NU 136 Exam 1 review Possible Questions And Answers 100% Accurate

Secondary illness means - ANSWERSit is an illness that results from or is caused by a primary ilness ____ _______ on the part of the nurse is essential in meeting the client's security needs - ANSWERSActive listening A student who does not study for a test blames his "F" on the teacher's poor lecturing ability; this is an example of... - ANSWERSRationalization which of these is an example of primary prevention - ANSWERSwearing sunscreen and sunglasses if the stage of resistance is prolonged, what happens? - ANSWERSThe response becomes maladaptive When working 3 feet of the client a regular face mask is required for this type of precaution - ANSWERSdroplet Medical asepsis must be used during a Foley catheter insertion procedure. - ANSWERSFalse How many inches from the edge of the sterile field is considered non-sterile - ANSWERS1 inch The best way to break the chain of infection is by - ANSWERSimplementing standard precautions In an older adult the base temperature is what - ANSWERS97.2 degrees fahrenheit in an older adult an elevation of how many degrees fahrenheit will occur if a fever is present - ANSWERS2 degrees fahrenheit If the immobile client refuses their morning bed bath which of the following is an appropriate response by the nurse - ANSWERSGive the client an option to shower later in the day A client has sat in their wheelchair, unmoving, for 1 hour, what should the nurse do next? - ANSWERSshift the position A complete bed bath would be appropriate for which type of client - ANSWERSA patient with unsteady gait and poor balance A written order is needed to trim the nails of a diabetic patient - ANSWERSTrue Which position is best to place an unconscious client when performing mouth care - ANSWERSlateral When assessing respiratory rate, which of the following is the most appropriate intervention for the nurse to do? - ANSWERSTake the client's pulse and watch for the rise and fall of the client's chest Which of these sets of vital signs are abnormal - ANSWERSBP 190/90, Pulse 98, Respirations 20 The best method for checking a client's pulse would be to do what - ANSWERSauscultate the apical pulse for 1 full minute which of these is the best definition of an arrhythmia - ANSWERSperiod of normal heart rhythm broken by periods of irregular heartbeats use of this is the most accurate noninvasive way to measure body temperature - ANSWERSThe temporal artery thermometer which of these is considered a use of protective devices (restraints) - ANSWERSraising all 4 side rails (full side rails) when ambulating a client and they begin to fall, what should you do - ANSWERSassist them to the floor Proper lifting methods of heavy objects includes jerking or sudden pulling movements to allow momentum to aid you - ANSWERSfalse which of these positions is used for rectal exams, giving enemas, and inserting suppositories for unconscious client's - ANSWERSsims position When repositioning a client in bed which of the following would be incorrect (select all that apply_ - ANSWERSThe nurse should drag the patient over their sheets the nurse should not call for help because it's not manly an example of a secondary health prevention measure would include which of the following - ANSWERSa colonoscopy The nurse notes crowing sounds on inspiration. The nurse properly documents this as - ANSWERSstrider Decreased subcutaneous fat and thinner skin put the elderly patients at risk for... - ANSWERSimpaired skin integrity Dry, rattling lung sounds are also known as.... - ANSWERSrhonchi