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WGU D439- Foundations of Nursing | OA | 109 Questions and Answers | 2025 Update | Final Study Tips | 100% Guaranteed Success

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 5 pages. Originally published on StudyMerit.

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5
Academic year
2025/2026
Language
English

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D439 Foundations of Nursing OA Approval Q & A (Copy) Students also studied Make a copy Save Foundations OA q's 84 terms AdoptedSpaceCow Preview HESI Med Surg 89 terms Leobaby432 Preview Foundations OA q's 84 terms nwells245 Preview WGU - 109 term Gen The nurse is caring for four clients. The client with which clinical manifestation requires immediate attention from the nurse? Respiratory rate of 25 breaths per minute after resting for 3 minutes after activity The nurse places a client who had abdominal surgery in the semi-Fowler position. The client states, "I prefer to lie flat when in bed. I feel like I am almost sitting up." Which is an appropriate response by the nurse? "Lifting your chest above your abdomen facilitates drainage in your wound drains." The nurse is educating a client who has just been prescribed a diuretic about how to safely perform activities of daily living. Which statement should the nurse include in the teaching Change positions slowly to minimize orthostatic hypotension The nurse recognizes that which statements made by a patient indicate an understanding of behaviors that will promote sleep? (Select all that apply.) "I will not watch television in bed." "I will not drink caffeine later in the day." "I will start to exercise regularly during the day." Your patient is being discharged home and will be required to self-administer injectable Heparin. You are observing the patient administer their scheduled dose of Heparin to confirm that the patient knows how to do it correctly. What action by the patient requires you to re- educate them about how to administer Heparin? The patient injects the needle 1 inch away from the umbilicus A nurse caring for patients in a long-term care facility is often required to collect urine specimens from patients for laboratory testing. Which techniques for urine collection are performed correctly? Select all that apply. The nurse collects about 3 mL of urine from a patient's indwelling catheter to send for a urine culture. The nurse discards the first urine of the day when performing a 24-hour urine specimen collection on a patient.

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The nurse is caring for a 60-year-old client with a diagnosis of C-diff and is incontinent who requires frequent linen changes. What should the nurse be most concerned for Impaired skin integrity The nurse is making an occupied bed. Which nursing action is most important Ensuring that the client's head is supported and is in functional alignment When giving a client a bed bath, a nurse washes the client's extremities from distal to proximal. Which of the following rationales best supports this nursing action? Stimulates Venous return The nurse is caring for a debilitated female client with nocturia. Which nursing intervention is the priority when planning to meet this client's needs Positioning a bedside commode near the bed The nurse plans to teach a client with hemiparesis to use a cane. Which should the nurse teach the client to do? Select all that apply. Hold the cane in the strong hand when walking The nurse is caring for a group of clients in the post anesthesia care unit. Which response by a client in the post anesthesia care unit is the priority concern for the nurse? Reduced level of consciousness The nurse is meeting a client for the first time. Which should the nurse do during the orientation phase of this therapeutic relationship? Build rapport A nurse discovers that a client is taking natural herbal remedies. Which intervention is most important for the nurse to do? Communicate the supplement use to the primary health-care provider Which condition places a client at the highest risk for developing an infection? Burns over more than 20% of the body The nurse is caring for a group of clients experiencing various medical conditions. Which condition places the client at the highest risk for a wound infection? Puncture of the foot by a nail When collecting a 24-hour urine specimen for creatinine clearance, it is MOST important for the nurse to do which of the following? Ask if a preservative is present in the container. Your patient will be using crutches for mobility. After educating the patient on how to adjust the crutches to fit correctly, you assess how well the patient understood the instructions. What findings demonstrate that the crutches were adjusted correctly by the patient? Select all that apply When the patient grips the hand grips of the crutches the elbow bends at about 30 degrees. The patient has a 2-3 finger width distance between the axillae and crutch rest pad

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