NR-305:| NR 305 HEALTH ASSESSMENT EXAM 2 PRACTICE QUESTIONS WITH 100% CORRECT ANSWERS| GRADED A+

NR-305:| NR 305 HEALTH ASSESSMENT EXAM 2 PRAWhich amount of protein per kilogram of body weight a day would the nurse recommend a patient consume to support wound healing? A. 1.25 to 1.5 g B. 2 to 3.5 g C. 3.5 to 4.5 g D. 5.15 to 6.5 g 1.25 to 1.5 g The nurse should recommend that the patient consume 1.25 to 1.5 g of protein per kilogram of body weight a day to support would healing. The amounts 2 to 3.5 g, 3.5 to 4.5 g, and 5.15 to 6.5 g are too much. A nurse is performing mouth care for a patient who is unconscious. Which of the following actions should the nurse take? A. turn the patient's head to the side B. place two fingers in the patient's mouth to open C. brush the patient's teeth once per day D. inject a mouth rise into the center of the patient's mouth A. turn the patient's head to the side Which intervention would be MOST effective for compromised skin integrity? A. preventing breakdown B. administering medication C. implementing wound care D. monitoring would healing A. preventing breakdown The most effective intervention for compromised skin integrity & wound care is prevention of skin breakdown. Whereas administering medication, implementing wound care, and monitoring wound healing are all important nursing actions, prevention is the first step. The police arrive at the emergency department with a patient who has lacerated both wrists. Which is the INITIAL nursing action? A. administer an anti-anxiety agent B. assess & treat wound sites C. secure & record a detailed history D. encourage the patient to ventilate feelings B. assess & treat wound sites The nurse is the first responder after a tornado has destroyed many homes in the community. Which victim should the nurse attend to FIRST? A. a pregnant woman who exclaims, "My baby is not moving!" B. a young child standing next to an adult family member who is screaming, "I want my mommy!" C. a woman who is complaining, "My leg is bleeding so bad, I am afraid it is going to fall off!" D. an older victim who is next to her husband sobbing, "My husband is dead. My husband is dead." C. a woman who is complaining, "My leg is bleeding so bad, I am afraid it is going to fall off!" The staff nurse reviews the nursing documentation in a client's chart & notes that the wound care nurse has documented that the client has a stage II pressure injury in the sacral area. Which finding would the nurse expect to note on assessment of the client's sacral area? A. intact skin B. full-thickness skin loss C. exposed bone, tendon, or muscle D. partial-thickness skin loss of the dermis D. partial-thickness skin loss of the dermis A mother calls a neighbor who is a nurse & tells the nurse that her 3-year-old child has just ingested liquid furniture polish. The nurse would direct the mother to take which IMMEDIATE action? A. bring the child to the emergency department B. call poison control C. induce vomiting D. call an ambulance B. call poison control The home care nurse is performing an environmental assessment in the home of an older patient. Which observation by the nurse requires intervention? A. unsecured scatter rugs B. clear exit pathways C. an operable smoke detector D. pre-filled medication box A. unsecuredCTICE QUESTIONS WITH 100% CORRECT ANSWERS| GRADED A+