*NURSING > A Level Question Paper > Exam 2 & Final ExamNR293 NR 293 (All)
1 - T h e n u rs e p la n s c a re f o r a n o ld e r a d u lt c l i e n t. W h i c h in t e rv e n tio n d o e s t h e n u rs e im p le m e n t t o re d u c e t h is c l i e n t’s ris k f o r f a ... l ls ? 1 - Ele v a t e b e d t o wa ist h e ig h t. 2 - En s u re s o c k s a re w o rn w h e n a m b u la tin g . 3 - P o sitio n c o m m o d e c lo s e t o t h e b e d . 4 - P la c e a c h a ir a n d o v e rb e d t a b le c lo s e t o t h e c o m m o d e . 2 - T h e n u rs e re v i e w s c a re re q u ire d f o r a ssig n e d c l i e n ts. W h i c h t a s k w i l l t h e n u rs e d e le g a t e t o n u rs in g a ssisti v e p e rs o n n e l ( NA P ) ? ( Se le c t a l l t h a t a p p ly .) 1 - Em p t y a c l i e n t’s in dw e l l in g u rin a ry c a t h e t e r b a g . 2 - A d d in g u p in t a k e a n d o u t p u t f o r e a c h c l i e n t. 3 - A d d in g ‘ a c u t e p a in ’ n u rs in g d ia g n o sis t o t h e c a re p la n . 4 - C h e c k a n d d o c u m e n t v it a l sig n s. 5 - Se t u p a c l i e n t’s s u p p e r tra y . 3 - T h e n u rs e p ro v id e s c a re f o r a c l i e n t d ia g n o s e d w i t h d ia b e t i c k e t o a c id o sis ( DKA ). T h e n u rs e re c e i v e s a p re s c rip tio n t o tra n sitio n t h e c l i e n t fro m a re g u la r in s u l in in f u sio n t o in s u l in g la rg in e . Wh i c h a c tio n d o e s t h e n u rs e t a k e firs t ? 1 - C o n tin u e t h e in s u l in in f u sio n f o r 1 t o 2 h o u rs a ft e r t h e g la rg in e is st a rt e d. 2 - C h e c k t h e c l i e n t’s b lo o d g lu c o s e e v e ry 3 0 m in u t e s f o r 2 4 h o u rs . 3 - D i s c o n t in u e t h e in s u l in in f u s io n a s s o o n a s t h e g la rg in e i s a d m in ist e re d . 4 - M o n it o r t h e c l i e n t c lo s e ly f o r sig n s o f s e iz u re a c ti v it y . 4 - T h e n u rs e p ro v id e s c a re f o r a c l i e n t d ia g n o s e d w i t h a b o w e l o b stru c tio n . T h e c l i e n t h a s a n a s o g a stri c t u b e a tt a c h e d t o s u c tio n . It is m o st im p o rt a n t f o r t h e n u rs e t o a ss e ss t h e c l i e n t f o r w h i c h a c id - b a s e im b a la n c e ? 1 - R e s p ira t o ry a lk a lo sis. 2 - R e s p ira t o ry a c id o sis. 3 - M e t a b o l i c a lk a lo sis. 4 - Me t a b o l i c a c id o sis. [Show More]
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