Capstone Exam 1 questions and answers correctly answered

Capstone Exam 1 questions and answers correctly answered 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 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 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 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 ANSWER:B- multiple injuries following a motor vehicle crash *think who is most unstable A hospital will receive a large number of clients because of a magor disaster in the city. Which client can be discharged first? A- 49 year old female 24 hours postop after hysterectomy B- 66 year old male 5 days post op after total hip replacement C- 79 year old female admitted 12 hours ago with pyrlonephritis D- 82 year old female admitted 5 days ago with a stage 3 pressure ulcer ANSWER:B- 66 year old male 5 days post op after total hip replacement *think who is most stable and would be safest to go home A nurse just received report on her client's at the first of the shift. Which client should be assessed first? A- 45 year old woman with a BP of 90/60 and hot, dry skin B- 37 year old man with BP 130/70, sleeping quietly in his bed C- 25 year old woman with fruity breath, excessive thrist and polyphagia D- 16 year old boy with irritability and tremor ANSWER:C- 25 year old woman with fruity breath, excessive thirst and polyphagia *who is showing definite signs of a problem not just questionable ones The staff nurse receives on her assignment for the shift. Which client should she assess first? A- A client reporting a headache with a pain score 3/10 B- A client with frequent watery diarrhea, abdominal pain, nausea C- A client with respirations of 20 and O2 sat of 94% on room ait D- A client with nausea after taking oral contrast for abdominal CT scan B- A client with frequent watery diarrhea, abdominal pain and nausea *think about dehyration and electrolyte inbalance