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NSG 3130 EXAM 2 QUESTIONS WITH VERIFIED ANSWERS

NSG Exam Feb 3, 2025
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NSG 3130 EXAM 2 QUESTIONS WITH VERIFIED ANSWERS
The nurse is caring for a 6-year-old patient in the emergency department who just had a
full left leg cast placed for a fracture. As the nurse is reviewing the discharge
instructions with the patient's mother, she states, "You don't have to go over those—I'll
read them at home." What should the nurse do?
a. Contact the physician immediately.
b. Consider the possibility of health literacy limitations and assess further.
c. Stop the teaching, because the mother obviously has taken care of casts before.
d. Explain to the mother that reading the instructions with her is required. - b. Consider
the possibility of health literacy limitations and assess further.
A patient's mother may have limited reading skills or health literacy and should be
further assessed. Contacting the physician in this situation would not be appropriate
because ensuring that the patient and family understand discharge instructions is the
responsibility of the nurse. Assuming that the mother has taken care of casts in the past
may be inaccurate. Stating that reading the instructions with the nurse is a requirement
does not ensure that the patient or mother comprehends the instructions.
A 58-year-old man is admitted for a small-bowel obstruction late Saturday night. The
admitting orders include the need to place a nasogastric (NG) tube to low intermittent
suction. During the assessment, the nurse determines that the patient does not speak
English. Which action should the nurse take first before placing the NG tube?
a. Use two additional staff members when placing the tube so the patient can be
restrained if needed.
b. Request an interpreter per facility protocol.
c. Do not place the NG tube because the physician would not want to frighten the
patient.
d. Document the inability to place the NG tube due to lack of ability to communicate. - b.
Request an interpreter per facility protocol.
An interpreter employed by the hospital would be the best choice so that someone in
the room can communicate and provide comfort for the patient. Taking additional staff
into the room may increase the patient's anxiety, thereby decreasing his ability to
comprehend the instructions. Although the physician would not want to frighten the
patient, the physician ordered the nasogastric (NG) tube for the benefit of the patient;
therefore, it needs to be placed. Documenting the inability to place the NG tube due to
lack of means of communication is not acceptable and does not ensure that the patient
gets the needed treatment.
Which nursing diagnoses are used in developing a patient teaching plan? (Select all
that apply.)
a. Moral Distress
b. Lack of Knowledge
c. Difficulty Coping
d. Teaching about Disease
e. Anxiety - b
Lack of Knowledge and Literacy Problem are appropriate nursing diagnoses for use in
developing a patient teaching plan. Moral Distress is a nursing diagnosis for those
facing ethical decisions. Difficulty Coping is not a nursing diagnosis used in developing
a teaching plan, but if a patient is not coping effectively, it may affect the ability to learn.
A nursing diagnosis of Anxiety may affect the patient's ability to learn but is not directly
related to developing a teaching plan. Teaching about Disease is not a nursing
diagnosis. It is an intervention performed by the nurse.
Which nursing diagnosis is appropriate if a patient expresses an interest in learning?
a. Ready to Learn
b. Lack of Knowledge
c. Effective Information Processing
d. Health-Seeking Behaviors - a. Ready to Learn
A patient's expression of an interest in learning would indicate correct use of the nursing
diagnosis, Ready to Learn. Lack of Knowledge would indicate the patient has a
deficiency of knowledge on a particular subject. Effective Information Processing is the
patient's ability to acquire useful information. Health-Seeking Behaviors is active
seeking by a person of ways to alter habits to enhance health.
A 61-year-old man is undergoing an emergency cardiac catheterization. The nurse
gives his wife the registration paperwork to complete. Which observed actions may
indicate a health literacy issue? (Select all that apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her.
c. Waiting until her daughter arrives to begin the paperwork so that her daughter can
complete the forms.
d. Setting the clipboard aside and staring tearfully out the window.
e. Returning the forms only partially filled out, with missing or inaccurate information. -
b, c, e

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NSG 3130 EXAM 2 QUESTIONS WITH VERIFIED ANSWERS

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