NURSING > EXAM > NU211/NUR2115 Section 02 Fundamentals of Professional Nursing/COMPLETE SOLUTION (All)

NU211/NUR2115 Section 02 Fundamentals of Professional Nursing/COMPLETE SOLUTION

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• Question 1 Which characteristics of the stages of infection indicate the full stage of infection? 1 out of 1 points • Question 2 While assessing the client, the nurse hears diminished lung sounds on 1 out of 1 points auscultation, counts a respiratory rate of 22 and regular, and obtains an oxygen saturation of 89% on room air. What nursing diagnosis is best supported by this assessment data? • Question 3 1 out of 1 points A nurse accidentally sticks her hand with a needle after administering an injection to a client. What action should the nurse take first? • Question 4 A client is having difficulty climbing stairs and reports shortness of breath. The nurse notes that the client is breathing heavy, having nasal 1 out of 1 points flaring and mouth is wide open. How will the nurse document this client's response to activity? • Question 5 A home care client was recently prescribed continuous oxygen. What client statement indicates further education is needed? 1 out of 1 points • Question 6 A nurse is interviewing a client who will undergo a cardiac coronary catheterization (angiography). The nurse inquires if the client has 0 out of 1 points someone with her that will be able to drive her home after the procedure. What phase of the nursing process involves questioning and gathering data? • Question 7 1 out of 1 points Following shift-to-shift report, what nursing process activity is performed first? • Question 8 A nurse working on an orthopedic unit is caring for four clients. What client is at greatest risk for skin breakdown? 0 out of 1 points • Question 9 The nurse is assigned to care for a middle-ages adult woman who 1 out of 1 points recently had abreast removed due to cancer. While preparing to clean the incision, the patient tells the nurse, "I just can't look at myself like this." What is the best therapeutic response? • Question 10 While performing an assessment, the nurse hears crackles in bilateral lower lung lobes. The nurse adds a nursing diagnosis of impaired gas 0 out of 1 points exchange. What purpose does a nursing diagnoses serve? (Select all that apply.) • Question 11 1 out of 1 points A nurse identifies a client as having a risk for impaired skin integrity. The clients position is changed every two hours as directed in the care plan interventions. How should the nurse evaluate the effectiveness of the intervention?

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