NU 216 Adult Health One Final Exam

NU 216 Adult Health One Final Exam A patient is diagnosed with heart failure after being admitted to the hospital for shortness of breath and fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be effective? A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing patient teaching, what is the priority action for the nurse? A patient states, “I told my husband I wouldn’t buy as much prepared food snacks, so I will go the grocery store to buy fresh fruit, vegetables, and whole grains.” When using the Transtheoretical Model of Health Behavior Change, the nurse identifies that this patient is in which stage of change? While admitting a patient to the medical unit, the nurse determines that the patient is hard of hearing. How should the nurse use this information to plan teaching and learning strategies? A patient who is morbidly obese states, “I’ve recently made some changes in my life. I’ve decreased my fat intake and I’ve stopped smoking.” Which statement, if made by the nurse, is the best initial response? The nurse is planning a teaching session with a patient newly diagnosed with migraine headaches. To assess a patient’s readiness to learn, which question should the nurse ask? A patient with diabetic neuropathy requires teaching about foot care. Which learning goal should the nurse include in the teaching plan? The nurse and the patient who is diagnosed with hypertension develop this goal: “The patient will select a 2-gram sodium diet from the hospital menu for the next 3 days.” Which evaluation method will be best for the nurse to use when determining whether teaching was effective? The hospital nurse implements a teaching plan to assist an older patient who lives alone to independently accomplish daily activities. How would the nurse best evaluate the patient’s long- term response to the teaching? A patient who smokes a pack of cigarettes per day tells the nurse, “I enjoy smoking and have no plans to quit.” Which nursing diagnosis is mostappropriate? The nurse plans to teach a patient and the caregiver how to manage high blood pressure (BP). Which action should the nurse take first? The nurse plans to provide instructions about diabetes to a patient who has a low literacy level. Which teaching strategies should the nurse use (select all that apply)? When caring for an older patient with hypertension who has been hospitalized after a transient ischemic (TIA), which topic is the most important for the nurse to include in the discharge teaching? The nurse performs a comprehensive geriatric assessment of a patient who is being assessed for admission to an assisted living facility. Which question is the most important for the nurse to ask? An older patient is hospitalized with pneumonia. Which intervention should the nurse implement to provide optimal care for this patient? The nurse cares for an older adult patient who lives in a rural area. Which intervention should the nurse plan to implement to best meet this patient’s needs? Which nursing action will be most helpful in decreasing the risk for drug-drug interactions in an older adult? The nurse admits an acutely ill, older patient to the hospital. Which action should the nurse take first? The nurse cares for an alert, homeless older adult patient who was admitted to the hospital with a chronic foot infection. Which intervention is themost appropriate for the nurse to include in the discharge plan for this patient? Which statement, if made by an older adult patient, would be of most concern to the nurse? The family of an older patient with chronic health problems and increasing weakness is considering placement in a long-term care (LTC) facility. Which action by the nurse will be most helpful in assisting the patient to make this transition? The nurse manages the care of older adults in an adult health day care center. Which action can the nurse delegate to unlicensed assistive personnel (UAP)? Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient (select all that apply)? The nurse assesses a patient’s surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate? A patient has an open surgical wound on the abdomen that contains deep pink granulation tissue. How would the nurse document this wound? A patient with rheumatoid arthritis has been taking corticosteroids for 11 months. Which nursing action is most likely to detect early signs of infection in this patient? A patient from a long-term care facility is admitted to the hospital with a sacral pressure ulcer. The base of the wound is yellow and involves subcutaneous tissue. How should the nurse classify this pressure ulcer? A young male patient who is a paraplegic has a stage II sacral pressure ulcer and is being cared for at home by his mother. To prevent further tissue damage, what instructions are most important for the nurse to teach the mother? The nurse will perform which action when doing a wet-to-dry dressing change on a patient’s stage III sacral pressure ulcer? A patient who has diabetes is admitted for an exploratory laparotomy for abdominal pain. When planning interventions to promote wound healing, what is the nurse’s highest priority? After the home health nurse teaches a patient’s family member about how to care for a sacral pressure ulcer, which finding indicates that additional teaching is needed? A patient’s temperature has been 101° F (38.3° C) for several days. The patient’s normal caloric intake to meet nutritional needs is 2000 calories per day. Knowing that the metabolic rate increases 7% for each Fahrenheit degree above 100° in body temperature, how many total calories should the patient receive each day? ...........................................CONTINUED.........................................