NACE EXAM — Health Care exam material
HEAL100 · Other
HEAL100 Health Care — exam and revision material · Other
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Health Care exam material, 94 pages. Originally published on StudyMerit.
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NACE Care Of Childbearing Family Actual Exam A+ TEST BANK 1 NACE Care Of Childbearing Family Exam /NACE Care Of Childbearing Family Pr edictor Exam With Complete Questions And Correct Answers with Deatailed Rationales Graded A+ A newly admitted client becomes restless and confused at night. Which of these nursing measures would be most important to promote the client's safety? a. Putting the client on a bedpan at regular intervals. b. Attaching the call bell to the bed near the client's dominant hand. c. Moving the client to a room with ambulatory patients. d. Keeping a small light on in the client's room. d. Keeping a small light on in the client's room. Keeping a small light on in the patient's room is the most important nursing measure to promote the patient's safety. This will help the patient see the room (safety measure) and orient themselves as to where they are during the night. Moving the patient t o a room with ambulatory patients, attaching the call bell to the bed near the patient's dominant hand, or putting the patient on a bedpan at regular intervals would not be the most important nursing measures to promote safety. A nurse identifies all of these nursing diagnoses for a client. Which diagnosis should the nurse give the highest priority? a. Impaired skin integrity. b. Altered nutrition: less than body requirements. c. Impaired tissue perfusion. d. Altered comfort: pain. c. Impaired tissue perfusion. A nurse gives priority to life - threatening conditions which need immediate professional attention
NACE Care Of Childbearing Family Actual Exam A+ TEST BANK 2 (those related to oxygenation, circulation, and breathing). These include respiratory obstruction, severe hemorrhage, or arrest. Nursing action is to remove or prevent the cause of the most immediate life - threatening problem . A nurse is instructing a client on how to limit saturated fat intake and increase intake of foods high in polyunsaturated fat. Which of these fats is highest in polyunsaturated fatty acids? a. Vegetable shortening. b. Corn oil. c. Butter. d. Olive oil. b. Corn oil. Among these choices, corn oil has the highest amount of polyunsaturated fatty acid. Other oils high in polyunsaturated fats are flax seed oil, hemp oil, pumpkin seed oil, safflower oil, sesame oil, soybean oil, and sunflower oil. Olive oil, butter, and veg etable oil are not high in polyunsaturated fatty acids. A client who has a possible fractured wrist goes to the Emergency Department. For which of these rationales should a nurse apply a cold pack to the area? a. Reduce blood flow to the wrist. b. Increase tissue metabolism in the wrist. c. Promote delivery of nutrients to the wrist. d. Reduce blood viscosity in the wrist. a. Reduce blood flow to the wrist. Ice will assist vasoconstriction, and therefore decrease blood flow. Increased blood flow will increase swelling and pain in the affected area. A client who has weakness of the left arm and leg can walk short distances with a cane and assistance. Which of these techniques should a nurse select to provide the client with appropriate assistance? a. The nurse stands by the client's right side, supporting the right arm, with the cane on the left side. b. The client places the cane on the left side, with the nurse supporting the left side. c. The nurse stands by the client's left side, supporting the right arm, with the cane on the left
NACE Care Of Childbearing Family Actual Exam A+ TEST BANK 3 side. d. The client places the cane on the right side, with the nurse supporting the left side. d. The client places the cane on the right side, with the nurse supporting the left side. The patient should place the cane on the right side, with the nurse supporting the left side. Holding the cane on the unaffected side provides support to the affected lower limb. The other choices (the nurse stands by the patient's right side, supporting t he right arm, with the cane on the left side; the nurse stands by the patient's left side, supporting the right arm, with the cane on the left side; or the patient places the cane on the left side, with the nurse supporting the left side) are not technique s a nurse should select in this situation. An 83 - year - old client who was recently admitted to a nursing care facility frequently looks vacantly at family members and says, "I don't know where I am." A nurse notes that the client also has a history of getting up several times at night and falling. B ased on the information the nurse should give priority to which of these measures? a. Placing a call light within the client's reach. b. Having the client void before they go to bed. c. Reminding the client that this is their new home now. d. Maintaining the bed in a low position. d. Maintaining the bed in a low position. Maintaining the bed in the lowest position and even placing the mattress on the floor will reduce the risk of injury if the patient does fall, and should be a priority measure in the patient's evening care. The other options are applicable but are not the priority. A client has an abdominal wound drainage tube attached to wall suction. Which of these nursing diagnoses should be included in the client's care plan? a. Imbalanced body temperature. b. Altered gastrointestinal tissue perfusion. c. Fluid volume deficit. d. Chronic pain. c. Fluid volume deficit. The suction will affect the amount of fluid removed from the patient's body. It will not alter the
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