NURS 142 FINAL EXAM NEWEST ACTUAL EXAM

NURS 142 FINAL EXAM NEWEST ACTUAL EXAM

160 QUESTIONS AND CORRECT ANSWERS) |ALREADY

GRADED A

You are caring for a family that consists of a father and 3-year-old boy who has well-managed asthma but misses care infrequently. They live in state-supported housing. The father is in school studying to be an information technology professional. His income and time are limited, and he admits to going to fastfood restaurants frequently for dinner. However, he and his son spend a lot of time together. The family receives state-supported health care for his son, but he does not have health insurance or a personal physician. He has his son enrolled in a government-assisted day care program. Which of the following are risks to this family's level of health? (Select all that apply.)

• Economic status
• Chronic illness
• Underinsured
• Government-assisted day care
• Frequency of fast-food dinners
• State-supported housing - answer-1,3,5

Which of the following are possible outcomes with clear family communication? (Select all that apply.)

• Family goals
• Increased socialization
• Decision making
• Methods of discipline
• Improved education
• Impaired coping - answer-3,4,5

When designing a plan for pain management for a postoperative patient, the nurse assesses that the patient's priority is to be as free of pain as possible. The nurse and patient work together to identify a plan to manage the pain. The nurse continually reviews the plan with the patient to ensure that the patient's priority is met. Which principle is used to encourage the nurse to monitor the patient's response to the pain?

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3.

• Fidelity
• Beneficence

Nonmaleficence

• Respect for autonomy - answer-1

A patient is admitted to a medical unit. The patient is fearful of hospitals. The nurse carefully assesses the patient to determine the exact fears and then establishes interventions designed to reduce these fears. In this setting how is the nurse practicing patient advocacy?

• Seeking out the nursing supervisor to talk with the patient
• Documenting patient fears in the medical record in a timely manner
• Working to change the hospital environment
• Assessing the patient's point of view and preparing to articulate it - answer-4

Which skills do you teach a patient with a new colostomy before discharge from the hospital? (Select all that apply.)

• How to change the pouch
• How to empty the pouch
• How to open and close the pouch
• How to irrigate the colostomy
• How to determine if the ostomy is healing appropriately - answer-1,2,3,5

Which of the following cause Clostridium difficile infection? (Select all that apply.)

• Chronic laxative use
• Contact with C. difficile bacteria
• Overuse of antibiotics 2 / 3

• Frequent episodes of diarrhea caused by food intolerance
• Inflammation of the bowel - answer-2,3

Place the steps for an ostomy pouch change in the correct order.

• Close the end of the pouch.
• Measure the stoma.
• Cut the hole in the wafer.
• Press the pouch in place over the stoma.
• Remove the old pouch.
• Trace the correct measurement onto the back of the wafer.
• Assess the stoma and the skin around it.
• Cleanse and dry the peristomal skin. - answer-5,8,7,2,3,4,1

Which of the following symptoms are warning signs of possible colorectal cancer according to the American Cancer Society guidelines? (Select all that apply.)

• Change in bowel habits
• Blood in the stool
• A larger-than-normal bowel movement
• Fecal impaction
• Muscle aches
• Incomplete emptying of the colon
• Food particles in the stool
• Unexplained abdominal or back pain - answer-1,2,6,8
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