NUR 257 Exam 2 with verified detailed solutions|| || || || || || ||
You are working on an education session for the community, what are some common risk
|| || || || || || || || || || || || || || ||
factors for depression that you should include? - ✔✔Chronic medical conditions
|| || || || || || || || || ||
You are taking care of patients that have been assigned to you, which patient is exhibiting
|| || || || || || || || || || || || || || || ||
signs/symptoms of dementia? - ✔✔A 65 year old who has trouble remembering recent || || || || || || || || || || || || ||
events and loses her train of thought.
|| || || || || ||
You are the nurse doing discharge teaching for a patient who has visual alterations,which
|| || || || || || || || || || || || || ||
statement made by the nurse requires follow up? - ✔✔I will fill my pill organizer to keep
|| || || || || || || || || || || || || || || || ||
my medications on track.
|| || ||
You are working with an elderly client and discussing proper nutrition, which
|| || || || || || || || || || || ||
recommendation made by the nurse requires follow up? - ✔✔Cottage cheese with a large || || || || || || || || || || || || || ||
bowl of canned peaches
|| || ||
You are reviewing your patients medical records, which med offers the greatest risk for
|| || || || || || || || || || || || || ||
developing xerostomia (dry mouth & cracked lips)? - ✔✔Furosemide
|| || || || || || || ||
You have a patient who reports they rarely/seldomly brush their teeth, what should the
|| || || || || || || || || || || || || ||
nurse determine could be the possible cause of the patients poor oral hygiene? - ✔✔Loss of
|| || || || || || || || || || || || || || || ||
manual dexterity ||
You have discussed adequate hydration with your patient, what statement made by the
|| || || || || || || || || || || || ||
client requires a need for additional teaching? - ✔✔I will drink water, tea, soda, or juice
|| || || || || || || || || || || || || || || ||
whenever i feel thirsty. || || ||
, You are working in a long-term care facility and observe a UAP performing denture care for
|| || || || || || || || || || || || || || || ||
a client, it requires follow-up if the UAP is observed doing which of the following? -
|| || || || || || || || || || || || || || || ||
✔✔Brushing the client's dentures while holding them over a sink full of warm water.
|| || || || || || || || || || || || ||
Your patient has not had a bowel movement in 2 days, what nursing interventions are
|| || || || || || || || || || || || || || ||
priority for this patient? - ✔✔Asses client's normal bowel movement patterns.
|| || || || || || || || || ||
You are caring for a patient who has a nursing diagnosis of urge incontinence related to
|| || || || || || || || || || || || || || || ||
UTIs, what statement is appropriate for the "as evidenced" portion of the nursing diagnosis?
|| || || || || || || || || || || || || ||
- ✔✔Sudden leakage of urine when the client does not make it to the bathroom on time
|| || || || || || || || || || || || || || || ||
You are caring for a patient who has urinary incontinence, which statement made by your
|| || || || || || || || || || || || || || ||
patient concerns you? - ✔✔I have never had urinary incontinence before this visit.
|| || || || || || || || || || || ||
You are caring for a patient who is becoming malnourished because nothing tastes good,
|| || || || || || || || || || || || || ||
what could the nurse recommend for the client? - ✔✔Take sips of water between eating
|| || || || || || || || || || || || || || ||
different foods ||
You are taking care of a patient who complains of abdominal pain, urinary retention, &
|| || || || || || || || || || || || || || ||
frequent small liquid stools, what should the nurse do next? - ✔✔Assess the patient for
|| || || || || || || || || || || || || || ||
fecal impaction. ||
You are a nurse who is caring for an older patient, you suspect they are experiencing
|| || || || || || || || || || || || || || || ||
dysphagia and/or aspiration, which of the following observations leads you to believe this? -
|| || || || || || || || || || || || || ||
✔✔Excessive throat clearing and drooling || || || ||
You are caring for a patient who has history of dementia and is incontinent of stool because
|| || || || || || || || || || || || || || || || ||
they cannot communicate their need to defecate, what is your priority? - ✔✔Begin a
|| || || || || || || || || || || || || ||
prompt toileting program || ||
You are working on an education session for the community, what are some common risk
|| || || || || || || || || || || || || || ||
factors for depression that you should include? - ✔✔Chronic medical conditions
|| || || || || || || || || ||
You are taking care of patients that have been assigned to you, which patient is exhibiting
|| || || || || || || || || || || || || || || ||
signs/symptoms of dementia? - ✔✔A 65 year old who has trouble remembering recent || || || || || || || || || || || || ||
events and loses her train of thought.
|| || || || || ||
You are the nurse doing discharge teaching for a patient who has visual alterations,which
|| || || || || || || || || || || || || ||
statement made by the nurse requires follow up? - ✔✔I will fill my pill organizer to keep
|| || || || || || || || || || || || || || || || ||
my medications on track.
|| || ||
You are working with an elderly client and discussing proper nutrition, which
|| || || || || || || || || || || ||
recommendation made by the nurse requires follow up? - ✔✔Cottage cheese with a large || || || || || || || || || || || || || ||
bowl of canned peaches
|| || ||
You are reviewing your patients medical records, which med offers the greatest risk for
|| || || || || || || || || || || || || ||
developing xerostomia (dry mouth & cracked lips)? - ✔✔Furosemide
|| || || || || || || ||
You have a patient who reports they rarely/seldomly brush their teeth, what should the
|| || || || || || || || || || || || || ||
nurse determine could be the possible cause of the patients poor oral hygiene? - ✔✔Loss of
|| || || || || || || || || || || || || || || ||
manual dexterity ||
You have discussed adequate hydration with your patient, what statement made by the
|| || || || || || || || || || || || ||
client requires a need for additional teaching? - ✔✔I will drink water, tea, soda, or juice
|| || || || || || || || || || || || || || || ||
whenever i feel thirsty. || || ||
, You are working in a long-term care facility and observe a UAP performing denture care for
|| || || || || || || || || || || || || || || ||
a client, it requires follow-up if the UAP is observed doing which of the following? -
|| || || || || || || || || || || || || || || ||
✔✔Brushing the client's dentures while holding them over a sink full of warm water.
|| || || || || || || || || || || || ||
Your patient has not had a bowel movement in 2 days, what nursing interventions are
|| || || || || || || || || || || || || || ||
priority for this patient? - ✔✔Asses client's normal bowel movement patterns.
|| || || || || || || || || ||
You are caring for a patient who has a nursing diagnosis of urge incontinence related to
|| || || || || || || || || || || || || || || ||
UTIs, what statement is appropriate for the "as evidenced" portion of the nursing diagnosis?
|| || || || || || || || || || || || || ||
- ✔✔Sudden leakage of urine when the client does not make it to the bathroom on time
|| || || || || || || || || || || || || || || ||
You are caring for a patient who has urinary incontinence, which statement made by your
|| || || || || || || || || || || || || || ||
patient concerns you? - ✔✔I have never had urinary incontinence before this visit.
|| || || || || || || || || || || ||
You are caring for a patient who is becoming malnourished because nothing tastes good,
|| || || || || || || || || || || || || ||
what could the nurse recommend for the client? - ✔✔Take sips of water between eating
|| || || || || || || || || || || || || || ||
different foods ||
You are taking care of a patient who complains of abdominal pain, urinary retention, &
|| || || || || || || || || || || || || || ||
frequent small liquid stools, what should the nurse do next? - ✔✔Assess the patient for
|| || || || || || || || || || || || || || ||
fecal impaction. ||
You are a nurse who is caring for an older patient, you suspect they are experiencing
|| || || || || || || || || || || || || || || ||
dysphagia and/or aspiration, which of the following observations leads you to believe this? -
|| || || || || || || || || || || || || ||
✔✔Excessive throat clearing and drooling || || || ||
You are caring for a patient who has history of dementia and is incontinent of stool because
|| || || || || || || || || || || || || || || || ||
they cannot communicate their need to defecate, what is your priority? - ✔✔Begin a
|| || || || || || || || || || || || || ||
prompt toileting program || ||
