516 Final Exam questions with complete solution 2023 verified

516 Final Exam questions with complete solution 2023 verifiedpatient admitted for peritonitis (inflammation of abdominal cavity) and has signs of dehydration. Which findings may be expected. - correct answer increased hematocrit, increased urine osmolality, increased serum sodium When ambulating a frail older adult the nurse should - correct answer use a transfer/gait belt if the client is unsteady A nurse is assessing a new colostomy stoma, finding it beefy, red and swollen through the surrounding skin appearing intact. What should the nurse conclude - correct answer the site is healing appropriately A nurse must administer a sedative to a patient prior to surgery. Which should she do first - correct answer ensure surgical consent form is signed * assess first but consent is preliminary A client who is immobile is diagnosed with renal calculi, this results from - correct answer increased serum calcium The nurse visits a client who has dyspnea. She notes the client has pitting edema in his feet and ankles. What other assessment would the nurse expect to observe - correct answer crackles in the lower lobes A nurse is routinely monitoring the patients BP. Which should the nurse do first when an assessment reveals an increase in the patients BP - correct answer obtain other vital signs Which vital sign measurement provides the best indicator of current fluid status - correct answer BP and pulse in lying and standing positions A patent has been suffering with diarrhea for four days. When assessing the patient which are expected findings - correct answer abdominal cramping, hypotension, poor skin turgor The nurse explains to the client that cardiac catherterization involves - correct answer radiopaque dye injected into an artery to visualize heart function * not on final A patient prefers and excessively maintains the supine position. For which potential problem us associated with this position should the nurse assess - correct answer Pressure on the heels What is the most important purpose of the orientation phase of a therapeutic relationship - correct answer build rapport: trust and connection A nurse assessing the skin of an older adult, which assessment is the greatest concert - correct answer tenting of the skin : a little is ok, a lot can mean dehydration A post op patient describes " I feel like something just popped" the nurse should assess for - correct answer dehiscence *what is evisceration (insides going out) A nurse is responsible for a group of patients. Which two should be attended to - correct answer patient admitted for htn who wants pain meds for headache (increase in BP) patient who five days after surgery states something feels strange in belly Elderly client complains of inability to concentrate, uneasiness, lightheadedness, weakness, muscle and joint discomfort and demonstrates normal temp. the clinic nurse recalls that - correct answer the elderly can have an infection without fever A nurse is caring for a nation using an incentive spirometer. Which requires further teaching - correct answer tilting spirometer while breathing in and exhale while keeping the most on the mouthpiece . ** review correct use which O delivery system should be used when a precise amount of O needs to be - correct answer venturi mask The nurse administered antibiotic greater than the dose prescribed. The patient doesn't have any effects. What should the nurse perform first. - correct answer notify physician