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BSN 266 FINAL NEWEST 2024 COMPLETE EXAM
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) AGRADE ASSURED!!!
A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is the priority for this client?
- Fluid and electrolyte balance.
- Prevention of water toxicity.
- Reduced glucose in the urine.
- Adequate cellular nourishment. - Correct Answer - Adequate cellular nourishment
Which intervention should the nurse plan to implement when caring for a client who has just undergone a right above-the-knee amputation?
- Maintain the residual limb on three pillows at all times.
- Place a large tourniquet at the client's bedside.
- Apply constant, direct pressure to the residual limb.
- Do not allow the client to lie in the prone position. - Correct Answer - B) Place a large
tourniquet at the client's bedside.A large tourniquet should be placed in plain sight at the client's bedside (B). If severe bleeding occurs, the tourniquet should be readily available and applied to the residual limb to control hemorrhage.
A client with multiple sclerosis has experienced an exacerbation of symptoms, including paresthesias, diplopia, and nystagmus. Which instruction should the nurse provide?
- Stay out of direct sunlight.
- Restrict intake of high protein foods.
- schedule extra rest periods
- Go to the emergency room immediately. - Correct Answer - schedule extra rest
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pg. 2 A client has undergone insertion of a permanent pacemaker. When developing a discharge teaching plan, the nurse writes a goal of, "The client will verbalize symptoms of pacemaker failure." Which symptoms are most important to teach the client?
- Facial flushing.
- Fever.
- Pounding headache.
- Feelings of dizziness. - Correct Answer - Feelings of dizziness.
a client receiving cholestyramine for hyperlipidemia should be evaluated for what vitamin deficiency? - Correct Answer - K
a client is admitted to the hospital with a diagnosis of severe acute diverticulitis. Which assessment finding should the nurse expect this client to exhibit? - Correct Answer - lower left quadrant pain and low grade fever
Which postmenopausal client's complaint should the nurse refer to the healthcare provider?
- Breasts feel lumpy when palpated.
- History of white nipple discharge.
- Episodes of vaginal bleeding.
- Excessive diaphoresis occurs at night. - Correct Answer - episodes of vaginal
bleeding
a client is taking furosenide (lasix) reports difficulty sleeping. What question is important for the nurse to ask the client? - Correct Answer - at what time do you take your medication?clients should take the medication in the morning to prevent nocturia, which may be the reason for difficulties sleeping
A client who was in a motor vehicle collision was admitted to the hospital and the right knee was placed in skeletal traction. The nurse has documented this nursing diagnosis in the client's medical record: "Potential for impairment of skin integrity related to 2 / 3
pg. 3 immobility from traction." Which nursing intervention is indicated based on this diagnosis statement?
- Release the traction q4h to provide skin care.
- Turn the client for back care while suspending traction.
- Provide back and skin care while maintaining the traction.
- Give back care after the client is released from traction. - Correct Answer - Provide
back and skin care while maintaining the traction.
During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not moving. What action should the nurse take first?
- Use a laryngoscope to check for a foreign body lodged in the esophagus.
- Reposition the head to validate that the head is in the proper position to open the
- Turn the client to the side and administer three back blows.
- Perform a finger sweep of the mouth to remove any vomitus. - Correct Answer -
airway.
Reposition the head to validate that the head is in the proper position to open the airway.
The nurse is preparing a client for orthopedic surgery on the left leg and completing a safety checklist before transport to the operating room. Which items should the nurse remove from the client? - Correct Answer - Nail polish - provides more accurate pulse oximetry Hearing aids, contact lenses, partial dentures - removed to prevent damage, loss or misplacement, or injury during surgery
What assessment finding should the nurse identify that indicates a client with an acute asthma exacerbation is beginning to improve after treatment? - Correct Answer - Wheezing becomes louder.In an acute asthma attack, air flow may be so significantly restricted that breath sounds and wheezing is diminished. If the client is successfully responding to bronchodilators and respiratory treatments, wheezing should become louder as the air flow increases in the airways. As the airways open and mucous is mobilized in response to treatment, the cough should become more productive.
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