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6 Cards in this Set
- Front
- Back
- 3rd side (hint)
The nurse is preparing a client who speaks little English for discharge afte emergency gallbladder surgery. Which nursing action would be most effective in helping this client understnad wound care instructions
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4
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1. Ask frequently if the client understands the instructions
2. Ask an interpreter to relay the instructions to the client. 3. Write out the instructions and have a family member read them to the client. 4. Demonstrate the procedure to the client and have the client return the demonstration. |
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Which of the following clients would qualify for hospice care?
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1 and 3
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1. Late-stage AIDS
2. Left-side paralysis s/p stroke 3. Metastatic cancer w/chronic pain 4. Leukemia undergoing chemotherapy 5. Coronary artery bypass surgery 2 weeks ago 6. Pt undergoing tx for heroin addiction |
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The nurse is caring for a client receiving PCA for pain. Which is true?
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2
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1. PCA pump can't infuse opioids continuously.
2. Pain relief is initiated by the client as needed. 3. No complications r/t opioid delivery by the pump exist. 4.RN prescribes the dosage of opioid for delivery. |
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A pt is hospitalized w/Pneumocystis carinii pneumonia. The nurse observes hte pt has no visitors, seems withdrawn, avoids eye contact, and refuses to engage in conversation. In a loud and angry voice, the pt demands the RN leave the room. The RN dx for this pt is social isolation. Based on this dx, what is an appropriate goal?
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1
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1. ID one way to incr social interaction
2. Report incr adaption to changes in health status 3. ID at least one factor contributing to altered sexuality patterns. 4. Return a demonstration of measures that can incr indepdence. |
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For a hospitalized pt, which stmt reflext appripriate deocumentation in the pt's medical record
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4
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1. "Small pressure ulcer noted on left leg"
2. Seems to be mad at the physician 3. Client had a good day 4. Skin moist and cool |
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The RN is delivering hte pt's 10 am meds. The pt is away for a diagnostic study. Which action is most appropriate?
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3
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1. Leave meds at bedside.
2. Ask roommate to keep meds until pt returns. 3. Lock meds in med room until pt returns 4. Skip that dose. |