51.A nurse is reviewing client chief complaint and read overflow incontinencebased on this informati

51.A nurse is reviewing client chief complaint and read overflow incontinencebased on this information the nurse will assess which a.) Cardiovascularb. Genitourinaryc. Gastrointestinal d. Neurological52. A nurse is working in sub- acute rehabilitation hospital several of the clients have orders for straight catheterization every 4 hours. The nurse questions whether frequent straight catheterization can increase the risk for urinary tract infection (UTI) compared to inserting indwelling catheter. The nurse is formulating PICO question. Which of the following will the O in the PICO question refer to?a. incidence of UTIb. Maintain sterile technique when performing straight catheterizationc. inserting an indwelling catheterd. client receiving straight catheterization55.Which nursing intervention is appropriate for a client who is receiving oxygen by nasal cannula?a. The oxygen should be humidified if the administration rate is greater than 4 L/minb. The administration rate of the oxygen must be least 6 L/minc. Arterial blood gases will be drawn hourly to monitor the oxygen flow rated. the client does not require monitoring56. The nurse is providing care for a client who is unable to move the right side of their body due to a stroke. The nurse creates a plan of care include range of motion (ROM)?a. Left side passive ROM right side active ROMb. Passive ROM to both sidesc. Active ROM to both sidesd. Right side passive ROM left active ROM57. How should a nurse leader best address nurses resistance to change in new hospital policya. Put the matter to a vote and respect the wishes of the majorityb. Explain the benefits of the change and elicit honest feedbackc. Allowing those who remain unconvinced to temporarily opt-out of the proposed changed. Explain the cost savings that the change will bring for the hospital58. Using the principles of standard precautions, the nurse would wear gloves during which nursing intervention?a. Applying TED hoseb. Demonstrating a dressing change to a clientc. Feeding a clientd. Helping a client to apply cosmetics59. A nurse is evaluating a client who is in bilateral soft wrist restraints. Which of the following action by the nurse is correct?a. Release both limbs at the same time to perform range of motionb. Allow one finger breadth between the restraint and the clients chestc. Tie the restraints with a quick release knotd. fastens the restraints ties to the side rail60. which of the following nursing interventions will not help prevent contractures for a client with impaired physical mobility?a. Repositioning the client every 2 hoursb. Applying splints/braces per physician’s orderc. Performing active and passive range of motion (ROM) every shiftd. increased the use limb restraints61. The nurse is caring for a 93 year old client who was diagnosed with clostridium difficile. What precaution should the nurse take when caring for this client? (select all that plan)a. Clean gloves and a gownb. Clean surface and equipment with bleachc. goggled. use hand sanitizere. Sterile gloves62. A nurse is caring for a postoperative client who is experiencing pain. Which complementary and alternative therapy involves client participation and is appropriate with the levels of care?a. Yoga and Pilatesb. Meditationc Acupunctured, Botanical supplements64. The nurse is reviewing a client health promotion activity with the client. which is of the following client activities would the nurse document as a primary health promotiona. Mammographyb. Palliative chemotherapyc. Hepatitis B vaccined. Annual tuberculosis (TB) test65. What lung sounds would be expected in a healthy, adult client?a. Wheezesb. Vesicularc. crackiesd. Stridor67.  A client fell 6 hours ago. When the nurse entered the room to turn the client, the nurse notes that the client a. Turn and reposition the clientb. Leave the client’s rooms that the client can rest quietly68. The nurse is planning disease-specific health teaching for a client with diabetes. Which of the following tertiary health promotion activities would the nurse include?a. completing a routine colonoscopy at age 50b. Receiving all recommended immunizationc. Obtaining an ultrasound for a suspected deep vein thrombosisd. Maintaining blood sugar within goal range 69. Which of the following nursing interventions will  help to promote the clients physical Comfort related to stoma care?a. Inspect the stoma weeklyb. Keep the skin surrounding the stoma site moistc. Note the size of the stoma to ensure the correct fit before each appliance changed. Change the ostomy appliance three times daily70.  A nurse is caring for client with diarrhea. What finding should the nurse anticipate?a. Increased urine output over 100ml per hourb. Hyperactive bowel sound greater than 30 sound per minutesc. Oral temperature at or below 98.6 degrees Fahrenheit Health Science Science Nursing NUR 211 Share QuestionEmailCopy link Comments (0)

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