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 for Clinical Nursing Skills:
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A Concept-Based Approach
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4th Edition Volume III
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by Pearson Education Chapters 1 - 16
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,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition
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Pearson
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,Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson) Education Test
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BankChapter 1: Assessment
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1) A client on the medical/surgical unit complains of sudden chest pains. Which
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action will thenurse implement first?
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A) Call the healthcare provider.
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B) Administer pain medication. XV XV


C) Reassess a new set of vital signs. XV XV XV XV XV XV


D) Turn client from supine to
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lateral.ANSWER: C
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Explanation: A) The nurse will need to reassess the client first, before calling
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the healthcareprovider.
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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
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is a change incondition.
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D) The nurse will need to reassess the client first, before moving the client, to
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avoid making thechange in client's condition worse.
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Page Ref: 2XV XV


Cognitive Level: Applying XV X V


Client Need/Sub: XVPhysiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN
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Competencies:Patient-Centered Care
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AACN Domains and Comps.: Domain 2: Person-Centered
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CareNLN Competencies: Relationship Centered Care
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2) The nurse is observing the UAP taking the temperature of an unconscious client.
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Which routewill the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic
ANSWER:
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A
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Explanation: A) The temperature of an unconscious client is never taken by mouth.
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The rectal,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
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preferred.Page Ref: 24
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Cognitive Level: Applying XV X V


Client Need/Sub: XV Safe and Effective Care Environment: Safety and Infection
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Control Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN
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Competencies: SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies:
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, 3) The nurse is changing a 2-month-old client's diaper and notes the client feels
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warm to touch.Which method should the nurse use to check the baby's
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temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic
membraneANSWER:
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C
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Explanation: A) Oral is used for age 3 or older.
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B) The rectal route is the least desirable.
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C) The axillary route may not be as accurate as other routes for detecting fevers in
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children.
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D) The tympanic membrane may be used for 3 months
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or older.Page Ref: 29
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Cognitive Level: Applying XV X V


Client Need/Sub: XVPhysiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN
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Competencies: SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies:
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4) A client comes in with exacerbation of chronic obstructive pulmonary disease
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(COPD). Whichnoninvasive diagnostic test will the nurse implement to know that
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the client is receiving enough oxygen?
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A) Chest x-ray XV


B) Pulse oximeter XV


C) Arterial blood gasses XV XV


D) Assessment of respiratory XV XV


rateANSWER: B
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Explanation: A) A chest x-ray is not an intervention a nurse completes.
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B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or
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oxygen saturation, in the blood and provides a pulse reading, which is especially
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helpful for the clientwith a respiratory illness or disease.
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C) Arterial blood gases are an invasive diagnostic test.
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D) Assessing a respiratory rate is important for the nurse to implement;
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however, it is not adiagnostic test.
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Cognitive Level: Applying XV X V


Client Need/Sub: XV Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN
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Competencies:Informatics
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AACN Domains and Comps.: Domain 5: Quality and
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SafetyNLN Competencies: Quality & Safety
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