Capstone Exam 1

Capstone Exam 1 Terms in this set (71) A Nurse is caring for a clients on the med-surg unit. Which client is most at risk to develop a nosocomial infection? A- clinet with alcohol abuse admitted for detox B- Client with Type I diabetes and peripheral neuropathy C- Client recovering from a choleystectomy D- Client with full thickness burns, an NG tube and a Foley correct answer: D- Full thickness burn, NG tube and Foley *Think immunosupression and avenues for infection A nurse is caring for clients in the ICU. Which client may be transferred to the step-down neuro unit? A- Client with head injury and seizure B- Client with an ischemic stroke 4 days ago with confusion C- Client who is 1-day post op after a transshpenoidal craniotomy with a cerebrospinal fluid leak D-Client with bacterial meningitis and a Glasgow coma sale of 7 correct answer: B- client with an ischemic stroke 4 days ago with confusion. *Think what is normal and what is abnormal- who is most stable Brainpower Read More 0:10 / 0:15 After a change of shift, you are assinged to care for the following clients, Which client should you assess first? A- 60 year old client on a ventilator for whom a sterile sputum specimen must be sent to the lab B- 55 year old with COPD and a pulse oximetry reading from the previous shift of 90% C- 70 year old with pneumonia who needs to be started on IV antibiotics D- 50 year old with asthma who complains of shortness of breath after using a bronchodilator correct answer: D- 50 year old with asthma who complains of shortness of breath after using a brochodilator *Think ABCs, also not the desired effect of the brochodilator treatment; should be improved. The nurse just received report on the surgical ward. Which client should be assessed first? A- Peptic ulcer disease scheduled for a laparosopic choleycystectomy in 4 hours B- Multiple injuries after a motor vehicle crash C- Graves disease scheduled for a thyroidectomy D- Post-appendectomy waiting for discharge