FINAL EXAM CH.1-38 FUNDAMENTALS
OF NURSING CARE 2ND EDITION OE
COMPLETE QUESTIONS AND ANSWERS
(VERIFIED) SOLUTIONS 2024
Learning styles - ANSWER Visual
Auditory
Kinesthetic
Verbal
Factors that affect learning: - ANSWER Comfort
Environment
Readiness
Language
Senses
Teaching about health and illness - ANSWER Most information that you teach will focus on the patient's
need to know about his or her own health and treatment of illness.
Purposes of Patient Teaching - ANSWER To instruct patient's on health promotion and wellness
strategies.
To explain disease processes, treatments, and care.
,Teachable Moments - ANSWER They can occur when patient's ask a question about their illness or
treatment.
Developing a teachable plan using the nurse process: - ANSWER Assessment
Nursing Diagnosis
Planning
Evaluation
Implementation
Documentation of Teaching
Teaching patients about Internet resources - ANSWER preferred sites for health care information.
.Gov, .Org, .EDU, WebMd, and PDR health with credible information.
A nurse who is caring for patients on a surgical unit recognizes that the individual having corrective
surgery is the - ANSWER 3. 4-month-old scheduled for cleft lip repair.
Which of the following is most commonly taught to help prevent postsurgical respiratory complications?
- ANSWER 1. Turning, coughing, and deep breathing
A nurse who is caring for a male patient after a left-side total hip replacement recognizes that further
teaching is required when - ANSWER 4. The patient turns on his right side and lifts the left leg with his
toes pointed and then returns the leg to the midline.
,When determining the appropriate size of thigh-high antiembolism hose, a nurse would obtain which of
the following measurements? - ANSWER 1. Length from gluteal fold to the bottom of the heel
A nurse is providing care for a patient who is wearing antiembolism hose following a colectomy. The
patient's plan of care should include: - ANSWER 4. Removing the stockings twice daily to wash and dry
the legs.
The wife of a patient who recently returned from a radical neck dissection asks a nurse why her husband
was given scopolamine. The best response by the nurse is: - ANSWER 4. "The scopolamine will help dry
oral secretions to reduce his chances of aspirating saliva into his lungs."
A nurse is caring for a female patient who is scheduled for an abdominal hysterectomy. The nurse
obtains the patient's signature on the consent form and then signs the form himself. The nurse's
signature indicates that - ANSWER 2. The nurse verified that it was the patient who signed the form.
Which of the following members of the surgical team is responsible for monitoring a patient's vital signs
during surgery? - ANSWER 4. The anesthesiologist
A nursing instructor teaches a group of students the differences between conscious sedation and general
anesthesia. According to the instructor, which of the following is a primary benefit of conscious
sedation? - ANSWER 2. The patient will not require airway support.
A nurse recognizes that which of the following patients may receive spinal anesthesia? - ANSWER 3. A
48-year-old scheduled for a hemorrhoidectomy
A nurse is caring for a patient who received spinal anesthesia. The patient reports having a bad headache
later that day. The nurse's best response is: - ANSWER 2. "That sometimes happens due to loss of spinal
fluid during anesthesia."
A nurse who is working in the post-anesthesia care unit (PACU) recognizes that a patient is most likely to
experience which of the following complications while in the unit? - ANSWER 2. Deep vein thrombosis
After assisting with the transfer of a patient from the post-anesthesia care unit into a bed on the unit, a
nurse should first - ANSWER 3. Perform a physical assessment.
, A nurse is caring for a patient who returned from abdominal surgery 6 hours ago. The nurse notes that
the abdominal dressing is nearly saturated with serosanguineous drainage and that a small amount of
drainage is leaking from the lower edge of the dressing. The nurse's best action is to - ANSWER 1.
Reinforce the dressing with additional gauze pads.
A nurse is providing care to a 32-year-old who returned from a thyroidectomy 6 hours ago. The nurse
notes that the patient's temperature is 99.5°F and that the patient has been taking sips of clear liquids,
reports mild nausea, and is using patient-controlled anesthesia to manage pain, which is 3/10. The nurse
should - ANSWER 2. Document the findings.
A nurse is caring for a 28-year-old man who returned from the repair of a broken jaw 3 hours earlier. The
patient reports an urge to urinate and tried to use the urinal in the bed without success. The best action
by the nurse is to - ANSWER 4. Use the bladder scanner to determine the degree of distention.
A nurse who is providing care for a patient with a large abdominal wound removes the dressing and
notes that the wound has dehisced. The nurse should - ANSWER 1. Cover the wound with a large sterile
dressing.
A nurse is providing care for a patient with a nasogastric (NG) tube in place 10 hours after removal of a
portion of the stomach. The patient's plan of care would include - ANSWER 1. Providing mouth care
every 4 hours.
Before placing antiembolism stockings on a patient for the first time, a nurse should - ANSWER 2. Have
the patient lie supine for 15 minutes.
A nurse would expect an International Normalized Ratio (INR) to be ordered for which of the following
patients? - ANSWER 3. A 53-year-old with a history of cirrhosis of the liver
Most facilities require that several basic tests be performed on all patients before surgery. A nurse
identifies that these tests include all of the following except - ANSWER 3. Blood urea nitrogen (BUN).
During standard preoperative testing, a nurse notices that a patient's urine has an elevated specific
gravity. This finding is an indication that this patient is at risk for - ANSWER 1. Dehydration.
OF NURSING CARE 2ND EDITION OE
COMPLETE QUESTIONS AND ANSWERS
(VERIFIED) SOLUTIONS 2024
Learning styles - ANSWER Visual
Auditory
Kinesthetic
Verbal
Factors that affect learning: - ANSWER Comfort
Environment
Readiness
Language
Senses
Teaching about health and illness - ANSWER Most information that you teach will focus on the patient's
need to know about his or her own health and treatment of illness.
Purposes of Patient Teaching - ANSWER To instruct patient's on health promotion and wellness
strategies.
To explain disease processes, treatments, and care.
,Teachable Moments - ANSWER They can occur when patient's ask a question about their illness or
treatment.
Developing a teachable plan using the nurse process: - ANSWER Assessment
Nursing Diagnosis
Planning
Evaluation
Implementation
Documentation of Teaching
Teaching patients about Internet resources - ANSWER preferred sites for health care information.
.Gov, .Org, .EDU, WebMd, and PDR health with credible information.
A nurse who is caring for patients on a surgical unit recognizes that the individual having corrective
surgery is the - ANSWER 3. 4-month-old scheduled for cleft lip repair.
Which of the following is most commonly taught to help prevent postsurgical respiratory complications?
- ANSWER 1. Turning, coughing, and deep breathing
A nurse who is caring for a male patient after a left-side total hip replacement recognizes that further
teaching is required when - ANSWER 4. The patient turns on his right side and lifts the left leg with his
toes pointed and then returns the leg to the midline.
,When determining the appropriate size of thigh-high antiembolism hose, a nurse would obtain which of
the following measurements? - ANSWER 1. Length from gluteal fold to the bottom of the heel
A nurse is providing care for a patient who is wearing antiembolism hose following a colectomy. The
patient's plan of care should include: - ANSWER 4. Removing the stockings twice daily to wash and dry
the legs.
The wife of a patient who recently returned from a radical neck dissection asks a nurse why her husband
was given scopolamine. The best response by the nurse is: - ANSWER 4. "The scopolamine will help dry
oral secretions to reduce his chances of aspirating saliva into his lungs."
A nurse is caring for a female patient who is scheduled for an abdominal hysterectomy. The nurse
obtains the patient's signature on the consent form and then signs the form himself. The nurse's
signature indicates that - ANSWER 2. The nurse verified that it was the patient who signed the form.
Which of the following members of the surgical team is responsible for monitoring a patient's vital signs
during surgery? - ANSWER 4. The anesthesiologist
A nursing instructor teaches a group of students the differences between conscious sedation and general
anesthesia. According to the instructor, which of the following is a primary benefit of conscious
sedation? - ANSWER 2. The patient will not require airway support.
A nurse recognizes that which of the following patients may receive spinal anesthesia? - ANSWER 3. A
48-year-old scheduled for a hemorrhoidectomy
A nurse is caring for a patient who received spinal anesthesia. The patient reports having a bad headache
later that day. The nurse's best response is: - ANSWER 2. "That sometimes happens due to loss of spinal
fluid during anesthesia."
A nurse who is working in the post-anesthesia care unit (PACU) recognizes that a patient is most likely to
experience which of the following complications while in the unit? - ANSWER 2. Deep vein thrombosis
After assisting with the transfer of a patient from the post-anesthesia care unit into a bed on the unit, a
nurse should first - ANSWER 3. Perform a physical assessment.
, A nurse is caring for a patient who returned from abdominal surgery 6 hours ago. The nurse notes that
the abdominal dressing is nearly saturated with serosanguineous drainage and that a small amount of
drainage is leaking from the lower edge of the dressing. The nurse's best action is to - ANSWER 1.
Reinforce the dressing with additional gauze pads.
A nurse is providing care to a 32-year-old who returned from a thyroidectomy 6 hours ago. The nurse
notes that the patient's temperature is 99.5°F and that the patient has been taking sips of clear liquids,
reports mild nausea, and is using patient-controlled anesthesia to manage pain, which is 3/10. The nurse
should - ANSWER 2. Document the findings.
A nurse is caring for a 28-year-old man who returned from the repair of a broken jaw 3 hours earlier. The
patient reports an urge to urinate and tried to use the urinal in the bed without success. The best action
by the nurse is to - ANSWER 4. Use the bladder scanner to determine the degree of distention.
A nurse who is providing care for a patient with a large abdominal wound removes the dressing and
notes that the wound has dehisced. The nurse should - ANSWER 1. Cover the wound with a large sterile
dressing.
A nurse is providing care for a patient with a nasogastric (NG) tube in place 10 hours after removal of a
portion of the stomach. The patient's plan of care would include - ANSWER 1. Providing mouth care
every 4 hours.
Before placing antiembolism stockings on a patient for the first time, a nurse should - ANSWER 2. Have
the patient lie supine for 15 minutes.
A nurse would expect an International Normalized Ratio (INR) to be ordered for which of the following
patients? - ANSWER 3. A 53-year-old with a history of cirrhosis of the liver
Most facilities require that several basic tests be performed on all patients before surgery. A nurse
identifies that these tests include all of the following except - ANSWER 3. Blood urea nitrogen (BUN).
During standard preoperative testing, a nurse notices that a patient's urine has an elevated specific
gravity. This finding is an indication that this patient is at risk for - ANSWER 1. Dehydration.
