NURSING FUNDAMENTALS MIDTERM EXAM Graded A+

1 A student nurse approaches the instructor and states, he staff nurse told me to witness this surgical consent after the surgeon signs it." What is the best response by the instructor? - "Students are not to serve as a witness to legal papers. Let's explain this to the staff nurse so they may have it witnessed." 3. A nurse is caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. Which of the following statements should the nurse make? - "Your daily routines will be different when you get home." "Tell me about your support system you'll have after you leave the hospital." "Let me tell you about a friend of mine with a colostomy who also enjoys swimming." 5. A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take when providing tracheostomy care? - Apply the oxygen source loosely if the SpOz decreases during the procedure. Use surgical asepsis to remove and clean the inner cannula. Clean the outer surfaces in a circular motion from the stoma site outward. A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? - Respiratory rate is 22/min with even, unlabored respirations. Skin is pink, warm, and dry. The assistive personnel reports the client walked with a limp. A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include? - Showing a client how to use progressive muscle relaxation. Performing a daily bath after the evening meal. Repositioning a client every 2 hr to reduce pressure ulcer risk. A client has been involved in a motor vehicle crash and has multiple injuries. What guiding principles of florence nightingale would assist this client recuperation and health maintenance. Select all that apply. - Clean air and water, Cleanliness,Light, Efficient drainage A client in chronic pain states that the pain medication does not work. What is the best response by the nurse? - A client is admitted to the acute care facility with a suspected case of malaria. What question is a priority for the nurse to ask related to this diagnosis? - "Have you recently traveled out of the country?"