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19 Cards in this Set

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When discussing client care with a nurse’s aide, the nurse instructs the aide to report any coughing during meals in a client who recently experienced a stroke and requires feeding. In this situation the nurse is acting as a(n):
A. Client advocate
B. On-the-job trainer
C. Delegator
D. Educator
C
The nurse prepares a client for a lumbar puncture. Before the start of the procedure the nurse is sure to:
A. Have the client void
B. Place the client in Sims’ position
C. Premedicate the client with analgesics
D. Insert a peripheral intravenous (IV) catheter
A
The nurse anticipates that a right-handed client with a fractured right arm will require assistance with activities of daily living. The skill the nurse is demonstrating is:
A. Cognitive skill
B. Interpersonal skill
C. Psychomotor skill
D. Behavioral skill
A
A nurse provides counseling to a family in spiritual distress from a recent, but expected, family member death when implementing the following intervention:
A. Obtaining a consult for a psychiatric clinical nurse specialist
B. Praying with the family
C. Reminiscing with the family
D. Arranging for the chaplain to visit the family
C
The nurse requests a stimulant laxative for a client receiving an opioid around-the-clock. By making this request the nurse is demonstrating:
A. Promoting client health
B. Concern for safety
C. Controlling adverse reactions
D. Colleague health education
C
For all clients admitted to a cardiac unit, in the unit policy and procedure manual it states: if client experiences chest pain, administer 1/150 grain nitroglycerine SL and obtain a STAT ECG. This is an example of: _____________
A protocol-care of clients with a select clinical problem.
The nurse is developing a plan of care for a client with chronic low back pain, who was admitted from the postanesthesia recovery room following back surgery. Appropriately sequence the following goals, starting with the goal the client should achieve first:
1. Stand at the bedside
2. Ambulate with assistance
3. Participate in rehabilitative physical therapy
4. Transfer to bedside commode
1,4,2,3
When determining a client's ability to perform instrumental activities of daily living, the nurse assesses the following skills (select all that apply):
A. Ability to bathe oneself
B. Ability to write checks
C. Ability to feed oneself
D. Ability to take medications
E. Ability to cook meals
B,D,E
The nurse provides a variety of indirect care activities, which include (select all that apply):
A. Providing client counseling
B. Documenting
C. Delegating
D. Administering medications
E. Evaluating new products
B,C,E
IMPLEMENTATION BEGINS WHEN IN THE NURSING PROCESS?
A. DURING THE ASSESSMENT PHASE?
B. IMMEDIATLY IN SOME CRITICAL SITUATIONS
C. AFTER THERE IS A MUTUAL GOAL SETTING BETWEEN NURSE AND CLIENT
D. AFTER THE CARE PLAN HAS BEEN DEVELOPED
B. IMMEDIATLY IN SOME CRITICAL SITUATIONS
AN EXAMPLE OF THE DIFFERENCE BETWEEN DIRECT CARE AND INDIRECT CARE IS THAT INDIRECT CARE:
A. ACTIONS ARE AIMED AT MANAGING ENVIRONMENT AND DOCUMENTATION
B. MEDICATION ADMINISTERATION IS PERFORMED
C. PSYCHOLOGICAL COUNSELING IS PROVIDED
D. INTRAVENOUS INFUSION HAS BEGUN
A. ACTIONSARE AIMED AT MANAGING ENVIRONMENT AND DOCUMENTATION
A STANDING ORDER IS:
A. PROTOCOL FOLLOWED DURING CARE OF CLIENTS WITH SELECT CLINICAL CONDITIONS
B. PHYSICIAN ORDER DOCUMENTED ON EACH CLIENTS CHART
C. PREPRINTED DOCUMENTATION DIRECTING THE CONDUCT OF CLIENT CARE IN SERTIAN SETTINGS
D. DOCUMENTATION WRITTEN AND SIGNED BY AN ADVANCED PRACTICE NURSE
C. PREPRINTED DOCUMENTATION DIRECTING THE CINDUCT OF A CLIENT CARE IN CERTIAN SETTINGS
SOME NURSING ACTIVITIES MAY BE DELEGATED TO OTHER HEALTH CARE TEAM MEMBERS. THE NURSE MUST REMEMBER THAT
A. DELEGATION MAY REDUCE THE CLIENTS COST OF CARE
B. THE DELEGATED PERSONNEL ARE RESPONSIBLE FOR THE CARE
C. THE NURSE HAS THE PRIMARY RESPONSABILITY FOR THE QUALITY OF CLIENT CARE
D. DELEGATION OCCURS ONLY UPON A PHYSCIANS ORDER
C. THE NURSE HAS THE PRIMARY RESPONSABILITY FOR THE QUALITY OF CLIENT CARE
INTERDISCIPLINARY CARE PLANS REPRESENT
A. CONTRIBUTIONS OF ALL DISCIPLINES CARING FOR THE CLIENT
B. ALL NURSING PERSONNEL HAVING INPUT IN THE CARE PLAN
C. THE CLIENTS EXPRESSED WISHES AND ADVANCED DIRECTIVES
D. PHYSICIANS AND NURSES WORKING TOGETHER TO DEVELOP A PLAN OF CARE
A. CONTRIBUTIONS OF ALL DISCIPLINES CARING FOR THE CLIENT
REASSESSMENT OF A CLIENT IS
A. UTILIZED WHEN NEEDED
B. A CONTINOUS PROCESS
C. UTILIZED WHEN A NEW MEDICAL PROBLEM IS IDENTIFIED
D. UTILIZED ONLY IN EMERGENCY SITUATIONS
B. A CONTINOUS PROCESS
ENVIRONMENTAL FACTORS HEAVILY AFFECT A CLIENTS CARE. THE FIRST ENVIRONMENTAL CIENT CONCERN IS ALWAYS
A. SAFTEY
B. FOOD AND FLUIDS
C. ADEQUATE PAIN RELIEF
D. LOCATION OF FIRE EXITS
A. SAFETY
AN OUT-OF-DATE CARE PLAN
A. REFLECTS A DISCHARGE OF THE CLIENT
B. COMPROMISES THE QUALITY OF CARE
C. ENSURES THE NURSING CARE WAS DELIVERED
D. IDENTIFIES THE CLIENT RESPOSE WAS DELIVERED
B. COMPROMISES THE QUALITY OF CARE
GOALS CAN BE ACHIEVED BY PROVIDING AN ENVIRONMENT THAT IS
A. STIMULATING AND MOTIVATING
B. ENCOURAGING DEPENDENCE
C. GOAL DIRECTED BY THE NURSING STAFF
D. RIGID AND NON FLEXABLE
A. STIMULATING AND MOTIVATING
WHEN A NEW PROCEDURE IS NEEDED THE NURSE MAY OBTAIN INFORMATION FROM THE AGENCY'S
A. PROCEDURE MANUAL
B. INFECTION CONTROL DEPARTMENT
C. INSERVICE DIRECTOR
D. NURSING SUPERVISOR
A. PROCEDURE MANUAL