NURS 211 CHAPTER 17 FINAL EXAM. QUESTIONS WITH 100% VERIFIED ANSWERS.

91. Priority setting is based on the information obtained during reassessment and is used to rank nursing diagnoses. Each factor contributes to priority setting except which? A. Finances of the client B. The client's condition C. Time and resources D. Feedback from the family 92. While auscultating a client's lung sounds, the nurse notes crackles in the left lower lobe, which were not present at the start of the shift. The nurse is engaged in which type of nursing intervention? A. Educational B. Psychomotor C. Maintenance D. Surveillance 93. A nurse is providing care to several assigned clients and decides to delegate the task of morning vital signs to unlicensed assistive personnel. The nurse would assume responsibility and refrain from delegating this task for which client? A. A client with a high fever receiving intravenous fluids, antibiotics, and oxygen B. An older adult with pneumonia who is being discharged to the son's home tomorrow C. A middle-aged client who had abdominal surgery 3 days ago and is ambulating in the hall D. An adult client who is being treated for kidney stones 94. A nurse is catheterizing a client. Which scenario demonstrates steps the nurse would take to ensure client respect and privacy? A. Verify the client's identifiable information, explain the procedure to the family, and pull the privacy curtain to allow the client to feel comfortable in having family close by. B. Explain the procedure to the client, close the door to the room, and cover all areas of the client, only exposing the area for catheterization. C. Ask family members to leave the room briefly, close the door, and ask the client if he or she would like a sheet to cover oneself. D. Bring in another nurse to provide support and prevent questionable behaviors, explain the procedure to the client, and close the door and privacy curtain prior to beginning the procedure. 95. What is the priority goal of interventions for a risk diagnosis? A. Reduce or eliminate contributing factors B. Prevent an actual problem C. Collect additional data D. Promote higher level wellness 96. The client is about to have blood drawn before seeing the health care provider. The spouse, while smiling and holding the client's hand, states, "Here comes the blood sucker. It is going to hurt bad." This statement is an example of which types of intervention? Select all that apply. A. Psychosocial B. Supportive C. Physical D. Coordinating E. Technical 97. Which are appropriate guidelines for the nurse to follow when delegating tasks to an unlicensed assistive personnel (UAP)? Select all that apply. A. Delegate tasks that are within the UAP's scope of practice. B. Delegate tasks that involve minimal risk. C. Provide appropriate supervision when delegating tasks. D. Provide feedback to the UAP after the task is completed. E. Delegate correctly to avoid the UAP asking questions about the task. 98. Which examples of nursing actions involve direct care of the client? Select all that apply. A. A nurse counsels a young family who is interested in natural family planning. B. A nurse massages the back of a client while performing a skin assessment. C. A nurse arranges for a consultation for a client who has no health insurance. D. A nurse helps a client in hospice fill out a living will form. E. A nurse arranges for physical therapy for a client who had a stroke. 99. As part of a client's plan of care, a nurse teaches a client's spouse how to perform a dressing change to the client's abdominal wound. Which method would be most effective to determine whether the spouse has mastered the skill? A. Spouse lists the signs of healing. B. Spouse identifies the steps for the dressing change. C. Spouse performs the steps of the dressing change correctly. D. Spouse shows the nurse what supplies are needed. 100. A nurse is developing a plan of care for a client and determines appropriate outcomes and interventions for this client. Which variable would be most appropriate for the nurse to address to ensure that the care plan meets the client's needs? Select all that apply. A. Client's ability to participate B. Client's developmental stage C. Client's cultural background D. Client's socioeconomic status E. Client's gender