Nsg 201 saunders review test 1 questions a
re re re re re re re
nd answers
re
1.ID:re9477033456
Areclientreisrebeingredischargedrehomereafterreareroutinerehiprereplacementresurger
y.reTheen
r ursereisreinstructingrethereclientreonrehowretorepreventrepostoperativereco
mplications.reWhatrestatementsrebyrethereclientrewouldreindicaterethereneedreforre
furtherreteaching?
Selectreallrethatreapply.
A. “Limitingrefiberreisrenecessaryretoreavoidrediarrhea.”reCorrect
B. “IreshouldreemptyremyrebladderrewhenreIrefeelrethereurge.”
C. “Avoidingrepainremedicationrewillrepreventreconstipation.”reCorrect
D. “Ireshouldredrinkreplentyreofreliquidsrelikereicedreteareorrecoffee.”reCorrect
E. “Ireshouldrecontinuerewithremyrephysicalretherapyreandrewalking.”
Rationale:reConstipationreisrecommonreafterresurgeryredueretorepainremedication
,redecreasedremovement,reandreanesthesia.reFiberreintakereshouldrebereencourag
edreasreitep
r romotesretherepreventionreofrestoolreretention.reAlthoughrepainremedic
ationrecanrecauseecr onstipation,reitreshouldrenotrebereavoidedreinretherepost-
operativereperiod.reDrinkingreplentyreofrefluidsreisreencouragedreforrebothrebowelr
e andrebladderremaintenance,rebutretheecr lientreshouldrechooserenon-
caffeinatedreoptions.rePhysicalretherapy,rewalking,reandreexerciserewillrehelprepre
ventreconstipation.reEmptyingretherebladderrewhenrethereurgereis
presentrecanrehelprepreventreurinaryretractreinfections.
Testretakingrestrategy:reNoteretherestrategicrewordsreneedreforrefurtherreteaching.r
Theseew
e r ordsreindicaterearenegativereeventrequeryreandrethereneedretoreselectrethere
incorrectreclientesr tatements.reThinkreaboutretheremeasuresreneededreforrebowelrea
ndrebladderrecontrolreto
answerrecorrectly.reReview:rebowelreandrebladderremaintenance.
LevelreofreCognitivereAbility:reEvaluatingreCli
entreNeed:rePhysiologicalreIntegrityreIntegra
tedreProcess:reTeachingreandreLearning
ContentreArea:reFundamentalsreofreCare:rePerioperativereCare
GiddensreConcepts:reClientreEducation,reHealthrePromotion
HESIreConcepts:reHealthrePromotion,reTeachingreandreLearning/PatientreEducation
References:reGiddens,reJ.re(2013).reConceptsreforrenursingrepractice.re(p.re143).reSt.
Louis,reMO:reMosby.
Lewis,reS.,reDirksen,reS.,reHeitkemper,reM.,r e &reBucher,reL.r e (2014).reMedical-
surgicalr e
, nursing:reAssessmentreandremanagementreofreclinicalreproblemsre(9th
ed.,repp.re969,re1089-
1090).reSt.reLouis:reMosby.reAwardedre3.0repoi
ntsreoutreofre3.0repossiblerepoints.
2.ID:re9477039828
TherenursereisrecaringreforreareVietnamesereclientrediagnosedrewithretuberculosis.reThe
clientrespeaksrelimitedreEnglish.reWhatreshouldretherenurseredoretoreensurerethereclie
ntreanderfamilyrereceivesretheremostreaccuratereinformation?reSelectreallrethatreappl
y.
A. Providereculturallyresensitivereeducation.reCorrect
B. Encouragerefamilyremembersretoreobtainrearetuberculosisreskinretest.
Correct
C. ProviderewrittenreinstructionsreinreEnglishreforrethereclientretorereference.
, D. Encouragerethereclientreandrefamilyretorewashreallredishesrebyreha
ndretoep
r reventretherespreadreofreinfection.reIncorrect
E. Urgereallrefamilyreandrecloserecontactrecommunityremembersretoresee
kreandercompleteretreatmentretoreenhancerecompliance.reCorrect
Rationale:reAsrealways,retherenurseremustreprovidereculturallyresensitivereeducation.
Becauseretuberculosisreisrehighlyrecontagious,reallrefamilyremembersreandrecloser
e communityremembersreshouldrehaverearetuberculosisreskinretest,reseekretreatm
ent,reanderr emainrecompliant.reArefullrecoursereofre6-
9imited
remonthsreofretreatmentreisreneededretorepreventer e- the best way to prevent
English skills. Washing dishes by hand is rnot
infection.reInstructionsrewrittenreinreEnglishrearerenotrehelpfulreforrethereclientrewi
th
l
infection;reratherrearedishwasherreshouldrebereusedreifreavailable.
TestreTakingreStrategy:reFocusreonretherestrategicrewordremostretoreselectrecorrect
re optionsrethatrerelateretoreappropriatereteachingreforrebothrethereclientreandrefami
lyremembers.reAlso,refocusingreonretheredatareinretherequestionrewillreassistreinreansw
ering.
Review:reTuberculosis
LevelreofreCognitivereAbility:reApplying
ClientreNeeds:reSafereandreEffectivereCarereEnvironmentr
eIntegratedreProcess:reNursingreProcess:reImplementati
onerContentreArea:reFundamentalsreofreCare:reInfectionreC
ontrolerPriorityreConcepts:reClientreEducation,reInfection
HESIreConcepts:reInfection,reTeachingreandreLearning/PatientreEducation
References:reGiger,reJ.re(2013).reTransculturalrenursingreassessmentre&reintervention.
(6th
ed.rep.re445,re455).reSt.reLouis:reMosby.
Lewis,reS.,reDirksen,reS.,reHeitkemper,reM.,re&reBucher,reL.re(2014).reMedical-surgicalr e
nursing:reAssessmentreandremanagementreofreclinicalreproblemsre(9threed.,rep.re53
3).reSt.erLouis:reMosby.
Awardedre1.0repointsreoutreofre3.0repossiblerepoints.
3.ID:re9477038294
Areclientrewithreanxietyrehasrejustrebeenreseenrebyretherehealthrecarereproviderreand
re hasrebeenreprescribedrealprazolam.reThereclientreasksretherenurserehowrelongreitrew
illretakereforetr heremedicationretorebuildreuprearesteadyrestatereinreherrebody.reIfrethere
halfrelifereofrethisremedicationreisreapproximatelyre11rehours,reapproximatelyrehow
re longrewillreitretakerefor
thisremedicationretorebuildreupreandrereachrearesteadyrestate? hours
Incorrect
, CorrectreResponses
A.r e 55
Rationale:reTherehalfrelifereofrearemedicationreisrethereamountreofretimereitretakesrefo
rre50%reofetr heremedicationretoreleaveretheresystem.reSteadyrestatereisretherepointrew
hererethereconcentrationreofretheremedicationreisreequalrebasedreonretheremedicat
ion leaving
ife reof retherebodyresystemreandrenewremedicationreenteringre theresystem.reA
11 hours. For all medications, it takes approximately five times the half life
lprazolamre hasrearehalf
l
torereachresteadyrestate.reThereforeretheresteadyrestatereforrethisremedicationreisre
55rehourse(r 11rexre5re=re55).
re re re re re re re
nd answers
re
1.ID:re9477033456
Areclientreisrebeingredischargedrehomereafterreareroutinerehiprereplacementresurger
y.reTheen
r ursereisreinstructingrethereclientreonrehowretorepreventrepostoperativereco
mplications.reWhatrestatementsrebyrethereclientrewouldreindicaterethereneedreforre
furtherreteaching?
Selectreallrethatreapply.
A. “Limitingrefiberreisrenecessaryretoreavoidrediarrhea.”reCorrect
B. “IreshouldreemptyremyrebladderrewhenreIrefeelrethereurge.”
C. “Avoidingrepainremedicationrewillrepreventreconstipation.”reCorrect
D. “Ireshouldredrinkreplentyreofreliquidsrelikereicedreteareorrecoffee.”reCorrect
E. “Ireshouldrecontinuerewithremyrephysicalretherapyreandrewalking.”
Rationale:reConstipationreisrecommonreafterresurgeryredueretorepainremedication
,redecreasedremovement,reandreanesthesia.reFiberreintakereshouldrebereencourag
edreasreitep
r romotesretherepreventionreofrestoolreretention.reAlthoughrepainremedic
ationrecanrecauseecr onstipation,reitreshouldrenotrebereavoidedreinretherepost-
operativereperiod.reDrinkingreplentyreofrefluidsreisreencouragedreforrebothrebowelr
e andrebladderremaintenance,rebutretheecr lientreshouldrechooserenon-
caffeinatedreoptions.rePhysicalretherapy,rewalking,reandreexerciserewillrehelprepre
ventreconstipation.reEmptyingretherebladderrewhenrethereurgereis
presentrecanrehelprepreventreurinaryretractreinfections.
Testretakingrestrategy:reNoteretherestrategicrewordsreneedreforrefurtherreteaching.r
Theseew
e r ordsreindicaterearenegativereeventrequeryreandrethereneedretoreselectrethere
incorrectreclientesr tatements.reThinkreaboutretheremeasuresreneededreforrebowelrea
ndrebladderrecontrolreto
answerrecorrectly.reReview:rebowelreandrebladderremaintenance.
LevelreofreCognitivereAbility:reEvaluatingreCli
entreNeed:rePhysiologicalreIntegrityreIntegra
tedreProcess:reTeachingreandreLearning
ContentreArea:reFundamentalsreofreCare:rePerioperativereCare
GiddensreConcepts:reClientreEducation,reHealthrePromotion
HESIreConcepts:reHealthrePromotion,reTeachingreandreLearning/PatientreEducation
References:reGiddens,reJ.re(2013).reConceptsreforrenursingrepractice.re(p.re143).reSt.
Louis,reMO:reMosby.
Lewis,reS.,reDirksen,reS.,reHeitkemper,reM.,r e &reBucher,reL.r e (2014).reMedical-
surgicalr e
, nursing:reAssessmentreandremanagementreofreclinicalreproblemsre(9th
ed.,repp.re969,re1089-
1090).reSt.reLouis:reMosby.reAwardedre3.0repoi
ntsreoutreofre3.0repossiblerepoints.
2.ID:re9477039828
TherenursereisrecaringreforreareVietnamesereclientrediagnosedrewithretuberculosis.reThe
clientrespeaksrelimitedreEnglish.reWhatreshouldretherenurseredoretoreensurerethereclie
ntreanderfamilyrereceivesretheremostreaccuratereinformation?reSelectreallrethatreappl
y.
A. Providereculturallyresensitivereeducation.reCorrect
B. Encouragerefamilyremembersretoreobtainrearetuberculosisreskinretest.
Correct
C. ProviderewrittenreinstructionsreinreEnglishreforrethereclientretorereference.
, D. Encouragerethereclientreandrefamilyretorewashreallredishesrebyreha
ndretoep
r reventretherespreadreofreinfection.reIncorrect
E. Urgereallrefamilyreandrecloserecontactrecommunityremembersretoresee
kreandercompleteretreatmentretoreenhancerecompliance.reCorrect
Rationale:reAsrealways,retherenurseremustreprovidereculturallyresensitivereeducation.
Becauseretuberculosisreisrehighlyrecontagious,reallrefamilyremembersreandrecloser
e communityremembersreshouldrehaverearetuberculosisreskinretest,reseekretreatm
ent,reanderr emainrecompliant.reArefullrecoursereofre6-
9imited
remonthsreofretreatmentreisreneededretorepreventer e- the best way to prevent
English skills. Washing dishes by hand is rnot
infection.reInstructionsrewrittenreinreEnglishrearerenotrehelpfulreforrethereclientrewi
th
l
infection;reratherrearedishwasherreshouldrebereusedreifreavailable.
TestreTakingreStrategy:reFocusreonretherestrategicrewordremostretoreselectrecorrect
re optionsrethatrerelateretoreappropriatereteachingreforrebothrethereclientreandrefami
lyremembers.reAlso,refocusingreonretheredatareinretherequestionrewillreassistreinreansw
ering.
Review:reTuberculosis
LevelreofreCognitivereAbility:reApplying
ClientreNeeds:reSafereandreEffectivereCarereEnvironmentr
eIntegratedreProcess:reNursingreProcess:reImplementati
onerContentreArea:reFundamentalsreofreCare:reInfectionreC
ontrolerPriorityreConcepts:reClientreEducation,reInfection
HESIreConcepts:reInfection,reTeachingreandreLearning/PatientreEducation
References:reGiger,reJ.re(2013).reTransculturalrenursingreassessmentre&reintervention.
(6th
ed.rep.re445,re455).reSt.reLouis:reMosby.
Lewis,reS.,reDirksen,reS.,reHeitkemper,reM.,re&reBucher,reL.re(2014).reMedical-surgicalr e
nursing:reAssessmentreandremanagementreofreclinicalreproblemsre(9threed.,rep.re53
3).reSt.erLouis:reMosby.
Awardedre1.0repointsreoutreofre3.0repossiblerepoints.
3.ID:re9477038294
Areclientrewithreanxietyrehasrejustrebeenreseenrebyretherehealthrecarereproviderreand
re hasrebeenreprescribedrealprazolam.reThereclientreasksretherenurserehowrelongreitrew
illretakereforetr heremedicationretorebuildreuprearesteadyrestatereinreherrebody.reIfrethere
halfrelifereofrethisremedicationreisreapproximatelyre11rehours,reapproximatelyrehow
re longrewillreitretakerefor
thisremedicationretorebuildreupreandrereachrearesteadyrestate? hours
Incorrect
, CorrectreResponses
A.r e 55
Rationale:reTherehalfrelifereofrearemedicationreisrethereamountreofretimereitretakesrefo
rre50%reofetr heremedicationretoreleaveretheresystem.reSteadyrestatereisretherepointrew
hererethereconcentrationreofretheremedicationreisreequalrebasedreonretheremedicat
ion leaving
ife reof retherebodyresystemreandrenewremedicationreenteringre theresystem.reA
11 hours. For all medications, it takes approximately five times the half life
lprazolamre hasrearehalf
l
torereachresteadyrestate.reThereforeretheresteadyrestatereforrethisremedicationreisre
55rehourse(r 11rexre5re=re55).
