Nurse Reviewing Client Explained for Students (Easy Guide)
Students often encounter this when studying fundamental concepts.
What This Question Is About
This question relates to nurse reviewing client and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves nurse reviewing client. A strong answer should include explanation, application, and examples.
Original Question
51.A nurse is reviewing client chief complaint and read overflow incontinence based on this information the nurse will assess which a.) Cardiovascular b. Genitourinary c. Gastrointestinal d. Neurological 52. 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 UTI b. Maintain sterile technique when performing straight catheterization c. inserting an indwelling catheter d. client receiving straight catheterization 55.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/min b. The administration rate of the oxygen must be least 6 L/min c. Arterial blood gases will be drawn hourly to monitor the oxygen flow rate d. the client does not require monitoring 56. 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 ROM b. Passive ROM to both sides c. Active ROM to both sides d. Right side passive ROM left active ROM 57. How should a nurse leader best address nurses resistance to change in new hospital policy a. Put the matter to a vote and respect the wishes of the majority b. Explain the benefits of the change and elicit honest feedback c. Allowing those who remain unconvinced to temporarily opt-out of the proposed change d. Explain the cost savings that the change will bring for the hospital 58. Using the principles of standard precautions, the nurse would wear gloves during which nursing intervention? a. Applying TED hose b. Demonstrating a dressing change to a client c. Feeding a client d. Helping a client to apply cosmetics 59. 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 motion b. Allow one finger breadth between the restraint and the clients chest c. Tie the restraints with a quick release knot d. fastens the restraints ties to the side rail 60. which of the following nursing interventions will not help prevent contractures for a client with impaired physical mobility? a. Repositioning the client every 2 hours b. Applying splints/braces per physician’s order c. Performing active and passive range of motion (ROM) every shift d. increased the use limb restraints 61. 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 gown b. Clean surface and equipment with bleach c. goggle d. use hand sanitizer e. Sterile gloves 62. 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 Pilates b. Meditation c Acupuncture d, Botanical supplements 64. 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 promotion a. Mammography b. Palliative chemotherapy c. Hepatitis B vaccine d. Annual tuberculosis (TB) test 65. What lung sounds would be expected in a healthy, adult client? a. Wheezes b. Vesicular c. crackies d. Stridor 67. 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 client b. Leave the client’s rooms that the client can rest quietly 68. 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 50 b. Receiving all recommended immunization c. Obtaining an ultrasound for a suspected deep vein thrombosis d. 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 weekly b. Keep the skin surrounding the stoma site moist c. Note the size of the stoma to ensure the correct fit before each appliance change d. Change the ostomy appliance three times daily 70. A nurse is caring for client with diarrhea. What finding should the nurse anticipate? a. Increased urine output over 100ml per hour b. Hyperactive bowel sound greater than 30 sound per minutes c. Oral temperature at or below 98.6 degrees Fahrenheit
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