231
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exam 2 questions with answers
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A nursing student is caring for a 78-year-
// // // // // // //
old /
patient
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with
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multiple
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sclerosis.
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The
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patient has had an indwelling Foley catheter in for 3 days.
/ // // // // // // // // // //
Eight
// /
hours
/ /
ago
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the
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patient's
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temperature
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was
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37.1°
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C /
(98.8°
/ /
F).
/ /
The
/ /
student
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reports
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her
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,recent
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assessment
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to
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the
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registered
/ /
nurse
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(RN):
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the
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patient's
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temperature
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is
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37.2°
/ //
C /
(99°
/ /
F);
/ /
the
/ /
Foley
/ /
catheter
/ /
is
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still
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in
/ /
place,
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draining
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dark
/ /
urine;
/ /
and
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the
/ /
patient
/ /
is
/ /
uncertain
/ /
,/ what /
/ time /
/ of /
/ day /
/ it
/
/ is. /
/ From what the RN knows about presentation of symptoms
// // // // // // // //
// in older adults, what should he recommend first?
// // // // // // //
1. /
Tell
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the
/ /
student
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that
/ /
temporary
/ /
confusion is normal and simply requires reorientation
/ // // // // // //
2. /
Tell
/ /
the
/ /
student
/ /
to
/ /
increase
/ /
the patient's fluid intake since the urine is concentrated
/ // // // // // // // //
3. /
Tell
/ /
the
/ /
student
/ /
that
/ /
her assessment findings are normal for an older adult
/ // // // // // // // //
, 4. /
Tell
/ /
the
/ /
student
/ /
that
/ /
he
/ /
will
/ /
notify
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the
/ /
patient's
/ /
health
/ /
care
/ /
provider
/ /
of the findings and recommend a urine culture - CORRECT
/ // // // // // // // // //
ANSWERS(S)✅✅4
//
A /
patient's family member is considering having her mother
/ // // // // // // //
placed
// /
in
/ //
a /
nursing
/ /
center.
/ /
The
/ /
nurse
/ /
has
/ /
talked
/ /
with
/ /
the
/ /