D439 Foundations Of Nursing Oa Approval Q & A With
Complete Solutions(2025)
The Nurse Is Caring For Four Clients. The Client With Which Clinical Manifestation Requires Immediate
Attention From The Nurse?
Ans:>Respiratory Rate Of 25 Breaths Per Minute After Resting For 3 Minutes After Activity
The Nurse Places A Client Who Had Abdominal Surgery In The Semi-Fowler Position. The Client States, "I
Prefer To Lie Flat When In Bed. I Feel Like I Am Almost Sitting Up." Which Is An Appropriate Response By
The Nurse?
Ans:>"Lifting Your Chest Above Your Abdomen Facilitates Drainage In Your Wound Drains."
The Nurse Is Educating A Client Who Has Just Been Prescribed A Diuretic About How To Safely Perform
Activities Of Daily Living. Which Statement Should The Nurse Include In The Teaching
Ans:>Change Positions Slowly To Minimize Orthostatic Hypotension
The Nurse Recognizes That Which Statements Made By A Patient Indicate An Understanding Of
Behaviors That Will Promote Sleep? (Select All That Apply.)
Ans:>"I Will Not Watch Television In Bed."
"I Will Not Drink Caffeine Later In The Day."
"I Will Start To Exercise Regularly During The Day."
Your Patient Is Being Discharged Home And Will Be Required To Self-Administer Injectable Heparin. You
Are Observing The Patient Administer Their Scheduled Dose Of Heparin To Confirm That The Patient
, Knows How To Do It Correctly. What Action By The Patient Requires You To Re-Educate Them About
How To Administer Heparin?
The Patient Injects The Needle 1 Inch Away From The Umbilicus
A Nurse Caring For Patients In A Long-Term Care Facility Is Often Required To Collect Urine Specimens
From Patients For Laboratory Testing. Which Techniques For Urine Collection Are Performed Correctly?
Select All That Apply.
The Nurse Collects About 3 Ml Of Urine From A Patient's Indwelling Catheter To Send For A Urine
Culture.
The Nurse Discards The First Urine Of The Day When Performing A 24-Hour Urine Specimen Collection
On A Patient.
The Nurse Is Caring For A 60-Year-Old Client With A Diagnosis Of C-Diff And Is Incontinent Who Requires
Frequent Linen Changes. What Should The Nurse Be Most Concerned For
Impaired Skin Integrity
The Nurse Is Making An Occupied Bed. Which Nursing Action Is Most Important
Ensuring That The Client's Head Is Supported And Is In Functional Alignment
When Giving A Client A Bed Bath, A Nurse Washes The Client's Extremities From Distal To Proximal.
Which Of The Following Rationales Best Supports This Nursing Action?
Stimulates Venous Return
The Nurse Is Caring For A Debilitated Female Client With Nocturia. Which Nursing Intervention Is The
Priority When Planning To Meet This Client's Needs
Positioning A Bedside Commode Near The Bed
Complete Solutions(2025)
The Nurse Is Caring For Four Clients. The Client With Which Clinical Manifestation Requires Immediate
Attention From The Nurse?
Ans:>Respiratory Rate Of 25 Breaths Per Minute After Resting For 3 Minutes After Activity
The Nurse Places A Client Who Had Abdominal Surgery In The Semi-Fowler Position. The Client States, "I
Prefer To Lie Flat When In Bed. I Feel Like I Am Almost Sitting Up." Which Is An Appropriate Response By
The Nurse?
Ans:>"Lifting Your Chest Above Your Abdomen Facilitates Drainage In Your Wound Drains."
The Nurse Is Educating A Client Who Has Just Been Prescribed A Diuretic About How To Safely Perform
Activities Of Daily Living. Which Statement Should The Nurse Include In The Teaching
Ans:>Change Positions Slowly To Minimize Orthostatic Hypotension
The Nurse Recognizes That Which Statements Made By A Patient Indicate An Understanding Of
Behaviors That Will Promote Sleep? (Select All That Apply.)
Ans:>"I Will Not Watch Television In Bed."
"I Will Not Drink Caffeine Later In The Day."
"I Will Start To Exercise Regularly During The Day."
Your Patient Is Being Discharged Home And Will Be Required To Self-Administer Injectable Heparin. You
Are Observing The Patient Administer Their Scheduled Dose Of Heparin To Confirm That The Patient
, Knows How To Do It Correctly. What Action By The Patient Requires You To Re-Educate Them About
How To Administer Heparin?
The Patient Injects The Needle 1 Inch Away From The Umbilicus
A Nurse Caring For Patients In A Long-Term Care Facility Is Often Required To Collect Urine Specimens
From Patients For Laboratory Testing. Which Techniques For Urine Collection Are Performed Correctly?
Select All That Apply.
The Nurse Collects About 3 Ml Of Urine From A Patient's Indwelling Catheter To Send For A Urine
Culture.
The Nurse Discards The First Urine Of The Day When Performing A 24-Hour Urine Specimen Collection
On A Patient.
The Nurse Is Caring For A 60-Year-Old Client With A Diagnosis Of C-Diff And Is Incontinent Who Requires
Frequent Linen Changes. What Should The Nurse Be Most Concerned For
Impaired Skin Integrity
The Nurse Is Making An Occupied Bed. Which Nursing Action Is Most Important
Ensuring That The Client's Head Is Supported And Is In Functional Alignment
When Giving A Client A Bed Bath, A Nurse Washes The Client's Extremities From Distal To Proximal.
Which Of The Following Rationales Best Supports This Nursing Action?
Stimulates Venous Return
The Nurse Is Caring For A Debilitated Female Client With Nocturia. Which Nursing Intervention Is The
Priority When Planning To Meet This Client's Needs
Positioning A Bedside Commode Near The Bed
