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NUR 2356 / NUR2356 Multidimensional Care I Final Exam Study Guide with Complete Solutions | Latest 2025/2026 Update.

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The nurse is preparing communication for a provider. The client is experiencing acute pain greater than the severity of the fracture. Distal to the injury, he is experiencing a "pins and needles" sensation. The pulse is weak and thready but is bounding on all unaffected extremities. What emergent condition does the nurse suspect? Compartment syndrome A client is bedridden and appears to be frail and malnourished. Which nursing interventions will decrease the risk of pressure injury? (Select all that apply.) Cleansing the skin routinely after soiling occurs. Applying moisturizer to dry areas of skin. Using a Hoyer lift for all transfers. What is a sign of inadequate perfusion? Pallor in toes The nurse will be using the Braden Scale with each admit to the long-term care center. Which of these will be utilized in a Braden Scale Assessment? (Select all that apply.) Sensory perception Friction and shear Nutrition Mental State The nurse is caring for a client who develops compartment syndrome from a severely fractured arm. The client asks the nurse how this can happen. What is the best response by the nurse? "The fascia expands with injury, causing pressure on underlying nerves and muscles." A post-operative client with a sutured abdominal incision felt a sharp abdominal pain after having bowel movement. Upon inspection, the nurse notices bowel protruding from the incision site. What does the nurse the physician about the event? The client's incisional site has eviscerated. The nurse is caring for a client who is develops compartment syndrome from a severely fractured arm. The client asks the client asks the nurse how this can happen. What is the best response by the nurse? "The fascia expands with injury, causing pressure on underlying nerves and muscles." What is the best goal for pain control in a client with Rheumatoid arthritis? The client will have pain less than 3/10 for most of the day. A client is in skeletal traction. With the nurse's assessment, it is noticed that the pins appear red, swollen, and there is purulent drainage. What action does the nurse take first? Collect a culture of the purulent fluid. What nursing intervention is best to improve communication with a hearing impaired client? Speak slowly and clearly while facing the patient. A client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy? This must be hard news to hear. Tell me about it. The nurse notices a new area of skin breakdown near the site of a dressing. This would be an example of which phase of the nursing process? Assessment A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action? Maintain the clients blood pressure NUR 2356 / NUR2356 Multidimensional Care I Final Exam Study Guide with Complete Solutions | Latest 2025/2026 Update.

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NUR 2356 / NUR2356 Multidimensional Care
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I Final Exam Study Guide with Complete
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Solutions | Latest 2025/2026 Update. i,- i,- i,- i,-




The nurse is preparing communication for a provider. The client is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



experiencing acute pain greater than the severity of the fracture. i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Distal to the injury, he is experiencing a "pins and needles"
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



sensation. The pulse is weak and thready but is bounding on all
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



unaffected extremities. What emergent condition does the nurse i,- i,- i,- i,- i,- i,- i,- i,-



suspect? Compartment syndrome i,-i,- i,- i,-




A client is bedridden and appears to be frail and malnourished.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Which nursing interventions will decrease the risk of pressure
i,- i,- i,- i,- i,- i,- i,- i,- i,-



injury? (Select all that apply.) Cleansing the skin routinely
i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-



after soiling occurs.
i,- i,-




i,- Applying moisturizer to dry areas of skin. i,- i,- i,- i,- i,- i,-




i,- Using a Hoyer lift for all transfers.
i,- i,- i,- i,- i,- i,-




What is a sign of inadequate perfusion?
i,- i,- i,- i,- i,- i,- i,-i,- i,- Pallor in toes i,- i,-




The nurse will be using the Braden Scale with each admit to the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



long-term care center. Which of these will be utilized in a Braden
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Scale Assessment? (Select all that apply.)
i,- Sensory perception i,- i,- i,- i,- i,-i,- i,- i,-

,Friction and shear i,- i,-




Nutrition
Mental State i,-




The nurse is caring for a client who develops compartment
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



syndrome from a severely fractured arm. The client asks the nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



how this can happen. What is the best response by the nurse?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-



"The fascia expands with injury, causing pressure on
i,- i,- i,- i,- i,- i,- i,- i,- i,-



underlying nerves and muscles." i,- i,- i,-




A post-operative client with a sutured abdominal incision felt a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



sharp abdominal pain after having bowel movement. Upon
i,- i,- i,- i,- i,- i,- i,- i,-



inspection, the nurse notices bowel protruding from the incision
i,- i,- i,- i,- i,- i,- i,- i,- i,-



site. What does the nurse the physician about the event?
i,- i,- The i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,-



client's incisional site has eviscerated.
i,- i,- i,- i,-




The nurse is caring for a client who is develops compartment
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



syndrome from a severely fractured arm. The client asks the client
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



asks the nurse how this can happen. What is the best response by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the nurse? i,-"The fascia expands with injury, causing pressure
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-



on underlying nerves and muscles."
i,- i,- i,- i,-

,What is the best goal for pain control in a client with Rheumatoid
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



arthritis? The client will have pain less than 3/10 for most of
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the day.i,-




A client is in skeletal traction. With the nurse's assessment, it is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



noticed that the pins appear red, swollen, and there is purulent
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



drainage. What action does the nurse take first?
i,- Collect a i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-



culture of the purulent fluid.i,- i,- i,- i,-




What nursing intervention is best to improve communication with
i,- i,- i,- i,- i,- i,- i,- i,- i,-



a hearing impaired client?
i,- Speak slowly and clearly while
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,-



facing the patient. i,- i,-




A client just received a diagnosis of cancer. Which statement by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the nurse demonstrates empathy?
i,- This must be hard news to
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-



hear. Tell me about it.
i,- i,- i,- i,-




The nurse notices a new area of skin breakdown near the site of a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



dressing. This would be an example of which phase of the nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



process? Assessment i,-i,- i,-




A client is in the emergency room in critical condition and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



hypotensive. Her spouse is distraught. What is the priority nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



action? Maintain the clients blood pressure
i,-i,- i,- i,- i,- i,- i,-

, During a skin inspection at the outpatient clinic the nurse notices
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



patches of thick, red skin with silvery scales on the clients elbows
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



and knees. What skin abnormality does the nurse suspect?
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



Psoriasis


A client with lupus may experience Raynaud's phenomenon.
i,- i,- i,- i,- i,- i,- i,- i,-



What should the nurse include when providing client education
i,- i,- i,- i,- i,- i,- i,- i,- i,-



about this? "In order to avoid flare ups of Raynaud's ensure
i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



you wear gloves in the winter"
i,- i,- i,- i,- i,-




A nurse is caring for an intubated and sedated geriatric client.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



What intervention is most appropriate for reducing the risk for a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



friction shear injury? Use a mechanical lift to reposition the
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-



client every 2 hours i,- i,- i,-




The 65 year-old male client who is complaining of blurred vision
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



reports he thinks his glasses need to be cleaned all the time, and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



he denies any type of eye pain. Which eye disorder should the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



nurse suspect the client has?
i,- Cataracts i,- i,- i,- i,-i,- i,-




The client with Rheumatoid arthritis complains of intently dry
i,- i,- i,- i,- i,- i,- i,- i,- i,-



eyes. What does the nurse suspect.
i,- Sjogrens's syndrome i,- i,- i,- i,- i,-i,- i,- i,-

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