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NUR 243 HONDROS FINAL EXAM
ANSWERED CORRECTLY – EXPERT
VERIFIED | LATEST VERSION
Question : The nurse is caring for a male patient diagnosed
with alcohol cirrhosis and needs a liver transplant. The patient has been out of work for several months and does not have insurance or enough cash. The patient is concerned that he may not be considered for the transplant. What statement made the nurse would be lacking in cultural competence
Correct answer: It is definitely a negative that your liver
disease is caused by alcohol abuse
Question : The nurse is caring for a patient who was taking
ibuprofen three times d ay for pain due to her osteoarthritis.The patient present with dizzies, HA, nausea and vomiting coffee ground emesis. Which s/s will the nurse monitor for?
Correct answer: Tachycardia, Tachypnea
Question : The nurse is assessing the function of a chest tube
drainage system in a patient who has just returned from the recovery room following a thoracotomy. Which are the
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expected assessment finding related to chest tube drainage system?
Correct answer: Drainage system maintained below the
patient's chest, Occlusive dressing over the insertion site, Tidaling in the water seal chamber during inhalation and exhalation
Question : A nurse is caring for four patients on the floor.
Which patient should the nurse see first?
Correct answer: A patient with end stage liver disease with
platelet count of 25,000
Question : The nurse is assessing a patient status post
hemicolectomy and notes the patient's calf is red and slightly edematous. The nurse precedes to do a pain assessment. The patient states the pain is an 8 out of 10. The patient's vitals are as follows HR 92, BP 140/89, RR 224, T 98.7. The health care provider has ordered Morphine 4-6 mg IBP q 4 hours.Which stage Tanners is this?
Correct answer: Interpreting
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Question : The nurse is providing care to a patient with a large
surgical wound that requires and extensive amount of dressing and supplies. What cost-effective action would the nurse take when performing dressing changes? (SATA)
Correct answer: Review previous documentation to identify
specific supplies needed, Survey the room for supplies before starting the dressing change
Question : A patient with bleeding esophageal varices from
alcoholic cirrhosis is admitted to the emergency department.Which comment overhead by the charge nurse from a staff nurse requires immediate intervention?
Correct answer: "Charlie is here, my tax dollars going to good
use once again"
Question : The nurse is caring for a patient admitted to the
emergency room with complaints of chest pain. Which step in tanners does the nurse need to do first when caring for this patient?
Correct answer: Noticing
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Question : A patient with AKI has been admitted to the
hospital for 24-hour observation. The patient c/o 8/10 flank pain and N/V and has a urine output of 81 mL over the past three hours. The pt. T is 99, HR 100, R 22, BP 90/50. What is the nursing priority
Correct answer: Administer IV fluids
Question : A patient is admitted to the ED after an MVA. The
patient was conscious at the scene but is now confused and lethargic with a T 98.4, HR 105, RR 25, BP 110/58. What is the nurses first action?
Correct answer: Assess for loose teeth
Question : The nurse is caring for a patient with alcoholic
cirrhosis. The patient is about to have a paracentesis in one hour. The patient has undergone this procedure several times in the past 2 years. The nurse says to the patient "Your dr will be here for the procedure in 1 hour, I know you don't have any questions since you've been here so many times?" What is this an example of