Question: 1 of 48
NSG 245 EXAM 3 Final. A nurse is preparing to educate the family of a patient who has been declared brain dead. Which statement by the nurse best helps the family understand the concept of brain death?
- Brain death means the patient is in a deep coma but can potentially recover with time and treatment.
- Brain death occurs when the heart and lungs stop working, but brain function continues.
- Brain death means that all brain activity has permanently stopped, even though machines may keep the heart and lungs functioning temporarily.
- Brain death is diagnosed solely based on the Glasgow Coma Scale score.
Question: 3 of 48
The spouse of an older client experiencing delirium is at the client’s bedside. The nurse is providing an update to the spouse regarding the client’s plan of care. Which of the following responses by the spouse indicates a need for further teaching?
- I am not worried. This sort of thing happens all the time to old people.
- I brought an updated list of all the medications he takes at home to help you and the doctors determine what the cause of this could be.
- I notified our family members that they should not come visit for a while, until they are better.
- I am trying to stay positive. I know that most people return to normal, but it is hard to see him like this. NSG 245 EXAM 3 Final
Question: 4 of 48
A nurse is assessing a client who reports involuntary urine leakage. The client states, “I notice urine leaking when I laugh, cough, or lift heavy objects.” Based on this information, which type of urinary incontinence should the nurse suspect?
- Overflow incontinence resulting from an overfilled bladder causing continuous leakage.
- Stress incontinence due to increased intra-abdominal pressure during physical activity.
- Functional incontinence due to physical inability to reach the toilet in time.
- Urge incontinence caused by sudden strong urges to urinate without warning.
Question: 5 of 48
A nurse is caring for a client who has an open fracture of the ulna. Which of the following is a primary concern the nurse should be alert for?
- Poor bone remodeling
- Potential for infection
- Osteoarthritis in the elbow joint
- Compartment syndrome
Question 6
A nurse is teaching a client who is newly diagnosed with Alzheimer’s disease and their family about newly prescribed medications for Alzheimer’s disease. Which statement by the client indicates the teaching was effective?
- “Medications for Alzheimer’s disease will help me remember what I forgot.”
- “Medications for Alzheimer’s disease will help to increase my energy levels.”
- “Medications for Alzheimer’s disease will cure the disease.”
- “Medications for Alzheimer’s disease will help slow the progression of my disease.”
Question 7
A nurse is caring for a client who is receiving home hospice care. The family states, “We are exhausted. We do not want to admit our parent to a long-term care unit, but what alternatives do we have?” Which of the following statements should the nurse include when speaking to the family?
- “I think you should admit your parent to the long-term care unit so your family can get some rest.”
- “You can do this for a little longer. You should just rest when they rest.”
- “You can take them to the emergency room and get them admitted to the hospital for a while.”
- “Respite care is available for caregivers of terminally ill clients.” NSG 245 EXAM 3 Final
Question 8
A nurse is reviewing the medical history of a patient newly diagnosed with gout. Which of the following factors should the nurse identify as the most likely cause for the patient’s elevated uric acid levels?
- Consuming excessive caffeine
- Use of diuretic medications
- History of depression
- Chronic sleep deprivation
