NUR 2356 / NUR2356 Multidimensional Care I Final exam
Review
1. what is the nurse's propriety action for a client with compromised immunity?
- wash hands before entering the client's room.
2. The nurse is most concern about which of these findings in a client with systemic lupus
erythematous?
- urine output of 20mL/ hour
3. what is the priority intervention for the nurse to enhance meeting the psychosocial needs
of a client on transmission- base precaution?
- provide the client with diversional activities.
4. A client who is sitting in high- flower position is at risk for what type of injury as the skin
layer shift in opposite direction?
- friction injury
5. How many ml is two tablespoons?
- 30
,6. The client with rheumatoid arthritis is having her rheumatoid factor drawn while she is
having a flare- up of the disease. Which result is seen in client with rheumatoid arthritis?
- a positive rheumatoid factor
7. what is not potential complication of rheumatoid arthritis?
- paresthesia's
8. what is a symptom of the expected disease pattern of rheumatoid arthritis?
- bilateral joint pain
9. What is a priority nursing intervention for a client with lupus who is receiving steroids
for flare- up?
- The nurse washes their hands before entering the room.
10. what is a sign of inadequate perfusion?
- pallor in toes
11. A client is immobile and requires mechanical ventilation with a tracheostomy. She has a
pressure injury on her coccyx measuring 5cm by 3cm. The nurse observes bone and
tendon at the base of the wound. How would the nurse document this wound?
, - Stage IV pressure injury
12. What complication of wound healing is an abnormal passage that connect two body
cavities or a cavity and the skin?
- Fistula
13. A client sustain an injury to his heel while the unlicensed assistive personnel and the
nurse are moving him up in bed. What force caused the injury?
- shearing or friction
14. what is a classic symptom assessed in clients with lupus?
- butterfly rash
15. which client is at highest risk of compromise immunity?
- a client who has just had surgery
16. A nurse is teaching a client who has fibromyalgia about strategies that might help reduce
her symptoms. what should the nurse include in the client education?
- avoid exercise during flare- ups
Review
1. what is the nurse's propriety action for a client with compromised immunity?
- wash hands before entering the client's room.
2. The nurse is most concern about which of these findings in a client with systemic lupus
erythematous?
- urine output of 20mL/ hour
3. what is the priority intervention for the nurse to enhance meeting the psychosocial needs
of a client on transmission- base precaution?
- provide the client with diversional activities.
4. A client who is sitting in high- flower position is at risk for what type of injury as the skin
layer shift in opposite direction?
- friction injury
5. How many ml is two tablespoons?
- 30
,6. The client with rheumatoid arthritis is having her rheumatoid factor drawn while she is
having a flare- up of the disease. Which result is seen in client with rheumatoid arthritis?
- a positive rheumatoid factor
7. what is not potential complication of rheumatoid arthritis?
- paresthesia's
8. what is a symptom of the expected disease pattern of rheumatoid arthritis?
- bilateral joint pain
9. What is a priority nursing intervention for a client with lupus who is receiving steroids
for flare- up?
- The nurse washes their hands before entering the room.
10. what is a sign of inadequate perfusion?
- pallor in toes
11. A client is immobile and requires mechanical ventilation with a tracheostomy. She has a
pressure injury on her coccyx measuring 5cm by 3cm. The nurse observes bone and
tendon at the base of the wound. How would the nurse document this wound?
, - Stage IV pressure injury
12. What complication of wound healing is an abnormal passage that connect two body
cavities or a cavity and the skin?
- Fistula
13. A client sustain an injury to his heel while the unlicensed assistive personnel and the
nurse are moving him up in bed. What force caused the injury?
- shearing or friction
14. what is a classic symptom assessed in clients with lupus?
- butterfly rash
15. which client is at highest risk of compromise immunity?
- a client who has just had surgery
16. A nurse is teaching a client who has fibromyalgia about strategies that might help reduce
her symptoms. what should the nurse include in the client education?
- avoid exercise during flare- ups
