325 COMPREHENSIVE FINAL EXAM

325 COMPREHENSIVE FINAL EXAM


1.ooWhichooearlyooresponseooindicatesootoootheoonurseoothatootheooclientooisooexperiencin
goohypoxia?ooselectooalloothatooapply
increasedooheartoorate
difficultyoobreathing
restlesness
bradypnea
irritabilityoo-ooans--increasedooheartoorate
restlessnessoo
irritability

2.ooaoonurseoodeterminesoothatooaooclient'sooIVooinfusionoohasooinfiltrated.ooWhichooshoul
dootheoonurseoodooonext?
clampootheootubingooandooinitiateooanooincidentooreportoo
removeootheooinfusionooandoostartooitooinooanotheroosite
slowootheooinfusionootoooaoorateoojustootoookeepootheooveinooopen
notifyootheooprimaryoohealth-careooproviderooofootheoosituationoo-ooans--
removeootheooinfusionooandoostartooitooinooanotheroosite

3.ooaoonurseooisooassessingooseveralooclientsoowhooohadoosurgeryootheoopreviousooday.oo
whichoosuddenooclientooresponseooshouldootheoonurseooidentifyooasooaoopotentialoolife-
threateningooevent?
slightlyooelevatedootemperature
separationooofoowoundooedges
edemaooofootheoolegs
chestoopainoo-ooans--chestoopain

4.ooaooclientoostates,oo"Ioolikeootooohaveooaooboweloomovementooeveryoomorning."oowhicho
oadditionalooinformationoocollectingoobyootheoonurseoosupportsooaooconcernedooregarding
ooperceivedooconstipation?
hard,oodryoostoolsoodefecatedoodaily
laxativesoousedooexcessively
abdominaloodistentionoo
strainingooatoostooloo-ooans--laxativesoousedooexcessively

5.ooaoonurseoomustooadministerooaoosedativeootoooaooclientoobeforeoosurgery.oowhichoosho
uldootheoonurseoodooofirst?
verifyoothatootheooperioperatvieoochecklistooisoocompleted

,checkoothatootheoosurgicalooconsentooisoosigned
ensureoothatootheoointravenousoolineooisooinooplace
assessoovitaloosignsoo-ooans--checkoothatootheoosurgicalooconsentooisoosigned

6.ooaooprimaryoohealthoocareooproviderooprescribesoo500oomgooofooanooantibioticootooobeoo
administeredooIVoopiggybackoo(IVPB)ooeveryoo6oohoursooforooaooclientoowithooanooinfectio
n.ootheoovialoodispensedoobyootheoohospitaloopharmacistoocontainsoo1oogooofootheooprescri
bedooantibioticooinoopowderooform.ootheooinstructionsooonootheoovitaloostate,oo"instilloo9.6oo
mLootoooyieldoo10oomL"oohowoomanyoomillimetersooofootheooantibioticooshouldootheoonurse
ooaddootoootheooIVPBoobag?oo-ooans--5mL


7.ooaoonurseooinoochargeooofooaoosurgicaloounitooisooreviewingootheooprogressooofooaoovari
etyooofooclientsoofromootheoodateooofoosurgeryootooopredictootheoopotentialoodateooofoodisc
harge,oofromootheoounit.oowhichooofootheoofollowingooshouldootheoonurseoouseootoooassess
ootheooclientsooprogressooasooaoocost-containmentoostrategyooinoomanagedoocare?
primaryoonursing
criticaloopathways
functionaloomethod
qualityooimprovementoo-ooans--criticaloopathways

8.ooaoonurseooisooassistingoowithooaoobedoobathooforooaooclientoowhooohasoomoderateoocog
nitiveoodeficits.oowhichooisooimportantooforootheoonurseootooodo?
explainooinoodetailooeverythingoothatoowilloobeoodoneooduringootheoobathoobeforeoobeginnin
goo
arrangeootheoobasinoowithinootheoocenterooofootheooclient'soovisualoofield
encourageooattentionootoooeachootaskooofoobathing
checkootheooclientooeveryoofewoominutesoo-ooans--
encourageooattentionootoooeachootaskooofoobathing

9.oowhenootheoonurseooisoointerviewingootheoowifeooofooaooclient,oowhichoostatementooabo
utootheooclient'soohusbandoosupportsootheoopresenceooofooobstructiveoosleepooapnea?
ooselectooalloothatooapply
heoosnoresooandoograspsooalloonightoolongooandoowakesoomeooup
heoofallsooasleepoosometimesoowhenooheoodrives,oosooonowooioodoooallootheoodriving
heookicksooandoothrashesoosooomuchoothatootheoobedoolinenooisooupsideoodownoobyoomorn
ing
heoohasootheseooepisodeooandooneveroowakesooup,oobutooioodo,ooandoothenooioocantoogeto
obackootooosleepoo-ooans--
heoosnoresooandoograspsooalloonightoolongooandoowakesoomeooup
heoohasootheseooepisodeooandooneveroowakesooup,oobutooioodo,ooandoothenooioocantoogeto
obackootooosleep


10.ooaoonurseooidentifiesoothatooaooclient'soobreathoohasooaoosweet,oofruityooodor.oowhichoo
ofootheoofollowingooshouldootheoonurseoodooonext?
takeootheooclientsoobloodoopressure
reviewootheooclientsoointakeooandoooutputoorecord

, obtainooaoobloodoosampleooforooaooserumooglucoseoolevel
assessooforooclinicaloomanifestationsooofoohyperglycemiaoo-ooans--
assessooforooclinicaloomanifestationsooofoohyperglycemia

11.ooaoonurseooisoocaringooforooaooclientoowhooohasoohadoodiarrheaooforooseveralooweeks.
ooforoowhichoocommonooproblemooassociatedoowithooprolongedoodiarrheaooshouldootheoon
urseooassessootheooclient?
skinoobreakdown
self-careoodeficit
sexualoodysfunction
disturbedoobodyooimageoo-ooans--skinoobreakdown

12.ooaoonurseoocausesooharmootoooaoohospitalizedooclientoobecauseooofooimproperoouseoo
ofooaoomechanicaloolift.oobasedooonoowhichoospecificootortoocanoothisooclientoopursueoolega
looaction?
battery
assaultoo
negligence
malpracticeoo-ooans--malpractice

13.ooaooclientoowithootypeoo2oodiabetesooisooexperiencingooblurredoovision,oogeneralizedoo
weakness,ooandoofatigue.ooaoonurseoorecievesooaooreportoofromootheoonurseooonootheoopr
eviousooshiftooandooobtainsooadditionalooinformationoofromootheooclient'sooclinicaloorecord.
oowhichooshouldootheoonurseooconcludeoothatootheooclientooisooexperiencing?oo
fluidooretention
kidneyooimpairmentoo
hyperglycemicooeventoo
hypertensiveooepisodeoo-ooans--hyperglycemicooevent

14.oonursesooonooaoounitooareoopersonallyooandooprofessionaloomatureooandoomotivated.o
owhichoooneooofootheoofollowingooclassicooleadershipoostylesooshouldootheoonurseoomanag
erooemployoowhenooworkingoowithoothisoogroup?
directiveoo
autocratic
democratic
laissez-faireoo-ooans--laissez-faire

15.ooaoonurseootransfersooaooclientoofromooaoobedootoooaoowheelchair.oowhichooshouldooth
eoonurseoodoooafterooplacingootheooclientooinootheoowheelchair?oo
ensureootheooclient'soopoplitealooareasooareoonotootouchingootheooseatooedge
attachootheooclient'sootransferoobeltootoootheooclipsooonootheoowheelchair
supportootheooclient'soobackoowithooaoopillow
putootheooclient'soofeetooflatooonootheooflooroo-ooans--
ensureootheooclient'soopoplitealooareasooareoonotootouchingootheooseatooedge