Fundamentals Final Test Bank 75 Correctly Answered Questions Latest Update

A nurse is working with an assistive personnel (AP) while caring for a surgical client who is 1 day postoperative. Which task should the nurse take responsibility for completing. {Ans: Removing the abdominal dressing}A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse? {Ans: Determine if the client uses hearing aids.}A 70 year old client is admitted to the PACU with an intravenous (IV) solution of 0.9% NaCl which is running at 125cc/hr. The nurse detects new onset of crackles in the lunch bases and distended neck veins. What is the nurse priority action? {Ans: Decrease the IV flow rate}A nurse is assessing the respiratory pattern of an older adult client who is receiving end-of-life care. Which fo the following assessment findings should the nurse identify as Cheyne-Stokes respirations? {Ans: Breathing ranging from very deep to very shallow with periods of apnea}A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer? {Ans: Necrotic subcutaneous tissue}A nurse is assessing a client 1 day postoperative