Test Bank - Clinical Nursing Skills: A Concept-Based Approach, 4th Edition (Callahan, 2023) Chapter 1-16 | All Chapters

TestBankforClinicalNursingSkills:
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AConcept-BasedApproach
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4thEditionVolumeIII
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byPearsonEducationChapters1-16
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,TestBank forClinicalNursing Skills: AConcept-Based Approach 4th Edition Pearson
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,Clinical Nursing Skills:A Concept-Based Approach, 4e (Pearson)Education Test Bank
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Chapter1: Assessment
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1) A client on the medical/surgical unit complains of sudden chest pains. Which action will thenurse
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implement first?
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A) Call the healthcareprovider. s s s




B) Administerpain medication. s s




C) Reassess anew set of vital signs. s s s s s s




D) Turnclientfrom supinetolateral. s s s s s




ANSWER: C
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Explanation: A) The nurse will need to reassess the client first, before calling the healthcare s s s s s s s s s s s s s s




provider.
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B) Thenursewill need to reassess the client first, before administering pain medication.
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C) Thenurseneeds to implement a new set of vital signs first when there is a change in
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condition.
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D) Thenurse will need to reassess the client first, before movingthe client, to avoid making thechange
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in client's condition worse.
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PageRef: 2 s s




Cognitive Level: Applying s s




Client Need/Sub: Physiological Integrity: Reduction ofRisk Potential
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Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN Competencies:
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Patient-Centered Care
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AACN Domains and Comps.: Domain 2: Person-Centered CareNLN
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Competencies: Relationship Centered Care
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2) The nurse is observing the UAP taking the temperature of an unconscious client. Which routewill
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the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic
ANSWER: A
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Explanation: A) The temperature of an unconscious client is never taken by mouth. The rectal, s s s s s s s s s s s s s s




tympanic, or scanner method is preferred.
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B) The rectal, tympanic, orscanner methodis preferred.
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C) Therectal, tympanic, orscanner method is preferred.
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D) Therectal, tympanic, orscannermethodis preferred.
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PageRef: 24
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Cognitive Level: Applying s s




Client Need/Sub: Safeand Effective CareEnvironment: Safety and Infection Control Standards:
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NursingProcess: Evaluation |Learning Outcome: 1.1 |QSEN Competencies: SafetyAACN Domains
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and Comps.: Domain 5: Quality and Safety
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NLN Competencies: Quality & Safety
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1

, 3) Thenurseis changing a 2-month-old client's diaper and notes the client feels warm to touch.Which
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method should the nurseuse to check the baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic membrane s




ANSWER: C
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Explanation: A)Oral is used for age 3 orolder. s s s s s s s s s




B) The rectal route is the least desirable.
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C) The axillaryroute maynot be as accurate as other routes for detecting fevers in children.
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D) Thetympanicmembrane maybe used for3 months or older.Page
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Ref: 29
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Cognitive Level: Applying s s




Client Need/Sub: Physiological Integrity: Reduction ofRisk Potential
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Standards: NursingProcess: Evaluating | LearningOutcome: 1.2 |QSEN Competencies: Safety
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AACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies: Quality & Safety
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4) Aclient comes in with exacerbation of chronic obstructivepulmonarydisease (COPD). Which
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noninvasive diagnostic test will the nurse implement to know that the client is receiving enough
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oxygen?
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A) Chest x-ray s




B) Pulse oximeter s




C) Arterialblood gasses s s




D) Assessmentofrespiratoryrate s s s




ANSWER: B
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Explanation: A)A chest x-rayis not an intervention a nurse completes. s s s s s s s s s s s




B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or oxygen
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saturation, in theblood and provides a pulse reading, which is especiallyhelpful forthe clientwith a
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respiratoryillness or disease.
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C) Arterial blood gases arean invasivediagnostic test. s s s s s s s




D) Assessinga respiratory rate is important for the nurse to implement; however, it is not as s s s s s s s s s s s s s s




diagnostic test.
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Cognitive Level: Applying s s




Client Need/Sub: Physiological Integrity: Reduction ofRisk Potential
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Standards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN Competencies:
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Informatics
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AACN Domains and Comps.: Domain 5: Quality and SafetyNLN
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Competencies: Quality & Safety
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