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Nurs 311 ACTUAL EXAM 80 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE//ALL YOU NEED TO PASS
NURS 311 EXAM//GRADED A+
What will the nurse instruct nursing assistive personnel (NAP) to do when measuring a patient's rectal temperature using an electronic thermometer? - ANSWER-Use the probe with the red tip.
what contraindicates taking a rectal temperature measurement - ANSWER-Patient has painful and swollen hemorrhoids.
What should the nurse teach nursing assistive personnel (NAP) about selecting the appropriate site for measuring a patient's oxygen saturation level? - ANSWER-"I've checked her capillary refill, and it's acceptable in both her hands and feet."
The nurse measures a patient's oxygen saturation level as being 83%. What would the nurse do first?
- ANSWER-Ask the patient whether he or she is having trouble breathing.
The nurse is preparing to measure the oxygen saturation level of a patient with obesity. Which action would help ensure an adequate measurement? - ANSWER-Use a disposable tape-on sensor.
A patient is prescribed continuous oxygen saturation monitoring. The nurse would confirm that the alarms have been set to which limits? - ANSWER-Low of 85% and high of 100%
A nurse is caring for a patient who has just had major abdominal surgery to resect a portion of his colon. What is the most reliable sign that the patient has significant postoperative pain? - ANSWER-The patient rates his pain a 7 on a scale of 0 to 10.
What will the nurse instruct nursing assistive personnel (NAP) to do regarding the management of a patient's pain? - ANSWER-"Let me know at least 30 minutes before you transport her so I can administer her pain medication.
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Which observation indicates that a patient's analgesic has been effective in managing pain that she rated a 6 out of 10 on a pain rating scale before the intervention? - ANSWER-The patient rates her current pain as 3 out of 10 on the pain rating scale.
A patient with a herniated disk is scheduled for surgery to fuse two vertebrae in her cervical spine.Which activity is most likely to be a palliative factor for this patient? - ANSWER-Performing neck, back, and shoulder exercises prescribed by a physical therapist
The nurse notices that his patient has none of the signs and symptoms normally associated with pain, such as diaphoresis, tachycardia, and hypertension. The patient does, however, seem moody and a bit uncooperative. What conclusion does the nurse draw? - ANSWER-The absence of physiological signs and symptoms is associated with chronic pain.
After assisting with a bedpan, the nurse notes that the patient's stool is streaked with bright-red blood. What would the nurse do first? - ANSWER-Ask if the patient has a history of hemorrhoids.Asking whether the patient has a history of hemorrhoids is the most appropriate initial response, followed by documentation of the observation and notification of the patient's health care provider.
Testing with a urine reagent test strip shows that a patient's urine is positive for protein, negative for glucose and blood, and has a pH of 8.2. What will the nurse do in response to these results? - ANSWER-Notify the health care provider of the results of the test.Which action is necessary for an accurate chemical reaction when testing urine with a reagent test strip? - ANSWER-Keep the test strip horizontal while timing the process.
Which statement will the nurse make to nursing assistive personnel (NAP) when delegating urine glucose testing with a reagent strip for a patient with type 2 diabetes? - ANSWER-"Don't forget to get a double-voided specimen when you test the patient's urine."
What is a double-voided urine specimen? - ANSWER-A second urine specimen taken within 40 minutes after the patient voids
Which action is performed initially when using a reagent strip to test the urine of a patient with type
- diabetes for glucose? - ANSWER-Verify the patient using two patient identifiers.
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