Fundamentals exam 3 Questions and

Fundamentals exam 3  Questions and Verified Answers, 100% Score Guarantee Pass (Latest 2025) A nurse is instructing a newly licensed nurse about choosing a site to measure a client's temperature. Sort the following

clients with the correct temperatures sit:oral or rectal

• A client who breathes through the mouth
• A client who has a low platelet count
• A client who has a facial trauma

D.A client who has hemorrhoids - Correct Answers ✅A- Rectal The nurse should take a rectal temperature on a client who breathes through the mouth to obtain an accurate reading B-Oral When taking actions the nurse should take an oral temperature on a client who has a low platelet count to decrease the risk of bleeding C-Rectal The nurse should take a rectal temperature on a client who has facial trauma to reduce the risk of injury to the client O-Oral The nurse should take an oral temperature on a client who has hemmorhoids to decrease the risk of bleeding A nurse is caring for a client who has an oral temperature of 38.6 (101.5), heart rate 114/min, and respiratory rate 22/min.Which of the following interventions should the nurse take

(SATA)

A.Obtain culture specimens before initiating antimicrobials B.Restrict the clients oral fluid intake 1 / 3

Fundamentals exam 3  Questions and Verified Answers, 100% Score Guarantee Pass (Latest 2025) C.Encourage the client to rest and limit activity D.Allow the client to shiver to dispel excess heat

• Assist the client with oral hygiene frequently - Correct

Answers ✅A. When taking actions, the nurse should obtain culture specimens before initiating antimicrobials to accurately detect the causative microorganism C.The nurse should encourage the client to rest and limit activity to conserve energy and decrease their metabolic rate

• The nurse should assist the client with oral hygiene

frequently to promote comfort and reduce the risk of dry mucous membrane of the mouth and dry lips A nurse determines a client's radial pulse rate is 68/min and the stimultaneous apical pulse rate is 84/min. What is the clients pulse deficit - Correct Answers ✅When analyzing cues, the nurse should determine that the pulse deficit is the difference between the apical and radial pulse rates. It reflects the number of ineffective or non- perfusing heartbeats that do not transmit pulsations to peripheral pulse points. Therefore, 84-68=16 A nurse is instructing an assistive personnel (AP) how to measure a client's respiratory rate which of the following statements should the nurse include

• "place the client in semi-Fowler's position"

B."Have the client rest an arm across the abdomen" 2 / 3

Fundamentals exam 3  Questions and Verified Answers, 100% Score Guarantee Pass (Latest 2025) C."Observe one full respiratory cycle before counting the rate." D."Count the rate for 30 sec if its irregular" E."Inform the client you are counting their respiratory rate." - Correct Answers ✅A. When taking actions the nurse should instruct the AP to place the client in semi-Fowler's position before counting their respiratory rate to promote ventilation.This position also allows the AP to visualize the client's chest and abdominal movements B.The nurse should instruct the AP to have the client rest an arm across their abdomen to promote visualization of the client's chest and abdominal movements C.The nurse should instruct the AP to observe the client for one full respiratory cycle before counting the rate to obtain an accurate measurement A nurse is caring for a client who has a fractured femur and a blood pressure of 140/94mm Hg. Which of the following actions should the nurse take first?A.Request a perscription for an antihypersensitive medication B.Ask the client if they are having pain C.Instruct the client about a low-sodium diet

• return in 30 min to recheck the client's blood pressure -

Correct Answers ✅B.Ask the client if they are having pain When taking actions using the nursing process, the first action that the nurse should take is ask the client if they are

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