D439 FOUNDATIONS OF NURSING OA
APPROVAL Q & A (COPY)
1. The vnurse vis vcaring vfor vfour vclients. vThe vclient vwith vwhich vclinical vmani- vfestation vrequires vimmediate
vattention vfrom vthe vnurse?
..ANSWER>>>vRespiratory vrate vof v25 vbreaths vper vminute vafter vresting vfor v3 vminutes vafter vactivity
2. The vnurse vplaces va vclient vwho vhad vabdominal vsurgery vin vthe vsemi-Fowler vposition.vThe vclient vstates, v"I
vprefer vto vlie vflat vwhen vin vbed. vI vfeel vlike vI vam valmost vsitting vup." vWhich vis van vappropriate vresponse vby vthe
vnurse?
v..ANSWER>>>"Lifting vyour vchest vabove vyour vabdomen vfacilitates vdrainage vin vyour vwound vdrains."
3. The vnurse vis veducating va vclient vwho vhas vjust vbeen vprescribed va vdiuretic vabout vhow vto vsafely vperform
vactivities vof vdaily vliving. vWhich vstatement vshould vthe vnurse vinclude vin vthe vteaching
..ANSWER>>>vChange vpositions vslowly vto vminimize vorthostatic vhypotension
4. The vnurse vrecognizes vthat vwhich vstatements vmade vby va vpatient vindicate van vunderstanding vof vbehaviors
vthat vwill vpromote vsleep? v(Select vall vthat vapply.)
..ANSWER>>>v"I vwill vnot vwatch vtelevision vin vbed.
"
"I vwill vnot vdrink vcaffeine vlater vin vthe vday."
"I vwill vstart vto vexercise vregularly vduring vthe vday."
1/
v v
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, 5. Your vpatient vis vbeing vdischarged vhome vand vwill vbe vrequired vto vself-ad- vminister vinjectable vHeparin.
vYou vare vobserving vthe vpatient vadminister vtheir vscheduled vdose vof vHeparin vto vconfirm vthat vthe vpatient
vknows vhow vto vdo vit vcorrectly. vWhat vaction vby vthe vpatient vrequires vyou vto vre-educate vthem vabout vhow
vto vadminister vHeparin?
..ANSWER>>>vThe vpatient vinjects vthe vneedle v1 vinch vaway vfrom vthe vumbilicus
6. A vnurse vcaring vfor vpatients vin va vlong-term vcare vfacility vis voften vrequired vto vcollect vurine vspecimens
vfrom vpatients vfor vlaboratory vtesting.vWhich vtechniques vfor vurine vcollection vare vperformed vcorrectly? vSelect vall
vthat vapply.
..ANSWER>>>vThe vnurse vcollects vabout v3 vmL vof vurine vfrom va vpatient's vindwelling vcatheter vto vsend vfor va vurine
vculture.
The vnurse vdiscards vthe vfirst vurine vof vthe vday vwhen vperforming va v24-hour vurine vspecimen vcollection von va vpatient.
7. The vnurse vis vcaring vfor va v60-year-old vclient vwith va vdiagnosis vof vC-diff vand vis vincontinent vwho vrequires
vfrequent vlinen vchanges. vWhat vshould vthe vnurse vbe vmost vconcerned vfor
..ANSWER>>>vImpaired vskin vintegrity
8. The vnurse vis vmaking van voccupied vbed. vWhich vnursing vaction vis vmost vimpor- vtant
..ANSWER>>> vEnsuring vthat vthe vclient's vhead vis vsupported vand vis vin vfunctional valignment
2/
v v
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APPROVAL Q & A (COPY)
1. The vnurse vis vcaring vfor vfour vclients. vThe vclient vwith vwhich vclinical vmani- vfestation vrequires vimmediate
vattention vfrom vthe vnurse?
..ANSWER>>>vRespiratory vrate vof v25 vbreaths vper vminute vafter vresting vfor v3 vminutes vafter vactivity
2. The vnurse vplaces va vclient vwho vhad vabdominal vsurgery vin vthe vsemi-Fowler vposition.vThe vclient vstates, v"I
vprefer vto vlie vflat vwhen vin vbed. vI vfeel vlike vI vam valmost vsitting vup." vWhich vis van vappropriate vresponse vby vthe
vnurse?
v..ANSWER>>>"Lifting vyour vchest vabove vyour vabdomen vfacilitates vdrainage vin vyour vwound vdrains."
3. The vnurse vis veducating va vclient vwho vhas vjust vbeen vprescribed va vdiuretic vabout vhow vto vsafely vperform
vactivities vof vdaily vliving. vWhich vstatement vshould vthe vnurse vinclude vin vthe vteaching
..ANSWER>>>vChange vpositions vslowly vto vminimize vorthostatic vhypotension
4. The vnurse vrecognizes vthat vwhich vstatements vmade vby va vpatient vindicate van vunderstanding vof vbehaviors
vthat vwill vpromote vsleep? v(Select vall vthat vapply.)
..ANSWER>>>v"I vwill vnot vwatch vtelevision vin vbed.
"
"I vwill vnot vdrink vcaffeine vlater vin vthe vday."
"I vwill vstart vto vexercise vregularly vduring vthe vday."
1/
v v
11
, 5. Your vpatient vis vbeing vdischarged vhome vand vwill vbe vrequired vto vself-ad- vminister vinjectable vHeparin.
vYou vare vobserving vthe vpatient vadminister vtheir vscheduled vdose vof vHeparin vto vconfirm vthat vthe vpatient
vknows vhow vto vdo vit vcorrectly. vWhat vaction vby vthe vpatient vrequires vyou vto vre-educate vthem vabout vhow
vto vadminister vHeparin?
..ANSWER>>>vThe vpatient vinjects vthe vneedle v1 vinch vaway vfrom vthe vumbilicus
6. A vnurse vcaring vfor vpatients vin va vlong-term vcare vfacility vis voften vrequired vto vcollect vurine vspecimens
vfrom vpatients vfor vlaboratory vtesting.vWhich vtechniques vfor vurine vcollection vare vperformed vcorrectly? vSelect vall
vthat vapply.
..ANSWER>>>vThe vnurse vcollects vabout v3 vmL vof vurine vfrom va vpatient's vindwelling vcatheter vto vsend vfor va vurine
vculture.
The vnurse vdiscards vthe vfirst vurine vof vthe vday vwhen vperforming va v24-hour vurine vspecimen vcollection von va vpatient.
7. The vnurse vis vcaring vfor va v60-year-old vclient vwith va vdiagnosis vof vC-diff vand vis vincontinent vwho vrequires
vfrequent vlinen vchanges. vWhat vshould vthe vnurse vbe vmost vconcerned vfor
..ANSWER>>>vImpaired vskin vintegrity
8. The vnurse vis vmaking van voccupied vbed. vWhich vnursing vaction vis vmost vimpor- vtant
..ANSWER>>> vEnsuring vthat vthe vclient's vhead vis vsupported vand vis vin vfunctional valignment
2/
v v
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