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8 Cards in this Set
- Front
- Back
- 3rd side (hint)
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A nurse is screen healthy adolescents for health risks. Which factor should be included in this screening?
Bicycle safety Suicide Sexual abuse Healthy nutrition |
Suicide
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Suicide is a health risk for adolescents
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A 49 year old female is in the clinic for a routine physical examination. Which client statement indicates the need for further screening during the exam?
"My last physical examination and mammogram was 15 months ago" "I do not use protection since I have gone through menopause" "I am going to a weight loss program offered at the local hospital" "I have not smoked for over five years and feel better since I quit" |
"I do not use protection since I have gone through menopause"
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Preventing sexually transmitted diseases is another reason for the use of safer sex practices, not just the prevention of an unwanted pregnancy
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A nursing assistant is giving hygienic care to a patient who has impaired comfort related to itching skin. The assistant asks what can be done to help this patient. What is the nurse's most appropriate response?
"Give a gentle, simple massage" "Apply a lanolin-based lotion" "Turn the patient on the side opposite the itching area" "Put mitts on the patient to avoid scratching" |
"Apply a lanolin-based lotion"
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Lanolin-based lotions support the skin and reduces itching
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Which action by the nurse reflects accountability in the management of pain and discomfort?
Withholds a narcotic medication when a patient indicates discomfort rather than pain Confronts another nurse who has delayed the administration of medication to a patient complaining of discomfort Asserts authority over the patient in determining whether the discomfort is real Excludes support persons from activities to address the patient's discomfort in order to maintain full patient control |
Confronts another nurse who has delayed the administration of medication to a patient complaining of discomfort
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Delaying medication is irresponsible and unprofessional. If the other nurse does not react favorably to being confronted, the witnessing nurse should file and incident report
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The nurse charts "complains of continuous abdominal pain in incisional area, rates pain as an 8 on 1 to 10 scale." Which behaviour of pain is omitted from this note? (select all that apply)
Duration Intensity Location Onset Characteristic |
Onset and Characteristic
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Onset - a behaviour of pain describing when it began, is not in the note
Characteristic is a behaviour of pain which would be noted by use of such words as "burning" or "stabbing? |
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By which mechanism do noradrenergic drug agonists relive pain?
Interruption of the pain signal at the peripheral level Inhibition of pain signal relay across the neuronal synapses Blockage of ion channels in the neurolemma Modulation of the ascending pain signal from the dorsal horn |
Modulation of the ascending pain signal from the dorsal horn
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Noradrenergic agonists attach to alpha2 noradrenergic receptors in the dorsal horns, thereby modulating the ascending pain signal
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Which observations indicate that the analgesic administered postoperatively to a seven-year-old child may be effective? (Select all that apply)
Talks with a visitor and smiles Plays a video game on the television Tells his parent that he feels better States he is really hungry |
Tells his parent that he feels better
States he is really hungry |
Because children tend to be honest with their parents in regard to pain, a statement to a parent regarding the relief of pain is considered to be valid
When pain is controlled, the next thing a child thinks about is food |
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As the patient advocate, the nurse should make which of the following a priority action in the care of a chronically ill patient?
Support the patient's family in their decision about how they will care for the patient Ensure the patient's access to knowledge and respectful treatment Provide the patient with information about advance directives Educate the family and the patient about how to meet the patient's care needs |
Ensure the patient's access to knowledge and respectful treatment
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The patient advocate role requires the nurse to protect the patient's human and legal rights. Basic to this function is ensuring that the patient has access to knowledge for informed decision making and is treated in a respectful manner
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