Nur 125 Exam 4 Questions With
Complete Solutions
The healthcare provider prescribes 1000 mL of normal saline (0.9 % of NaCl). The
nurse is to infuse the solution over 8 hours. How many mL/hr will the nurse
administer? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.)
125
A client has been admitted to the hospital. The client is visually impaired and can
only see huge objects as shadows. Which interventions can the nurse employ to
keep the client independent during the hospitalization?
Inform the client of location of foods on the meal tray.
Knock on the client's door before entering the room.
Keep the call light in a consistent place within the client's reach.
A nurse is caring for clients with sensory alterations. Which client is most likely
susceptible to the effects of disturbed sensory perception?
A client who is receiving care in the intensive care unit for the treatment of septic shock
A client has expressed great relief at the improvement in their hearing after
irrigation of the ear canal yielded a large amount of impacted cerumen. What type
of sensory alteration was the client experiencing secondary to the impacted
cerumen?
Sensory reception
Which situation demonstrates sensory adaptation?
, A client has learned to sleep through the frequent beeping of the intravenous pump.
The nurse takes into consideration factors that affect sensory stimulation in
hospitalized clients when planning care. Which statement is true?
An individual's culture may dictate the amount of sensory stimulation considered
normal.
The nurse is caring for a 73-year-old client with diabetes mellitus. What
consideration should the nurse include in planning to educate the client about
insulin administration?
Allowing more time for the processing of the information
Older adult clients easily become confused when admitted to the hospital. The
nurse understands that there are various reasons for this. Which reason further
supports this phenomenon
Hospital procedures and its environment may trigger sensory overstimulation.
A home care client has both visual and hearing deficits. Although all of the
following are important, what would be a high priority concern when planning and
implementing care?
Safety
A client returning from the operating room is unconscious. What guidelines
should the nurse consider when communicating with this client?
Talk to the client in a normal tone of voice.
In which situation would the situation, background, assessment, and
recommendation (SBAR) framework of communication be most appropriate?
Complete Solutions
The healthcare provider prescribes 1000 mL of normal saline (0.9 % of NaCl). The
nurse is to infuse the solution over 8 hours. How many mL/hr will the nurse
administer? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.)
125
A client has been admitted to the hospital. The client is visually impaired and can
only see huge objects as shadows. Which interventions can the nurse employ to
keep the client independent during the hospitalization?
Inform the client of location of foods on the meal tray.
Knock on the client's door before entering the room.
Keep the call light in a consistent place within the client's reach.
A nurse is caring for clients with sensory alterations. Which client is most likely
susceptible to the effects of disturbed sensory perception?
A client who is receiving care in the intensive care unit for the treatment of septic shock
A client has expressed great relief at the improvement in their hearing after
irrigation of the ear canal yielded a large amount of impacted cerumen. What type
of sensory alteration was the client experiencing secondary to the impacted
cerumen?
Sensory reception
Which situation demonstrates sensory adaptation?
, A client has learned to sleep through the frequent beeping of the intravenous pump.
The nurse takes into consideration factors that affect sensory stimulation in
hospitalized clients when planning care. Which statement is true?
An individual's culture may dictate the amount of sensory stimulation considered
normal.
The nurse is caring for a 73-year-old client with diabetes mellitus. What
consideration should the nurse include in planning to educate the client about
insulin administration?
Allowing more time for the processing of the information
Older adult clients easily become confused when admitted to the hospital. The
nurse understands that there are various reasons for this. Which reason further
supports this phenomenon
Hospital procedures and its environment may trigger sensory overstimulation.
A home care client has both visual and hearing deficits. Although all of the
following are important, what would be a high priority concern when planning and
implementing care?
Safety
A client returning from the operating room is unconscious. What guidelines
should the nurse consider when communicating with this client?
Talk to the client in a normal tone of voice.
In which situation would the situation, background, assessment, and
recommendation (SBAR) framework of communication be most appropriate?
