ADULT HEALTH FINAL Exam 2023/2024
Question: The nurse collaborates with the registered dietitian nutritionist to improve the nutritional status of
... [Show More] clients on a hospital unit. Which priority professional nursing concepts apply in this situation? Select all that apply.
A. Quality Improvement B. Ethics
C. Health Care Disparities D. Systems Thinking
E. Teamwork and Collaboration Correct Answer A. Quality Improvement D. Systems Thinking
E. Teamwork and Collaboration
Rationale: Quality Improvement and Systems Thinking are more global concepts and usually examine care for more than one client Choices A and D). By collaborating with the dietitian, the concept of Teamwork and Collaboration apply (Choice E). From the information in the situation provided, the concepts of Ethics and Health care Disparities are not evident (Choices B and C).
Question: Which assessment findings indicate to the nurse that a client taking warfarin may have decreased Clotting? Select all that apply.
A. Frequent nosebleeds B. Lower leg swelling
C. Upper extremity bruising D. Difficulty breathing
E. Intermittent chest pain
F. Dark stools Correct Answer A. Frequent nosebleeds C. Upper extremity bruising
F. Dark stools
Rationale:
Decreased Clotting means that the client will likely have signs and symptoms of bleeding. Therefore, A, C, and F indicate that the client is experiencing bleeding. Choices B, D, and E suggest that the client has either a lower extremity clot (increased Clotting) (B)or an embolus (a dislodged clot that traveled to the lungs) (D and E).
Question: A client reports increasing diffuse pain in the entire right leg. What is the nurse's priority action at this time?
A. Elevate the right leg on a pillow.
B. Perform a peripheral vascular assessment. C. Check for swelling in the right leg.
D. Notify the Rapid Response Team immediately. Correct Answer B. Perform a peripheral vascular assessment. [Show Less]