NURS 321 Chapter 1 (Weber and Kelley) Prep-u Questions

A new order for an antibiotic is received for a client. The nurse reviews the client's electronic medical record. The record states the client has no known allergies. What action should the nurse take?

Ask the client if they have allergies

A client admitted with a small bowel obstruction requires a nasogastric tube to continuous low wall suction. The nurse monitors gastric output of 250 mL at 0800-0900 and 30 mL at 0900- 1000. The nurse understands that drainage should taper and not decrease abruptly within an hour. What is the best action of the nurse?

Assess the nasogastric tube for proper functioning

What will be the nurse's initial role when conducting a health assessment with a client reporting abdominal pain?

Collecting data regarding the nature of the pain

How does a nurse decide what health-promotion activities are necessary for a particular client?

Nurses collaborate with clients to identify areas in which clients are willing to make changes

A client admitted to the hospital with status asthmaticus suddenly develops the following signs and symptoms: increased heart rate (105 bpm), increased respiratory rate (24/min), O2 saturation 90% on 100% nonrebreather mask, and sudden absence of wheezing. What action should the nurse take?

Perform an emergency assessment

A nurse provides care for a client with impaired respiratory function. The nurse frequently assesses the client's skin color and temperature of the extremities. What is the purpose of this ongoing or partial assessment?

To determine any changes from the baseline data

When assisting a client with health promotion, what must the nurse also nurture?

a healthy environment

When the nurse clusters the data to make a judgment or statement about the client's condition, this is known as what?

diagnosis

A nurse working in a long-term care facility is performing a comprehensive assessment on an 84-year-old male resident. What findings will require a follow-up?

last bowel movement was charted 7 days ago, no urine output has been charted in the last 24 hours, heart rate 120 beats/min and irregular, oxygen saturations 88% on room air

To prepare for the assessment of a client visiting a neighborhood health care clinic, the nurse should first

review the client's health care record