NU155 exam 3 Galen
The nurse is monitoring a client's surgical incision and notes an increase in the amount of
drainage, a separation of the incision line, and the appearance of underlying tissue. Which of
the following is an appropriate action for the nurse to take?
Apply a sterile, normal-saline soaked dressing to the wound.
The nurse is providing preoperative instructions to a client who is scheduled for surgery to
correct
spinal curvature. Which of the following statements by the client best demonstrates a
correct
understanding of the teaching?
"I will show you the method of turning I will use after surgery."
The nurse is assessing a postoperative client who has advanced cognitive impairment. Which
of the
following actions by the nurse is most effective when assessing the client's level of pain?
Monitor the client's body language, facial expressions, emotional status, and consolability.
The nurse is caring for a client who has diabetes melltus and reports sharp, burning pain in
bilateral lower extremities. The nurse understands that the cilent may be experiencing
Neuropathic pain.
The nurse is caring for a client who is scheduled to have surgery the following day. It
requires notification to the primary health care provider (PHCP) if the client
Reports a family history of high fever during a surgical procedure.
The nurse is caring for a client who is postoperative. Which of the following actions should
the nure, take to minimize the client's risk of developing deep vein thrombosis (DVT)?
Assist the client to ambulate frequently as early as tolerated.
The nurse is caring for a group of assigned clients. Which of the folowing clients requires
immeciate
follow-up by the nurse?
, The client who had a cardiac catheterization via the right femoral artery 1 hour ago who is
reporting numbness in the right leg.
The nurse has reinforced teaching with a client about risk factors for deep vein thrombosis
(DVT). Which of the following risk factors identified by the client indicates a need for
further teaching?
Intake of foods high in calcium.
Which of the following findings from the box below should be of immediate concern to the
nurse?
1 . Shortness of b r e a t h .
2. Back pain.
3 . Temperature.
4 . History of
hyperlipidemia.
5 . History of asthma.
6 . Respiratory rate.
7 . Blood pressure.
1, 2, 6, 7.
The nurse is caring for a client who has left-sided heart failure (HF) and has developed a
cough, crackles, and weak peripheral pulses. Which of the following additional findings
should the nurse expect to observe?
Confusion
The nurse has reinforced dietary teaching with a client who has hypercholesteremia. Which
of the
following client statements indicates a correct understanding about ways to lower
cholesterol in the diet ?
"I will use egg whites for my breakfast and in recipes."
The nurse is caring for a client who experienced an acute myocardial infarction (MI) 24
hours ago. It is
necessary for the nurse to immediately notify the charge nurse it the client has
An indwelling urethral catheter output of 20 ml over the past 2 hours.
The nurse is monitoring a client's surgical incision and notes an increase in the amount of
drainage, a separation of the incision line, and the appearance of underlying tissue. Which of
the following is an appropriate action for the nurse to take?
Apply a sterile, normal-saline soaked dressing to the wound.
The nurse is providing preoperative instructions to a client who is scheduled for surgery to
correct
spinal curvature. Which of the following statements by the client best demonstrates a
correct
understanding of the teaching?
"I will show you the method of turning I will use after surgery."
The nurse is assessing a postoperative client who has advanced cognitive impairment. Which
of the
following actions by the nurse is most effective when assessing the client's level of pain?
Monitor the client's body language, facial expressions, emotional status, and consolability.
The nurse is caring for a client who has diabetes melltus and reports sharp, burning pain in
bilateral lower extremities. The nurse understands that the cilent may be experiencing
Neuropathic pain.
The nurse is caring for a client who is scheduled to have surgery the following day. It
requires notification to the primary health care provider (PHCP) if the client
Reports a family history of high fever during a surgical procedure.
The nurse is caring for a client who is postoperative. Which of the following actions should
the nure, take to minimize the client's risk of developing deep vein thrombosis (DVT)?
Assist the client to ambulate frequently as early as tolerated.
The nurse is caring for a group of assigned clients. Which of the folowing clients requires
immeciate
follow-up by the nurse?
, The client who had a cardiac catheterization via the right femoral artery 1 hour ago who is
reporting numbness in the right leg.
The nurse has reinforced teaching with a client about risk factors for deep vein thrombosis
(DVT). Which of the following risk factors identified by the client indicates a need for
further teaching?
Intake of foods high in calcium.
Which of the following findings from the box below should be of immediate concern to the
nurse?
1 . Shortness of b r e a t h .
2. Back pain.
3 . Temperature.
4 . History of
hyperlipidemia.
5 . History of asthma.
6 . Respiratory rate.
7 . Blood pressure.
1, 2, 6, 7.
The nurse is caring for a client who has left-sided heart failure (HF) and has developed a
cough, crackles, and weak peripheral pulses. Which of the following additional findings
should the nurse expect to observe?
Confusion
The nurse has reinforced dietary teaching with a client who has hypercholesteremia. Which
of the
following client statements indicates a correct understanding about ways to lower
cholesterol in the diet ?
"I will use egg whites for my breakfast and in recipes."
The nurse is caring for a client who experienced an acute myocardial infarction (MI) 24
hours ago. It is
necessary for the nurse to immediately notify the charge nurse it the client has
An indwelling urethral catheter output of 20 ml over the past 2 hours.
