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NURS 4500 FINAL TEST REVIEW QUESTIONS AND CORRECT ANSWERS

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NURS 4500 FINAL TEST REVIEW QUESTIONS AND CORRECT ANSWERS

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The nurse is caring for a patient who had an exploratory laparotomy with a
resection of a short segment of small bowel two days previously. The patient has
gas pain and abd distention. Which of the following nursing actions is best to take
at this time?
A) give a return flow enema
B) assist the patient to ambulate
C) administered ordered Iv morphine sulphate
D) Insert the ordered promethazine suppository


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Assist the patient to ambulate
rationale: ambulation will help to improve peristalsis and help eliminate gas
pain.




A patient experiencing moderate anxiety says "I feel undone". Which statement
demonstrates a therapeutic response from the nurse?

, A) "I'm not sure I understand. Can you give me an example?"
B) "What would you like me to do to help you?"
C) "Why do you suppose you're feeling anxious?"
D) "You need to learn how to control your feelings before we can continue"


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"I'm not sure I understand. Can you give me an example?"
Rationale: Clarifying helps the patient to identify thoughts and feelings




A nurse wants to teach alternative coping strategies to a patient experiencing
severe anxiety. Which of the following indicates appropriate intervention from the
nurse?
A) take client to a quiet area
B) Assess how the patient utilizes defense mechanisms
C) Create outcomes and a teaching plan
D) Verify the patients learning style


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take client to a quiet area
Rationale: those experiencing severe anxiety have a markedly low
perceptual field and cannot pay attention due to environmental stimuli,
decreasing this will allow the nurse to teach and the patient to absorb
health teaching.




Which of the following actions should be included in the plan of care for a male
patient with bowel irregularity and a new diagnosis of IBS?
A) encourage the patient to express feelings and ask questions about IBS
B) Educate the patient about the use of Tegaserod to reduce symptoms
C) suggest the patient increase the intake of milk and other dairy products.


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