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Fundamentals I (NR224) Chapter-019 Test Bank

John Marsh
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Chamberlain College of Nursing

Fundamentals I (NR224)

Chapter-019 test bank

Potter & Perry: Fundamentals of Nursing, 7th Edition
Test Bank
Chapter 19: Implementing Nursing Care
1. The nurse is working with postoperative clients on a surgical unit. One aspect of care is
manipulation of the client’s environment. This involves the nurse:
1. Repositioning the client q2h
2. Removing clutter from the client’s room
3. Delegating ambulation of clients to the nursing assistant
4. Providing pain medication to the client before a dressing change

2. The client is given an injection of an antibiotic. Shortly afterwards the client reports hives
and itching. The nurse administers an antihistamine to counteract the effect of the
antibiotic. The nurse is using which one of the following intervention methods?
1. Preventive measures
2. Assisting with ADLs
3. Preparing for special procedures
4. Compensation for adverse reactions

3. The client is scheduled to receive Coumadin (an anticoagulant) at 9:00 AM. His morning
laboratory results show him to have a high partial thromboplastin time (PTT). His nurse
decides to withhold the Coumadin. Which step of the implementation process is she
1. Reassessing the client
2. Stating an expected outcome
3. Revising the nursing diagnosis

4. The nurse notes that a narcotic is to be administered “per epidural cath.” The nurse;
however, does not know how to perform this procedure. Which aspect of the
implementation process should be followed?
1. Seek assistance
2. Reassess the client
3. Use interpersonal skills
4. Critical decision making

5. The nurse recognizes the discharge needs of a client following a hip replacement. This is
an example of which type of nursing skill?
1. Cognitive
2. Interactive
3. Psychomotor
4. Communication



Fundamentals I (NR224) Chapter-019 Test Bank

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