Western Governors University

NURSING BS C471

Quiz 4

1)Which client is at greatest risk for slow wound healing?

1. 1. 1. 12-year-old healthy girl
      2. 47-year-old obese man with diabetes
      3. 48-year-old woman who smokes
      4. 98-year-old healthy man

0. 2. In conducting a postoperative assessment of the client, what is most important for the nurse to examine first?
1. Breathing pattern
2. Level of consciousness
3. Oxygen saturation
4. Surgical site

0. 3. The RN has just received reports about all of these clients on the inpatient surgical unit. Which client would the nurse care for first?
1. A 43-year-old client who had a bowel resection 7 days ago and has new serosanguineous drainage on the dressing
2. A 46-year-old client who had a thoracotomy 5 days ago and needs discharge teaching before going home
3. A 48-year-old client who had bladder surgery earlier in the day and is complaining of pain when coughing
4. A 49-year-old client who underwent repair of a dislocated shoulder this morning and has a temperature of 100.4° F (38° C)
   4. An RN and an LPN/LVN are working together in caring for a client who needs all of the following actions after orthopedic surgery. Which actions would be best for the RN to accomplish?

1. Reinforce the need to cough and deep breathe every 2 to 4 hours.

2. Develop the discharge teaching plan in conjunction with the client.
3. Administer narcotic pain medications before assisting the client with ambulation.
4. Listen for bowel sounds, and monitor the abdomen for distention and pain.

0. 5. After gastric surgery, a client arrives in the postanesthesia care unit (PACU). Which of these nursing actions is most appropriate for the RN to delegate to an experienced nursing assistant?
1. Monitor respiratory rate and airway patency.
2. Irrigate the nasogastric tube with saline.
3. Position the client on the left side.
4. Assess the client's pain level.
   6. Which of these RNs who have been floated to the postanesthesia care unit (PACU) for the day should the charge nurse assign to care for an 18-year-old diabetic client who has just arrived from the operating room (OR) after having laparoscopic abdominal surgery?

1. An RN who usually works on the inpatient pediatric unit
2. An RN who provides education to diabetic clients in a clinic
3. An RN who has 5 years of experience in the delivery room
4. An RN who ordinarily works as a scrub nurse in the OR

0. 7. The client returns to the medical unit after a therapeutic bronchoscopy. Which intervention does the nurse apply first?
1. Assess the puncture site for drainage.
2. Implement NPO (nothing by mouth) status.
3. Monitor for signs of anaphylaxis.
4. Perform aggressive chest physiotherapy.

0. 8. Four clients are sent back to the emergency department from triage at the same time. Which client requires the nurse's immediate attention?
1. Client with acute allergic reaction
2. Client with dyspnea on exertion
3. Client with lung cancer with cough
4. Client with sinus infection with fever

1. 9. A client comes to the emergency department with a productive cough. Which symptom does the nurse look for that will require immediate attention?