A Concept-Based Approach
4th Edition Volume III
by Pearson Education Chapters 1 - 16
,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearson
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,Clinical Nursing Skills: A Concept-
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Based Approach, 4e (Pearson) Education Test BankChapter 1: Assessment
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1) A client on the medical/surgical unit complains of sudden chest pains. Which action wi
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ll thenurse implement first?
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A) Call the healthcare provider.
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B) Administer pain medication. m m
C) Reassess a new set of vital signs. m m m m m m
D) Turn client from supine to later
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al.ANSWER: C
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Explanation: A) The nurse will need to reassess the client first, before calling the health
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careprovider.
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B) The nurse will need to reassess the client first, before administering pain medication.
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C) The nurse needs to implement a new set of vital signs first when there is a chan
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ge incondition.
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D) The nurse will need to reassess the client first, before moving the client, to avoid makin
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g thechange in client's condition worse.
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Page Ref: 2 m m
Cognitive Level: Applying m m
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN Competenci
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es:Patient-Centered Care
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AACN Domains and Comps.: Domain 2: Person-
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Centered CareNLN Competencies: Relationship Centered Ca
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re
2) The nurse is observing the UAP taking the temperature of an unconscious client. Which
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routewill the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympani
1
, cANSWER:
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A
Explanation: A) The temperature of an unconscious client is never taken by mouth. The rec
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tal,tympanic, or scanner method is preferred.
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B) The rectal, tympanic, or scanner method is preferred.
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C) The rectal, tympanic, or scanner method is preferred.
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D) The rectal, tympanic, or scanner method is prefer
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red.Page Ref: 24
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Cognitive Level: Applying m m
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control Stan
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dards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: SafetyA
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ACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies: Quality & Safety
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2