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NURSING NUR2115Funds exam 2 .docx/SOMPLETE SOLUTION /;RATED A

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NURSING NUR2115 Funds exam 2 .docx 1. While performing a health history questionnaire, a patient confirms that he occasionally coughs up mucous. What additional questions will the nurse follow up with? Ask amount, how often, consistency, odor 2. A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. What order of the intervention should the nurse use to help maintain the integrity of the clients skin after an episode of incontinence? Frequent turning, change dressings, clean them up, new clothes, lubricant/protective barrier 3. A home care client was recently prescribed continuous oxygen. What client statement indicates further education are needs? 4. Following shift-to-shift report, what nursing process activity is performed first? Assess and prioritize 5. What nursing intervention is best for patients with existing pressure ulcers on bilateral heels? Provide them with sheepskin boots to protect the dressing 6. The nurse is assessing an ischia pressure ulcer on a client. Objective data reveals an ulcer that is 3 cm x 2 cm and involves the epidermis and partially into the dermis. The nurse also notes an area of redness around the pressure ulcer. What would the nurse document this as? Stage 2 7. a client is admitted for treatment of poorly healing infected leg ulcers. What is the importance of obtaining a client’s nutritional history? Nutrition is the biggest factor in wound healing 8. What statement identifies the purpose of nursing diagnostic statements? Identify actual and potential problems 9. What is the correct flow of blood from the inferior vena cava through the heart and lungs? Vena cava to the right atrium, right ventricle to the pulmonary artery through the lungs, back to the heart the pulmonary vein left atrium and left ventricle 10. While performing an assessment does the nurse hears crackles in bilateral lower lung lobes. The nurse adds an nursing diagnosis of impaired gas exchange. What purpose does a nursing diagnosis serve? Identify action and potential problem 11.

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