NSG 121 HEALTH ASSESSMENT EXAM NEWEST

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NSG 121 HEALTH ASSESSMENT EXAM NEWEST

2024-2025 ACTUAL EXAM COMPLETE 180

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS ) |ALREADY

GRADED A+

A client with a wound infection has been receiving cephalexin 500 mg orally, 4 times a day. The lab report shows sensitivity to clindamycin. What action would the nurse expect from the health care provider?

• The provider will increase the dose of cephalexin.
• The provider will add clindamycin to the client's profile.
• The provider will not make any changes to the client's

therapy.

• The provider will change the antibiotic to clindamycin. -

CORRECT ANSWER -D

A client is being assessed by the health care provider for potential therapies for his sternal wound, which include hyperbaric oxygen therapy, skin grafting, and biosurgery. What 1 / 4

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would the nurse expect to observe when visualizing the client's wound?(Select all that apply.)

• Wound Is extremely large
• Wound is in the maturation phase
• Wound has necrotic tissue or slough
• Wound has impaired healing
• Wound has eviscerated - CORRECT ANSWER -C, and D

A client is seen in the clinic after being discharged from the hospital for treatment of a pressure ulcer. Which client outcomes demonstrate to the nurse that the treatment goals are being met?(Select all that apply.)

• The client has enrolled in a smoking cessation program.
• There is greenish exudate on the dressing.
• The client and family demonstrate an understanding of

preventive care measures.

• The wound has decreased in size.
• The client's BMI is 16, and weight is down by 4 pounds. -

CORRECT ANSWER -A, C, and D 2 / 4

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The nurse is assessing a client with a large abdominal surgical wound. Which assessment would concern the nurse that puts the client at risk of the complication of dehiscence?(Select all that apply.)

• The client smokes a half pack of cigarettes per day.
• The client shows signs of dehydration.
• The client is 12 hours postop.
• The client has vomited 6 times in the last 4 hours.
• The client is obese, with a BMI of 38. - CORRECT

ANSWER-B, D, and E

The nurse is caring for a client with a surgical wound. Which are the most appropriate goals for the client?(Select all that apply.)

• The client will remain free of wound infection.
• The client will be comfortable, with pain at an acceptable

level. 3 / 4

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• The client will discontinue medications that may interfere

with healing.

• The client will maintain adequate hydration.
• The client will engage in activities that promote wound

healing. - CORRECT ANSWER -A, B, D and E

Thin watery exudate that is wither clear or straw-colored - CORRECT ANSWER -Serous

Thicker exudate and contains many cells and necrotic debris, is milky and opaque. - CORRECT ANSWER -Purulent

Exudate that contains large amounts of red blood cells; blood- tinged - CORRECT ANSWER -Sanguineous

In which wound healing phase does hemostasis occur?

• Inflammatory phase
• Approximation phase
• Granulation phase
• Maturation phase
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