CMS Fundamentals 2 Questions & Verified Answers 100%

CMS Fundamentals 2 Questions & Verified Answers 100% A nurse is replacing the surgical dressings on a client who had abdominal surgery. Which of the following actions should the nurse take? - ANSWER Don clean gloves to remove the old dressing A nurse is caring for a client who had a mastectomy and has a self-suctioning drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device? - ANSWER Collapse the device of air after emptying A nurse is collecting a urine specimen for culture and sensitivity for a client who has a urinary tract infection. The client has an indwelling urinary catheter in place. Which of the following actions should the nurse take? - ANSWER Clamp the tubing below the collection port A nurse is providing teaching to a group of unit nurses about wound healing by secondary intention. Which of the following information should the nurse include in the teaching? - ANSWER Granulation tissue fills the wound during healing A nurse is providing teaching to a client who has a new colostomy about proper care. Which of the following information should the nurse include in the teaching? - ANSWER Cleanse the skin around the stoma with warm water A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusion pump. Which of the following actions should the nurse take first? - ANSWER Remove the sleeve of the gown from the arm without the IV line A nurse is changing the dressings for a client who has two Penrose drains near an abdominal incision. Which of the following adhering devices is the best choice for the nurse to use to decrease skin irritation? - ANSWER Montgomery straps A nurse is preparing to administer an intramuscular injection to a client who is overweight. Which of the following sites should the nurse select for the injection? - ANSWER The side hip between the iliac crest and anterior iliac spine A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the following actions should the nurse take? - ANSWER Elevate the clients head of the bed 45 degrees before the feeding A nurse is changing the dressings for a client recovering from an appendectomy following a ruptured appendix. The client's surgical wound is healing by secondary intention. Which of the following observations should the nurse report to the provider? - ANSWER A halo of erythema on the surrounding skin A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of the following actions should the nurse take? - ANSWER Exert pressure on the bony prominences when holding the eyelids open A nurse is assessing a client who has an onset of severe back pain of unknown origin. Which of the following questions should the nurse ask to encourage discussions with the client? - ANSWER "What do you think caused the onset of your pain?" A nurse is planning care for a group of clients who are receiving oxygen therapy. Which of the following clients should the nurse plan to see first? - ANSWER A client who has heart failure and is receiving 100% oxygen via a partial rebreather mask A nurse is caring for an older adult client who has dysphagia following a cerebrovascular accident. Which of the following actions should the nurse take when assisting the client at mealtime? - ANSWER Offer the client tart or sour foods first (to stimulate saliva production) A nurse is applying antiembolitic stockings for a client who has a history of DVT. Which of the following actions should the nurse take when applying the stockings? - ANSWER Turn the stockings inside out up to the heel