2022 Fundamentals Assignment Exam
1. A 75-year-old client who has a history of end stage renal failure and
advanced lung cancer, recently had a stroke. Two days ago the
healthcare provider discontinued the client's dialysis treatments,
stating that death is inevitable, but the client is disoriented and will
not sign a DNR directive. What is the priority nursing intervention? -
Determine who is legally empowered to make decisions.
2. A male client with an infected wound tells the nurse that he follows a
macrobiotic diet. Which type of foods should the nurse recommend that
the client select from the hospital menu? - Combination of plant
proteins to provide essential amino acids.
3. A macrobiotic diet is high in whole-grain cereals, vegetables, sea
vegetables, beans, and vegetarian soups, and the client needs
essential amino acids to provide complete proteins to heal the infected
wound. Although a macrobiotic diet contains no source of animal
protein, essential amino acids should be obtained by combining plant
(incomplete) proteins to provide complete (all essential amino acids)
proteins (B) for anabolic processes. (A, C, and D) do not provide the
client with food choices consistent with a macrobiotic diet and protein
needs.
4. The nurse is administering an intermittent infusion of an antibiotic to a
client whose intravenous (IV) access is an antecubital saline lock.
After the nurse opens the roller clamp on the IV tubing, the alarm on
the infusion pump indicates an obstruction. What action should the
nurse take first? - Reposition the client's arm.
5. If the client's elbow is bent, the IV may be unable to infuse, resulting in
an obstruction alarm, so the nurse should first attempt to reposition
the client's arm to alleviate any obstruction
6. What action should the nurse implement to prevent the formation of a
sacral ulcer for a client who is immobile? - Position prone with a small
pillow below the diaphragm.
, 2022 Fundamentals Assignment Exam
7. What intervention should the nurse include in the plan of care for a
client who is being treated with an Unna's paste boot for leg ulcers due
to chronic venous insufficiency? - Check capillary refill of toes on lower
extremity with Unna's paste boot.
8. Which nursing intervention is most beneficial in reducing the risk of
urosepsis in a hospitalized client with an indwelling urinary catheter? -
Obtain a prescription for removal of the catheter as soon as possible.
9. The best intervention to reduce the risk for urosepsis (spread of an
infectious agent from the urinary tract to systemic circulation) is
removal of the urinary catheter as quickly as possible (D). (A, B, and C)
are helpful to reduce the risk of infection, but are of less priority than
(D) in reducing the risk of urosepsis.
10. A client provides the nurse with information about the reason for
seeking care. The nurse realizes that some information about past
hospitalizations is missing. How should the nurse obtain this
information? - Elicit specific facts about past hospitalizations with
direct questions.
11. Direct questions should be used after the client's opening
narrative to fill in any details that have been left out or during the
review of systems to elicit specific facts about past health problems.
12. A signed consent form indicated a client should have an
electromyogram, but a myelogram was performed instead. Though the
myelogram revealed the cause of the client's back pain, which was
subsequently treated, the client filed a lawsuit against the nurse and
healthcare provider for performing the incorrect procedure. The court
is likely to rule in favor of the plaintiff because these events represent
what infraction? - Assault and battery with deliberate intent to deviate
from the consent form.
13. The client was not properly informed of the procedure, and
failure to obtain informed consent constitutes assault and battery (C).
(A) is injury to economics and dignity, such as invasion of privacy or
defamation of character. This is not an incident of failure to respect
1. A 75-year-old client who has a history of end stage renal failure and
advanced lung cancer, recently had a stroke. Two days ago the
healthcare provider discontinued the client's dialysis treatments,
stating that death is inevitable, but the client is disoriented and will
not sign a DNR directive. What is the priority nursing intervention? -
Determine who is legally empowered to make decisions.
2. A male client with an infected wound tells the nurse that he follows a
macrobiotic diet. Which type of foods should the nurse recommend that
the client select from the hospital menu? - Combination of plant
proteins to provide essential amino acids.
3. A macrobiotic diet is high in whole-grain cereals, vegetables, sea
vegetables, beans, and vegetarian soups, and the client needs
essential amino acids to provide complete proteins to heal the infected
wound. Although a macrobiotic diet contains no source of animal
protein, essential amino acids should be obtained by combining plant
(incomplete) proteins to provide complete (all essential amino acids)
proteins (B) for anabolic processes. (A, C, and D) do not provide the
client with food choices consistent with a macrobiotic diet and protein
needs.
4. The nurse is administering an intermittent infusion of an antibiotic to a
client whose intravenous (IV) access is an antecubital saline lock.
After the nurse opens the roller clamp on the IV tubing, the alarm on
the infusion pump indicates an obstruction. What action should the
nurse take first? - Reposition the client's arm.
5. If the client's elbow is bent, the IV may be unable to infuse, resulting in
an obstruction alarm, so the nurse should first attempt to reposition
the client's arm to alleviate any obstruction
6. What action should the nurse implement to prevent the formation of a
sacral ulcer for a client who is immobile? - Position prone with a small
pillow below the diaphragm.
, 2022 Fundamentals Assignment Exam
7. What intervention should the nurse include in the plan of care for a
client who is being treated with an Unna's paste boot for leg ulcers due
to chronic venous insufficiency? - Check capillary refill of toes on lower
extremity with Unna's paste boot.
8. Which nursing intervention is most beneficial in reducing the risk of
urosepsis in a hospitalized client with an indwelling urinary catheter? -
Obtain a prescription for removal of the catheter as soon as possible.
9. The best intervention to reduce the risk for urosepsis (spread of an
infectious agent from the urinary tract to systemic circulation) is
removal of the urinary catheter as quickly as possible (D). (A, B, and C)
are helpful to reduce the risk of infection, but are of less priority than
(D) in reducing the risk of urosepsis.
10. A client provides the nurse with information about the reason for
seeking care. The nurse realizes that some information about past
hospitalizations is missing. How should the nurse obtain this
information? - Elicit specific facts about past hospitalizations with
direct questions.
11. Direct questions should be used after the client's opening
narrative to fill in any details that have been left out or during the
review of systems to elicit specific facts about past health problems.
12. A signed consent form indicated a client should have an
electromyogram, but a myelogram was performed instead. Though the
myelogram revealed the cause of the client's back pain, which was
subsequently treated, the client filed a lawsuit against the nurse and
healthcare provider for performing the incorrect procedure. The court
is likely to rule in favor of the plaintiff because these events represent
what infraction? - Assault and battery with deliberate intent to deviate
from the consent form.
13. The client was not properly informed of the procedure, and
failure to obtain informed consent constitutes assault and battery (C).
(A) is injury to economics and dignity, such as invasion of privacy or
defamation of character. This is not an incident of failure to respect
