NURS 315 Exam 2 Questions With 100% Correct Answers 2024

NURS 315 Exam 2 Questions With 100%
Correct Answers

Twoihoursiafteriaikidneyitransplant,itheinurseiobtainsiallitheseidataiwhe
niassessingitheiclient.iWhichiinformationiisimostiimportantitoicommuni
cateitoitheihealthicareiprovider?
a.iTheiBUNiandicreatinineilevelsiareielevated.
b.iTheiurineioutputiisi900itoi1100iml/hr.
c.iTheibloodipressureiisi88/50immHg.
d.iTheipainileveliisi8/10iatiincisioniwheniclienticoughs.i-iCorrectiAnswer-
c


Whichipotentialicomplicationsiwouldiyouimonitoriduringipostopiperiodi
ofikidneyitransplant?
a.iAcuteitubularinecrosis
b.iPneumonia
c.iWoundiinfection
d.iHypokalemia
e.iHypernatremia
f.iDiabetesiinsipidus
g.iDehydration
h.iFluidioverload
I.iPneumothoraxi-iCorrectiAnswer-a,ib,ic,id,ig,ih

,Whichiclientidoesitheinurseiassessitoibeiatigreatestiriskiforipressureiulce
ridevelopment?
a.iClientiwhoihasipneumonia
b.iClientiwhoirequiresiassistanceiwithiambulation
c.iClientiwithihypertensionionimultipleimedications
d.iIncontinenticlientiwithilimitedimobilityi-iCorrectiAnswer-d


Theichargeinurseiobservesiainewigraduateiperformingiaidressingichange
ioniaistageiIIileftiheelipressureiulcer.iWhichiactionibyitheinewigraduateiin

dicatesiaineediforifurtherieducationiaboutipressureiulcericare?
a.iTheinewigraduateiusesiaihydrocolloididressingi(DuoDerm)itoicoverith
eiulcer.
b.iTheinewigraduateiinsertsiaisterileicotton-
tippediapplicatoriintoitheipressureiulcer.
c.iTheinewigraduateiirrigatesitheipressureiulceriwithiai30-
mlisyringeiusingisterileisaline.
d.iTheinewigraduateicleansitheiulceriwithiaisterileidressingisoakediiniaicy
totoxicisolutionihalf-strengthiperoxide.i-iCorrectiAnswer-d


Aifair-skinnedi32-year-
oldiclientiwhoseimotherirecentlyidiedifromiSquamousiCelliCarcinomaias
ksitheinurse,i"whaticaniIidoitoipreventiSquamousiCelliCarcinomaifromid
eveloping?"iTheibestiresponseibyitheinurseiisithat
a.iTheiavoidanceiofiexcessiveisuniexposureiwillidecreaseirisk.

,b.iIndividualsiwithifairiskiniandiblueieyesiareiatiincreasedirisk.
c.iSquamousiCelliCarcinomaiisiairelativelyirareitypeiofiskinicancer.
d.iTheiclientiisiatihighiriskiforiskinicanceribecauseiofifamilyihistory.i-
iCorrectiAnswer-a




Whichinursingiinterventioniwouldibeimostihelpfuliinimanagingiaipatient
inewlyiadmittediwithicellulitisiofitheirightifoot?


a.iApplyingiwarm,imoistiheat
b.iWrappingitheifootisnuglyiiniblankets
c.iEncouragingifrequentiambulation
d.iNotielevatingitheiaffectediextremityi-iCorrectiAnswer-a


Inipreparationiforiaiclientibeingiadmittediwithiherpesizoster,iwhatidoesi
theinurseido?i(Selectiallithatiapply.)
a.iPrepareiairoomiforireverseiisolation.
b.iAssessistaffiforiaihistoryiofiorivaccinationiforichickenpox.
c.iCheckitheiadmissioniordersiforianalgesia.
d.iChooseiairoommateiwhoialsoiisiimmuneisuppressed.
e.iEnsureithatiglovesiareiavailableiinitheiroom.i-iCorrectiAnswer-b,ic,ie


Theipatientihasidryiskiniandipruritisionitheilegsithaticausesitheipatientito
iscratchiatitheiskiniuncontrollably.iWhatimeasuresicanitheinurseiuseitoih

elpistopitheiitch/scratchicycle?iSelectiallithatiapply.

, a.iMoisturizeitheiskinionitheilegs
b.iProvideiaiwarmiblanketiandiroom
c.iAdministeriantihistaminesiatibedtime
d.iUseicarefulihandiwashingiafterirubbingiherilegs
e.iCleanseitheilegsiwithiaisalineisolutionitwiceidailyi-iCorrectiAnswer-a,ic


Aiclientihasiaibloodipressureiofi120/60immHgiandianiintracranialipressu
rei(ICP)iofi24immHg.iTheinurseideterminesithatitheicerebraliperfusionipr
essurei(CPP)iofithisiclientiindicates
a.iHighibloodiflowitoitheibrain
b.iAdequateicerebraliperfusion
c.iImpairedibrainibloodiflow
d.iNormaliICPi-iCorrectiAnswer-c


Whenibeingiassessediforiairwayiandibreathing,itheiclientipresentingiwit
hiincreasediintracranialipressureiwouldimostilikelyiexhibitiwhichiofitheif
ollowingivitalisigns?
a.iBPi190/84,iHRi150,iandianiirregularirespiratoryipattern
b.iBPi80/50,iHRi50,iandiKussmaulirespiration
c.iBPi80/50,iHRi150,iandiCheyne-Stokesirespirations
d.iBPi190/84,iHRi50,iandianiirregularirespiratoryipatterni-
iCorrectiAnswer-d