FINAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client is admitted to the hospital with intractable pain.
What instruction should the nurse provide the UAP who
is preparing to assist this client with a bed bath? -
ANSWER-Take measures to promote as much comfort as
possible.
A client is admitted with a stage 4 pressure ulcer that
has a black, hardened surface and a light pink wound bed
with a malodorous green drainage. Which dressing is
best for the nurse to use first? - ANSWER-Wet to moist
dressing
*To provide moisture and loosen the necrotic tissue, the
eschar should be covered first with wet to moist
dressings, which are discontinued and then a hydrogel
alginate can be placed in the prepared wound bed to
prevent further damage of granulating any surrounding
tissue.
, A client who has a nursing diagnosis of "spiritual
distress related to a loss of hope, secondary to
impending death", what intervention is best for the nurse
to implement when caring for this client? -
ANSWER-Assist and support the client in establishing
short-term goals.
A client who has moderate, persistent, chronic
neuropathic pain due to diabetic neuropathy takes
gabapentin (neurontin) and ibuprofen daily. If step 2 of
the WHO pain relief ladder is prescribed, which drug
protocol should be implemented? - ANSWER-Continue
gabapentin
*step 1 drugs are nonopioid analgesics
*step 2 and 3 are narcotics and should be given around
the clock rather than by the clients PRN requests
A female client informs the nurse that she uses herbal
therapies to supplement her diet and manage common
ailments. What information should the nurse offer the
client about general use of herbal supplements? -
ANSWER-Herbs should be obtained from manufacturers
with a history of quality control of their supplements