Multidimensional Care I - Exam 1 Questions and Answers 100% Pass

Multidimensional Care I - Exam 1 Questions and Answers 100% Pass 94%-100% -Answer-Normal range for O2 Sat % B. "I'll take a short nap whenever I feel a little sleepy." -Answer-A nurse is instructing a client who has narcolepsy about measures that might help with self-management. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I'll add plenty of carbohydrates to my meals." B. "I'll take a short nap whenever I feel a little sleepy." C. "I'll make sure I stay warm when I am at my desk at work." D. "It's okay to drink alcohol as long as I limit it to one drink per day." 60-100 beats per minute -Answer-Normal range for pulse/HR Assessment Nursing diagnosis Planning Evaluation ****Interventions are the only part of the nursing process that can be delegated. - Answer-What parts of the nursing process cannot be delegated to an NAP (nursing assistive personnel such as LPN, CNA) Self-actualization Esteem Love/Belonging Safety Physiological -Answer-Maslow's Hierarchy of Needs A. Frequent sexual intercourse D. Location of the urethra closer to the anus E. Frequent catheterization -Answer-A nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a client who has recurrent UTIs. Which of the following factors should the nurse include? (Select all that apply.) A. Frequent sexual intercourse B. Lowering of testosterone levels C. Wiping from front to back to clean the perineum D. Location of the urethra closer to the anus E. Frequent catheterization B. Decrease or avoid caffeine. D. Avoid drinking alcohol. -Answer-A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? (Select all that apply.) A. Limit total daily fluid intake. B. Decrease or avoid caffeine. C. Take calcium supplements. D. Avoid drinking alcohol. E. Use the Credé maneuver A. Guided imagery C. Meditation D. Music therapy -Answer-A nurse is teaching a group of newly licensed nurses on complementary and alternative therapies they can incorporate into their practice without the need for specialized licensing or certification. Which of the following should the nurse encourage them to use? (Select all that apply.) A. Guided imagery B. Massage therapy C. Meditation D. Music therapy E. Therapeutic touch A. Art therapy C. Yoga E. Biofeedback -Answer-A nurse is reviewing complementary and alternative therapies with a group of newly licensed nurses. Which of the following interventions are mind-body therapies? (Select all that apply.) A. Art therapy B. Acupressure C. Yoga D. Therapeutic touch E. Biofeedback C. Make sure that the client's call light is within reach D. Provide the client with nonskid footwear E. Complete a fall-risk assessment -Answer-A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? (Select all that apply.) A. Place a belt restraint on the client when they are sitting on the bedside commode. B. Keep the bed in its lowest position with all side rails up. C. Make sure that the client's call light is within reach. D. Provide the client with nonskid footwear. E. Complete a fall-risk assessment. C. Move clients who are nearby -Answer-A nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurse's priority? A. Extinguish the fire. B. Activate the fire alarm. C. Move clients who are nearby. D. Close all open doors on the unit. A. Complete a fall-risk assessment -Answer-A nurse is caring for a client who has a history of falls. Which of the following actions is the nurse's priority? A. Complete a fall-risk assessment. B. Educate the client and family about fall risks. C. Eliminate safety hazards from the client's environment. D. Make sure the client uses assistive aids in their possession. D. Place wet towels along the base of the door to the client's room -Answer-A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse tak