2027\NEWEST VERSION A, B&C WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS\VERIFIED
100% ALREADY GRADED A+ \ACTUAL TEST BANK FINAL
EXAM , BEST DOCUMENT FOR EXAM PREPARATION WITH
RATIONALES
A nurse is assessing a client's understanding of a surgical procedure prior to
witnessing their signature on the informed consent form. The nurse
determines that the client does not understand what the procedure will
involve. Which of the
following actions should the nurse take?
A. Provide teaching about the surgical procedure for the client.
B. Instruct the client's spouse to sign the consent form.
C. Read the consent form to the client using words the client will understand.
D. Contact the provider who will be performing the procedure.
D. Contact the provider who will be performing the procedure.
The nurse should advocate for the client by informing the provider if the client
does not understand the procedure. It is the responsibility of the provider
to discuss the procedure
more fully with the client.
,A nurse is providing teaching to a client who is scheduled for a
bronchoscopy. Which of the following statements should the nurse
include in the teaching?
A. "You will not be able to eat or drink after the procedure until you are able to
cough."
B. "You will drink a contrast solution 30 minutes prior to the procedure."
C. "The purpose of this procedure is to remove excess fluid from your lungs."
D. "You will need to lie on your back for 4 to 6 hours following the procedure."
A. "You will not be able to eat or drink after the procedure until you are able to
cough."
A client who had a bronchoscopy received a local anesthetic that can
suppress the cough
reflex. The cough reflex protects the client from aspirating fluids or food.
Therefore, the client should not eat or drink until the cough reflex returns
A nurse is caring for a client who is 24 hr postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take?
A. Place the affected leg in external rotation.
B. Encourage the client to use the incentive spirometer every shift.
C. Instruct the client to lean forward when rising from a chair.
D. Maintain abduction of the affected extremity.
D. Maintain abduction of the affected extremity.
The nurse should ensure that the affected extremity is in a position of abduction to
prevent hip dislocation. The nurse should place an abductor pillow or several
pillows between the
client's legs to keep the affected extremity in abduction while the client is in bed.
,A nurse is taking an admission history from a client who reports Raynaud's
disease. Which of the following assessment findings should the nurse
identify as a potential trigger for exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch
d. Using a nicotine transdermal patch
A nurse is caring for a client who has a central venous access device and notes
the tubing has become disconnected. The client develops dyspnea and
tachycardia.
Which
of the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter
d. Clamp the catheter
, A nurse is completing an assessment of an older adult client and notes
reddened areas
over the bony prominences, but the client's skin is intact. Which of the following
interventions should the nurse include in the plan of care?
a. Turn and reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a day
c. Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple
sclerosis. Which of the following actions is the priority for the nurse to take?
a. Discuss recommendations for eating and swallowing techniques
b. List strategies for family coping when dealing with possible role changes
c. Review the use of adaptive grooming devices to promote client
independence
d. Give the client information about the local national multiple sclerosis
society
a. Discuss recommendations for eating and swallowing techniques