NUR-112 / NURS 204 TEST 4 TEST BANK CHAPTERS 14, 15, 16 QUESTIONS AND ANSWERS
2024 A+
An older client is hospitalized after an operation. When
... [Show More] assessing the client for postoperative infection,
the nurse places priority on which assessment?
a. Change in behavior
b. Daily white blood cell count
c. Presence of fever and chills
d. Tolerance of increasing activity - CORRECT ANS-ANS:A
Older people have an age-related decrease in immune system functioning and may not show classic
signs of infection such as increased white blood cell count, fever and chills, or obvious localized signs of
infection. A change in behavior often signals an infection or onset of other illness in the older client.
A preoperative nurse is assessing a client prior to surgery. Which information would be most important
for the nurse to relay to the surgical team?
a. Allergy to bee and wasp stings
b. History of lactose intolerance
c. No previous experience with surgery
d. Use of multiple herbs and supplements - CORRECT ANS-ANS:D
Some herbs and supplements can interact with medications, so this information needs to be reported as
the priority. An allergy to bee and wasp stings should not affect the client during surgery. Lactose
intolerance should also not affect the client during surgery but will need to be noted before a
postoperative diet is ordered. Lack of experience with surgery may increase anxiety and may require
higher teaching needs, but is not the priority over client safety.
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow.
Which one has the greatest need for the nurse to consult other members of the health care team for
post-discharge care?
a. Married young adult who is the primary caregiver for children
b. Middle-aged client who is post knee replacement, needs physical therapy
c. Older adult who lives at home despite some memory loss
d. Young client who lives alone, has family and friends nearby - CORRECT ANS-ANS:C
The older adult has the most potentially complex discharge needs. With memory loss, the client may not
be able to follow the prescribed home regimen. The client's physical abilities may be limited by chronic
illness. This client has several safety needs that should be assessed. The other clients all have evidence
of a support system and no known potential for serious safety issues.
A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching,
forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is
best?
a. Assess the client for anxiety.
b. Break the information into smaller bits.
c. Give the client written information.
d. Review the information again. - CORRECT ANS-ANS:A
Anxiety can interfere with learning and cooperation. The nurse should assess the client for anxiety. The
other actions are appropriate too, and can be included in the teaching plan, but effective teaching
cannot occur if the client is highly anxious.
A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery. Which
result warrants immediate communication with the surgical team?... [Show Less]