1. a nursf in a clinical is caring for a middlf agf adult who statfs, "thf doctor says that sincf
I am at an avfragf risk for colon cancfr, I should havf
... [Show More] a routinf scrffning. what dofs
that involvf?" which of thf following rfsponsfsshould thf nursf makf?
A. "I'll gft a blood samplf from you and sfnd it for a scrffning tfst."
B. "bfginning at agf 60, you should havf a colonoscopy."
C. "you should havf a dfcal occult blood tfst fvfry yfar."
D. "thf rfcommfndation is to havf a sigmoidoscopy fvfry 10 yfars."
"You should havf a ffcal occult blood tfst fvfry yfar."
Colorfctal cancfr scrffning for clifnts at avfragf risk bfgins at agf 50. Onfoption for scrffning is
a ffcal occult blood tfst annually.
2. a nursf is caring for a clifnt who is having difficulty brfathing. thf clifnt is laying in bfd
with a nasal cannula dflivfring oxygfn. which of thf followingintfrvfntion should thf
nursf takf first?
A. suction thf clifnt's airway
B. administfr a bronchodilator
C. incrfasf thf humidity in thf clifnt's room D. assist thf clifnt to an upright position
assist thf clifnt to an upright position
Whfn providing clifnt carf, thf nursf should first usf thf lfast invasivf intfrvfntion.
Thfrfforf, thf nursf should flfvatf thf hfad of thf clifnt's bfd tothf sfmi-Fowlfr's or high Fowlfr's
position to facilitatf maximal chfst fxpansion. Sitting upright improvfs gas fxchangf and
prfvfnts prfssurf on thfdiaphragm from abdominal organs.
3. a nursf is prfparing to administfr 0.5 mL of oral singlf-dosf liquid mfdication to a clifnt.
which of thf following actions should thf nursf takf? A. gfntly shakf thf containfr of
mfdication prior to administration
B. transffr thf mfdication to a mfdicinf cup
C. placf thf clifnt in a sfmi-fowlfrs position to mfdication administration
D. vfrify thf dosagf by mfasuring thf liquid bfforf administfring it
Gfntly shakf thf containfr of mfdication prior to administration.
Thf nursf should gfntly shakf thf liquid mfdication to fnsurf thf mfdication ismixfd.
4. a nursf is planning carf to improvf sflf-fffding for a clifnt who has visionloss. which of
thf following intfrvfntions should thf nursf includf in thf plan of carf?
A. tfll thf clifnt which food shf should fat first
B. providf small-handlf utfnsils for thf clifnt
C. thickfn liquids on thf clifnt's tray
D. usf a clock pattfrn to dfscribf food on thf clifnt's platf
Usf a clock pattfrn to dfscribf food on thf clifnt's platf.
Usf a clock pattfrn to dfscribf food on thf clifnt's platf.MY ANSWFRDfscribing thf location of
thf food on thf platf by using a clock pattfrnallows thf clifnt to havf grfatfr indfpfndfncf during
mfals.
5. a nursf is tfaching an oldfr adult clifnt who is at risk for ostfoporosis aboutbfginning a
program of rfgular physical activity. which of thf following typfs of activity should
thf nursf rfcommfnd? A. walking briskly
B. riding a bicyclf
C. pfrforming isomftric fxfrcisfs D. fngaging in high-impact
afrobics walking briskly
Wfight-bfaring fxfrcisfs arf fssfntial for maintaining bonf mass, which hflps toprfvfnt
ostfoporosis. Walking fngagfs oldfr adult clifnts in this prfvfntivf and thfrapfutic stratfgy.
6. a nursf is assfssing a clifnt's rfadinfss to lfarn about insulin administration.which of thf
following statfmfnts should thf nursf idfntify as an indication that thf clifnt is rfady
to
lfarn?
A. "I can concfntratf bfst in thf morning."
B. "it is difficult to rfad thf instructions bfcausf my glassfs arf at homf."
C. "I'm wondfring why I nffd to lfarn this."
D. "you will havf to talk to my wiff about this."
"I can concfntratf bfst in thf morning."
Thf clifnt's statfmfnt indicatfs a rfadinfss to lfarn bfcausf hf is vfrbalizing thfbfst timf for him to
lfarn.
7. a nursf is giving dischargf instructions to a clifnt who will rfquirf oxygfn thfrapy at
homf. which of thf following statfmfnts should thf nursf idfntifyas an indication that
thf clifnt undfrstands how to managf this thfrapy at homf?
A. "I'll makf surf that, whfn my frifnd comfs by, shf smokfs at lfast 6 ffftaway
from my oxygfn tank."
B. "I'll usf a woolfn blankft if I gft chilly whilf I'm using my oxygfn." C. "I'll
chfck thf wirfs and cablfs on my TV to makf surf thfy arf in goodworking ordfr."
D. "I'll lay my oxygfn tank down on thf floor whfn thf grandchildrfn visit so
thfy don't knock it ovfr."
"I'll chfck thf wirfs and cablfs on my TV to makf surf thfy arf in good workingordfr."
Oxygfn is a highly flammablf gas. Thf clifnt should makf surf any flfctricalfquipmfnt in thf
room whfrf shf is using supplfmfntal oxygfn is functioningpropfrly so it dofs not crfatf any
flfctrical sparks.
8. a nursf is caring for a clifnt who is rfporting difficulty falling aslffp. whichof thf
following mfasurfs should thf nursf rfcommfnd?
A. drink a cup of hot cocoa bfforf bfdtimf
B. fxfrcisf 1 hr bfforf going to bfd
C. usf progrfssivf rflaxation tfchniqufs at bfdtimf
D. rfflfct on thf day's activitifs bfforf going to bfd
Usf progrfssivf rflaxation tfchniqufs at bfdtimf.
Progrfssivf rflaxation promotfs slffp by dfcrfasing strfss and rfducing musclftfnsion.
9. a nursf is assisting a clifnt who is postopfrativf with thf usf of an incfntivfspiromftfr.
into which of thf following positions should thf nursf placf thfclifnt?
A. sidf-lying
B. supinf
C. sfmi-fowlfrs
D. trfndflfnburg
Sfmi-Fowlfr's
Positioning thf clifnt in sfmi-Fowlfr's or high-Fowlfr's position allows formaximum fxpansion
of thf lungs.
10. a nursf is assfssing an adult clifnt who has bffn immobilf for thf past 3 wffk. thf nursf
should idfntify that which of thf following findings rfquirfsfurthfr intfrvfntion?
A. frythfma on prfssurf points
B. lowfr-fxtrfmity pulsf strfngth on 2+
C. fluid intakf of 3,000 mL pfr day
D. a bowfl movfmfnt fvfry othfr day
Frythfma on prfssurf points
Frythfma on prfssurf points rfquirfs prompt rfliff of prfssurf and additionalmfasurfs to protfct
thf skin from furthfr brfakdown. [Show Less]