nursing 327 exam 1 with precise detailed
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answers
The |perioperative |nurse |is |preparing |to |discharge |a |female |client |home |from |day |surgery |performed |
under |general |anesthetic. |What |instruction |should |the |nurse |give |the |client |prior |to |the |client |leaving |
the |hospital? |- |correct |answer | |The |client |shouldnt |drive |home
The |nurse |is |caring |for |a |patient |who |experienced |trauma |in |a |workplace |accident. |The |patient |is |
complaining |of |having |trouble |breathing. |ABG |reveals |the |following |results |pH |7.28, |PaCO2 |50 |mmhg.
|HCO325 |mEq/l. |The |nurse |should |recognize |the |likelihood |of |what |acid |base |disorder? |- |correct |
answer | |Respiratory |acidosis
The |nurse |is |caring |for |a |79 |year |old |man |who |has |returned |to |the |post |surgical |unit |following |
abdominal |surgery. |The |client |is |unable |to |ambulate |and |is |now |refusing |to |wear |an |external |
pneumatic |compression |stockings. |The |nurse |should |explain |that |refusing |to |wear |external |pneumatic
|compression |stockings |increases |his |risk |of |what |postsurgical |complication? |- |correct |answer | |
Pulmonary |embolism
When |a |hospitalized |client |is |in |contact |precautions, |what |action |is |necessary? |- |correct |answer | |
Should |be |placed |in |a |private |room |if |possible
An |elderly |client |with |significant |dementia |is |brought |to |emergency |care |triage |stating |that |she |
believes |people |are |invading |her |bedroom |several |times |a |night |trying |to |take |her |purse. |The |
caregiver |is |concerned |about |a |stroke |because |the |client |complains |of |a |constant |tingling |in |her |lips |
and |fingertips. |The |client |has |the |following |arterial |blood |gas |(ABG) |values |pH7.55, |; |partial |pressure |
of |arterial |oxygen |(PaO2) |27 |mmhg, |and |bicarbonate |(HCO3) |24 |meq/l. |Based |on |these |values, |the |
nurse |suspects: |- |correct |answer | |Respiratory |alkaloids
The |nurse |is |providing |preoperative |teaching |to |a |client |scheduled |for |surgery. |The |nurse |is |
instructing |the |client |the |use |of |deep |breathing, |coughing, |and |the |use |of |incentive |spirometry |when |
the |client |states, |"I |don't |know |why |you're |focusing |on |my |breathing, |My |surgery |is |on |my |hip, |not |
my |chest." |what |rationale |for |these |instructions |should |the |nurse |apply? |- |correct |answer | |Promote |
optimal |lung |expansion
, The |nurse |is |giving |an |analgesic |to |an |older |adult |patient. |Why |is |it |important |for |the |nurse |to |assess |
the |patient |carefully? |- |correct |answer | |Older |clients |are |more |sensitive |to |drugs
To |prevent |pneumonia |and |promote |the |integrity |of |the |pulmonary |system, |an |essential |
postoperative |nursing |intervention |includes |- |correct |answer | |Ambulate |client |as |soon |as |possible
A |client |in |the |emergency |department |is |diagnosed |with |a |communicable |disease. |When |
complications |of |the |disease |are |discovered, |the |client |is |admitted |to |the |hospital |and |placed |in |
respiratory |isolation. |Which |infection |warrants |airborne |isolation? |- |correct |answer | |Measles
The |nurse |is |preparing |an |elderly |client |for |a |scheduled |removal |of |orthopedic |hardware, |a |procedure
|to |be |performed |under |general |anesthetic, |for |which |adverse |effect |should |the |nurse |most |closely |
monitor |the |client? |- |correct |answer | |Hypothermia
The |nurse |is |doing |preoperative |client |education |with |a |61 |year |old |male |client |who |has |a |40 |pack |
year |history |of |cigarette |smoking. |The |client |will |undergo |an |elective |bunionectomy |at |a |time |that |fits
|his |work |schedule |in |a |few |months. |What |would |be |the |best |instruction |to |give |to |this |client? |- |
correct |answer | |The |patient |should |be |smoke |free |for |at |least |a |month |preop
A |client |with |chronic |renal |failure |has |a |serum |potassium |level |of |6.8 |meq/l. |What |should |the |nurse |
assess |first? |- |correct |answer | |The |patient's |pulse
A |newly |graduated |nurse |is |admitting |a |client |with |a |long |history |of |emphysema. |The |nurse |learns |
that |the |client's |PaCO2 |has |been |between |56 |and |64 |mmhg |for |several |months. |What |should |the |
nurse |be |cautious |administering |oxygen? |- |correct |answer | |Using |O2 |may |result |in |the |client |
developing |CO2 |necrosis |and |hypoxemia
A |client |is |administered |succinylcholine |and |propofol |for |induction |of |anesthesia. |One |hour |after |
administration, |the |client |demonstrates |muscle |rigidity |with |a |heart |rate |of |180. |What |should |the |
nurse |do |first? |- |correct |answer | |Notify |the |surgical |team
The |nurse |is |caring |for |an |unconscious |trauma |victim |who |needs |emergency |surgery. |The |client |is |a |
55 |year |old |man |with |an |adult |son. |He |is |legally |divorced |and |is |planning |to |be |remarried |in |a |few |
weeks. |His |parents |are |the |hospital |with |the |other |family |members. |The |physician |has |explained |the |
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answers
The |perioperative |nurse |is |preparing |to |discharge |a |female |client |home |from |day |surgery |performed |
under |general |anesthetic. |What |instruction |should |the |nurse |give |the |client |prior |to |the |client |leaving |
the |hospital? |- |correct |answer | |The |client |shouldnt |drive |home
The |nurse |is |caring |for |a |patient |who |experienced |trauma |in |a |workplace |accident. |The |patient |is |
complaining |of |having |trouble |breathing. |ABG |reveals |the |following |results |pH |7.28, |PaCO2 |50 |mmhg.
|HCO325 |mEq/l. |The |nurse |should |recognize |the |likelihood |of |what |acid |base |disorder? |- |correct |
answer | |Respiratory |acidosis
The |nurse |is |caring |for |a |79 |year |old |man |who |has |returned |to |the |post |surgical |unit |following |
abdominal |surgery. |The |client |is |unable |to |ambulate |and |is |now |refusing |to |wear |an |external |
pneumatic |compression |stockings. |The |nurse |should |explain |that |refusing |to |wear |external |pneumatic
|compression |stockings |increases |his |risk |of |what |postsurgical |complication? |- |correct |answer | |
Pulmonary |embolism
When |a |hospitalized |client |is |in |contact |precautions, |what |action |is |necessary? |- |correct |answer | |
Should |be |placed |in |a |private |room |if |possible
An |elderly |client |with |significant |dementia |is |brought |to |emergency |care |triage |stating |that |she |
believes |people |are |invading |her |bedroom |several |times |a |night |trying |to |take |her |purse. |The |
caregiver |is |concerned |about |a |stroke |because |the |client |complains |of |a |constant |tingling |in |her |lips |
and |fingertips. |The |client |has |the |following |arterial |blood |gas |(ABG) |values |pH7.55, |; |partial |pressure |
of |arterial |oxygen |(PaO2) |27 |mmhg, |and |bicarbonate |(HCO3) |24 |meq/l. |Based |on |these |values, |the |
nurse |suspects: |- |correct |answer | |Respiratory |alkaloids
The |nurse |is |providing |preoperative |teaching |to |a |client |scheduled |for |surgery. |The |nurse |is |
instructing |the |client |the |use |of |deep |breathing, |coughing, |and |the |use |of |incentive |spirometry |when |
the |client |states, |"I |don't |know |why |you're |focusing |on |my |breathing, |My |surgery |is |on |my |hip, |not |
my |chest." |what |rationale |for |these |instructions |should |the |nurse |apply? |- |correct |answer | |Promote |
optimal |lung |expansion
, The |nurse |is |giving |an |analgesic |to |an |older |adult |patient. |Why |is |it |important |for |the |nurse |to |assess |
the |patient |carefully? |- |correct |answer | |Older |clients |are |more |sensitive |to |drugs
To |prevent |pneumonia |and |promote |the |integrity |of |the |pulmonary |system, |an |essential |
postoperative |nursing |intervention |includes |- |correct |answer | |Ambulate |client |as |soon |as |possible
A |client |in |the |emergency |department |is |diagnosed |with |a |communicable |disease. |When |
complications |of |the |disease |are |discovered, |the |client |is |admitted |to |the |hospital |and |placed |in |
respiratory |isolation. |Which |infection |warrants |airborne |isolation? |- |correct |answer | |Measles
The |nurse |is |preparing |an |elderly |client |for |a |scheduled |removal |of |orthopedic |hardware, |a |procedure
|to |be |performed |under |general |anesthetic, |for |which |adverse |effect |should |the |nurse |most |closely |
monitor |the |client? |- |correct |answer | |Hypothermia
The |nurse |is |doing |preoperative |client |education |with |a |61 |year |old |male |client |who |has |a |40 |pack |
year |history |of |cigarette |smoking. |The |client |will |undergo |an |elective |bunionectomy |at |a |time |that |fits
|his |work |schedule |in |a |few |months. |What |would |be |the |best |instruction |to |give |to |this |client? |- |
correct |answer | |The |patient |should |be |smoke |free |for |at |least |a |month |preop
A |client |with |chronic |renal |failure |has |a |serum |potassium |level |of |6.8 |meq/l. |What |should |the |nurse |
assess |first? |- |correct |answer | |The |patient's |pulse
A |newly |graduated |nurse |is |admitting |a |client |with |a |long |history |of |emphysema. |The |nurse |learns |
that |the |client's |PaCO2 |has |been |between |56 |and |64 |mmhg |for |several |months. |What |should |the |
nurse |be |cautious |administering |oxygen? |- |correct |answer | |Using |O2 |may |result |in |the |client |
developing |CO2 |necrosis |and |hypoxemia
A |client |is |administered |succinylcholine |and |propofol |for |induction |of |anesthesia. |One |hour |after |
administration, |the |client |demonstrates |muscle |rigidity |with |a |heart |rate |of |180. |What |should |the |
nurse |do |first? |- |correct |answer | |Notify |the |surgical |team
The |nurse |is |caring |for |an |unconscious |trauma |victim |who |needs |emergency |surgery. |The |client |is |a |
55 |year |old |man |with |an |adult |son. |He |is |legally |divorced |and |is |planning |to |be |remarried |in |a |few |
weeks. |His |parents |are |the |hospital |with |the |other |family |members. |The |physician |has |explained |the |
