ADULT HEALTH FINAL EXAM TEST BANK QUESTIONS AND ANSWERS

ADULT HEALTH FINAL EXAM
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TEST BANK QUESTIONS AND ANSWERS
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denial n- nCORRECT nANSWER n-A nnurse nin na ndialysis ncenter nis ncaring nfor na nclient nwho nhas na nnew
ndiagnosis nof nend-stage nkidney ndisease. nWhen nhe narrives nfor nhis nfirst ndialysis ntreatment, nhe ntells

nthe nnurse, n"I ndecided nto ncome ntoday, nbut nI nam nnot nsure nif nI nwill nneed nto ncome nback nagain nthis

nweek. nI nam nfeeling nmuch nbetter nsince nmy ndischarge nfrom nthe nhospital nand nI nthink nmy nkidneys nare


nworking nagain." nThe nnurse nshould nidentify nthat nthis nclient nis ndemonstrating nwhich nof nthe nfollowing


nKübler-Ross nstages nof ngrieving? n


n



Breathing nranging nfrom nvery ndeep nto nvery nshallow nwith nperiods nof napnea n- nCORRECT nANSWER n-A
nnurse nis nassessing nthe nrespiratory npattern nof nan nolder nadult nclient nwho nis nreceiving nend-of-life


ncare. nWhich nof nthe nfollowing nassessment nfindings nshould nthe nnurse nidentify nas nCheyne-Stokes


nrespirations? n


n



i nam nhoping nthis nwill nlimit nmy ndiscomfort n- nCORRECT nANSWER n-A nnurse nis ncaring nfor na nclient nwho
nhas ncancer nand nis nreceiving npalliative ncare. nWhich nof nthe nfollowing nstatements nby nthe nclient


nindicates nthey nunderstand nthis ntype nof ntreatment? n


n



shoulders ndrop, nfacial nmuscles nrelax, npulse nis nwithin nexpected nrange n- nCORRECT nANSWER n-A nnurse
nprovides na nback nmassage nas na npalliative ncare nmeasure nto na nclient nwho nis nunconscious, ngrimacing,


nand nrestless. nWhich nof nthe nfollowing nfindings nshould nthe nnurse nidentify nas nindicating na ntherapeutic


nresponse? n(Select nall nthat napply.) n


n



I njust ncan't nbelieve nthat nthis ndialysis nis ngoing nto nruin nmy nwhole nlife. n- nCORRECT nANSWER n-A nnurse
nis ncaring nfor na nclient nwho nhas na nnew ndiagnosis nof nchronic nkidney ndisease. nWhich nof nthe nfollowing


nstatements nshould nthe nnurse nidentify nas nan nindication nof nanticipatory ngrieving? n


n



Discuss nimitating nhospice ncare nwith nthe nclient nin na nnursing nhome n- nCORRECT nANSWER n-A nnurse nis
ncaring nfor na nclient nwho nhas nmetastatic nbone ncancer. nThe nclient nstates, n"I nwant nto ngo nhome nto


ndie." nThe nfamily nis nconcerned nabout nmeeting nthe nclient's ncare nneeds nat nhome. nWhich nof nthe


nfollowing nactions nshould nthe nnurse ntake? n


n



"The ndoctor nsays nI nonly nhave na nfew nmoments nto nlive, nbut nI nknow nhe nis nexaggerating nto nget nme nto
ntake nmy nmedication." n- nCORRECT nANSWER n-A nnurse nis ncaring nfor na nclient nwho nhas nbeen

, diagnosed nwith nend-stage nliver ncancer. nWhich nof nthe nfollowing nresponses nis nan nindication nthe
n

client nis nin nthe ndenial nphase nof nthe ngrief nprocess? n
n


n



Provide nskin ncare nwith na nmoisture nbarrier ncream. nAdminister nartificial ntears nPRN. nPerform nmouth
ncare nevery nhour. nAdminister noxygen n2 nL/min nvia nnasal ncannula. n- nCORRECT nANSWER n-A nhospice

nnurse nis nreviewing nthe nprescriptions nfor na nclient nwho nis nreceiving npalliative ncare. nWhich nof nthe


nfollowing nprescriptions nshould nthe nnurse nexpect? n(Select nall nthat napply.) n


n



low nself nesteem n- nCORRECT nANSWER n-A nnurse nmanager nis ndiscussing nthe ndifferences nbetween
nnormal nand nmaladaptive ngrief nwith nnursing nstaff. nWhich nof nthe nfollowing nfindings nshould nthe nnurse

nmanager nidentify nas nbeing na nunique ncomponent nof nthe nmaladaptive ngrieving nprocess? n


n



1) nMake nsure nthe nprovider nhas npronounced nthe nclient ndead2) nVerify nthe nclient's norgan nand ntissue
ndonation nstatus3) nRemove nmedical nequipment nfrom nthe nclient4) nCleanse nthe nbody nwhile nadhering

nto nthe nbody-fluid nprecautions5) nAttach nidentification ntags nto nthe nbody n- nCORRECT nANSWER n-A


nnurse nis nproviding npostmortem ncare nfor na nclient. nIdentify nthe nsequence nof nsteps nthe nnurse nshould


nfollow. n(Move nthe nsteps ninto nthe nbox non nthe nright, nplacing nthem nin nthe norder nof nperformance.


nUse nall nthe nsteps.) n


n



Complete na nneurological ncheck n(appropriate nnursing nintervention nwhen na nclient ndisplays nsudden
nconfusion) n- nCORRECT nANSWER n-A nnurse non na nmedical nunit nis ncaring nfor na nclient nwho nsuddenly


nbecomes nconfused nand ndrowsy. nAdditional ndata nincludes npulse n100/min, nrespiratory nrate n24/min,

nBP n132/76 nmm nHg, nand ntemperature n36.8º nC n(98.2º nF). nWhich nof nthe nfollowing nactions nshould


nthe nnurse nperform? n


n



Determine nif nthe nclient nuses nhearing naids. n- nCORRECT nANSWER n-A nnurse nis nadmitting na nclient nwho
nhas na npartial nhearing nloss. nWhich nof nthe nfollowing nis nthe npriority naction nby nthe nnurse? n


n

Removing nthe nabdominal ndressing n- nCORRECT nANSWER n-A nnurse nis nworking nwith nan nassistive
npersonnel n(AP) nwhile ncaring nfor na nsurgical nclient nwho nis n1 nday npostoperative. nWhich ntask nshould


nthe nnurse ntake nresponsibility nfor ncompleting? n


n



Discontinue nsuction nwhen nassessing nfor nperistalsis- nIrrigate nthe nNG ntube nwith n0.9% nsodium nchloride
nirrigation nsolution.- nPlace nsequential ncompression ndevices non nthe nbilateral nlower nextremities.-


nReposition nthe nclient nform nside nto nside nevery n2 nhr. n- nCORRECT nANSWER n-A nnurse nis ncaring nfor nan

nolder nadult nclient nwho nhas nhad nsurgery nfor nan nintestinal nobstruction nand nhas nan nNG ntube nto nwall