members of the culture are the same? - Answer The nurse is
stereotyping a client.
Which of the following is not a primary role of the nurse? - Answer
Diagnostician
