NUR 245 Final Exam – Questions With Fully
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Terms in this set (186)
when assessing a client with an b. the clamp on the urinary drainage bag is open
indwelling catheter, which observation
requires the most immediate closed urinary system is important to reduce risk of
intervention by the nurse? infection
a. the drainage tubing is secured over
the siderail
b. the clamp on the urinary drainage
bag is open
c. there are no dependent loops in the
drainage bag
d. the urinary drainage bag is attached
to the bed frame
,a male client with venous b. increase in pulse rate
incompetence stands up and his blood
pressure subsequently drops. which
finding should the nurse identify as a
compensatory response?
a. bradychardia
b. increase in pulse rate
c. peripheral vasodialation
d. increase in cardiac output
the nurse is preparing a male client a. pre medicate with analgesic
who has an indwelling cath and an IV b. inform the client of the plan for moving to the chair
infusion to ambulate from the bed to d. ask the client to push the IV pole to the chair
the chair for the first time following f. assess the clients blood pressure
abdominal surgery. what action (s)
should the nurse implement prior to
assisting the client to the chair? (select
all)
a. pre medicate with analgesic
b. inform the client of the plan for
moving to the chair
c. obtain and place a portable
commode by the bed
d. ask the client to push the IV pole to
the chair
e. clamp the indwelling cath
f. assess the clients blood pressure
what is an anlgesic? med to releive pain
,which technique is most appropriate c. a consistent, systematic approach
for the nurse to implement when
preforming a physical assessment?
a. a head-to-toe approach
b. the medical systems model
c. a consistent, systematic approach
d. an approach related to a nursing
model
the nurse formulates the nursing d. eats anything and does not think diet makes a
diagnosis of "ineffective health difference in health
maitnenece related to lack of
motivation" for a client with type 2 DM.
which finding supports this nursing
diagnosis?
a. does not check capillary blood
glucose as directed
b. occasionally forgets to take daily
prescribed meds
c. cannot identify signs or symptoms of
high or low BG
d. eats anything and does not think
diet makes a difference in health
a client in hospice care develops d. inform the family that death is immitent
audible gurgling sounds on inspiration.
which action has the highest priority? (innefective clearance of secretions)
a. ensure cultural customs are
observed
b. increase oxygen flow to 4 L.min
c. ausculate bilateral lung fields
d. inform the family that death is
immitent
what is venous incompetence? when veins are unable to flow blood back to the heart
, an older resident of a long term care d. notify the healthcare provider of the family's
facility is no longer able to preform request
self care and is becoming
progressively weaker. the resident
requested no resucitative efforts be
preformed and the family requests
hospice care. what action should the
nurse implement first?
a. reaffirm the clients desire for no
resucitative efforts
b. transfer the client to a hospice
inpatient facility
c. prepare the family for the clients
impending death
d. notify the healthcare provider of the
family's request
how long should nasosuctioning be 10-15 seconds
preformed?
a young mother of 3 children b. nutritional history
complains of increased anxiety during
her annual physical exam. what info caffeine, sugars, and alcohols can lead to increased
should the nurse obtain first? levels of anxiety
a. sexual activity patterns
b. nutritional history
c. leaisure activities
d. financial stressors
Explained Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (186)
when assessing a client with an b. the clamp on the urinary drainage bag is open
indwelling catheter, which observation
requires the most immediate closed urinary system is important to reduce risk of
intervention by the nurse? infection
a. the drainage tubing is secured over
the siderail
b. the clamp on the urinary drainage
bag is open
c. there are no dependent loops in the
drainage bag
d. the urinary drainage bag is attached
to the bed frame
,a male client with venous b. increase in pulse rate
incompetence stands up and his blood
pressure subsequently drops. which
finding should the nurse identify as a
compensatory response?
a. bradychardia
b. increase in pulse rate
c. peripheral vasodialation
d. increase in cardiac output
the nurse is preparing a male client a. pre medicate with analgesic
who has an indwelling cath and an IV b. inform the client of the plan for moving to the chair
infusion to ambulate from the bed to d. ask the client to push the IV pole to the chair
the chair for the first time following f. assess the clients blood pressure
abdominal surgery. what action (s)
should the nurse implement prior to
assisting the client to the chair? (select
all)
a. pre medicate with analgesic
b. inform the client of the plan for
moving to the chair
c. obtain and place a portable
commode by the bed
d. ask the client to push the IV pole to
the chair
e. clamp the indwelling cath
f. assess the clients blood pressure
what is an anlgesic? med to releive pain
,which technique is most appropriate c. a consistent, systematic approach
for the nurse to implement when
preforming a physical assessment?
a. a head-to-toe approach
b. the medical systems model
c. a consistent, systematic approach
d. an approach related to a nursing
model
the nurse formulates the nursing d. eats anything and does not think diet makes a
diagnosis of "ineffective health difference in health
maitnenece related to lack of
motivation" for a client with type 2 DM.
which finding supports this nursing
diagnosis?
a. does not check capillary blood
glucose as directed
b. occasionally forgets to take daily
prescribed meds
c. cannot identify signs or symptoms of
high or low BG
d. eats anything and does not think
diet makes a difference in health
a client in hospice care develops d. inform the family that death is immitent
audible gurgling sounds on inspiration.
which action has the highest priority? (innefective clearance of secretions)
a. ensure cultural customs are
observed
b. increase oxygen flow to 4 L.min
c. ausculate bilateral lung fields
d. inform the family that death is
immitent
what is venous incompetence? when veins are unable to flow blood back to the heart
, an older resident of a long term care d. notify the healthcare provider of the family's
facility is no longer able to preform request
self care and is becoming
progressively weaker. the resident
requested no resucitative efforts be
preformed and the family requests
hospice care. what action should the
nurse implement first?
a. reaffirm the clients desire for no
resucitative efforts
b. transfer the client to a hospice
inpatient facility
c. prepare the family for the clients
impending death
d. notify the healthcare provider of the
family's request
how long should nasosuctioning be 10-15 seconds
preformed?
a young mother of 3 children b. nutritional history
complains of increased anxiety during
her annual physical exam. what info caffeine, sugars, and alcohols can lead to increased
should the nurse obtain first? levels of anxiety
a. sexual activity patterns
b. nutritional history
c. leaisure activities
d. financial stressors
