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NSG 3100 Exam 1 Questions and Answers Practice
Questions ||Verified Exam!!(2 Latest Versions) with
Solutions Newest Complete Questions And Correct
Detailed Answers| Already Graded A+||Newest Exam!!
The nurse is preparing to bath a client on the first
postoperative day. Which nursing intervention should take
priority?
1. Apply lotion to the extremities.
2. Change the water when it becomes cold.
3. Raise side rails when gathering supplies.
4. Remove the soiled dressing during the bath. - Answer-
3. Raise side rails when gathering supplies
Rationale 1: Applying lotion to the skin would be
performed before or after, not during, the bath.
Rationale 2: Changing the water needs to be done before
it becomes cold, but it is not a priority.
Rationale 3: Raising the side rails would take priority when
planning care. This is a safety issue, andsafety is second
on Maslow's Hierarchy of Needs. The client is only 1 day
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postop and may still besedated, posing a risk for a
potential fall.
Rationale 4: A dressing change would be performed
before or after, not during, the bath and only with adoctors
order.
The nurse identifies the diagnosis Self-Care Deficit related
to cognitive impairment as appropriate for a client. What
should the nurse select as an expected outcome for this
client?
1. The client will be able to name the staff that works on
the day shift.
2. The client will eliminate safety hazards in her
environment
3. The client, with supervision, will brush her teeth
4. The nurse will stress the importance of adequate fluid
intake. - Answer-3. The client, with supervision, will brush
her teeth.
Rationale 1: Cognitive impairment limits the clients ability
to understand and comprehend; therefore, naming the
staff is not within the clients realm of understanding.
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Rationale 2: Cognitive impairment limits the clients ability
to understand and comprehend; therefore, eliminating
safety hazards is not within the clients realm of
understanding.
Rationale 3: A client with cognitive impairment would be
able to brush her teeth but only with supervision. The
client would not voluntarily brush her teeth without
prompting from the staff.
Rationale 4: Cognitive impairment limits the clients ability
to understand and comprehend; therefore, stressing
adequate fluid intake is not within the clients realm of
understanding.
The nurse is preparing to provide morning care to a client.
What should the nurse explain to the clients the reason for
a daily bath?
1. Assess skin integrity
2. Develop a nurse/client relationship
3. Moisturize the skin
4. Stimulate circulation - Answer-4. Stimulate Circulation
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Rationale 1: Giving a bath to a client will allow the nurse to
assess the skin but this is not the most important purpose.
Rationale 2: Giving a bath to a client will allow the nurse to
develop a nurse/client relationship but this is not the most
important purpose.
Rationale 3: Giving a bath to a client will allow the nurse to
moisturize the skin but this is not the most important
purpose.
Rationale 4: The three major reasons for a bath are to
remove waste products such as perspiration, stimulate
circulation, and refresh the client.
The nurse is caring for a client with diabetes. What should
the nurse include as foot care for this client?
1. Cut toenails in a rounded shape and file.
2. Dry toes thoroughly.
3. Wash feet with water at a temperature of 90F to 98.6F.
NSG 3100 Exam 1 Questions and Answers Practice
Questions ||Verified Exam!!(2 Latest Versions) with
Solutions Newest Complete Questions And Correct
Detailed Answers| Already Graded A+||Newest Exam!!
The nurse is preparing to bath a client on the first
postoperative day. Which nursing intervention should take
priority?
1. Apply lotion to the extremities.
2. Change the water when it becomes cold.
3. Raise side rails when gathering supplies.
4. Remove the soiled dressing during the bath. - Answer-
3. Raise side rails when gathering supplies
Rationale 1: Applying lotion to the skin would be
performed before or after, not during, the bath.
Rationale 2: Changing the water needs to be done before
it becomes cold, but it is not a priority.
Rationale 3: Raising the side rails would take priority when
planning care. This is a safety issue, andsafety is second
on Maslow's Hierarchy of Needs. The client is only 1 day
,2|Page
postop and may still besedated, posing a risk for a
potential fall.
Rationale 4: A dressing change would be performed
before or after, not during, the bath and only with adoctors
order.
The nurse identifies the diagnosis Self-Care Deficit related
to cognitive impairment as appropriate for a client. What
should the nurse select as an expected outcome for this
client?
1. The client will be able to name the staff that works on
the day shift.
2. The client will eliminate safety hazards in her
environment
3. The client, with supervision, will brush her teeth
4. The nurse will stress the importance of adequate fluid
intake. - Answer-3. The client, with supervision, will brush
her teeth.
Rationale 1: Cognitive impairment limits the clients ability
to understand and comprehend; therefore, naming the
staff is not within the clients realm of understanding.
,3|Page
Rationale 2: Cognitive impairment limits the clients ability
to understand and comprehend; therefore, eliminating
safety hazards is not within the clients realm of
understanding.
Rationale 3: A client with cognitive impairment would be
able to brush her teeth but only with supervision. The
client would not voluntarily brush her teeth without
prompting from the staff.
Rationale 4: Cognitive impairment limits the clients ability
to understand and comprehend; therefore, stressing
adequate fluid intake is not within the clients realm of
understanding.
The nurse is preparing to provide morning care to a client.
What should the nurse explain to the clients the reason for
a daily bath?
1. Assess skin integrity
2. Develop a nurse/client relationship
3. Moisturize the skin
4. Stimulate circulation - Answer-4. Stimulate Circulation
, 4|Page
Rationale 1: Giving a bath to a client will allow the nurse to
assess the skin but this is not the most important purpose.
Rationale 2: Giving a bath to a client will allow the nurse to
develop a nurse/client relationship but this is not the most
important purpose.
Rationale 3: Giving a bath to a client will allow the nurse to
moisturize the skin but this is not the most important
purpose.
Rationale 4: The three major reasons for a bath are to
remove waste products such as perspiration, stimulate
circulation, and refresh the client.
The nurse is caring for a client with diabetes. What should
the nurse include as foot care for this client?
1. Cut toenails in a rounded shape and file.
2. Dry toes thoroughly.
3. Wash feet with water at a temperature of 90F to 98.6F.
