NURS 3320

A nurse is preparing to asses a client who is new to the clinic. When beginning the collection of the client database, which of the following actions should the nurse prioritize? Establish a trusting relationship A nurse is interpreting and validating information from an older adult client who has been experiencing a functional decline. The nurse is in which phase of the interview? Working A 71-year-old woman has been admitted to the hospital for a vaginal hysterectomy, and the nurse is co...

The nurse is preparing to teach a client how to safely ambulate with crutches following surgery. Which principle of teaching and learning is most important? -the client knows not to have their axillae rest on the crutch pads to reduce the risk of injury -Ensure the client understands the proper height of the crutches -Gather all materials and plan the teaching presentation -Identify an appropriate time to provide the instruction when the client is alert and prepared to learn Identify an appr...

Test Bank NURS 3320 Perioperative Care Questions and Answers and Rationale 1. You are caring for a client 6 hours postsurgery. You observe that the client voids urine frequently and in small amounts. You know that this most probably indicates what? A) Requirement of intermittent catheterization B) Calculus formation C) Urine retention D) Urinary infection Ans: C Feedback: Voiding frequent, small amounts of urine indicates retention of urine with elimination of overflow. The nurse should ...

NURS3320 Assessment Final Review Questions with Complete Solutions.

ABDOMEN TEST EXAM QUESTIONS AND ANSWERS LATEST SOLUTION 1. During deep palpation of the client's abdomen, the nurse identifies a soft, nontender, solid mass extending 2 to 3 cm below the right costal margin. Which of the following actions would be most appropriate? A) Refer the client for medical follow-up. B) Evaluate further for a problem with the spleen. C) Assess urinary output. D) Document the position of the liver. 2. When reviewing the medications currently taken by a 50-year-old...

NUR3320 EXAM 2 QUESTIONS AND REVISED CORRECT ANSWERS The nurse sees a pattern on the fetal monitor that looks similar to early decelerations, but the deceleration begins near the acme of the contraction and continues well beyond the end of the contraction. Which nursing action indicates the proper evaluation of this situation? a. This pattern reflects variable decelerations. No interventions are necessary at this time. b. This deceleration pattern is associated with uteroplacent...

How do you assess distant visual acuity? Have patient stand 20 ft away from Snellen or E chart and ask to read each line aloud What does 20/20 vision mean? it means that a client can distinguish what a person with normal vision can distinguish from 20 ft away What is an abnormal finding associated with visual acuity? Myopia -- impaired far vision 2nd number will be higher 20/200 indicates legally blind How do you assess near visual acuity? Have patient hold vision chart 14" from...

What is the purpose of a comprehensive exam? Collection of subjective and objective data Created when a patient enters a health care system Serves as baseline data for comparison later What is the purpose of a partial, or on-going exam? Mini-overview of body systems and holistic health patterns Occurs only after baseline/comprehensive database has been established Used during follow-up visits What is the purpose of a focused exam? consists of a thorough assessment, but only co...

A client who had a Roux-en-Y bypass procedure for morbid obesity ate a chocolate chip cookie after a meal. After ingestion of the cookie, the client reported cramping pains, dizziness, and palpitation. After having a bowel movement, the symptoms resolved. What should the nurse educate the client about regarding this event? a. Gastric outlet obstruction b. Dumping syndrome c. Bile reflux d. Celiac disease b. dumping syndrom Dumping syndrome is an unpleasant set of vasomotor and GI sympto...

NURS 3320 - Assessment Exam 1 with 100% correct answers What are the types of assessments? - Correct Answer Initial comprehensive Ongoing Focused Emergency Normal BP - Correct Answer 120/80 Normal HR - Correct Answer 60-100 bpm Normal RR - Correct Answer 10-20 bpm, usually 1:4 with HR Normal SpO2 - Correct Answer >97% Normal oral temperature - Correct Answer 96-99.5F (35.8-37.3C) Normal axillary temperature - Correct Answer 1 degree Celsius lower than oral Norm...