Nur 125 exam 4 UPDATED ACTUAL Questions and CORRECT
Answers
The healthcare provider prescribes 1000 mL of normal 125
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.)
A client has been admitted to the hospital. The client is Inform the client of location of foods on the meal tray.
visually impaired and can only see huge objects as
shadows. Which interventions can the nurse employ to Knock on the client's door before entering the room.
keep the client independent during the hospitalization?
Keep the call light in a consistent place within the client's reach.
A nurse is caring for clients with sensory alterations. A client who is receiving care in the intensive care unit for the treatment of septic
Which client is most likely susceptible to the effects of shock
disturbed sensory perception?
A client has expressed great relief at the improvement in Sensory reception
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?
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 An individual's culture may dictate the amount of sensory stimulation considered
sensory stimulation in hospitalized clients when planning normal.
care. Which statement is true?
, The nurse is caring for a 73-year-old client with diabetes Allowing more time for the processing of the information
mellitus. What consideration should the nurse include in
planning to educate the client about insulin
administration?
Older adult clients easily become confused when Hospital procedures and its environment may trigger sensory overstimulation.
admitted to the hospital. The nurse understands that
there are various reasons for this. Which reason further
supports this phenomenon
A home care client has both visual and hearing deficits. Safety
Although all of the following are important, what would
be a high priority concern when planning and
implementing care?
A client returning from the operating room is Talk to the client in a normal tone of voice.
unconscious. What guidelines should the nurse consider
when communicating with this client?
In which situation would the situation, background, A nurse is calling a healthcare provider to report a client's new onset of chest
assessment, and recommendation (SBAR) framework of pain.
communication be most appropriate?
The nurse calls the healthcare provider due to changes in "Will you prescribe a complete blood cell (CBC) count to check the white blood
the client's status. Using the situation, background, cell count and a culture?"
assessment, and recommendation (SBAR) framework, the
nurse is about to address the recommendation
component. Which statement appropriately supports this
part of the SBAR?
The healthcare provider prescribes 2000 mL of D5W. The 100
nurse is to infuse the solution over 20 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.)
A 61-year-old client has been admitted to a medical unit "I'm starting to see how my lifestyle has caused me to end up here."
with a diagnosis of pancreatitis secondary to alcohol use.
Which statement by the client suggests that the nurse's
teaching has resulted in effective learning?
The nurse is providing education to a client. What is the Evidence that learning has occurred
most critical element to document regarding client
education?
When caring for a client, the nurse gives day-to-day Attention and concentration
examples to explain certain points of the health
education. The nurse also notes the client's concentration
level and educates when the client is active. Which aspect
related to learning is the nurse targeting in this approach
to teaching the client?
Answers
The healthcare provider prescribes 1000 mL of normal 125
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.)
A client has been admitted to the hospital. The client is Inform the client of location of foods on the meal tray.
visually impaired and can only see huge objects as
shadows. Which interventions can the nurse employ to Knock on the client's door before entering the room.
keep the client independent during the hospitalization?
Keep the call light in a consistent place within the client's reach.
A nurse is caring for clients with sensory alterations. A client who is receiving care in the intensive care unit for the treatment of septic
Which client is most likely susceptible to the effects of shock
disturbed sensory perception?
A client has expressed great relief at the improvement in Sensory reception
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?
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 An individual's culture may dictate the amount of sensory stimulation considered
sensory stimulation in hospitalized clients when planning normal.
care. Which statement is true?
, The nurse is caring for a 73-year-old client with diabetes Allowing more time for the processing of the information
mellitus. What consideration should the nurse include in
planning to educate the client about insulin
administration?
Older adult clients easily become confused when Hospital procedures and its environment may trigger sensory overstimulation.
admitted to the hospital. The nurse understands that
there are various reasons for this. Which reason further
supports this phenomenon
A home care client has both visual and hearing deficits. Safety
Although all of the following are important, what would
be a high priority concern when planning and
implementing care?
A client returning from the operating room is Talk to the client in a normal tone of voice.
unconscious. What guidelines should the nurse consider
when communicating with this client?
In which situation would the situation, background, A nurse is calling a healthcare provider to report a client's new onset of chest
assessment, and recommendation (SBAR) framework of pain.
communication be most appropriate?
The nurse calls the healthcare provider due to changes in "Will you prescribe a complete blood cell (CBC) count to check the white blood
the client's status. Using the situation, background, cell count and a culture?"
assessment, and recommendation (SBAR) framework, the
nurse is about to address the recommendation
component. Which statement appropriately supports this
part of the SBAR?
The healthcare provider prescribes 2000 mL of D5W. The 100
nurse is to infuse the solution over 20 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.)
A 61-year-old client has been admitted to a medical unit "I'm starting to see how my lifestyle has caused me to end up here."
with a diagnosis of pancreatitis secondary to alcohol use.
Which statement by the client suggests that the nurse's
teaching has resulted in effective learning?
The nurse is providing education to a client. What is the Evidence that learning has occurred
most critical element to document regarding client
education?
When caring for a client, the nurse gives day-to-day Attention and concentration
examples to explain certain points of the health
education. The nurse also notes the client's concentration
level and educates when the client is active. Which aspect
related to learning is the nurse targeting in this approach
to teaching the client?
