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Test Bank For Nursing A Concept-Based Approach to Learning, Volume 1 12th Edition All Chapters

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Test Bank For Nursing A Concept-Based Approach to Learning, Volume 1 12th Edition All Chapters

Instelling
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Voorbeeld van de inhoud

NURSINGgTESTgBANK



Theglaborgandgdeliverygnursegwouldgmakegitgagprioritygtogassessgwhichgofgthegfollowinggtwognewborngbodygsystemsgi
mmediatelygaftergbirth?

GastrointestinalgandghepaticgUrina
rygandghematologicgNeurologicgan
dgtemperaturegcontrolgRespiratory
gandgcardiovascular


Thegmentalghealthgnursegworkinggwithgchildrenganticipatesgthatgunrealisticgexpectationsgorgagsensegofgfailuregtogmeetgst
andardsgwouldgcausegag10-year-oldgchildgtogdevelopgagsensegofgwhichgofgthegfollowing?

ShamegGui
ltgInferiori
ty
Rolegconfusion

Thegnursegisgtakinggagnursingghistorygfromgthegmothergofgagchildgbeinggadmittedgwithgflare-
upgofgceliacgdisease.gWhatgpiecegofginformationgwouldgthegnursegexpectgthegmothergtogreport?

SteatorrheagIncrea
sedgappetitegCheer
fulgbehaviorgSoft,g
formedgstools

Duringgwhichgofgthegfollowinggproceduresgshouldgtheglaborgandgdeliverygnursegweargprotectiveggogglesgingadditiongtog
gloves?


Changinggagsoakedgdisposablegbedgpa
dgAssistinggduringgangamniotomygS
tartinggangintravenousgline
Washinggdirtyginstruments


Agclientgwithgcancerghasgagcalciumglevelgofg11.8gmg/dL.gWhichgofgthegfollowinggsymptomsgwouldgindicategagnee
dgforgthegnursegtogcallgthegphysiciangforgtreatmentgorders?

Increasedggastricgmotilityg Peak
edgTgwavesgong12-
leadgECGgMusclegspasms
Musclegweakness




Whengevaluatinggthegeffectivenessgofgnursinggcaregplansgusedgforganganxiousgclient,gitgisgimportantgtogvalidategtha
tgthegclientgunderstandsgthat:

Defensegmechanismsgshouldgnotgbegused.
Someganxietygcangbeghelpful.
Hegshouldgstrivegtognevergexperienceganxiety.
Hegshouldgtrygtogavoidgthegfightgorgflightgresponse.

,NURSINGgTESTgBANK


Agnursegisgdiscussinggtheghomegmaintenancegregimengwithgagclientgwhoghasgirritablegbowelgsyndrome.gWhichgofgthegfo
llowinggstatementsgindicatesgclientgunderstanding?

“I’llgtakegagwalkgaftergdinnergeachgevening.”
“I’llghavegagcigarettegaftergmealsgtogrelax.”
“I’llgchewggumgbetweengmealsgtogcurbgmygappetite.”
g“I’llgeatgaglotgofgfreshgvegetablesgandgfruits.”


Agfemalegclientgstategthatgshegwillgnotgundergoganyginvasivegtestinggforgherg“stomachgpain.”gThegnursegexplainsgt
hatgwhichgofgthegfollowinggtestsgcouldgbegcompletedgtogassessgthegabdomengandgstillgmeetgthegclient’sgwishes?

Abdominalgultrasoundg
BariumgswallowgColono
scopy
CTgscangwithgcontrast

Certaingthatghergstomachgpaingisgagsymptomgofgcancer,gagfemalegclientgwithgsomatizationgdisordergexhibitsgpressur
ed,grapidgspeech;gelevatedgpulsegandgbloodgpressure;gpalpitations;gandgpreoccupationgwithghergpain,gdespitegnegat
ivegresultsgfromgaggastroscopy.gThegnursegformulatesgwhichgofgthegfollowinggasgthegprioritygnursinggdiagnosis?

Pain
Anxietyg Hopelessne
ssgDisturbedgbodygim
age

Thegnursegsuspectsgthatghepatotoxicitygisgdevelopinggingagdark-
skinnedgclientgwhogisgongangantibiotic.gIngwhatgareagofgthegbodygshouldgthegnursegassessgforgjaundice?

Palmsgofgtheghandsgorgsolesgofgthegfeet
Hardgpalategofgoralgcavity
ScleragConjunc
tivae

Agprimigravidagclientgofg16gweeksggestationgstatesgthatgsheghasgnotgyetgfeltgfetalgmovement.gThegnurse’sgbestgresp
onsegis:

“Yourgfetusgwillgmoveganygdaygnow.gCallgmegingagweekgifgyougdon’tgfeelgit.”g“
Yourgfetusgwillgbegingmovinggatgaboutg20gweek’sggestation.”
“Yougshouldghavegbeengfeelinggthegmovementgalready.”
“Yourgfetusghasgbeengmovinggforgthegpastg9gweeksgwithoutgyougfeelinggit.gYougwillgfeelgitgwithingagm
onth.”



Thegmothergofganginfantgwhogunderwentgsurgerygtogrepairghypospadiasgasksgthegnursegwhygtheginfantgisgdiaperedg
asgshown.gThegnursegwouldgrespondgthatgthisgmethodgofgdiaperinggwillghelpgto:

Protectgthegurinarygstentgthatghasgbeengputgingplace.
Adequatelygmeasuregthegurinarygoutput.gPro
videgforgmaximumgabsorptiongofgurine.
Providegoptimalgprotectiongofgperinealgskingfromginfectedgurine.

,NURSINGgTESTgBANK


Ag56-year-
oldgclientgreportsgtogthegnursegthatghisgsleepgpatternsgaregdifferentgthangwhenghegwasgyounger.gThegnurseganticipatesgth
atgthisgclientgisglikelygtogbegexperiencinggwhichgnormalgdevelopmentalgpattern?

6gtog8ghoursgofgsleepgpergnightgwithgaboutg20gtog25%gofgrapidgeyegmovementg(REM)gsleepgandgagmarked
gdecreasegingStagegIVgnon-REMg(NREM) gsleep.
6gtog8ghoursgofgsleepgpergnightgwithgaboutg20%gREMgsleepgandgagdecreasegingStagegIVgNREMgsleep.
Erraticgsleepgbecausegofgworkgschedulegwithgaboutg30%gofgREMgsleepgandgnogmarkedgdecreasegingStagegIVg
NREMgsleep.
LightgsleepgwithgequalgamountsgofgREMgsleepgandgNREMgsleep.

Whilegassessinggthegchestgtubegdrainagegsystemgofgagclient,gthegnursegobservesgagslightgrisegandgfallgingthegwaterg
levelgingthegwatergseal.gThegnursegshouldgtakegwhichgofgthegfollowinggactions?

Notifygthegphysiciangimmediately.gHa
vegthegclientgcough.
Continuegtogmonitorgthegsystem.
Repositiongthegchestgtube.


Whichgnutritionalgmeasuregwouldghelpgagclientgwithggastroesophagealgrefluxgdiseaseg(GERD)gtogminimizegthegriskgofgs
ymptoms?

Eatingg3glargegmealsgagdaygwithgnogsnacks
Usinggaglotgofggarlicgtogseasongfoodgrathergthangsalt
Limitinggintakegofgcoffeegdrinksgtog2gorgfewergcupsgagday
Usinggpeppermintgcandiesgtogtakegawaygthegbittergtastegingthegmouth

Agclientgwhogisg20gweeksggestationgisgconcernedgaboutghowgtogtellgherg3-year-
oldgsongaboutghergpregnancy.gWhichgofgthegfollowinggwouldgbegthegbestgstatementgwhengcounselinggthisgclient?

“Ifghegisgnotgpleasedgwithgthegnewsgofgagnewgbaby,gyougshouldgtellghimgthatgyougaregdisappointedginghim.
”g“Tellghimgthatghegisggoinggtoghavegaglotgofgresponsibilitiesginghelpinggcaregforgthegbaby.”
“Trygtogprovidegextragattentiongtoghimgandgincludeghimgingplansgforgthegbaby.”
“Tellghimgthatghegwillghavegtogstaygwithghisggrandparentsgwhengthegbabygisgborngbecausegyougwillgbegbusyw
ithgthegbaby.”

Anganxiousgclientgbeginsgtogyellgandginterruptgothergclients.gThegclient’sgspeechgisgrapidgandgpressured.gWhatgacti
ongshouldgthegnursegtake?

Askgthegclientgtogspeakgmoregslowlygandgsoftly.
Instructgthegothergclientsgtogignoregthisgclient’sgbehavior.g
Pointgoutgtogthegclientgthatgthegbehaviorgisgagsigngofganxiet
y.
Remindgthegclientgofgthegneedgtoguseggoodgmannersgwhengtalkinggwithgothergpeople.



Hegnursegconcludesgthatgteachingghasgbeengeffectivegwhengtheglaboringgclient’sgpartnergshouts,g“She’sgcrowning!”

gas:gThegnursegfirstgstartsgtogseegaglittlegofgthegbaby’sghead.
Thegbaby’sgheadgrecedesgupwardgbetweengpushinggcontractions.
Thegperineumgisgthingandgstretchinggaroundgthegocciput.
Thegmouthgandgnosegaregbeinggsuctioned.

, NURSINGgTESTgBANK


Ang86-year-
oldgclientgwillgbegundergoinggagsurgicalgprocedure.gWhichgofgthegfollowinggchangesgwouldgthegnursegmakeging
theginformedgconsentgprocessgforgthisgelderlygclient?

Providinggadequategtimegforgthegclientgtogprocessgtheginformation
Encouraginggthegfamilygmembersgtogmakegthegdecisiongforgthegclient
Encouraginggthegclientgtogsigngimmediatelygbeforegthegclientgforgetsgthegpurposegofgthegsurg
erygProvidinggthegclientgwithgreadinggmaterialgaboutgthegsurgerygandgthegpostoperativeginstru
ctions

Ag76-year-
oldgwomangvisitsgthegambulatorygclinicgwithgreportsgofghavinggdifficultygreadinggandgdoinggneedleworkgbecauseg
ofgvisualgdistortionsgwithgblurringgofgimagesgdirectlygingtheglinegofgvision.gThegperipheralgvisiongassessmentgbygt
hegnursegyieldsgnormalgfindings.gThegnursegsuspectsgthatgthisgclientgisgexperiencinggwhichgofgthegfollowinggvisual
gproblems?


GlaucomagDeta
chedgretinagCat
aracts
Maculargdegeneration

Agclientgexperiencesgseveregnauseagforgupgtog2gweeksgfollowingghergchemotherapygtreatment.gWhichgstatementgin
dicatesgagneedgforgfurtherginstructiongongmanagementgofgnausea?

“IgneedgtogcallgmygdoctorgifgIglosegmoregthang10gpercentgofgmygbodygweight.”
“Igshouldgtrygtogeatgbland,gchilledgfoods,gandgdrinkgliquidsgseparategfromgmygmeals.”
“Igneedgtogliegdowngforganghourgaftergeachgmeal.”
“Igshouldgcallgthegdoctorgifgmygnauseagdoesn’tggogaway,gtogseegifgagdifferentganti-
emeticgcouldgprovidegbettergrelief.”

Thegnursegisgcaringgforgthegclientgwhogisgrecoveringgfromgpartialgthicknessgburns.gWhichgofgthegfollowinggbreakfa
stgoptionsgindicatesgclientgunderstandinggofgthegrecommendedgdiet?

Twogslicesgofgtoastgwithgbutter,gorangegjuice,gskimgmilkg
Twogpoachedgeggs,ghashgbrowngpotatoes,gwholegmilkg
Threegpancakesgwithgsyrup,gtwogslicesgofgbacon,gapplegjui
cegOnegcupgofgoatmealgwithgskimgmilk,g1/2ggrapefruit,gco
ffee

Agclientgquestionsgthegsurgicalgnursegaboutgthegpersonnelgingthegoperatinggroom.gWhichgofgthegfollowingginitialgre
sponsesgbygagnursegtogthegclient’sgconcerngisgmostgtherapeutic?

“Thegnursesgaregwell-
qualifiedgforgthegjobgtheygdo.”g“Havegyoughadgagbad
gexperiencegingthegOR?”
“You’regconcernedgaboutgthegpersonnel,gbutgyoughavegnogneedgtogworry.”
“Cangyougtellgmegaboutgwhygyougareginterestedgingthegpersonnel?”



Thegnursegisgassignedgtogthegcaregofgagclientgreceivinggradiationgtherapygforgcancer.gWhichgofgthegfollowinggactivi
tiesgneededgingthegcaregofgagclientgreceivinggexternalgbeamgradiationgtherapygcouldgbegsafelygdelegatedgtogangunli
censedgassistivegpersong(UAP)gworkinggongthegnursinggunit?gSelectgallgthatgapply.

Observegthegskingsitegfollowinggagtreatmentgsession.
Documentgintakegfromgthegmealgtrays.
Assessgvariationsginglevelgofgfatiguegduringgthegshift.g
Exploreghowgthegclientgisgcopinggwithgtreatment.
Assistgthegclientgtogambulategingtheghall.

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