Final Exam Q&A
Medication Prescription - Answer--The dose
Shortness of Breath - Answer--Observe the rate, depth, and character of the client's
respirations.
Seizure Management - Answer--Lower the client to the floor and place a pad under the
client's head.
Primary Prevention - Answer--Educating clients about the recommended immunization
schedule for adults.
I-SBAR Communication Tool - Answer--Assessment
IV Therapy Infiltration - Answer--Edema at the infusion site.
Discharge Teaching for Lung Cancer - Answer--Washing dishes.
Fluid Status Assessment - Answer--Daily weight.
Abdominal Assessment Method - Answer--Inspection.
Written Consent Forms - Answer--A client who has a prescription for a transfusion of
packed red blood cells.
Incontinence Care - Answer--"It must be difficult to care for someone who is confined to
bed."
, Heart Failure Assessment - Answer--The client has gained weight since her last visit
and her ankles are edematous.
Bounding pulse - Answer--Another clinical manifestation of fluid volume excess.
Evisceration response - Answer--Cover the incision with a moist sterile dressing.
Four-point crutch gait instruction - Answer--"Bear weight on both of your legs."
Acetaminophen dosage - Answer--Large doses of acetaminophen could cause liver
damage.
Documentation abbreviation - Answer--PC for after meals.
Infant physical development - Answer--A 10-month-old infant can pull up to a standing
position.
Indwelling urinary catheter care - Answer--The AP hangs the collection bag at the level
of the bladder indicates a need for further teaching.
Medication reference - Answer--Consult the medication reference book available on the
unit.
Oral care for unconscious client - Answer--Place the client in a lateral position with the
head turned to the side before beginning the procedure.
Passive range-of-motion exercises - Answer--Repeat each joint motion five times during
each session.
Incentive spirometer instruction - Answer--Cough deeply after each use.
Self-administer insulin evaluation - Answer--Have the client demonstrate the procedure.
Clear liquid diet understanding - Answer--Gelatin indicates an understanding of the
teaching.
Neurological assessment balance check - Answer--Romberg test.