Foundations Final Exam Flashcards
A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors should the nurse include in the teaching? SATA
Aging
Obesity
Smoking
A nurse is assessing a client who has narcolepsy. Which of the following findings should the nurse expect? SATA
Sudden attacks of sleep
Hallucinations at the onset of sleep
A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? SATA
Grooming
Long-term memory
Affect
A nurse on a medical-surgical unit is assigning tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? SATA
Ambulate a client who has a cane
Transfer a client to a stretcher
Record urinary output
A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take? SATA
Teach the client to use the call light
Keep the client’s bed in the lowest position
Place a fall-risk identification band on the client’s wrist
A nurse is caring for a group of clients on a medical-surgical unit. Which of the following situations requires that the nurse wear gloves? SATA
Emptying urine from an indwelling urine collection bag
Providing oral care
Changing an stony pouch
A nurse is coaching four clients in the use of relaxation techniques to manage stress. Which of the following findings indicate the techniques are effective? SATA
Arousal Reduction
Decreased BP
Decreased HR
Increased peripheral skin temperature
A nurse is providing care for four clients on a medical-surgical unit. Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? SATA
Client who has protein calorie malnutrition
Client who has right-sided heart failure and 4+ edema to the lower extremities
Client who has post-op delirium
A nurse is teaching a client who has constipation. Which of the following should the nurse discuss as causes of constipation? SATA
Excessive laxative use
Ignoring the urge to defecate
Inadequate fluid intake
A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? SATA
Tomatoes
Bananas
Raisins
A nurse is adhering to standard precautions while caring for a group of clients. For which of the following tasks should the nurse wear protective eye equipment? SATA
Irrigating a client’s abdominal wound
Suctioning a client’s new tracheostomy tube
A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of the following indications should the nurse include? SATA
Relief of urinary retention
Measurement of residual urine after urination
Open perineal wound
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? SATA
Increased HR
Increased BP
Increased RR
A nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy via a nasal cannula. Which of the following should the nurse include in the teaching? SATA
Check the cannula position on a regular basis
Check the tops of ears for skin breakdown
Post “no smoking: signs in a prominent location in the home
