NR224 Exam 1 Comprehensive
Questions (Frequently Tested) with
Verified Answers Graded A+
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A nurse is caring for an 82-year-old client in the emergency department
who has an oral body temperature of 38.3 C (101 F), pulse rate
114/min, and respiratory rate 22/min. He is restless and his skin is
warm. Which of the following interventions should the nurse take?
(select all that apply)
a. obtain culture specimens before initiating antimicrobials.
B. Restrict the client's oral fluid intake.
,C. Encourage the client to rest and limit activity.
D. allow the client to shiver to dispel excess heat.
E. assist the client with oral hygiene frequently. - Answer: a. obtain
culture specimens before initiating antimicrobials.
C. Encourage the client to rest and limit activity.
E. assist the client with oral hygiene frequently.
A nurse is instructing an assistive personnel about caring for a client
who has a low platelet count as a result of chemotherapy. Which of the
following instructions is the priority for measuring vital signs for this
client?
A. "Do not measure the client's temperature rectally."
B. "Count the client's radial pulse for 30 seconds and multiply it by 2."
C. "Do not let the client know you are counting her respirations."
D. "Let the client rest for 5 minutes before you measure her blood
pressure." - Answer: A. "Do not measure the client's temperature
rectally."
A nurse is instructing a group of nursing students in measuring a client's
respiratory rate. Which of the following guidelines should the nurse
include? (Select all that apply.)
A. place the client in semi-Fowler's position.
,B. have the client rest an arm across the abdomen.
C. Observe one full respiratory cycle before counting the rate.
D. Count the rate for 30 sec if it is irregular.
E. Count and and report any signs the client demonstrates. - Answer: A.
place the client in semi-Fowler's position.
B. have the client rest an arm across the abdomen.
C. Observe one full respiratory cycle before counting the rate.
A nurse who is admitting a client who has a fractured femur obtains a
blood pressure reading of 140/94 mm Hg. The client denies any history
of hypertension. Which of the following actions should the nurse take
first?
A. request a prescription for an antihypertensive medication.
B. Ask the client if she is having pain.
C. Request a prescription for antianxiety medication.
D. Return in 30 min to recheck the client's blood pressure. - Answer: B.
Ask the client if she is having pain.
A nurse is performing mouth care for a client who is unconscious.
Which of the following actions should the nurse take?
A. turn the client's head to the side.
B. place two fingers in the client's mouth to open.
, C. Brush the client's teeth once per day.
D. Inject a mouth rinse into the center of the client's mouth. - Answer:
A. turn the client's head to the side.
A nurse is instructing a client who has diabetes mellitus about foot care.
Which of the following guidelines should the nurse include? (Select all
that apply.)
A. inspect the feet daily
B. use moisturizing lotion on the feet.
C. Wash the feet with warm water and let them air dry.
D. use over-the-counter products to treat abrasions.
E. wear cotton socks. - Answer: A. inspect the feet daily
B. use moisturizing lotion on the feet.
E. wear cotton socks.
A nurse is planning care for a client who develops dyspnea and feels
tired after completing her morning care. Which of the following actions
should the nurse include in the client's plan of care?
A. schedule rest periods during morning care.
B. discontinue morning care for 2 days.
C. perform all care as quickly as possible.
Questions (Frequently Tested) with
Verified Answers Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Helping Students Achieve Academic Excellence
A nurse is caring for an 82-year-old client in the emergency department
who has an oral body temperature of 38.3 C (101 F), pulse rate
114/min, and respiratory rate 22/min. He is restless and his skin is
warm. Which of the following interventions should the nurse take?
(select all that apply)
a. obtain culture specimens before initiating antimicrobials.
B. Restrict the client's oral fluid intake.
,C. Encourage the client to rest and limit activity.
D. allow the client to shiver to dispel excess heat.
E. assist the client with oral hygiene frequently. - Answer: a. obtain
culture specimens before initiating antimicrobials.
C. Encourage the client to rest and limit activity.
E. assist the client with oral hygiene frequently.
A nurse is instructing an assistive personnel about caring for a client
who has a low platelet count as a result of chemotherapy. Which of the
following instructions is the priority for measuring vital signs for this
client?
A. "Do not measure the client's temperature rectally."
B. "Count the client's radial pulse for 30 seconds and multiply it by 2."
C. "Do not let the client know you are counting her respirations."
D. "Let the client rest for 5 minutes before you measure her blood
pressure." - Answer: A. "Do not measure the client's temperature
rectally."
A nurse is instructing a group of nursing students in measuring a client's
respiratory rate. Which of the following guidelines should the nurse
include? (Select all that apply.)
A. place the client in semi-Fowler's position.
,B. have the client rest an arm across the abdomen.
C. Observe one full respiratory cycle before counting the rate.
D. Count the rate for 30 sec if it is irregular.
E. Count and and report any signs the client demonstrates. - Answer: A.
place the client in semi-Fowler's position.
B. have the client rest an arm across the abdomen.
C. Observe one full respiratory cycle before counting the rate.
A nurse who is admitting a client who has a fractured femur obtains a
blood pressure reading of 140/94 mm Hg. The client denies any history
of hypertension. Which of the following actions should the nurse take
first?
A. request a prescription for an antihypertensive medication.
B. Ask the client if she is having pain.
C. Request a prescription for antianxiety medication.
D. Return in 30 min to recheck the client's blood pressure. - Answer: B.
Ask the client if she is having pain.
A nurse is performing mouth care for a client who is unconscious.
Which of the following actions should the nurse take?
A. turn the client's head to the side.
B. place two fingers in the client's mouth to open.
, C. Brush the client's teeth once per day.
D. Inject a mouth rinse into the center of the client's mouth. - Answer:
A. turn the client's head to the side.
A nurse is instructing a client who has diabetes mellitus about foot care.
Which of the following guidelines should the nurse include? (Select all
that apply.)
A. inspect the feet daily
B. use moisturizing lotion on the feet.
C. Wash the feet with warm water and let them air dry.
D. use over-the-counter products to treat abrasions.
E. wear cotton socks. - Answer: A. inspect the feet daily
B. use moisturizing lotion on the feet.
E. wear cotton socks.
A nurse is planning care for a client who develops dyspnea and feels
tired after completing her morning care. Which of the following actions
should the nurse include in the client's plan of care?
A. schedule rest periods during morning care.
B. discontinue morning care for 2 days.
C. perform all care as quickly as possible.
