NUR 102 FINAL EXAM WITH ACCURATE
SOLUTIONS
Many challenges face the older adult client. A client tells the nurse of
concerns about finances since retirement. The client shares difficulties that
are being experienced because of limited financial resources. Based on these
data and the challenges for older people, what data would be most accurate
for incorporation of a discussion about finances for the client? - ANSWER-
Most older adults have to adjust to a fixed income.
Which is the correct sequence for bladder training with closed urinary
drainage? - ANSWER-Explain procedure and position the client into supine.
Put on disposable gloves and clamp the catheter tubing for 1-2 hours.
Open the clamp and allow the bladder to drain by gravity into the bag,
repeat.
Record the procedure on the client's electronic medical record.
Clamp 1-2 hours.
For which clients is digital removal of feces contraindicated? - ANSWER-a
client recovering from prostate surgery, reproductive surgery,
abdominoperineal repair, rectal surgery, colostomy, and genitourinary
surgery.
Age is more than an accumulation of years. The aging process affects people
in different ways. To fully adapt to aging and thrive in this new stage, older
adults must confront many lifestyle changes. A student nurse has been
asked to prepare a post clinical report on lifestyle changes in the older and
aging population. What lifestyle changes should the student nurse
incorporate into the report? - ANSWER-Change in residence
Change in parenting roles
Adaptation to possible changes in sexuality
,More time for meditation and contemplation of life
What is the function of the hypothalamus in the endocrine system? -
ANSWER-maintains homeostasis controls autonomic nervous system and the
pituitary control center on a negative feedback loop controlling temperature,
food intake water balance , release hormones from the pituitary gland
Know the rights of clients about their prescribed medications. - ANSWER-
Name of meds.
Action of meds.
Route
Time
Possible side effects/ adverse effects
Right to refuse (unless there is court order )
To request generic brand (for cost effective)
A nurse is preparing to administer Xylocaine to a client. The medication is
packaged in an ampule. What should the nurse do with the unused portion of
the Xylocaine? - ANSWER-Discard any unused portion of the Xylocaine in the
ampule.
A couple with young children asks the nurse about the factors that contribute
to a strong family unit. What instruction is of the highest priority for the
nurse to provide to the parents? - ANSWER-Participation from both parents in
child rearing is important.
Know the differences between enteral and parenteral medication
administration. - ANSWER-Enteral - by way of the GI tract, oral, G tube, NG
tube, Buccally (inside the cheek), Sublingual (under the tongue), Po (by
mouth)
, Parenteral (peripheries) -medication administration in any part of the body
other than the GI tract, vagina, eyes, ears respiratory tract, skin, and by
injection
Which hormones are released by the adrenal medulla that mimics the action
of the sympathetic nervous system? - ANSWER-Epinephrine fight or flight
Norepinephrine
Which pain medication classification would be appropriate for the nurse to
administer to the client with moderate to severe pain? - ANSWER-opioids/
narcotics for moderate to severe pain
non opioids for mild to moderate pain
What condition would lead inadequate erythropoietin production? - ANSWER-
End-stage renal disease (ESRD)
Which symptoms of circulatory overload should the nurse carefully monitor
the client during and after a tap water enema is administered? - ANSWER-
Elevated blood pressure, bounding pulse, tachycardia, decreased oxygen
saturation
Which technique is appropriate for the placement of a urinary catheter prior
to surgery into a client? - ANSWER-Surgical asepsis
A nurse is explaining cognitive development in children to a client, with the
help of Piaget's theory of cognitive development. What would be the best
explanation by the nurse about the formal operations level of cognitive
development? - ANSWER-After age 12, children can think in the abstract
including complex problem solving.
The nurse is administering prescribed medication to an elderly client who
tells the nurse that "this is not the color of the pill I normally take." What
SOLUTIONS
Many challenges face the older adult client. A client tells the nurse of
concerns about finances since retirement. The client shares difficulties that
are being experienced because of limited financial resources. Based on these
data and the challenges for older people, what data would be most accurate
for incorporation of a discussion about finances for the client? - ANSWER-
Most older adults have to adjust to a fixed income.
Which is the correct sequence for bladder training with closed urinary
drainage? - ANSWER-Explain procedure and position the client into supine.
Put on disposable gloves and clamp the catheter tubing for 1-2 hours.
Open the clamp and allow the bladder to drain by gravity into the bag,
repeat.
Record the procedure on the client's electronic medical record.
Clamp 1-2 hours.
For which clients is digital removal of feces contraindicated? - ANSWER-a
client recovering from prostate surgery, reproductive surgery,
abdominoperineal repair, rectal surgery, colostomy, and genitourinary
surgery.
Age is more than an accumulation of years. The aging process affects people
in different ways. To fully adapt to aging and thrive in this new stage, older
adults must confront many lifestyle changes. A student nurse has been
asked to prepare a post clinical report on lifestyle changes in the older and
aging population. What lifestyle changes should the student nurse
incorporate into the report? - ANSWER-Change in residence
Change in parenting roles
Adaptation to possible changes in sexuality
,More time for meditation and contemplation of life
What is the function of the hypothalamus in the endocrine system? -
ANSWER-maintains homeostasis controls autonomic nervous system and the
pituitary control center on a negative feedback loop controlling temperature,
food intake water balance , release hormones from the pituitary gland
Know the rights of clients about their prescribed medications. - ANSWER-
Name of meds.
Action of meds.
Route
Time
Possible side effects/ adverse effects
Right to refuse (unless there is court order )
To request generic brand (for cost effective)
A nurse is preparing to administer Xylocaine to a client. The medication is
packaged in an ampule. What should the nurse do with the unused portion of
the Xylocaine? - ANSWER-Discard any unused portion of the Xylocaine in the
ampule.
A couple with young children asks the nurse about the factors that contribute
to a strong family unit. What instruction is of the highest priority for the
nurse to provide to the parents? - ANSWER-Participation from both parents in
child rearing is important.
Know the differences between enteral and parenteral medication
administration. - ANSWER-Enteral - by way of the GI tract, oral, G tube, NG
tube, Buccally (inside the cheek), Sublingual (under the tongue), Po (by
mouth)
, Parenteral (peripheries) -medication administration in any part of the body
other than the GI tract, vagina, eyes, ears respiratory tract, skin, and by
injection
Which hormones are released by the adrenal medulla that mimics the action
of the sympathetic nervous system? - ANSWER-Epinephrine fight or flight
Norepinephrine
Which pain medication classification would be appropriate for the nurse to
administer to the client with moderate to severe pain? - ANSWER-opioids/
narcotics for moderate to severe pain
non opioids for mild to moderate pain
What condition would lead inadequate erythropoietin production? - ANSWER-
End-stage renal disease (ESRD)
Which symptoms of circulatory overload should the nurse carefully monitor
the client during and after a tap water enema is administered? - ANSWER-
Elevated blood pressure, bounding pulse, tachycardia, decreased oxygen
saturation
Which technique is appropriate for the placement of a urinary catheter prior
to surgery into a client? - ANSWER-Surgical asepsis
A nurse is explaining cognitive development in children to a client, with the
help of Piaget's theory of cognitive development. What would be the best
explanation by the nurse about the formal operations level of cognitive
development? - ANSWER-After age 12, children can think in the abstract
including complex problem solving.
The nurse is administering prescribed medication to an elderly client who
tells the nurse that "this is not the color of the pill I normally take." What
