TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, Verified Chapters 1 - 16, Complete Newest Version

TEST BANK r d




CLINICAL NURSING SKILLS:
rd rd



A Concept-Based Approach
r d r d


4th r d Edition, rdPearson rdEducation




TEST BANK r d

,Test rdBank rdfor rdClinical rdNursing rdSkills: rdA rdConcept-Based rdApproach rd4th
rdEdition rdPearsonrdEducation

Table rdof rdContents
Chapter rd1. rdAssessment
Chapter rd2. rdCaring rdInterventions
Chapter rd3. rdComfort
Chapter rd4. rdElimination
Chapter rd5. rdFluids rdand rdElectrolytes
Chapter rd6. rdInfection
Chapter rd7. rdIntracranial rdRegulation
Chapter rd8. rdMetabolism
Chapter rd9. rdMobility
Chapter rd10. rdNutrition
Chapter rd11. rdOxygenation
Chapter rd12. rdPerfusion
Chapter rd13. rdPerioperative rdCare
Chapter rd14. rdReproduction
Chapter rd15. rdSafety
Chapter rd16. rdTissue rdIntegrity

,Clinical rdNursing rdSkills: rdA rdConcept-Based rdApproach, rd4e rd(Pearson) rdEducation
rdTest rdBankrdChapter rd1: rdAssessment


1) A rdclient rdon rdthe rdmedical/surgical rdunit rdcomplains rdof rdsudden rdchest rdpains. rdWhich
rdaction rdwill rdthedrnurse rdimplement rdfirst?
A) Call rdthe rdhealthcare rdprovider.
B) Administer rdpain rdmedication.
C) Reassess rda rdnew rdset rdof rdvital rdsigns.
D) Turn rdclient rdfrom rdsupine rdto
rdlateral.drAnswer: rd C
Explanation: rdA) rdThe rdnurse rdwill rdneed rdto rdreassess rdthe rdclient rdfirst, rdbefore rdcalling
rdthe rdhealthcaredrprovider.
B) The rdnurse rdwill rdneed rdto rdreassess rdthe rdclient rdfirst, rdbefore rdadministering rdpain rdmedication.
C) The rdnurse rdneeds rdto rdimplement rda rdnew rdset rdof rdvital rdsigns rdfirst rdwhen
rdthere rdis rda rdchange rdindrcondition.
D) The rdnurse rdwill rdneed rdto rdreassess rdthe rdclient rdfirst, rdbefore rdmoving rdthe rdclient, rdto
rdavoid rdmaking rdthedrchange rdin rdclient's rdcondition rdworse.
Page rdRef: rd2
Cognitive rdLevel: r d Applying
Client rdNeed/Sub: r d Physiological rdIntegrity: rdReduction rdof rdRisk rdPotential
Standards: rdNursing rdProcess: rdAssessment rd| rdLearning rdOutcome: rd1.1 rd| rdQSEN
rdCompetencies:drPatient-Centered rdCare
AACN rdDomains rdand rdComps.: rdDomain rd2: rdPerson-
Centered rdCaredrNLN rdCompetencies: rd Relationship rdCentered
rdCare


2) The rdnurse rdis rdobserving rdthe rdUAP rdtaking rdthe rdtemperature rdof rdan rdunconscious
rdclient. rdWhich rdroutedrwill rdthe rdnurse rdquestion rdthe rdUAP rdusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanicr
dAnswer: rd A
Explanation: rdA) rdThe rdtemperature rdof rdan rdunconscious rdclient rdis rdnever rdtaken rdby
rdmouth. rdThe rdrectal,drtympanic, rdor rdscanner rdmethod rdis rdpreferred.
B) The rdrectal, rdtympanic, rdor rdscanner rdmethod rdis rdpreferred.
C) The rdrectal, rdtympanic, rdor rdscanner rdmethod rdis rdpreferred.
D) The rdrectal, rdtympanic, rdor rdscanner rdmethod rdis
rdpreferred.drPage rdRef: rd24
Cognitive rdLevel: r d Applying
Client rdNeed/Sub: rd rd rd Safe rdand rdEffective rdCare rdEnvironment: rdSafety rdand rdInfection
rdControl rdStandards: rd Nursing rdProcess: rdEvaluation rd| rdLearning rdOutcome: rd1.1 rd| rdQSEN
rdCompetencies: rdSafetydrAACN rdDomains rdand rdComps.: rd Domain rd5: rdQuality rdand rdSafety
NLN rdCompetencies: r d Quality rd& rdSafety




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, 3) The rdnurse rdis rdchanging rda rd2-month-old rdclient's rddiaper rdand rdnotes rdthe rdclient rdfeels
rdwarm rdto rdtouch.drWhich rdmethod rdshould rdthe rdnurse rduse rdto rdcheck rdthe rdbaby's
rdtemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
rdmembranedrAnswer: rd C
Explanation: r d A) rdOral rdis rdused rdfor rdage rd3 rdor rdolder.
B) The rdrectal rdroute rdis rdthe rdleast rddesirable.
C) The rdaxillary rdroute rdmay rdnot rdbe rdas rdaccurate rdas rdother rdroutes rdfor rddetecting rdfevers rdin
rdchildren.
D) The rdtympanic rdmembrane rdmay rdbe rdused rdfor rd3 rdmonths
rdor rdolder.drPage rdRef: rd29
Cognitive rdLevel: r d Applying
Client rdNeed/Sub: r d Physiological rdIntegrity: rdReduction rdof rdRisk rdPotential
Standards: rd Nursing rdProcess: rdEvaluating rd| rdLearning rdOutcome: rd1.2 rd| rdQSEN
rdCompetencies: rdSafetydrAACN rdDomains rdand rdComps.: rd Domain rd5: rdQuality rdand rdSafety
NLN rdCompetencies: r d Quality rd& rdSafety

4) A rdclient rdcomes rdin rdwith rdexacerbation rdof rdchronic rdobstructive rdpulmonary rddisease
rd(COPD). rdWhichdrnoninvasive rddiagnostic rdtest rdwill rdthe rdnurse rdimplement rdto rdknow rdthat
rdthe rdclient rdis rdreceiving rdenough rdoxygen?
A) Chest rdx-ray
B) Pulse rdoximeter
C) Arterial rdblood rdgasses
D) Assessment rdof rdrespiratory
rdratedrAnswer: rd B
Explanation: r d A) rdA rdchest rdx-ray rdis rdnot rdan rdintervention rda rdnurse rdcompletes.
B) A rdpulse rdoximeter rdprovides rda rdnoninvasive rdmethod rdof rdmeasuring rdoxygenation,
rdor rdoxygen rdsaturation, rdin rdthe rdblood rdand rdprovides rda rdpulse rdreading, rdwhich rdis
rdespecially rdhelpful rdfor rdthe rdclientdrwith rda rdrespiratory rdillness rdor rddisease.
C) Arterial rdblood rdgases rdare rdan rdinvasive rddiagnostic rdtest.
D) Assessing rda rdrespiratory rdrate rdis rdimportant rdfor rdthe rdnurse rdto rdimplement;
rdhowever, rdit rdis rdnot rdadrdiagnostic rdtest.
Page rdRef: rd21
Cognitive rdLevel: r d Applying
Client rdNeed/Sub: r d Physiological rdIntegrity: rdReduction rdof rdRisk rdPotential
Standards: rdNursing rdProcess: rdImplementation rd| rdLearning rdOutcome: rd1.3 rd| rdQSEN
rdCompetencies:drInformatics
AACN rdDomains rdand rdComps.: rd Domain rd5: rdQuality rdand
rdSafetydrNLN rdCompetencies: rd Quality rd& rdSafety




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