Fundamentals 1 Exam Questions And Answers 2022/2023

nurse teaching group of older adults about expected changes of aging. Which of following statements by group member indicates that teaching has been effective? - Answer"I should expect my heart rate to take longer to return to normal after excessive as I get older." Older adults experience decreased cardiac output, which causes increased pulse rate during exercise. However, pulse rate also takes longer to return to normal after exercise. nurse caring for client who is postoperative & has paralytic ileum. Which of following abdominal assessments should nurse expect? - AnswerAbsent bowel sounds with distention. Paralytic ileus is an immobile bowel. With this disorder, bowel sounds are absent & abdomen is distended. nurse planning care for client who reports abdominal pain. An assessment by nurse reveals client has temperature of 39.2 degrees C (102 degrees F), heart rate of 105/min, soft contender abdomen, & census overdue by 2 days. Which of following findings should be nurse's priority? - AnswerTemperature. Elevated temperature is an emergent physiological need which requires priority intervention by nurse. Nurse should consider Maslow's Hierarchy of Needs, which includes 5 levels of priority when answering this item. First level consists of physiological needs; Second level consists of safety & security needs; third level consists of love & belonging needs; fourth level consists of personal achievement & self-esteem needs; & fifth level consists of achieving full potential & ability to problem solve & cope with life situations. When applying Maslow's Hierarchy of Needs, nurse should review physiological needs first. Nurse should then address client's needs by following remaining four hierarchal levels. However, it is important for nurse to consider all contributing client factors, as higher levels of pyramid can compete with those at lower levels, depending on situation. nurse caring for child who is postoperative following tonsillectomy. Which of following actions should nurse take? - AnswerAdministe analgesics to child on routine schedule throughout day & night. o soothe client's throat following tonsillectomy, nurse should administer pain medication routinely around the clock. Nurse can provide medication rectally or intravenously to avoid oral route. nurse assessing heart sounds of client who has developed chest pain that becomes worse wIth inspiration. Nurse auscultates high-pitched scratching sound during both systole & diastole with diaphragm of stethoscope positioned at left sternal border. Which of following heart sounds should nurse document? - AnswerPericardial friction rub. pericardial friction rub has scratching, grating, or squeaking leathery sound. It tends to be high frequency & best heard with diaphragm of stethoscope at 3rd intercostals space of left sternal border. Pericardial friction rub manifestation of pericardial inflammation & can be heard with infective pericarditis, myocardial infarction, following cardiac surgery or trauma, & with some autoimmune problems, such as rheumatic fever. client who develops pericarditis typica