chronic exam 1

50問 • 2年前

問題一覧

What is a nurse's priority in caring for a dying patient, Pt is short of breath and you want to keep them comfortable

pain meds

You are planning a staff education conference about Instrumental activities of daily living IADL; what activity from the box below should the nurse perform.

shopping preparing meals doing housework taking meds

You teaching an older client who has arthritis about interventions to improve sexual functions; which of the following statement by the client needs further teaching?

I should apply an ice pack on my affected joint before sexual activity.

4. You are working in ED you caring for a psych client with dehydration, which client the nurse identifies as the most likely underlying condition.

client who has 8.2% a1c and tingling in their toes

5. You providing health education for a client who has a chronic venous stasis wound which of the following instruction should the nurse include.

refrain from crossing your legs, ankles

6. You caring for older client female which of the following findings make the nurse for further question their client regarding possible infection of HIV

6 vaginal yeast infections in the last 12 months.

7. you caring for an older client who has HIV which of the following action by the nurse is bolded most effective to prevent exposure

the nurse need to wear gloves

8. You working on a clinic caring for a 65 years old; during a routine visit, the client report having multiple sex partners in the last year and their concern they may be HIV positive which of the following action by the nurse is appropriate

ask them any signs and symptoms they been experiencing.

9. You working in a public health clinic a geriatric client who has been receiving medication tx for HIV for 2 years the client said to the nurse that the dr say my cd4 count today was normal is that good, which of the following response is appropriate by the nurse.

count normal because the medication was working

10.You conducted a staff education about geriatric syndromes; which factors from the box below should the nurse include as an example of geriatric syndrome?

frailty, deliruim, pressure ulcer, urinary incontinence

11. You are caring for a client with AIDS and being admitted to the unit; which of the following actions by the nurse is appropriate?

Use of standard precautions

12.You are providing care for a hospice client who is in the last stage of dying process; the client has a pressure ulcer on the sacrum and family member tell the nurse they would like a specialist to consult the ulcer; when the nurse discuss this with the client, the client state they would like to have their wound look at by someone, which of the following action should the nurse take next?

tell the family the wound care specialist will be consulted.

13.You are planning a health education about elderly abuse, which of the following should the nurse include?

the client who has hx of alzheimer's

14.Nursing planning intervention for a client who is recently a widow and experiencing a withdrawal stage of adjustment to widowhood which of the following action is most appropriate for the nurse to take?

encourage the client to assist the support group/ and give them guidance on how to find a support group.

15.Nurse being trained in hospice care which of the following intervention by the nurse is most compatible with their goals of end-of-life care for the client?

Assist client and family member to continue to engage in activity to enjoy together.

16. A nurse is caring for a client who presents with broken arm and scatter bruises, and various stages of healing is accompanied by family member, the nurse ask the family member to wait outside the room; which of the following action should the nurse take next?

complete an assessment and ask the client if they feel safe at home.

17.You assessing a client coping with the transition of retirement, which of the following by the client indicates the possible need for a referral to support the client?

I was forced to retire from my company 5 years early than i had plan, but i never like that place to begin with.

18.You assessing an older adult client for sign of frailty which of the following statement indicate best frailty

I need my daughter to open cans and jaws for me.

19.The nurse has attended staff education conference about dimension of sexuality in older client, which of the following by the nurse require follow up?

there are 4 separate dimensions of human sexuality if 1 is out of balance, the other can remain intact.

20.The nurse is providing care for an actively dying client the nurse places the higher priority in which of the following action?

administer and document as needed all PRN required to keep the client comfortable.

21.The nurse is teaching family members about various type of complementary therapy that might be effective for relieve, which of following statements by the family member indicate a correct understanding of the teaching.

i will create a playlist of some of my grandmother's favorite songs and bring them in/ by listening to something familiar will decrease anxiety.

22.The nurse has attending staff education about chronic trajectory about illness, which of the following by the nurse require follow-up.

the majority of heath problem are experienced by client in late life are acute nature.

23.Nurse in ED caring for assigned client, which of the following client require the nurse to report suspecting neglect.

86 years old male client who has als who has been admitted for pressure ulcer.

24.Nurses taught the caregivers about method to reduce caregiver stress which of the following by the caregiver indicate a need for further teaching.

it would be easier to forget how the situation make me feel if i can keep busy and distracted.

25.Nurses planing staff education conference about bereavement which of the formation from the box below should the nurse include as common grieving reaction of partners.

inability to share grief, loss of social contact, erosion of self confidence.

26.You assessing a group of client for risk factor of developing chronic diseases, which of the following client has highest risk for developing CD.

38 year old male client with a bmi of 35, has muscle dystrophy, and leaves with parents who smoke in the house.

27.The nurse is seeing a client working at a primary health care clinic; which of the following client should the nurse teach about the risk of AIDS.

all client who comes to the clinic.

28.The nurse is planning an intervention to help a client to cope with stages of grief; which intervention from the box below should the nurse include

engage in active listening, provide functional assistance, assure the client that stability will return, and give the client permission to express emotion.

29.To talking with a client who recently widow trying to adjusting to widowhood, place the stage of adjustment to widowhood from the box below in the correct order.

reactionany, withdrawal, recuperation, expiration and integration

30. A spouse of a dying pt state that she is concern that her husband is short of breath.the client o2 is 92 on room air, which of the following responses by the nurse is best?

I will administer morphine and apply supplemental oxygen to keep him comfortable.

31.Your talking to a client who long term partner recently die the client report difficulty expressing her aid to others due to inability to openly aknolwge the relationship in the past, which of the following type of grief does the nurse suppected the client experiencing.

disfranchized grief.

32. Nurse caring for a client who has pancreatitis, which of the following statement by the nurse is appropriate

take pancreatic enzyme with every meal and snack.

33.Teaching older clients in community health care ways to promote wellness, which of the following by client indicate the needs for additional teaching.

i will check my BP once a year at my office.

34.Nurses reviewing meds list of an 80-year-old who further report the client pulse lower after taking morning meds. Which of the following meds the nurse recognize the potential cause

beta-blocker

35.Nurses are addressing older client, what is appropriate for the nurse to speak to this client in which of the following manners?

speak in a normal tone of voice, making sure you speak clearly with proper annunciation.

36.Nurse manager is planning an education program for home health nurses who specialize in care for the elderly; which of the following is the highest priority for the nurse manager to include

nutritional care deficit for the elderly

37. The nurse taught a pt about care in the clinic later the nurse sees the client in an outdoor festival, which is a further instruction for the client

wearing long sleeve shirt.

38.The nurse is providing post-op care for an older adult, which of the following assessment findings prompt the nurse to assess further for wound infection.

a decreased level of consciousness from a previous assessment.

39. Nurse explaining care for a client in the third generation of theoradical development while planing the care; the goal is to allow the client to engage in life story activity, to facilitate this process, which of the following step should the nurse take.

ask the client to continue with the story where it was left off the last time.

40.Nurse manager providing in service for nursing staff on changes in the GI system in the older adult, which of the following by staff member indicate the need for additional teaching.

an increase in blood flow causing an increase fat absorption.

41. Nurse caring for older adult client who is a chinese decent has a BP 80/54 and refuses to remain in bed, which of the following should the nurse use to promote and maintain the health of the client?

ask the cleint about their health pressumtion and ideas.

42.Nurse working in long-term care caring for an older adult who lost her spouse of 48 years, after 2 years over 2 years ago continues to keep cards, and letters, on the bedside table; the client and the UAP frequently argue about where this items should be place for safety, which of the following intervention by the nurse is appropriate.

remind the UAP that the facility is the clients home.

43.The nurse working in a long-term care has provided a client a copy of the bill of right document is displayed by visitors, residents and staff the client has a violation they want to report; which of the following person appropriate to contact, and where they can find them.

the ombudsman.

44.Nurse caring for the following assigned client who is taking antibiotics, which is appropriate for the nurse to first see the client who is.

experiencing diarrhea

45. Nurse manager teaching a newly hired nurse about the immune system of an elderly the nurse manager show the newly hired nurse the WBC of a client who has a draining of an infected wound; the WBC and neutrophils are normal; which of the following conclusion can a newly nurse make this data.

the wbc are not much activated in the elderly.

46. The nurse is caring for an older adult client who has been diagnosed of a terminal disease and state all my life i have attended chuch and worry about what happen after you die and after death, the best response by the nurse is.

its normal to have fear that you dont know, would you like to talk about these fear with me or with the chaplain

47.Nurse is teaching group of older adult of 60’s about their health it require teaching follow by the nurse if a participant state

to help promote health i should take vaccine of hpv.

48.Nurse working on a medsurge unit preparing to transfer client to long term facility, upon calling them to give report, which of the following action is the responsibility of both nurses.

to provide continuous care during the transfer.

49.Newly hired nurse providing teaching to an older adult african american client who has hypertension, which of the following statement by the newly hired nurse require follow up by the nurse preceptor.

i know extra salt and fried food is a part of your favorite foof how ever, youll have to cut them and control your BP issue.

50.Nurse is caring for older client who has poor nutritional intake, which intervention should the nurse implement to promote nutritional intake.

insure denture are clean and wear properly.

NUR 170 exam 4

V Farris · 50問 · 3年前

NUR 170 exam 4