m m m m m
Fundamentals of Nursing (Eastern Florida State College)
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COMPREHENSIVE TEST B 2022 FINAL EXAM m m m m m
Amnursemismcaringmformamclientmwhomhadmabdominalmsurgerym24mhoursmago.mWhichmofmthemfollowingmaction
smismthempriority?
A. Assessmfluidmintakemeverym24mhours
B. Ambulatemthreemtimesmamday
C. Assistmwithmdeepmbreathingmandmcoughing
D. Monitormthemincisionmsitemformfindingsmofminfecti
onmC
Themprioritymactionmthemnursemshouldmtakemwhenmusingmthemairway,mbreathing,mcirculationmapproachmtomcli
entmcaremismtomassistmthemclientmwithmdeepmbreathingmandmcoughing,mwhichmreducesmthemriskmformpostope
rativempneumonia.
AmnursemismtalkingmwithmamclientmwhomhasmstagemIVmbreastmcancer.mThemnursemshouldmrecognizemwhichmofmt
hemfollowingmstatementsmbymthemclientmasmamconstructivemusemofmamdefensemmechanism?
A. Imhavemexperiencedmphysicalmdiscomfortmwhenmintimatemwithmmympartnermsincemmymdiagnosis
B. Imwishmothermwomenmwouldmstopmsocializingmwithmmympartner
C. ImtoldmmymdoctormthatmImwouldmlikemtomstartmamsupportmgroupmformothermwomenmwhomaremsickmi
nmmymcommunity
D. Imusedmtommistrustmmymdoctor,mbutmnowmImknowmthatmshemismthembestmonemtomcaremformmemduringmmymil
lnessmC
Thismstatementmindicatesmthatmthemclientmismusingmthemconstructivemdefensemmechanismmsublimationmbymd
evisingmamsociallymacceptablemalternativemtomfacingmamrealitymthatmshemdoesmnotmwishmtomaccept.
AmnursemismcaringmformamclientmwhomhasmimmunosuppressionmandmamcontinuousmIVminfusion.mWhichmofmthem
followingmactionsmshouldmthemnursemtake?
A. AssessmthemclientsmIVmsitemeverym8mhours
B. CheckmthemclientsmWBCmcountmeverym48mhours
C. Monitormthemclientsmmouthmeverym8mhours
D. ChangemthemclientsmIVmtubingmeverym48mhou
rsmC
Amnursemismcaringmformam2-month-
oldminfantmwhomhasmHirschsprungmdiseasem(HD).mWhichmofmthemfollowingmareasmshouldmthemnursemassessm
formmanifestationsmofmHD?
A. Eyesmarea
B. Chestmarea
C. Lowermabdominalmarea
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Hirschsprungmdiseasemismamconditionmthatmaffectsmthemlargemintestinem(colon)mandmcausesmproblemsmwithm
passingmstool.mThismismpresentmatmbirthm(congenital)masmamresultmofmmissingmnervemcellsminmthemmusclemofmth
embaby'smcolon
Amnursematmammentalmhealthmclinicmismcaringmformfourmclients.mThemnursemshouldmrecognizemthatmwhichmofmt
hemfollowingmclientsmismusingmdissociationmasmamdefensemmechanism?
A. Amclientmforgetsmtombuymtheirmpartnermambirthdaymgiftmaftermamdisagreement
B. Amclientmwhomwasmabusedmasmamchildmdescribesmthemabusemasmifmitmhappenedmtomsomeonemelse.
C. Amclientmwhomismshortermthanmaveragemismverballymassertivemwithmcoworkers
D. Amclientmstatesmthatmtheymdidmnotmgetmamjobmpromotionmbecausemthembossmdidmnotmlikemt
hemmB
Amnursemismprovidingmteachingmtomamclientmwhomhasmamnewmdiagnosismofmtypem1mdiabetesmmellitus.mThemnur
semshouldminstructmthemclientmtommonitormformwhichmofmthemfollowingmfindingsmasmammanifestationmofmhyp
oglycemia?
A. irritability
B. increasedmurination
C. vomiting
D. facialmflushing
A
m
Amnurseminmanmoutpatientmmentalmhealthmclinicmismcaringmformfourmclients.mThemnursemshouldmrecognizemtha
tmwhichmofmthemfollowingmclientsmismeffectivelymusingmsublimationmasmamdefensemmechanism?
A. Amclientmwhomtransfersmtheirmangermaboutmtheirmjobmontomtheirmfamilymandmthenmapologizes
B. Amclientmwhommissesmprovidermappointmentsmbecausemtheymsaymtheymaremtoombusy
C. Amclientmwhomchannelsmtheirmenergymintomamnewmhobbymfollowingmthemlossmofmtheirmjob
D. Amclientmwhosempartnermdiedm4myearsmagomsetsmamplacemformhimmatmdinnermeachmn
ightmC
Themnursemshouldmidentifymthatmthismclientmismusingmthemdefensemmechanismmofmsublimationmbymchannelin
gmnegativemfeelingsmovermthemlossmofmtheirmjobmintomamnewmhobby.
Amhospicemnursemismconsultingmwithmamclientmandmhermfamilymaboutmreceivingmhomemservices.mWhichmofmth
emfollowingmstatementsmshouldmthemnursemidentifymasmanmindicationmthatmthemfamilymunderstandsmhomem
hospicemcare?
A. "Wemcanmexpectmthemhospicemnursemtomprovidemsupportmformusmaftermourmmother'smdeath."
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B. Amhospicemnursemwillmcomemtomthemhousemeachmtimemourmmothermneedsmpainmmedication
C. Nowmthatmmymmothermismreceivingmhospicemservices,mwemwillmnotmbemablemtomgetmrespitemcare
D. Hospicemcaremfocusesmonmarrangingmtreatmentmthatmwillmprolongmourmmother'sml
ifemA
Hospicemcaremincludesmbereavementmservicesmaftermamfamilymmember'smdeath.
Amnursemismcaringmformamclientmwhomhasmactivempulmonarymtuberculosis.mWhichmofmthemfollowingmactionsms
houldmthemnursemtake?
A. Wearmamsurgicalmmaskmwhenmprovidingmclientmcare
B. Havemvisitorsmmaintainmamdistancemofm1.8mm(6mfeet)mfrommthemclient
C. Restrictmfreshmflowersmfrommthemclientsmroom
D. Assignmthemclientmtomamprivatemroommwithmnegativemairmpressu
remD
Amnursemismprovidingmteachingmtomamclientmwhomismatm24mweeksmofmgestationmandmismscheduledmformam3-
hrmoralmglucosemtolerancemtest.mWhichmofmthemfollowingminstructionsmshouldmthemnursemincludeminmthemte
aching?
A. Limitmyourmfatmintakemform72mhoursmbeforemthemtest
B. Youmwillmneedmtomfastmthemnightmbeforemthemtest
C. Wemwillmcollectmamurinemsamplemthemdaymaftermtesting
D. Ambloodmsamplemwillmbemcollectedmeverym15mminutesmduringmthemt
estmB
Amnursemonmampediatricmunitmhasmreceivedmchange-of-
shiftmreportmformfourmchildren.mWhichmofmthemfollowingmchildrenmshouldmthemnursemassessmfirst?
A. Am6monthmoldminfantmwhomhasmcroupmandmanmO2msaturationmofm92%monmroommair
B. Am15myearmoldmadolescentmwhomism2mhourmpostopmfollowingmanmopenmreductionmandminternalmfixationmo
fmthemleftmanklemandmismrequestingmpainmmedication
C. Am3myearmoldmtoddlermwhomhasmgastroenteritis,mmoderatemdehydration,mandmhadm2mloosembo
welmmovementsmovermthempastm24mhours
D. Am10-year-
oldmchildmwhomismawaitingmsurgerymformanmappendectomymandmexperiencedmsuddenmreliefmfrommpain.
D
Amnurseminmamcommunitymcentermismprovidingmanmeducationalmsessionmtomamgroupmofmclientsmaboutmovarian
mcancer.mWhichmofmthemfollowingmmanifestationsmofmovarianmcancermshouldmthemnursemincludeminmthemtea
ching?
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