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NSG 201 Saunders Review Test1 Questions Answers
1.ID: 9477033456
A client is being discharged home after a routine hip replacement surgery.
The nurse is instructing the client on how to prevent postoperative
complications. What statements by the client would indicate the need for
further teaching?
Select all that apply.
A. “Limiting fiber is necessary to avoid diarrhea.” Correct
B. “I should empty my bladder when I feel the urge.”
C. “Avoiding pain medication will prevent constipation.” Correct
D. “I should drink plenty of liquids like iced tea or coffee.” Correct
E. “I should continue with my physical therapy and walking.”
Rationale: Constipation is common after surgery due to pain medication,
decreased movement, and anesthesia. Fiber intake should be encouraged
as itpromotes the prevention of stool retention. Although pain medication
can cause constipation, it should not be avoided in the post-operative
period. Drinking plenty of fluids is encouraged for both bowel and bladder
maintenance, but the client should choose non-caffeinated options.
Physical therapy, walking, and exercise will help prevent constipation.
Emptying the bladder when the urge is
present can help prevent urinary tract infections.
Test taking strategy: Note the strategic words need for further teaching.
These words indicate a negative event query and the need to select the
incorrect client statements. Think about the measures needed for bowel and
bladder control to
answer correctly. Review: bowel and bladder maintenance.
Level of Cognitive Ability: Evaluating
Client Need: Physiological Integrity
Integrated Process: Teaching and
Learning
Content Area: Fundamentals of Care: Perioperative Care
Giddens Concepts: Client Education, Health Promotion
HESI Concepts: Health Promotion, Teaching and Learning/Patient Education
References: Giddens, J. (2013). Concepts for nursing practice. (p. 143). St.
Louis, MO: Mosby.
Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical
nursing: Assessment and management of clinical problems (9th
ed., pp. 969, 1089-1090). St. Louis: Mosby.
Awarded 3.0 points out of 3.0 possible
points.
2.ID: 9477039828
The nurse is caring for a Vietnamese client diagnosed with tuberculosis. The
client speaks limited English. What should the nurse do to ensure the client
andfamily receives the most accurate information? Select all that apply.
A. Provide culturally
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B. Encourage family members to obtain a tuberculosis skin test.
Correct
C. Provide written instructions in English for the client to reference.
D. Encourage the client and family to wash all dishes by hand
to prevent the spread of infection. Incorrect
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E. Urge all family and close contact community members to seek
and complete treatment to enhance compliance. Correct
Rationale: As always, the nurse must provide culturally sensitive education.
Because tuberculosis is highly contagious, all family members and close
community members should have a tuberculosis skin test, seek treatment,
and remain compliant. A full course of 6-9 months of treatment is needed to
prevent re-infection. Instructions written in English are not helpful for the
client with limited English skills. Washing dishes by hand is not the best
way to prevent
infection; rather a dishwasher should be used if available.
Test Taking Strategy: Focus on the strategic word most to select correct
options that relate to appropriate teaching for both the client and family
members. Also, focusing on the data in the question will assist in
answering.
Review: Tuberculosis
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process:
Implementation Content Area: Fundamentals of
Care: Infection ControlPriority Concepts: Client
Education, Infection
HESI Concepts: Infection, Teaching and Learning/Patient Education
References: Giger, J. (2013). Transcultural nursing assessment &
intervention.
(6th
ed. p. 445, 455). St. Louis: Mosby.
Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical
nursing: Assessment and management of clinical problems (9th ed., p.
533). St. Louis: Mosby.
Awarded 1.0 points out of 3.0 possible points.
3.ID: 9477038294
A client with anxiety has just been seen by the health care provider and has
been prescribed alprazolam. The client asks the nurse how long it will take
forthe medication to build up a steady state in her body. If the half life of
this medication is approximately 11 hours, approximately how long will it
take for
this medication to build up and reach a steady state? hours
Incorrect
Correct Responses
A. 55
Rationale: The half life of a medication is the amount of time it takes for
50% ofthe medication to leave the system. Steady state is the point where
the concentration of the medication is equal based on the medication
leaving the body system and new medication entering the system.
Alprazolam has a half life of 11 hours. For all medications, it takes
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approximately five times the half life to reach steady state. Therefore the
steady state for this medication is 55 hours (11 x 5 = 55).
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