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NUR 233 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS

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NUR 233 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS

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NUR 233 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS

A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfari n (C
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oumadin). The patient asks the nurse why two medications are necessary. Which response by the
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nurse is accurate? - CORRECT ANSWER✔✔-
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Enoxaparin will work right away, but warfarin takes several daysto begin preventing clots.cv cv cv cv cv cv cv cv cv cv cv cv cv




Which topic should thenurse include in teachingfor a patient with a venous stasisulcer on the lower le
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g? - CORRECT ANSWER✔✔-Application of elastic compression stockings
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A patient with Parkinson's disease hasbradykinesia. Which action should the nurse include in t he p
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lan of care? - CORRECT ANSWER✔✔-
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Suggest that the patient rock from side to side to initiate leg movement.
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A patient whohad open reduction and internal fixation (ORIF) of left lower leg fractures continu es to
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report severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The n urse dete
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rmines pulses are faintly palpable and the foot is coolto thetouch. Which action shoul d the nurse tak
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e next? - CORRECT ANSWER✔✔-Notify the health care provider
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For a patient who has had right hip arthroplasty, which nursing action can the nurse delegate to expe
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rienced unlicensed assistive personnel (UAP)? - CORRECT ANSWER✔✔-
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Reposition the patient every 1 to 2 hours cv cv cv cv cv cv cv




Thenursepractitioner gives Mrs. Smith written instructionson hernew medication and provide s on
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e-on-
one instruction regarding priority information onfurosemide (Lasix).Identify the correctteachi ng
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statements regarding furosemide. (Select all that apply) - CORRECT ANSWER✔✔- cv cv cv cv cv cv cv cv cv




A. Youwillneed to monitor your blood pressure because thisdrug can lower your BP
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,B. Furosemide (lasix) can cause a low potassium level so you will want to increase your dietar y int cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv




ake of foods high in potassium such as bananas.
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C. You should change your position slowlyto avoid a sudden drop in blood pressure and dizzines s wh
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en initially standing from a lying or sitting position.
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When the patient isbeing examined for venous thromboembolism (VTE) inthe calf, what di agn
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ostic test should the nurse expect to teach the patient about first? -
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CORRECT ANSWER✔✔-Duplex ultrasound cv cv




The nurse is caring for a client who has developed stage IV pressure ulcers on the left troch ante
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r and coccyx. Which collaborative problem has the highest priority? -
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CORRECT ANSWER✔✔-Altered nutrition cv cv




After receiving a change-of-shift report, which patient should the nurse assess first? -
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CORRECT ANSWER✔✔-The patient receiving chemotherapy whohas atemperature of 102
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A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/µL.What prescri bed acti
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on should the nurse take first? - CORRECT ANSWER✔✔-Obtain cultures of the wound.
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An older patient receiving iso-
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osmolar continuous tube feedingsdevelops restlessness, agitation, and weakness. Which labor ato
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ry result should the nurse report to the health care provider immediately? -
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CORRECT ANSWER✔✔-Na+ 154 mEq/L (154 mmol/L) cv cv cv cv cv




IV potassium Chloride (KCl) 60 mEq is prescribed for treatment of apatient with severe hypokal emia
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. Which action should the nurse take? - CORRECT ANSWER✔✔-
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Infuse the KCl at a rate of 10 mEQ/hour cv cv cv cv cv cv cv cv




A patient comes to the clinic complaining of frequent, watery stools for thepast 2 days. What ac tion
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should the nurse take first? - CORRECT ANSWER✔✔-c v c v c v c v c v c v c v




Check the patient's blood pressure c v c v c v cv




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, It is important forthe nurse to assessfor which clinical manifestation(s) in a patient whohas un dergo
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ne a total thyroidectomy. - CORRECT ANSWER✔✔-Positive Chvostek's sign
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Implementation ofnursing care for apatientwith hyponatremiaincludes - cv cv cv cv cv cv vc cv cv cv




CORRECT ANSWER✔✔-fluid restriction
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The client's pulse oximetry is reading 90%. What action should the nurse take first? -
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CORRECT ANSWER✔✔-Move the sensor to another area
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The clientdiagnosed with a community-
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acquired pneumonia is being admitted to the medical unit. Which nursing intervention has the high
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est priority?- CORRECT ANSWER✔✔-Obtain a sputum specimen for culture and sensitivity.
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Which client problems are appropriate forthe nurse to include in theplan of carefor the clie nt dia
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gnosed with COPD? Select all that apply - CORRECT ANSWER✔✔-
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A. Impaired gas exchange cv ws




B. Inability to tolerate temperature extremes cv cv cv cv




C. Activity intolerance cv




D. Inability to cope with changes in roles cv cv cv cv cv cv




E. Alteration in nutrition cv cv




Thenurse isplanning the care of a client diagnosed with pneumonia and writes aproblem of "i mpai
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red gas exchange." Which is the expected outcome for this problem? -
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CORRECT ANSWER✔✔-Alert and oriented toperson, place, time and events
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The nurse identifies the diagnosis of Ineffective Breathing Pattern relatedto inability to maintai n a
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dequate rate and depth of respirationsfor a client with an acute respiratory problem resultin g from l
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ung disease. Which nursing intervention should be listed first on the care plan? -
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CORRECT ANSWER✔✔-Determine airway adequacy hourly and as needed.
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