Fundamentals practice A Exam Questions With Verified Solutions | UPDATED

Fundamentals practice A Exam Questions With Verified Solutions | UPDATED A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the following interventions should the nurse include in the plan of care? A. thicken liquids on tray B. provide small hand held utensils C. use a clock pattern to describe food D. tell the client which foods to eat first - ANSWER C. Describing the location of the food on the plate by using a clock pattern allows the client to have greater independence during meals. A nurse is planning an education session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurse plan to use with this client? A.Keep the learning session private and one-on-one. B.Expect the client to have difficulty understanding the information. C.Allow extra time for the client to respond to questions. D.Avoid references to the client's past experiences. - ANSWER C Older adult clients often process information at a slower rate than younger clients; therefore, the nurse should plan for extra time to allow the client to ask questions and absorb the information. A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? (Select all that apply.) A.Wear gloves when assisting the client with oral care. B.Place the client in a room with negative-pressure airflow. C. Use antimicrobial sanitizer for hand hygiene. D.Limit each visitor to 2-hr increments. E. Wear a surgical mask when providing client care. - ANSWER B. The nurse should place the client in a room with negativepressure airflow to meet the requirements of airborne precautions. A. The nurse should wear gloves when assisting with oral care to meet the requirements of standard precautions, which the nurse must adhere to for all clients regardless of their diagnosis. The nurse should wear gloves whenever her hands might come in contact with a client's body fluids, such as saliva, and the mucous membranes in the mouth. C. the nurse should use antimicrobial sanitizer for routine hand hygiene when caring for a client who has tuberculosis. The nurse should also wash her hands with soap and water when her hands have visible soiling. A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. (Move the steps into the box on the right, placing them in the order of performance. - ANSWER 1. The nurse should first inject air into the vial of NPH without touching the needle to the solution. 2. inject air into the vial of regular insulin, and then withdraw the correct amount of the regular insulin. 3.Finally, the nurse should insert the needle into the NPH insulin vial and withdraw the correct amount of NPH insulin. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessment findings should the nurse expect? A. Neck vein distention B. Rapid heart rate C. Urine specific gravity 1.010 D. Blood pressure 144/82 mm Hg - ANSWER B Tachycardia indicates fluid-volume deficit, which is an expected finding for a client who has had vomiting and diarrhea for 3 days. A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects? A. Measure urine outpu