NUR 2214C EXAM 2 LATEST -

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NUR 2214C EXAM 2 LATEST -

EXAM 75 QUESTIONS AND CORRECT DETAILED

ANSWERS (ALL ANSWERS ARE CORRECT )

|ALREADY GRADED A+

After teaching the wife of a client who has Parkinson disease, the nurse assesses the wife’s understanding. Which statement by the client’s wife indicates she correctly understands changes associated with this disease?Answer

s:

a.“This disease is associated with anxiety causing increased perspiration.” b.“He should not socialize outside of the house due to uncontrollable drooling.” c.“He may have trouble chewing, so I will offer bite-sized portions.” d.“His masklike face makes it difficult to communicate, so I will use a white board.”

• Question 2

A client with fibromyalgia is in the hospital for an unrelated issue. The client reports that sleep, which is always difficult, is even harder now.What actions by the nurse are most appropriate? (Select all that apply.) Answer

s:

a.Assess the client’s usual bedtime routine.b.Offer a massage or warm shower at night.c.Allow the client uninterrupted rest time.d.Limit environmental noise as much as possible.e.Request an order for a strong sleeping pill. 1 / 4

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• Question 3

Seventy-two hours after cardiac surgery, a young child has a temperature

of 37.7 C (101 F). The nurse should:

Answer

s:

a.Keep the child warm with blankets.b.Report findings to physician.c.Apply a hypothermia blanket.d.Record the temperature on nurses’ notes.

• Question 4

A client has been diagnosed with fibromyalgia syndrome but does not want to take the prescribed medications. What nonpharmacologic measures can the nurse suggest to help manage this condition? (Select all that apply.) Answer

s:

a.Supplements b.Tai chi c.Acupuncture d.Stretching e.Vigorous aerobics

• Question 5

The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. This finding is associated with which congenital heart defect?Answer

s:

a.Pulmonary stenosis 2 / 4

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b.Coarctation of the aorta c.Ventricular septal defect d.Patent ductus arteriosus

• Question 6

You have an order to infuse ondansetron (Zofran) 4 mg diluted in 5 ml 0.9% sodium chloride solution over 5 minutes using a syringe pump. What will the rate be?

• Question 7

A nurse is caring for four clients in the neurologic intensive care unit.After receiving the hand-off report, which client should the nurse see first?Answer

s:

a.Client with a moderate brain injury who is amnesic for the event b.Client who is requesting pain medication for a headache c.Client with a Glasgow Coma Scale score that was 10 and is now is 8 d.Client with a Glasgow Coma Scale score that was 9 and is now is 12

• Question 8

Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse’s reply should be based on knowing that: 3 / 4

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Answer

s:

a.Constant parental supervision is needed to avoid overexertion.b.The child needs to understand that peers’ activities are too strenuous.c.Parents can meet all the child’s needs.d.The child needs opportunities to play with peers.

• Question 9

A nurse delegates care for a client with Parkinson disease to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating this client’s care?Answer

s:

a.“Allow the client to be as independent as possible with activities.” b.“Assess the client’s ability to eat and swallow before each meal.” c.“Assist the client with frequent and meticulous oral care.” d.“Schedule appointments early in the morning to ensure rest in the afternoon.”

• Question 10

A patient who has been in the hospital for several weeks is about to be discharged. The patient is weak from the hospitalization and asks the nurse to explain why this is happening. The nurse's best response is "You are weak because Answer

s:

a.of your medications. This is known as drug induced weakness."

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