Nurs 305 - Exam #3: Review questions
The nurse is caring for a patient who has just had a near-death experience (NDE) following a cardiac arrest. Which intervention by the nurse best promotes the spiritual well-being of the patient after the NDE? A. Allowing the patient to discuss the experience B. Referring the patient to pastoral care C. Having the patient talk to another patient who had an NDE D. Offering to pray for the patient
A. Allowing the patient to discuss the experience
A client states to the home health nurse that she has not had a bowel movement since coming home from the hospital after surgery 4 days ago. The nurse instructs the client to follow which diet at this time? A. High-fiber diet B. Full-liquid diet C. Low-fiber diet D. Low-sodium diet
A. High-fiber diet
A patient is incontinent of urine and stool. For which patient response should the nurse be most concerned? A. Impaired skin integrity B. Altered sexuality C. Dehydration D. Confusion
A. Impaired skin integrity
To best assist a patient in the grieving process, which factors are most important for the nurse to assess? (Select all that apply.) A. Previous experiences with grief and loss B. Religious affiliation and denomination C. Ethnic background and cultural practices D. Current financial status E. Current medications
A. Previous experiences with grief and loss B. Religious affiliation and denomination C. Ethnic background and cultural practices
Which nursing assessment best indicates a patient's ability to tolerate activity? A. Vitals signs that take 3 minutes to return to the pre-activity level B. Absence of adventitious breath sounds on ausculation C. Flexibility of muscles and joints D. Reports of weakness
A. Vitals signs that take 3 minutes to return to the pre-activity level
What are the physical circulatory changes that occur as death approaches? A. Skin irritation B. Mottling C. Increased urine output D. Weakness
B. Mottling
A patient has just learned she has been diagnosed with a malignant brain tumor. She is alone; her family will not be arriving from out of town for an hour. The nurse has been caring for her for only 2 hours but has a good relationship with her. What is the most appropriate intervention for support for her spiritual well-being at this time? A. Make a referral to a professional spiritual care advisor B. Sit down and talk with the patient; have her discuss her feelings and listen attentively C. Move the patient's bible from her bedside cabinet drawer to the top of the over-bed table D. As the patient whether she would like to learn more about the implications of having this type of tumor
B. Sit down and talk with the patient; have her discuss her feelings and listen attentively
A patient's hemoglobin saturation via pulse oximetry indicates inadequate oxygenation. Which should the nurse do first? A. Notify the primary health-care provider B. Encourage breathing deeply C. Raise the HOB D. Administer oxygen
C. Raise the HOB
A nurse must bathe the feet of a patient w/diabetes. Which should the nurse do before bathing this patient's feet? A. File the nails straight across with an emery board B. Teach that daily foot care is essential to health feet C. Ensure a provider's order for hygienic foot care is obtained D. Assess for additional risk factors that may contribute to localized problems
D. Assess for additional risk factors that may contribute to localized problems
A nurse is caring for a group of hospitalized patients. Which should the nurse do first to prevent patient infections? A. Provide small bedside bags to dispose of used tissues B. Encourage staff to avoid coughing near patients C. Administer antibiotics as prescribed D. Identify patients at risk
D. Identify patients at risk
