Can you answer the questions with no answers here please? . whichnursing intervention wo

Can you answer the questions with no answers here please? . whichnursing intervention would be appropriate for preventing urinary tract infection?3.The family of a patient who has just died asks to be alone with the body and asks for supplies to wash the body. the nurse providing care knows the mortician usually washes the body. Which response would be most appropriate?4. You are caring for a 49-year-old client in an acute care facility. Your client recently had an increase in blood pressure. The baseline blood pressure was 110/68 and the client now has a blood pressure of 200/110. You determine that you need to call the provider. Which information will be provided as the “B” in the ISBARR communication technique?a. Your name and titleb. Blood pressure of 200/110c. Blood pressure of 110/68d. Ask for a change in blood pressure medications.5. A client is receiving physical therapy following knee surgery. This is an example of what type of care.a. Tertiaryb. Primaryc. Recoveryd. Secondary6. The nurse is caring for a patient who has a stage III pressure ulcer. Which type of healing will the nurse focus the care plan?a. Binary intentionb. Secondary intentionc. Tertiary intentiond. Primary intention7. A client suddenly begins to feel light-headed and dyspneic. What objective data anticipate finding in the focused assessment?a. Pulmonary embolismb. Client states, “I feel short of breath”.c. Tachypnea: fast breathingd. Eupnea: normal, good, unlabored breathing, sometimes known as quiet breathing or resting respiratory rate.8. What is an appropriate outcome for a client who needs nursing assistance with voiding?a. The nurse will assist the client to the bathroom every two hours.b. The nurse will maintain the client’s fluid and electrolyte balance.c. The client will empty the bladder completely at least every four hours while awake with nursing assistance. d. The client will have one bowel movement every three days.9. What nursing organizational statement defines the social context of nursing and the standards of professional nursing practice?a. World health organizationb. The ANA Nursing’s social policy statement c. The international council of nurse’s definition of nursingd. Nightingale’s notes on nursing10. Which of the following are culturally sensitive considerations?(Select all that apply)a. Recognizing that culture is an important component of individuality. b. Recognizing that each person holds various beliefs about pain.c. Respecting patient’s right to respond to pain in their own manner.d. Learning the primary cultural and health practices of the dominant cultures. e. Expecting minorities to assimilate to the dominant culture of the community.11. A female resident in a long- term care facility is embarrassed about her incontinence. What nursing intervention could aid in meeting the goal of reducing incontinence episodes?a. Teach the patient that incontinence is a normal part of aging.b. Encourage the family to purchase better incontinence pads.c. Teach the patient Kegel exercises at regular intervals daily.d. inserts an indwelling catheter to prevent skin breakdown.12.The client who is bed-bound complains of lower abdominal pain and pelvic pressure. Bowel sounds are present in all four quadrants and last bowel movement was yesterday. What should be assessed next?a. Inspect the sacral areal for edema.b. Use the prn order to medicate the client with an antacid.c. Percuss for flatness over the thorax.d. Ask the patient when they last voided.13. How would you describe the event when a coworker verbalizes that all members of the culture are the same?a. The nurse is experiencing culture shock.b. The nurse is culturally competent.c. The nurse is stereotyping a client. d. The nurse is experiencing cultural imposition.14. Which of the following is not a primary role of the nurse?a. Caregiverb. Counselorc. Diagnostician d. Collaboration15. A nurse working with a client in pain recognizes and avoids common misconceptions and myths about pain. In regard to the pain experience, which of the following is correct?a. The client is the best authority on the pain experience. b. The amount of tissue damage is reflected in the degree of pain perceived.c. Chronic pain is mostly psychological in nature.d. As-often -as-needed (PRN) analgesics should be given as often as allowed regardless of pain level.16. The nurse is assessing a comatose client. Which objective assessment finding might indicate that this client is experiencing pain?a. Temperature 101.8 Fb. Oxygen saturation 94%c. Heart rate 115 beats/min d. blood pressure 102/62mm hg17. What practices must be followed when performing passive range of motion (PROM) on a client? Select all that apply?a. The nurse moves the client’s joint through its range of motion. b. PROM improves joint mobility and increases circulation.c. PROM must be performed to the point of pain.d. The client’s muscle mass will increase with PROM.e. Friction to the skin must be minimized when performing PROM.18. Why is evidence-based practice essential for patient care?a. To encourage nurses to obtain higher degrees.b. To provide care based on scientific evidence.c. To ensure hospitals receive reimbursement from insurance companies.d. Evidence based practice is not needed in everyday nursing.19. A nurse enters a new order using military time (24hour clock). An order entered for 2200 (or 2000 will be 8pm)) converts to what time?Answer: 10:00pm20. A nurse is caring for a client who is being prepared for discharge after having abdominal surgery with placement of a colostomy. What patient education should the nurse carry out? Select all that apply.a. Appliance applicationb. Limit fluid intake to 500ml/dayc. Signs and symptoms of bowel obstructiond. skin assessment of the skin surrounding the stoma.e. odor preventionf. Follow-up physician care g. Daily laxative use21. A hospitalized client is being woken up every hour during the night for care and procedures. The nurse realizes that the lack of sleep can have which physiological effect?a. reduced metabolism. b. Decreased confusion upon waking.c. Decrease urine outputd. Reduced susceptibility to infection.22. A nurse instructing a diabetic client on foot care. What statement by the client indicates the need for more education?a. I will make sure my shoes fit correctly.b. Every day I will check my feet for wounds or sores.c. To be safe, I will not walk barefoot in the house.d. I will not use any lotion on my feet. 23. Nurses play an important role in facilitating sleep and rest for their clients. What intervention can the nurse include in a care plan for a sleep deprived client?a. exercise before bedb. Eliminate use of caffeine, tobacco, and alcohol.c. Having a morning and afternoon cup of tea.d. Taking all medications in the evening to avoid side effects during sleep.24. What are modifiable risk factors for cardiopulmonary function? Select all that apply.a. obesity b. Genderc. Physical activityd. cigarette smokinge. occupational exposure to asbestos25.What is the priority reason ISBARR is used by nurses when giving hand -off report?Answer: To accurately communicate client information.26.27. A post-operative client with a sutured abdominal incision felts a sharp abdominal pain after having a bowel movement. Upon inspection, the nurse notices there is bowel (intestines) protruding from the incision site. What is this complication referred to?a. Evisceration b. Dehiscence: To burst open.c. Laceration: the tearing of soft body tissued. Fistula28. How does the development of Quality and Safety Education for nurses (QSEN) improve nursing education outcomes?a. QSEN provides administrators with ways to mandate quality education for nurses and students.b. QSEN aligns outcomes to the NCLEX_RN licensing examination.c. QSEN teaches the knowledge, skills, and attitudes necessary to improve the quality and safety of healthcare systems.d. QSEN teaches healthcare works to focus on patient safety before personal safety.29. Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions?Answer: Providing oral hygiene 30. You are caring for a 65-year-old client who was diagnosed with clostridium difficile. You prepare to enter the client’s room. What personal protective equipment (PPE) should employees and visitors don?Answer: clean gloves and a gown31. What are the evaluative criteria used in evaluating the patient plan of care?Answer: Patient outcomes from the plan of care32. A client complains the analgesic medication they take is no longer effective in controlling the pain. The nurse recognizes the client may be experiencing.Answer: Drug tolerance 33. How does a wound heal if initially left open for five days to allow an infection to resolve and then closed using sutures?a. Tertiary intention: and third intention, in which the wound is left open for a number of days and then closed if it is found to be clean. b. Primary intention: primary intention, in which all tissues, including the skin, are closed with suture material after completion of the operation.c. Secondary intention: secondary intention, in which the wound is left open and closes naturally. 34. Which of the following is a healthy mechanism of coping with stress of an illness?Answer: Attending support groups35. A nurse is caring for a patient with a new ileal conduit. Which nursing diagnosis would be most appropriate?a. Constipationb. Delayed growth and developmentc. Disturbed body image d. impaired verbal communication36. A client hospitalized with pneumonia begins having 5-6 loose to watery stools daily after initiating antibiotics. What nursing diagnoses would be appropriate for this patient pertaining to assessment of elimination?a. Anaphylaxis related to medication interaction.b. Diarrhea related to adverse effects of pharmaceutical agents. c. Knowledge deficit related to medication regimen.d. ineffective airway clearance related to pneumonia.37. A client is ready for a mastectomy and voices anxiety to the nurse. The nurse responds, “My mom had this surgery, you will be fine there is nothing to it.” This is an example of what type of inappropriate communication technique.a. Giving advice.b. Cliché c. Intimidationd. Provoking information38. Which statement best identifies when the nurse should begin discharge planning?Answer: Discharge planning will begin upon the client’s admission to the facility. 39. What is not one of the four categories of infections responsible for the majority of healthcare associated infections.Answer: pneumonia 40. Which statement by the nurse indicates a correct understanding of documentation?d. I should chart as soon as possible after nursing care is given. 41. The nurse provides client-centered health care by implementing what intervention?a. Providing the client with information and referrals.b. Making health care choices for the client.c. Choosing outcomes for the client. d. sharing personal healthcare beliefs42. A nursing diagnosis statement does not include what item?Answer: medical diagnosis43. Which of the following age-related changes place an older adult at risk for a UTI?Answer: incomplete emptying of the bladder.44. A nursing home has an increase in vascular catheter-related infections. Which measure might be instituted to reduce the incidence?a. Mandating antibiotics for all nursing home residentsb. Admitting those infected to the hospital.c. Requiring all employees to have monthly screenings for skin flora.d. Re-educating care providers on best practices in aseptic technique.45. A client visits the county health department for follow up on his management of pulmonary tuberculosis. What kind of assessment will the nurse perform?a. Focused assessmentb. Initial assessmentc. Emergency assessment: Initial and Emergency Assessment. The ABCCS assessment (airway, breathing, circulation, consciousness, safety) is the first assessment you will do when you meet your patient.d. Time-lapsed assessment46. A patient has an order for a medication to be given STAT. When would the nurse administer the medication?Answer: immediately47. A client fell 6 hours ago. When the nurse enters the room to turn the client, the nurse notes that the client is restless and grimacing. What should the nurse do next in this situation?Answer: Assess to determine the cause of the grimacing.48. The nurse assigned to a client is most concerned with which of the following assessment findings?Answer: urine output of 25ml/hr.49. A nurse is working with a client newly diagnosed with colon cancer. The nurse may coordinate the care by which of the following actions? (Select all that apply)a. Explaining diagnosis procedure. b. Scheduling appointmentc. Providing preoperative education. d. offering legal advice.e. Supporting client and family.50. In which phase of the nursing process does the nurse identify the patient’s strengths and problems?a. Assessing: collecting, validating, and communicating of patient data.b. Diagnosing: analyzing patient data to identify patient strengths and problems.c. Planning: specifying patient outcomes (goals) and related nursing interventions.d. implementing: carrying out the plan of care. Evaluating: measuring extent to which patient achieved outcomes.51. What strategy is most effective in blocking the transmission of microbes from the infectious reservoir to susceptible hosts?a. Decrease susceptibility of the hostb. Block the portal of entry into the hostc. sterilizes the entire infectious.d. Block the portal of exit from the infectious reservoir52. The client reports having incontinence after surgery and that it is continuous and unpredictable. What type of incontinence is client describing?a. Overflow incontinenceb. Functional incontinence: is the inability of a normally continent person to reach the bathroom in time to avoid the unintentional loss of urine.c. Total incontinenced. Transient incontinence53. What nursing interventions are appropriate for a client who is receiving oxygen by nasal cannula?a. Arterial blood gases will be drawn hourly to monitor the oxygen flow rate.b. The oxygen should be humidified if the administration rate is greater than 4L/min.c. The administration rate of the oxygen must be at least 6L/min.d. Patient does not require monitoring.54. After repositioning a client on the left side, the nurse notices a reddened area over the coccyx. The area does not blanch when the nurse compresses it with thumb pressure. One hour later, the nurse reassesses the area and finds the redness remains and the skin is intact. How should the nurse document this area?a. stage II pressure ulcerb. Stage I pressure ulcerc. Reactive hyperemiad. stage III pressure ulcer55. What is included in the list of professional nursing values (select all that apply)a. social justiceb. Altruism c. Autonomyd. Integritye. Hostilityf. Industry56. When providing skin care for elderly, what age-related changes should be considered in order to provide the best patient centered care and prevent injury?a. Thickening of the epidermisb. Decrease elasticity of the skin c. oiliness of the skind. heightened sense of touch57. A client is experiencing a pain level of 5 (0-10) after spraining an ankle. What type of pain is the client experiencing?a. Mild pain: is rated as being from 1 to 3 on a 0-to-10 rating scale.b. severe pain is rated as being from 7 to 10 on a scale of 0 to 10.c. somatic pain originates in the skin, muscles, bone, or connective tissue. The sharp sensation of a paper cut or aching of a sprained ankle are common examples of somatic pain.d. visceral pain: Visceral pain originates in an organ.58. Which of the following is true regarding the use of the incentive spirometer?a. Provides visual reinforcement for deep breathing.b. Use of the incentive spirometer is taught and provided exclusively.c. it increases the risk of atelectasis.d. Assists the patient to breathe quickly to sustain maximal inspiration.59. At the local wellness fair, the nurse is asked to share information on healthy bowel routines. Included in this area is the topic of having healthy defecated. The nurse should include which point in the instructional materials?a. Defecate once a day.b. Drink 3 cups of liquid a dayc. slowly introduces fiber-rich foods into your diet.d. Establish a regular laxative regimen.60. Which instruction will the nurse provide to the nursing assistive personnel when providing foot care for a patient with diabetes?a. Do not place slippers on the patient’s feet.b. Trim the patient’s toenails dailyc. Report sores on the patient’s toes d. Check the brachial artery61. What is a sign or symptom of late hypoxia?a. Elevated respiratory rate (early)b. Elevated blood pressure (early)c. Anxiety (early)d. Cyanosis62. Complementary and alternative therapies can increase quality and length of life when integrated with traditional medicine. Which nursing intervention best represents the use of integrative care?a. Providing gentle massage after administering narcotic pain medication.b. Using guided imagery and herbal tea to relax a patient before bed. c. Administering prescribed medication and performing ordered dressing changes.d. Using humor while discussing end of life wishes.63. The nurse is preparing to take vital signs in an adult client receiving continuous oxygen by mask. What is the best method used to assess the client’s temperature?a. Axillary b. oralc. Rectald. Touch64. What oxygen device can deliver the highest concentration in the spontaneously breathing client?a. Nonrebreather mask: the NRB allows for the delivery of higher concentrations of oxygen.b. Nasal cannulac. simple face maskd. Ambo bag65. A nurse obtained a client’s respiratory rate and found the rate to be below 10 breaths per minute. The nurse document these findings as:a. Bradypneab. Tachypnea is indicated by a rate greater than 20 breaths per minute.c. Eupnea: unlabored breathingd. Dyspnea: medical term for shortness of breath66. You are caring for a 65year old client. Current vital signs are: 122/70, P: 67; RR 10; oxygen saturation 93%. Which of the following may be causing a decrease in this client’s respiratory rate?a. Ace inhibitorb. Opioid analgesicc. Amphetamined. NSAID’s67. The nurse is caring for a patient on the medical-surgical unit who is experiencing an exacerbation of asthma. Which intervention will be most appropriate to help this patient sleep?a. Elevate the head of bed at night.b. Offer iron-rich foods for mealsc. Provide a snack before bedtime.d. Encourage the patient to read.68. What is not part of the infection cycle?a. Reservoirb. Susceptible hostc. Portal of exitd. Length of exposuree. Mode of transmission69. A nurse is caring for a client with diarrhea for 3 days. What findings should the nurse anticipate?a. Bradycardia at a rate of less than 60 beats per minuteb. Increased urine output over 100ml per hourc. Hyperactive bowel sounds over 30 sounds per minute.d. oral temperature at or below 98.6 degrees Fahrenheit70. Which of the following complementary and alternative therapies consists of placing very thin needles at a particular point to restore the balance of yin and yang?a. Guided imageryb. Osteopathyc. Acupuncture d. Chiropractic71. Which of the following lung sounds would be expected in a healthy, adult client.a. Vesicular b. Wheezes: breathe with a whistling or rattling sound in the chest, as a result of obstruction in the air passages.c. Crackles: caused by the “popping open” of small airways and alveoli collapsed by fluid, exudate, or lack of aeration during expiration.d. Stridor: A high-pitched, whistling sound most often heard while taking in a breath.72. A nurse is caring for a 34-year-old client who has an incision to her chin as a result of a bicycle accident. The wound was surgically closed using 8 sutures. This wound is healing by what process?a. Primary intention b. Secondary intentionc. Tertiary intentiond. Quaternary intention73. The nurse is reviewing with the client their health promotion activities. Which of the following client activities would the nurse document as primary health promotion activity?a. Annual TB test: secondaryb. Hepatitis B vaccinec. Mammography: secondaryd. Palliative chemotherapy: Tertiary74. The ——– is the most commonly transplanted organ?a. liverb. kidneyc. heartd. lungs75. A client is receiving post-operative epidural analgesia. What complication of epidural analgesia is the nurse most concerned with?a. Urinary retentionb. Pruritusc. Respiratory depression d. infection76. What strategy is proven effective in blocking the transmission of microbes from contaminated food (reservoir) to immunocompromised patients (susceptible hosts)?a. Allow cooked food to sit at room temperature only for 6 hours.b. Restrict fresh, unwashed produce for immunocompromised patients.c. Permit patients to order burgers medium rare.d. Require famers to supply unpasteurized milk.77.78. A nurse is changing the stoma appliance on a patient’s ileostomy. Which characteristic of the stoma would indicate anemia?a. The stoma is dark pink and moist.b. The stoma is a pale pink color.c. The stoma is swollen.d. The stoma is a purple blue color.79. What adventitious breath sound is heard on inspiration and often described as bubbling, crackling, or popping?a. Wheezesb. Stridorc. Rhonchid. Crackles80. Which instruction should the nurse give to the client when a stool specimen is collected?a. Send at least 500ml of specimen.b. Follow sterile technique.c. Defecate into the toilet.d. void first so the stool sample does not contain urine (Void before the specimen is collected)81. You are caring for a client who is recovering from a knee replacement surgery. Your nursing diagnosis is “impaired mobility”. Which of the following is an appropriate outcome/goal for this client?a. client will walk 1 mile per day within 1 week.b. client will walk 50 feet TID within 48 hours.c. Nursing will help the client ambulate 50 feet TID within 24 hours.d. Nursing will have the client to perform AROM once per day within 1 week.82. What is a priority nursing diagnosis that refers to Maslow’s physiological needs?a. Risk for infectionb. chronic confusionc. stress overloadd. Decreased cardiac output.83.A nurse is planning home care for a 9-year-old child following a respiratory illness. Which of the following Erickson’s developmental stages should the nurse consider in the planning?a. Autonomy vs. shame and doubt (18 months to 3 years)b. Initiative vs guilt (3 to 5 years)c. industry vs. inferiority (5 to 13 years)d. Identity vs role confusion (13 to 21 years)84. You are assessing the pulse in a client prior to administering a medication that may cause bradycardia. Which is the best method for assessing this client’s pulse?a. Assess the radial pulse.b. Assess the pedal pulse.c. Assess the brachial pulse.d. Assess the apical pulse.85. Which of the nursing interventions will help to promote the client’s physical comfort related to stoma care?a. Inspect the stoma weekly.b. keeps the skin around the stoma site moist.c. Change the ostomy appliance twice a day.d. Note the size of the stoma.86. What is the primary purpose of the client’s medical record?a. To ensure adequate reimbursement.b. To follow federal and state mandates.c. To foster the client’s continuity of care through communication across settings.d. To protect the nurse and family from lawsuits.87. What are signs and symptoms of hypoglycemia? Select all that apply.a. Diaphoresis (sweating) b. headache: hyperglycemiac. shakinessd. polyuria (frequent urine): hyperglycemiae. confusion f. weight loss- hyperglycemia88. What information is omitted from a nurse’s narrative note?a. Descriptions of pertinent observations of patientb. Statements that specify the nursing care received by the patient.c. Interpretations of patient’s pathology d. Descriptions of patient’s complaints and how patient is coping.89. Which of the following is the site of gas exchange?Answer: Alveoli90. The nurse is assessing a heel pressure injury on a client. Objective data reveals an ulcer that is 3cm x 4 cm x 0.5cm and involves the epidermis, dermis, subcutaneous tissue, and exposed muscle. The wound bed is red and moist. The nurse also notes an area where the wound extends laterally under the skin 3cm. what would the nurse document this wound as?a. A stage IV pressure ulcer with granulation tissue and undermining b. A stage II pressure ulcer with erythema and underminingc. A stage III pressure ulcer with erythema and underminingd. Unstageable pressure ulcer with undermining91. A client has an open wound from a left great toe amputation. Within one week, the nurse observes the wound bed is beginning to accumulate a thick yellow covering with watery drainage. How would the nurse document this?a. Granulation tissue covering wound bed with serous drainage.b. Yellow fibrinous slough covering, wound bed with serous drainage.c. Necrotic tissue covering wound bed with serosanguinous drainage.d. Epithelia tissue covering wound bed with purulent drainage.92. A nurse is caring for a postoperative patient who is experiencing pain. Which complementary and alternative therapy involves client participation by the patient and is appropriate for all levels of care?a. Yoga and Pilatesb. Meditationc. Acupunctured. Botanical supplements93. A home care nurse has seen several clients in their homes. Who would you identify as at risk for infection? (Select all that apply)a. An older adult with diabetes and a recent toe amputationb. A 19-year-old male who is immunized and eats a well-balanced diet.c. A middle-aged male working three jobs and states “no time for sleep.d. A 26-year-old with an indwelling catheter following a motor vehicle accident (MVA)e. A 52-year-old with a pressure ulcer on his heel94. Upon evaluation of the outcomes/goals set in the care plan for your client, you determine that the client is unable to meet the outcome/goal. What may you change in the original care plan? (Select all that apply)a. Modify the interventions.b. Modify the outcome to be realistic.c. Adjust time criteria in outcome. d. Mark the outcomes as “met” and save.95. You are providing care for a client who is unable to move the right side of their body due to a stroke. You create a plan of care to include which types of passive and active range of motion (ROM)a. Right side PROM; left side AROMb. Left side PROM; Right side AROMc. AROM to both sidesd. PROM to both sides96. You are a nurse working in a sub-acute rehabilitation hospital. Several of the clients have orders for straight catheterization every 4 hours. You question whether frequent straight catheterization can increase the risk for urinary tract infection (UTI) compared to inserting an indwelling catheter. You began by formulating a PICO question. Which of the following will the “O” in your PICO question refer to?a. Clients receiving straight catheterization.b. Incidence of UTI c. Maintain sterile techniques when performing straight catheterization.d. inserts an indwelling catheter.97. A nurse is reviewing a client’s chief complaint and reads “urge incontinence “. Based on this information, the nurse will assess which system?a. Gastrointestinalb. Genitourinaryc. Cardiovasculard. Neurological98. The client’s white blood cell count (WBC) is 6,500/mm3. What interpretation of the laboratory values by the nurse is most accurate?a. Client has a low value and is at risk for infection.b. Client value is within normal range. c. Client is immunocompromised and required neutropenic isolation.d. Client has a high value and most likely has an infection.99. You are interviewing a patient who is on continuous oxygen for chronic lung disease. He stops speaking several times to catch his breath. What statement by the patient is most concerning and would require the nurse to intervene?a. I sleep in my chair at night for better breathing.b. I smoke in the house because it is too hard to breath outside in the cold.c. I wear a life alert bracelet in case of an emergency.d. I use pursed lip breathing and incentive spirometry throughout each day.100. what medical procedure removes devitalized tissue and foreign material in a wound? Health Science Science Nursing NURSING NUR2115 Share QuestionEmailCopy link Comments (0)

Having Trouble Meeting Your Deadline?

Get your assignment on Can you answer the questions with no answers here please? . whichnursing intervention wo completed on time. avoid delay and – ORDER NOW

Do My Paper

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.