NURS /
224
/ /
EXAM
/ //
3 /
QUESTIONS WITH CORRECT ANSWERS
/ // // //
An /
/older /
/client /
/has /
/an /
/oral /
/temperature /
/reading /
/of /
/97.2 /
/degrees /
/F. /
/The /
/nurse //realizes //that //this //client's //low //temperature //could //be //due //to //which //observation?
1. //The //anxiety //level //of //the //client //has //increased.
2. //Hormones //have //fluctuated //in //this //client.
3. //Muscle //activity //has //increased //during //the //client's //therapy //session.
4. /
/Loss /
/of /
/subcutaneous /
/fat //is //noted. //- //CORRECT //ANSWERS(S)✔✔4. //Loss //of //subcutaneous //fat //is //noted.
,The /
/nurse /
/is /
/preparing /
/to /
/measure //
a/
/client's /
/temperature. /
/What /
/is //the //first //thing //that //the //nurse //should //do //to //ensure //an //accurate //temperature //reading?
1. //Assess //that //the //equipment //used //is //working //properly.
2. //Place //the //client //in //a //position //that //is //most //comfortable //for //the //health //care //provider.
3. /
/Take /
/the //temperature //with //a //chemical //disposable //thermometer //when //the //client //is //perspiring.
4. /
/Wait /
/at /
/least /
/10 /
/minutes /
/before /
/taking /
/the /
/temperature /
/after //
a/
/client /
/has /
/been /
/smoking. //- /
/CORRECT //ANSWERS(S)✔✔1. //Assess //that //the //equipment //used //is //working //properly.
,The /
/nurse /
/needs /
/to /
/measure /
/the /
/temperature /
/of //
a/
/client /
/who /
/has //
a/
/history /
/of /
/heart /
/disease /
/and /
/has //eaten //a //bowl //of //vegetable //soup //45 //minutes //ago. //Which //site //should //the //nurse //use?
1. //Axilla
2. //Oral
3. //Popliteal
4. //Rectal //- //CORRECT //ANSWERS(S)✔✔2. //Oral
While /
/waiting /
/for /
/the /
/physician /
/to /
/respond /
/regarding //a //client's //elevated //temperature, //what //can //the //nurse //do //to //assist //the //client?
, 1. //Bathe //the //client //with //ice //water.
2. //Give //the //client //an //antipyretic.
3. //Increase //fluid //intake.
4. //Lower //the //room //temperature. //- //CORRECT //ANSWERS(S)✔✔3. //Increase //fluid //intake.
While /
/assessing /
/the /
/dorsalis /
/pedis /
/pulse /
/of //
a/
/client, /
/the /
/nurse /
/determines /
/that /
/the //pulse //is //absent. //However, //the //extremity //is //warm //and //pink //with //nail //beds //blanching
//at //
2 //to //3 //seconds //of //capillary //refilling //time. //How //would //the //nurse //explain //these //findings?
1. //A //change //in //the //client's //health //status //has //occurred.
2. //The //client //has //thrown //a //blood //clot //in //that //extremity.
3. //The //RN's //watch //has //stopped //working.
4. /
/Too /
/much /
/pressure /
/was /
/applied /
/over /
224
/ /
EXAM
/ //
3 /
QUESTIONS WITH CORRECT ANSWERS
/ // // //
An /
/older /
/client /
/has /
/an /
/oral /
/temperature /
/reading /
/of /
/97.2 /
/degrees /
/F. /
/The /
/nurse //realizes //that //this //client's //low //temperature //could //be //due //to //which //observation?
1. //The //anxiety //level //of //the //client //has //increased.
2. //Hormones //have //fluctuated //in //this //client.
3. //Muscle //activity //has //increased //during //the //client's //therapy //session.
4. /
/Loss /
/of /
/subcutaneous /
/fat //is //noted. //- //CORRECT //ANSWERS(S)✔✔4. //Loss //of //subcutaneous //fat //is //noted.
,The /
/nurse /
/is /
/preparing /
/to /
/measure //
a/
/client's /
/temperature. /
/What /
/is //the //first //thing //that //the //nurse //should //do //to //ensure //an //accurate //temperature //reading?
1. //Assess //that //the //equipment //used //is //working //properly.
2. //Place //the //client //in //a //position //that //is //most //comfortable //for //the //health //care //provider.
3. /
/Take /
/the //temperature //with //a //chemical //disposable //thermometer //when //the //client //is //perspiring.
4. /
/Wait /
/at /
/least /
/10 /
/minutes /
/before /
/taking /
/the /
/temperature /
/after //
a/
/client /
/has /
/been /
/smoking. //- /
/CORRECT //ANSWERS(S)✔✔1. //Assess //that //the //equipment //used //is //working //properly.
,The /
/nurse /
/needs /
/to /
/measure /
/the /
/temperature /
/of //
a/
/client /
/who /
/has //
a/
/history /
/of /
/heart /
/disease /
/and /
/has //eaten //a //bowl //of //vegetable //soup //45 //minutes //ago. //Which //site //should //the //nurse //use?
1. //Axilla
2. //Oral
3. //Popliteal
4. //Rectal //- //CORRECT //ANSWERS(S)✔✔2. //Oral
While /
/waiting /
/for /
/the /
/physician /
/to /
/respond /
/regarding //a //client's //elevated //temperature, //what //can //the //nurse //do //to //assist //the //client?
, 1. //Bathe //the //client //with //ice //water.
2. //Give //the //client //an //antipyretic.
3. //Increase //fluid //intake.
4. //Lower //the //room //temperature. //- //CORRECT //ANSWERS(S)✔✔3. //Increase //fluid //intake.
While /
/assessing /
/the /
/dorsalis /
/pedis /
/pulse /
/of //
a/
/client, /
/the /
/nurse /
/determines /
/that /
/the //pulse //is //absent. //However, //the //extremity //is //warm //and //pink //with //nail //beds //blanching
//at //
2 //to //3 //seconds //of //capillary //refilling //time. //How //would //the //nurse //explain //these //findings?
1. //A //change //in //the //client's //health //status //has //occurred.
2. //The //client //has //thrown //a //blood //clot //in //that //extremity.
3. //The //RN's //watch //has //stopped //working.
4. /
/Too /
/much /
/pressure /
/was /
/applied /
/over /
