TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, Verified Chapters 1 - 16, Complete Newest Version

TEST BANK q s s s




CLINICAL NURSING SKILLS: qq qq




Assq s s q s s Concept-Based ssq s s q s s Approach
4th ssq ss q s s
Edition, Pearson Education
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TEST BANK ss

,Test ssBank ssfor ssClinical ssNursing ssSkills: ssA ssConcept-Based ssApproach ss4th ssEdition
ssPearsonEducation



Table s s of s s Contents
Chapter ss1. s s Assessment
Chapter ss2. ssCaring ssInterventions
Chapter ss3. ssComfort
ss



Chapter ss4. s s Elimination
Chapter ss5. ssFluids ssand ssElectrolytes
Chapter ss6. ssInfection
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Chapter ss7. ssIntracranial ssRegulation
Chapter ss8. ssMetabolism
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Chapter s s 9. s s Mobility
Chapter ss10. s s Nutrition
Chapter ss11. s s Oxygenation
Chapter ss12. s s Perfusion
Chapter ss13. ssPerioperative ssCare
Chapter ss14. ssReproduction
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Chapter s s 15. s s Safety
Chapter ss16. s s Tissue s s Integrity

,Clinical ssNursing ssSkills: ssA ssConcept-Based ssApproach, ss4e ss(Pearson) ssEducation ssTest
ssBank C hapter ss1: ssAssessment
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1) A ssclient sson ssthe ssmedical/surgical ssunit sscomplains ssof sssudden sschest sspains. ssWhich ssaction
sswill ssthe nurse ssimplement ssfirst?
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A) Call ssthe s s healthcare ssprovider.
B) Administer sspain ss medication.
C) Reassess s s a ssnew ss set s s of s s vital s s signs.
D) Turn ssclient ssfrom sssupine
ssto sslateral.Answer: s s C

Explanation: ssA) ssThe ssnurse sswill ssneed ssto ssreassess ssthe ssclient ssfirst, ssbefore sscalling ssthe
sshealthcareprovider.

B) The ssnurse sswill s s need s s to s s reassess s s the s s client s s first, s s before s s administering sspain s s medication.
C) The ssnurse ssneeds ssto ssimplement ssa ssnew ssset ssof ssvital sssigns ssfirst sswhen ssthere ssis ssa
sschange ssincondition.

D) The ssnurse sswill ssneed ssto ssreassess ssthe ssclient ssfirst, ssbefore ssmoving ssthe ssclient, ssto ssavoid
ssmaking ssthechange ssin ssclient's sscondition ssworse.

Page ssRef: s s 2
Cognitive s s Level: Applying
Client ssNeed/Sub: Physiological ssIntegrity: ssReduction ssof ssRisk ssPotential
ssStandards: ssNursing ssProcess: ssAssessment ss| ssLearning ssOutcome: ss1.1 ss|

ssQSEN ssCompetencies:Patient-Centered ssCare

AACN ssDomains ssand ssComps.: ssDomain ss2: ssPerson-Centered
ssCare NLN ssCompetencies: s s Relationship ssCentered ssCare
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2) The ssnurse ssis ssobserving ssthe ssUAP sstaking ssthe sstemperature ssof ssan ssunconscious ssclient.
ssWhich ssroute will ssthe ssnurse ssquestion ssthe ssUAP ssusing?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic q



s s Answer:

ssA

Explanation: ssA) ssThe sstemperature ssof ssan ssunconscious ssclient ssis ssnever sstaken ssby ssmouth.
ssThe ssrectal, t ympanic, ssor ssscanner ssmethod ssis sspreferred.
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B) The s s rectal, sstympanic, s s or ssscanner ss method ssis sspreferred.
C) The ssrectal, sstympanic, s s or ssscanner s s method ssis sspreferred.
D) The ssrectal, sstympanic, ssor ssscanner ssmethod
ssis sspreferred.Page ssRef: ss24

Cognitive s s Level: Applying
Client ssNeed/Sub: Safe ssand ssEffective ssCare ssEnvironment: ssSafety ssand ssInfection
ssControl ssStandards: s s Nursing ssProcess: ssEvaluation ss| ssLearning ssOutcome: ss1.1 ss| ssQSEN

ssCompetencies: ssSafetyAACN ssDomains ssand ssComps.: s s Domain ss5: ssQuality ssand ssSafety

NLN s s Competencies: Quality ss& ssSafety




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, 3) The ssnurse ssis sschanging ssa ss2-month-old ssclient's ssdiaper ssand ssnotes ssthe ssclient ssfeels
sswarm ssto sstouch.Which ssmethod ssshould ssthe ssnurse ssuse ssto sscheck ssthe ssbaby's

sstemperature?

A) Oral
B) Rectal
C) Axillary
D) Tympanic
ssmembrane Answer:
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ssC

Explanation: A) ssOral s s is s s used ss for s s age s s 3 s s or ssolder.
B) The s s rectal s s route ss is ss the s s least s s desirable.
C) The ssaxillary ssroute ssmay ssnot s s be s s as s s accurate ss as s s other s s routes s s for s s detecting s s fevers s s in s s children.
D) The sstympanic ssmembrane ssmay ssbe ssused ssfor ss3 ssmonths
ssor ssolder.Page ssRef: ss29

Cognitive s s Level: Applying
Client ss Need/Sub: Physiological s s Integrity: ssReduction s s of ssRisk ss Potential
Standards: s s Nursing ssProcess: ssEvaluating ss| ssLearning ssOutcome: ss1.2 ss| ssQSEN
ssCompetencies: ssSafetyAACN ssDomains ssand ssComps.: s s Domain ss5: ssQuality ssand ssSafety

NLN s s Competencies: Quality ss& ssSafety

4) A ssclient sscomes ssin sswith ssexacerbation ssof sschronic ssobstructive sspulmonary ssdisease ss(COPD).
ssWhich noninvasive ssdiagnostic sstest sswill ssthe ssnurse ssimplement ssto ssknow ssthat ssthe ssclient ssis
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ssreceiving ssenough ssoxygen?

A) Chest s s x-ray
B) Pulse s s oximeter
C) Arterial ssblood s s gasses
D) Assessment ssof ssrespiratory
ssrateAnswer: s s B

Explanation: A) ssA s s chest s s x-ray ssis s s not s s an s s intervention s s a s s nurse s s completes.
B) A sspulse ssoximeter ssprovides ssa ssnoninvasive ssmethod ssof ssmeasuring ssoxygenation, ssor
ssoxygen sssaturation, ssin ssthe ssblood ssand ssprovides ssa sspulse ssreading, sswhich ssis ssespecially

sshelpful ssfor ssthe ssclient with ssa ssrespiratory ssillness ssor ssdisease.
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C) Arterial ssblood s s gases s s are ssan s s invasive ssdiagnostic s s test.
D) Assessing ssa ssrespiratory ssrate ssis ssimportant ssfor ssthe ssnurse ssto ssimplement; sshowever,
ssit ssis ssnot ssa diagnostic sstest.
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Page ssRef: s s 21
Cognitive s s Level: Applying
Client ssNeed/Sub: Physiological ssIntegrity: ssReduction ssof ssRisk ssPotential
ssStandards: ssNursing ssProcess: ssImplementation ss| ssLearning ssOutcome: ss1.3 ss|

ssQSEN ssCompetencies:Informatics

AACN ssDomains ssand ssComps.: s s Domain ss5: ssQuality ssand
ssSafetyNLN ssCompetencies: s s Quality ss& ssSafety




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