NUR 245 FINAL EXAM
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180 QUESTIONS
CHOOSE ONE ANSWER
TIME : 1 HOUR
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NUR 245 final exam
when assessing a client with an indwelling catheter, which observation
requires the most immediate intervention by the nurse?
a. the drainage tubing is secured over the siderail
b. the clamp on the urinary drainage bag is open
c. there are no dependent loops in the drainage bag
d. the urinary drainage bag is attached to the bed frame
b. the clamp on the urinary drainage bag is open
closed urinary system is important to reduce risk of infection
a male client with venous incompetence stands up and his blood pressure
subsequently drops. which finding should the nurse identify as a
compensatory response?
a. bradychardia
b. increase in pulse rate
c. peripheral vasodialation
d. increase in cardiac output
b. increase in pulse rate
the nurse is preparing a male client who has an indwelling cath and an IV
infusion to ambulate from the bed to the chair for the first time following
abdominal surgery. what action (s) should the nurse implement prior to
assisting the client to the chair? (select all)
a. pre medicate with analgesic
b. inform the client of the plan for moving to the chair
c. obtain and place a portable commode by the bed
d. ask the client to push the IV pole to the chair
e. clamp the indwelling cath
f. assess the clients blood pressure
a. pre medicate with analgesic
b. inform the client of the plan for moving to the chair
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d. ask the client to push the IV pole to the chair
f. assess the clients blood pressure
what is an anlgesic?
med to releive pain
which technique is most appropriate for the nurse to implement when
preforming a physical assessment?
a. a head-to-toe approach
b. the medical systems model
c. a consistent, systematic approach
d. an approach related to a nursing model
c. a consistent, systematic approach
the nurse formulates the nursing diagnosis of "ineffective health maitnenece
related to lack of motivation" for a client with type 2 DM. which finding
supports this nursing diagnosis?
a. does not check capillary blood glucose as directed
b. occasionally forgets to take daily prescribed meds
c. cannot identify signs or symptoms of high or low BG
d. eats anything and does not think diet makes a difference in health
d. eats anything and does not think diet makes a difference in health
a client in hospice care develops audible gurgling sounds on inspiration.
which action has the highest priority?
a. ensure cultural customs are observed
b. increase oxygen flow to 4 L.min
c. ausculate bilateral lung fields
d. inform the family that death is immitent
d. inform the family that death is immitent
(innefective clearance of secretions)
what is venous incompetence?
when veins are unable to flow blood back to the heart
an older resident of a long term care facility is no longer able to preform self
care and is becoming progressively weaker. the resident requested no
resucitative efforts be preformed and the family requests hospice care. what
action should the nurse implement first?