Nurs 325 Comprehensive Final Exam Questions and Answers | Latest Version | 2024/2025 | Already Passed

Nurs 325 Comprehensive Final Exam Questions and Answers | Latest Version | 2024/2025 | Already Passed When a client shows signs of hypoxia, what early responses should the nurse look for? Select all that apply. - An increased heart rate - Difficulty breathing - Restlessness - Bradypnea - Irritability The nurse should look for increased heart rate, restlessness, and irritability as early indicators of hypoxia. --- A nurse notices that a client's IV infusion has infiltrated. What is the next appropriate action? - Clamp the tubing and initiate an incident report - Remove the infusion and start it in another site - Slow the infusion to a rate just to keep the vein open - Notify the primary healthcare provider The nurse should remove the infusion and start it in another site to address the infiltration promptly. --- After surgery, a nurse is assessing clients and needs to identify any potential life-threatening events. Which sudden client response should be of concern? - A slightly elevated temperature - Separation of wound edges - Edema of the legs - Chest pain Chest pain is a potentially life-threatening event and requires immediate attention from the nurse. --- A client mentions having a bowel movement every morning. Which additional information should raise concern for perceived constipation? - Hard, dry stools defecated daily - Excessive use of laxatives - Abdominal distention - Straining at stool Excessive use of laxatives indicates a concern for perceived constipation and should be addressed. --- Before administering a sedative to a client pre-surgery, what should the nurse do first? - Verify that the perioperative checklist is completed - Check that the surgical consent is signed - Ensure that the intravenous line is in place - Assess vital signs The nurse should first check that the surgical consent is signed to ensure that all legal requirements are met. --- The primary healthcare provider prescribes 500 mg of an antibiotic to be administered IV piggyback (IVPB) every 6 hours. The vial contains 1 g of the antibiotic in powder form, with instructions to "instill 9.6 mL to yield