NUR 215 Exam 2 Module 3, 4, 5 Latest Update
- 115 Questions and 100%
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A charge nurse is reviewing with a newly hired nurse the difference in manifestations of a localized vs a systemic infection. Which of the following are manifestations of a systemic infection. (select all that apply)
- Fever
- Malaise
- Edema
- Pain or tenderness
E. Increase in pulse and respiratory rate - CORRECT ANSWER: A. Fever
- Malaise
- Increase in pulse and respiratory rate
a nurse at a clinic is collecting data about pain from a client who reports severe abdominal pain. the nurse asks the client whether he has nausea and has been vomiting. which of the following pain characteristics is the nurse attempting to determine?
- presence of associated manifestations
- location of the pain
- pain quality
d. aggravating and relieving factors - CORRECT ANSWER: a. presence of associate
manifestations
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A nurse is assessing a client as part of an admission history. The client reports drinking an herbal tea every afternoon at work to relieve stress. The nurse should suspect the tea includes which of the following ingredients?
- Chamomile
- Ginseng
- Ginger
d. Echinacea - CORRECT ANSWER: a. chamomile
A nurse is beginning a complete bed bath for a client. After removing the client's gown and placing a bath blanket over the body, which of the following areas should the nurse wash first?
- face
- feet
- chest
D. arms - CORRECT ANSWER: A. face
A nurse is caring for a client scheduled for abdominal surgery. The client reports being worried. Which of the following actions should the nurse take?
- Offer information on a relaxation technique and ask the client if he is interested in
- Request a social worker to see the client to discuss meditation.
- Attempt to use biofeedback techniques with the client
- Tell the client many people feel the same way before surgery and to think of
trying it.
something else - CORRECT ANSWER: a. Offer information on a relaxation technique
and ask the client if he is interested in trying it.
A nurse is caring for a client who had an amphetamine overdose and has sensory overload. Which of the following interventions should the nurse implement?
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- Immediately complete a thorough assessment.
- Put the client in a room with a client who is hearing impaired.
- Provide a private room, and limit stimulation.
D. Talk loudly to the client, and encourage ambulation. - CORRECT ANSWER: C.
provide a private room with a client who is hearing impaired
A nurse is caring for a client who has had a cough for 3 weeks and is beginning to cough up blood. The client has manifestations of which of the following conditions?
- allergic reaction
- ringworm
- systemic lupus erythematosus
D. Tuberculosis - CORRECT ANSWER: D. Tuberculosis
A nurse is caring for a client who has several risk factors for hearing loss. As the nurse reviews the client's medication history, which of the following medications the client takes should alert the nurse to a further risk for ototoxicity? (Select all that apply.)
- Furosemide (Lasix)
- Ibuprofen (Advil)
- Cimetidine (Tagamet)
- Simvastatin (Zocor)
E. Amiodarone (Cordarone) - CORRECT ANSWER: A. Furosemide (Lasix)
- Ibuprofen (Advil)
A nurse is caring for a client who has severe acute respiratory syndrome (SARS). The nurse knows that health care professional are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (select all the apply)
- Planning and evaluating control and prevention strategies 3 / 4
- Determining public health priorities
- Ensuring proper medical treatment
- Identifying endemic disease
E. Monitoring for common-source outbreaks - CORRECT ANSWER: A. Planning and
evaluating control and prevention strategies
- Determining public health priorities
- Identifying endemic disease
- Monitoring for common-source outbreaks
a nurse is caring for a client who is receiving morphine via a Patient controlled analgesia infusion device after abdominal surgery. which of the following statements indicates that the client knows how to use the device?
- i'll wait to use the device until it's absolutely necessary
- i'll be careful about pushing the button too much so i don't get an overdose
- i should tell the nurse if the pain does't stop while i am using the device
- i will ask my adult child to push the dose button when i am sleeping - CORRECT
ANSWER: c. i should tell the nurse if the pain does't stop while i am using the device
A nurse is caring for a client who recently had a cerebrovascular accident and has aphasia. Which of the following interventions should the nurse use to promote communication with this client? (Select all that apply.)
- Speak fast and loudly.
- Minimize background noise.
- Write down what the client does not understand.
- Allow plenty of time for the client to respond.
E. Use brief sentences with simple words. - CORRECT ANSWER: A. Speak fast and
loudly.
- Minimize background noise.
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