EXAM WITH CORRECT SOLUTIONS.

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NSG 3100 EXAM 1

EXAM WITH CORRECT SOLUTIONS.

which action would the nurse undertake first when beginning to formulate a patient's plan of care a- list possible treatment options b-identify realistic outcome indicators c- consult with healthcare team members d- rank patient concerns from assessment data - correct answer- d

which resource is most helpful when prioritizing identified nursing diagnoses a- nursing interventions classification b- gordon's functional health patterns c- maslow's hierarchy of needs d- nursing outcomes classification - correct answer- c

if a patient is exhibiting signs and symptoms of each of these nursing diagnoses, which should the nurse address first while planning care?a- fatigue b- acute pain c- lack of knowledge 1 / 4

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d- disturbed body image - correct answer- b

which statement illustrates a characteristic of goals within the care planning process?a- goals are vague objectives communicating expectations for improvement b- short-term goals need not be measurable, unlike long term goals c- goal attainment can be measured by identifying nursing interventions d- long term goals are helpful in judging a patient's progress - correct answer- d

which nursing goal is written correctly for a patient with the nursing diagnosis for risk for infection after abdominal surgery?a- nurse will encourage use of sterile technique during each dressing change b- patient's WBC will remain within normal range throughout hospitalization c- patient's visitors will be instructed in proper handwashing before direct interaction with patient d- patient will understand the importance of cleaning around the incision with a clean cloth during bath time - correct answer- b

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If the nurse chooses the Nursing Outcome Classification (NOC), Appetite (1014) for a chemotherapy patient, which outcome indicators would be acceptable for evaluation of goal attainment? (Select all that apply.)

• Expressed desire to eat
• Report that food smells good
• Use of relaxation techniques before meals
• Preparation of home-cooked meals for self and family
• Uses nutritional information on labels to guide selections -

correct answer- a, b, d

which action by the nurse would be most important in developing a patient-centered plan of care for an alert, oriented adult a- providing a written copy of care options to the patient and family b- collaborrating with the patient's social worker to determine resources c- listening to patient's concerns and beliefs about proposed treatment d- engaging the patient's family, friends or care providers in conversation - correct answer- c

which interventions can the nurse initiate independently while providing patient care?a- ordering blood transfusion 3 / 4

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b- auscultating lung sounds c- monitoring skin integrity d- apply heel protectors e- adjusting antibiotic dosages - correct answer- b,c,d

the nurse notices that a patient is becoming short of breath and anxious. which intervention is dependent nursing action, requiring the order of a PCP?a- elevating the head of the patient's bed b- administering oxygen by nasal cannula c- assessing the patient's O2 saturation d- elevating the patient's peripheral circulation - correct answer- b

which situation indicates the greatest need for collaborative interventions provided by several health care team members?a- hospice referral b- physical assessment c- activities of daily living d- health history interview - correct answer- a

what should the nurse consider before implementation of all nursing interventions

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