PRN 1520 Fundamentals Final
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A nurse in the emergency department is caring for a client who has abdominal trauma. Which
of the following assessment findings should the nurse identify as an indication of
hypovolemic shock?
Tachycardia
Due to the decrease in circulating blood volume that occurs with internal bleeding, the
oxygen-carrying capacity of the blood is reduced. The body attempts to relieve the hypoxia by
increasing the heart rate and cardiac output, along with increasing the respiratory rate.
A nurse in a provider's office is assessing a client who has heart failure. The client has gained
weight since her last visit and her ankles are edematous. Which of the following findings by
the nurse is another clinical manifestation of fluid volume excess?
bounding pulse
Bounding pulse is an expected finding of fluid volume excess.
A nurse on a surgical unit is receiving a client who had abdominal surgery from the
postanesthesia care unit. Which of the following assessments should the nurse make first?
Airway
, A nurse is caring for a client who is postoperative following abdominal surgery. Which of the
following actions should the nurse take first after discovering that the client's wound has
eviscerated?
cover the incision with a moist sterile dressing.
The nurse should apply the safety and risk reduction priority-setting framework when caring
for this client. This framework assigns priority to the factor or situation posing the greatest
safety risk to the client. When there are several risks to client safety, the one posing the
greatest threat is the highest priority. The nurse should use Maslow's Hierarchy of Needs, the
ABC priority-setting framework, or nursing knowledge to identify which risk poses the
greatest threat to the client. An open wound places the client at risk for peritonitis, and any
exposed organ tissue could dry out. Therefore, covering the wound with a moist sterile
dressing is the first action the nurse should take to protect the client.
A nurse is providing teaching about food choices to a client who has a prescription for a clear
liquid diet. Which of the following selections by the client indicates an understanding of the
teaching?
Gelatin
A nurse on a mental health unit is preparing to terminate the nurse-client relationship with a
client who no longer requires care. Which of the following concepts should the nurse and
client discuss in the termination phase of the relationship?
loss
At the close of a relationship, even one that is planned, loss is an expected feeling for both
the client and the nurse. It is important for both the nurse and the client to terminate the
relationship without feelings of guilt or anxiety.
(correct) South College All
Questions And Correct Answers |
Already Graded A+ | Verified
Answers | Latest Version (Just
Released)
A nurse in the emergency department is caring for a client who has abdominal trauma. Which
of the following assessment findings should the nurse identify as an indication of
hypovolemic shock?
Tachycardia
Due to the decrease in circulating blood volume that occurs with internal bleeding, the
oxygen-carrying capacity of the blood is reduced. The body attempts to relieve the hypoxia by
increasing the heart rate and cardiac output, along with increasing the respiratory rate.
A nurse in a provider's office is assessing a client who has heart failure. The client has gained
weight since her last visit and her ankles are edematous. Which of the following findings by
the nurse is another clinical manifestation of fluid volume excess?
bounding pulse
Bounding pulse is an expected finding of fluid volume excess.
A nurse on a surgical unit is receiving a client who had abdominal surgery from the
postanesthesia care unit. Which of the following assessments should the nurse make first?
Airway
, A nurse is caring for a client who is postoperative following abdominal surgery. Which of the
following actions should the nurse take first after discovering that the client's wound has
eviscerated?
cover the incision with a moist sterile dressing.
The nurse should apply the safety and risk reduction priority-setting framework when caring
for this client. This framework assigns priority to the factor or situation posing the greatest
safety risk to the client. When there are several risks to client safety, the one posing the
greatest threat is the highest priority. The nurse should use Maslow's Hierarchy of Needs, the
ABC priority-setting framework, or nursing knowledge to identify which risk poses the
greatest threat to the client. An open wound places the client at risk for peritonitis, and any
exposed organ tissue could dry out. Therefore, covering the wound with a moist sterile
dressing is the first action the nurse should take to protect the client.
A nurse is providing teaching about food choices to a client who has a prescription for a clear
liquid diet. Which of the following selections by the client indicates an understanding of the
teaching?
Gelatin
A nurse on a mental health unit is preparing to terminate the nurse-client relationship with a
client who no longer requires care. Which of the following concepts should the nurse and
client discuss in the termination phase of the relationship?
loss
At the close of a relationship, even one that is planned, loss is an expected feeling for both
the client and the nurse. It is important for both the nurse and the client to terminate the
relationship without feelings of guilt or anxiety.
