NACE Foundations of Nursing Exam 2024 Questions and Answers- 100% Accurate

What to do if a client is unable to void? - ANSWERS,assess the client's bladder Explaining steps of a throat culture: - ANSWERS,"While depressing your tongue, I will swab the back of your throat" How to prevent skin breakdown for a diaphoretic patient: - ANSWERS,change bed linens frequently idiosyncratic drug effect: - ANSWERS,adverse effects that cannot be explained. Administering ear drops for adults: - ANSWERS,pull auricle up and back Interventions for constipation: - ANSWERS,encourage high fiber foods, increase fluid 2,000mL/day, ambulation Removing PPE - ANSWERS,gloves, goggles/ face shield, gown, mask Foods to avoid while on Warfarin: - ANSWERS,spinach and salads UAP is feeding a patient, when should the nurse intervene? - ANSWERS,UAP providing large frequent bites Lipodystrophy - ANSWERS,abnormal distribution of fat. [ I think question said rotate injection sites to prevent this from happening?] Elderly lady misses breakfast bc it takes her until noon to get ready. What should the nurse do? - ANSWERS,serve breakfast in her room. Interventions for restraints: - ANSWERS,perform ROM exercises q 2 hours Health care proxy: - ANSWERS,the directive takes effect only if the client is incapable of personally making health care decisions. Client shares feelings with the health care team regarding the trauma is an example of: - ANSWERS,post trauma outcome Farrowed tongue is a symptom of: - ANSWERS,dehydration Older adults are at risk of toxic effects of medications because: - ANSWERS,decrease renal function The pt is diaphoretic and tachycardic when walking. What other symptoms would you expect? - ANSWERS,orthostatic hypotension noted with dangling Low pitch rattles, lessen with cough: - ANSWERS,rhonchi Symptoms of COPD: - ANSWERS,-clubbing in upper digits -AP chest diameter of 1:1 -tripod positioning Albumin - ANSWERS,3.5-5 [answer says 2.8 g/dl] symptoms of cataracts - ANSWERS,blurred or cloudy vision how to check fluid status - ANSWERS,-inspect lips and mucus membranes -pinch the skin on back of hands -measure BP and pulse -obtain daily weight Unable to see close up: - ANSWERS,presbyopia I wake up to urinate once each night and I often wake up feeling tired in the morning are symptoms of: - ANSWERS,sleep disturbances Joint stiffness in the morning is a symptoms of: - ANSWERS,osteoarthritis Which pt should the nurse see first: - ANSWERS,ABC