NUR 148 EXAM 1 - have decreased. Where will the nurse include th...

NUR 148 EXAM 1

• The nurse provides an SBAR hand-off communication regarding a client whose BP and RR

have decreased. Where will the nurse include these data as part of the SBAR format?

• Situation
• Background
• Assessment
• Recommendation

Answer A

• The nurse collaborates with the registered dietician nutritionist to improve the nutritional

status of clients on a hospital unit. Which priority professional nursing concepts apply in this question? Select all that apply.

• Quality improvement
• Ethics
• Health Care Disparities
• Systems Thinking
• Teamwork and Collaboration

Answer

A, D, E

• The nurse is participating in a unit meeting to discuss daily nursing care expectations. Which

nursing statement reflects systems level thinking?

• "It is important to provide care consistent with the client's expectation."
• "I will always consider my client's cultural preferences when delivering care."
• "I have been comparing our rates of infection with other units in the hospital."
• "I will look for the policy about family visitation to show my client."

Answer C

• Which nursing action reflects implementation of systems level thinking?
• Conducting a skin assessment on a newly admitted client.
• Documenting a pressure injury in the electronic health record. 1 / 3

• Notifying the health care provider of a 2" x 1" pressure injury on the coccyx.
• Participating in a quality improvement project about eliminating pressure injury

occurrences.

Answer D

• How will the experienced nurse explain systems thinking to a new nurse?
• Reading a journal article to enhance one's understanding of a specific disorder
• Providing patient-centered care to each individual, recognizing his or her uniqueness
• Engaging in a professional development activity to earn continuing educa- tion credit
• Using information from individual client care to improve outcomes at a macro level

Answer D

• The nurse is assessing an older adult and notes that the client is at risk for constipation.

Which statements will the nurse include in health teaching for this client to promote optimum bowel elimination? Select all that apply.

• "Be sure to include plenty of fresh fruits and vegetables in your diet each day."
• "Eat lots of high fiber foods, including whole grains each day."
• "Be sure to take a laxative everyday to clean out your bowels and prevent toxins."
• "Exercise several times a week to keep our bowels working for regular elimination."
• "Drink at least 3 caffeinated beverages every day to keep your bowels stimulated."
• "Drink plenty of fluids, including water, to prevent having difficulty going to the bathroom."

Answer

A, B, D, F

• Which of the following factors does the nurse recognize as being a risk for altered sensory

perception in the older adult client?

• Diabetes mellitus
• Hypotension
• Osteoarthritis
• Peptic ulcer disease 2 / 3

Answer A

• The nurse is conducting an assessment of an older adult living in the community. Which

assessment findings are considered usual physiologic changes of aging? Select all that apply.

• Dementia
• Relocation stress
• Urinary incontinence
• Presbyopia
• Obesity

Answer D

• The nurse is caring for an older client who is experiencing acute confusion and agitation

following a fractured hip repair this morning. Which risk factors may be contributing to the client's delirium? Select all that apply.

• Anesthesia used during surgery
• Surgical pain
• Unfamiliar environment
• Noisy hospital unit
• Medications used to manage pain

Answer

A, B, C, D, E

• A client taking newly prescribed gabapentin for persistent neuropathic pain reports

dizziness. What is the best nursing response?

• "This is a common side effect of gabapentin and will decrease with use."
• "Stop taking the medication and contact the health care provider."
• "The dizziness is caused by the neuropathic pain, not the medication."
• "The dizziness is likely from another medication, not the gabapentin."

Answer A

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