NSG-300 Exam 3 | Real Exam Questions & Verified Answers
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visually impaired client states he has lost the call light. what is the next step the
nurse should take
a. clip call light closer to pt
b. tell client call light is clipped to bed
c. describe call light location, then guide client's hand to that location
d. instruct client to verbally call for staff member because someone is always
nearby - SOLUTION=C- describe call light location, then guide client's hand to
that location
which recommendation in the plan of care is most appropriate for client with
damage to chemoreceptors of upper nasal passages
a. arranging for lighted signals on doorbells and telephones
b. obtain thermometer for testing bath water temp
c. installing amplification devices on tvs, doorbells, and phones
d. scheduling yearly safety checks of gas hot water heaters and furnaces -
SOLUTION=D- scheduling yearly safety checks of gas hot water heaters and
furnaces
which goal statement is appropriate for a pt with the nursing dx of "impaired
memory"
a. pt will remember nurses name
b. nurse will remind pt of his/her name each shift
c. pt will state name and date with each nursing encounter
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d. nurse will remind pt of name and date with each nursing encounter -
SOLUTION=C- pt will state name and date with each nursing encounter
which hospitalized pt is most likely to suffer from sensory deprivation
a. ICU pt on ventilator
b. bedridden pt with MRSA
c. ambulatory postop pt
d. pt admitted for diabetes management - SOLUTION=B-bedridden pt w
deprivation
when administering meds to elderly pt, what info does the nurse need to
understand
a. start with low dosage and inc dosage as needed for pain relief
b. start with low dosage and dec dosage as indicated for pain - SOLUTION=A-
start with low dosage and inc dosage as needed for pain relief
what statement best describes dosage of pain med that a nurse should administer
given pharm tx considerations - SOLUTION=a dose that best manages pain with
fewest side effects
a pt still reports pain at level 9-10 after getting IV pain meds 1hr ago and practiced
relaxation techniques what should the nurse implement next - SOLUTION=report
lack of pain relief to primary care provider
the endocrine system releases excessive hormones during acute pain. the nurse
should monitor patients experiencing acute pain for what potential problem
a. hyperglycemia
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b. migraine
c. hypokalemia
d. constipation - SOLUTION=A-hyperglycemia
UAP scope of practice for pain - SOLUTION=-non pharm measures (music, env,
back massage)
cardiac issues are indicated by - SOLUTION=feeling of an elephant sitting on a
chest
Cataplexy (narcolepsy) - SOLUTION=Attacks of paralysis; sudden muscle
weakness during intense emotions (temporary freeze/ paralysis)
parasomnias - SOLUTION=Abnormal behaviors such as nightmares or
sleepwalking that occur during sleep.
purpose of sleep - SOLUTION=Physiological, psychological restoration and
maintenance of biological functions
health disruptions related to impaired sleep - SOLUTION=-hypertension/resp.
disorders
-nocturia
-restless leg syndrome
-drugs/substances
-lifestyle
-emotional stress
-exercise/fatigue
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-environment
-sleep patterns
-food/calorie intake
how do hypertension/resp disorders contribute to impaired sleep - SOLUTION=-
increased incidence of nocturnal angina
-increased HR
-electrocardiogram changes
-risk of heart diseases and stroke
nocturia - SOLUTION=urination at night
restless leg syndrome - SOLUTION=sleep disorder in which the sufferer has
uncomfortable sensations in the legs when trying to fall asleep that are relieved by
moving the legs (discomfort, aching, twitching)
-may be caused by iron deficient anemia
impaired respiration affects which CNS parts - SOLUTION=medulla
oblangata/spinal cord
hypoventilation - SOLUTION=decreased rate or depth of air movement into the
lungs
Causes excessive CO2 retention= respiratory acidosis & respiratory arrest
S/S: mental status change, dysrhythmias, cardiac arrect, convulsions,
unconsciousness, death