BRAINSCAPE1
Nurs 370 Final Exam with complete
solutions latest version
The nurse is caring for a client who has returned to post-surgical suite after
postanesthetic recovery from a nephrectomy. The nurse's most recent
assessment reveals increased sedation, shortness of breath, hypotension, and
low urine output over the last 2 hours. - CORRECT ANSWER-What is the nurse's
best response?
Assess the client for signs of bleeding and inform the primary care provider.
The highest priority for intervention during the first 30 minutes in treating an
acute myocardial infarction including the following(s). Select All That Apply -
CORRECT ANSWER-Oxygen therapy
Morphine administration
Nitroglycerin (NTG)
Aspirin (ASA)
A nurse on a busy medical unit provides care for many client who requires
indwelling urinary catheter at some points during their hospital care. - CORRECT
ANSWER-The nurse should recognize a heightened risk of injury associated with
indwelling catheter are in which client?
A client who has Alzheimer disease and who is acutely agitated
While auscultating the heart of a patient admitted for complications following a
myocardial infarction three weeks ago, the nurse notes the presence of a new S3
heart sounds. - CORRECT ANSWER-Based on this finding, what is the nurse's
best action at this time?
Assess symptoms of left-sided heart failure
A patient hospitalized for worsening renal failure suddenly becomes restless and
agitated. Your assessment reveals tachycardia, hypertension, and crackles
bilaterally scattered throughout the lung fields. - CORRECT ANSWER-What do
these symptoms suggest?
The patient is developing pulmonary edema
BRAINSCAPE1
, BRAINSCAPE1
A client with advanced venous insufficiency is confined to bedrest following
orthopedic surgery. How can the nurse best prevent skin breakdown in the
client's lower extremities? - CORRECT ANSWER-Ensure the client's heels are
supported and protected.
A nurse has a client with a spinal cord injury and is tailoring the care plan to
prevent the major cause of death for this client. The nurse's care plan includes
assisted coughing techniques, applied sequential compression device, and
prevented pressure injuries. - CORRECT ANSWER-Which are the most likely
possible causes of death for this client? Pneumonia, pulmonary embolism, and
sepsis
After a sudden decline in cognition, a 77-year-old client who has been diagnosed
with vascular dementia is receiving care at home. To reduce this client's risk of
future infarcts, which action should the nurse most strongly encourage? -
CORRECT ANSWER-Rigorous control of the client's blood pressure and lipid
levels.
The nurse is caring for a 78-year-old client who has had an outpatient
cholecystectomy. The nurse is getting the client up for the first walk
postoperatively. - CORRECT ANSWER-To decrease the potential of orthostatic
hypotension and consequent falls, what should the nurse have the client do?
Sit in a chair for 10 minutes prior to ambulating.
The nurse is administering medication to a client through a feeding tube. Which
action should the nurse take? - CORRECT ANSWER-Flush with 50 mL of water
between each medication.
A patient with ischemic brain attack (stroke) is susceptible to post stroke
complications. Which complications are sensitive to nursing care? Select all that
apply. - CORRECT ANSWER-Extremity contractures
Urinary tract infection
Impaired skin integrity
Which of the following should be included in an interprofessional symptom
management care plan for patients undergoing intravenous chemotherapy for a
malignancy? Select all that apply. - CORRECT ANSWER-Mucositis
Neutropenia
Thrombocytopenia
Anemia
Pruritis
A client has become legally blind as a result of macular degeneration. When
attempting to meet this client's psychosocial needs, what nursing action is most
appropriate? - CORRECT ANSWER-Assess and promote the client's coping skills
during interactions with the client.
BRAINSCAPE1
Nurs 370 Final Exam with complete
solutions latest version
The nurse is caring for a client who has returned to post-surgical suite after
postanesthetic recovery from a nephrectomy. The nurse's most recent
assessment reveals increased sedation, shortness of breath, hypotension, and
low urine output over the last 2 hours. - CORRECT ANSWER-What is the nurse's
best response?
Assess the client for signs of bleeding and inform the primary care provider.
The highest priority for intervention during the first 30 minutes in treating an
acute myocardial infarction including the following(s). Select All That Apply -
CORRECT ANSWER-Oxygen therapy
Morphine administration
Nitroglycerin (NTG)
Aspirin (ASA)
A nurse on a busy medical unit provides care for many client who requires
indwelling urinary catheter at some points during their hospital care. - CORRECT
ANSWER-The nurse should recognize a heightened risk of injury associated with
indwelling catheter are in which client?
A client who has Alzheimer disease and who is acutely agitated
While auscultating the heart of a patient admitted for complications following a
myocardial infarction three weeks ago, the nurse notes the presence of a new S3
heart sounds. - CORRECT ANSWER-Based on this finding, what is the nurse's
best action at this time?
Assess symptoms of left-sided heart failure
A patient hospitalized for worsening renal failure suddenly becomes restless and
agitated. Your assessment reveals tachycardia, hypertension, and crackles
bilaterally scattered throughout the lung fields. - CORRECT ANSWER-What do
these symptoms suggest?
The patient is developing pulmonary edema
BRAINSCAPE1
, BRAINSCAPE1
A client with advanced venous insufficiency is confined to bedrest following
orthopedic surgery. How can the nurse best prevent skin breakdown in the
client's lower extremities? - CORRECT ANSWER-Ensure the client's heels are
supported and protected.
A nurse has a client with a spinal cord injury and is tailoring the care plan to
prevent the major cause of death for this client. The nurse's care plan includes
assisted coughing techniques, applied sequential compression device, and
prevented pressure injuries. - CORRECT ANSWER-Which are the most likely
possible causes of death for this client? Pneumonia, pulmonary embolism, and
sepsis
After a sudden decline in cognition, a 77-year-old client who has been diagnosed
with vascular dementia is receiving care at home. To reduce this client's risk of
future infarcts, which action should the nurse most strongly encourage? -
CORRECT ANSWER-Rigorous control of the client's blood pressure and lipid
levels.
The nurse is caring for a 78-year-old client who has had an outpatient
cholecystectomy. The nurse is getting the client up for the first walk
postoperatively. - CORRECT ANSWER-To decrease the potential of orthostatic
hypotension and consequent falls, what should the nurse have the client do?
Sit in a chair for 10 minutes prior to ambulating.
The nurse is administering medication to a client through a feeding tube. Which
action should the nurse take? - CORRECT ANSWER-Flush with 50 mL of water
between each medication.
A patient with ischemic brain attack (stroke) is susceptible to post stroke
complications. Which complications are sensitive to nursing care? Select all that
apply. - CORRECT ANSWER-Extremity contractures
Urinary tract infection
Impaired skin integrity
Which of the following should be included in an interprofessional symptom
management care plan for patients undergoing intravenous chemotherapy for a
malignancy? Select all that apply. - CORRECT ANSWER-Mucositis
Neutropenia
Thrombocytopenia
Anemia
Pruritis
A client has become legally blind as a result of macular degeneration. When
attempting to meet this client's psychosocial needs, what nursing action is most
appropriate? - CORRECT ANSWER-Assess and promote the client's coping skills
during interactions with the client.
BRAINSCAPE1
