7. The nurse is implementing evidence-based practice. Which of the following is not a component of this process?
Patient preference
Clinical expertise
Research evidence
Leader practice
8. The nurse wants to reduce the stress level for a preoperative client. Which of the following communication techniques can the nurse use to achieve this result?
Allow the client to be along before the surgery
Observe and ask the client if there is anything that can be done to help reduce her anxiety
Refer to the client by her first name
Make tasteful jokes or comments to help the client laugh
9. Mrs. N. suffered a 3rddegree burn to her right hand and was admitted to the hospital for wound debridement IV antibiotic therapy. Order: Gentamycin 100 mg IV every 8 hours. Suppy: Gentamycin 80 mg per 2 ml. How many ml will you give?/
0.5 ml
2.0 ml
1.6 ml
2.5 ml
25.The nurse, planning care for a client diagnosed with severe facial trauma, realizes that which of the following will not be used when caring for the client?
Blood pressure cuff
Nasogastric tube
Indwelling urine catheter
Doppler
27. The nurse is planning the care for a client using an unstructured approach. Which of the following approaches did the nurse most likely use?
Research
Trail and error
Nursing theory
Validated order
31. Mr. G is admitted to the hospital with acute pancreatitis are rates his abdominal pain 8/10 . His physician orders Hydromorphone PRN for pain management. Order: Hydromorphone 2 mg IV every 4 hours PRN pain. Supply: Hydromorphone 10 mg/ml. how many ml of medication will Mr. G receive with each dose?
2ml
6ml
0.2ml
0.5ml
34. Then nurse caring for a client recovering from surgery is monitoring the urine output and will notify the surgeon if the output falls below:
10 ml/hr
20ml/hr
30ml/hr
50ml/hr
36.An elderly terminally ill client is experiencing apnea periods and within an hour, dies. No efforts were provided to resuscitate this client. Which of the following would describe this client’s event? Select all that apply
Do-not-resuscitate
Come depasse
Brain dead
Passive euthanasia
Assisted suicide
Active euthanasia
37. The nurse is ensuring that a client able to make knowledgeable decisions regarding an upcoming surgery and can provide informed consent. What is the responsibility of the nurse regarding informal consent?
Explain the surgical options
Explain the operative risk
Describe the operative procedure to be done
Witness a patient’s signature
39. A client needs emergency surgery after sustaining injuries from a natural gas explosion. The client is not attended by any family members and the surgery cannot wait. Which of the following can be done to ensure the best and safest care is provided to the client?
Hold the surgery until a family member arrives to the hospital to give consent
Contact a pastor to pray with client before the surgery
Instruct the client in postoperative exercises while waiting for the anesthesia to take effect
Have a member of the nursing staffs try to reach the family at home to provide consent for the surgery
42. A client scheduled for surgery is instructed on the use of a patient-controlled analgesic device that she will use after the procedure. What are the advantages this device for pain control? Select all that apply
The client controls the timing of medication delivery
The client does not have to wait for the nurse to provide pain medication
The medication is delivered intravenously
The nurse does not have to check on the client as frequently
The physician does not need to prescribe various pain medication after the surgery
Pain control improves client comfort after surgery
46. A client hospitalized with an extensive cerebral vascular accident, is unable to make any treatment decisions. Which of the following documents addresses the client’s treatment choices? Select all that apply
Living will
Durable power of attorney for health care
Incident report
Verbal advance directives
Advance directives
Medication administration record
48. The nurse reviews the American Nurses Association’s Code of Ethics for Nurses. Which of the following is included in this code? Select all that apply
Care is provided with compassion and respect
Primary commitment is to the client
Strive to protect the health, safety, and rights of the client
Delegation is not an option
Client needs supersede those of the nurse
Collaboration with other health care professionals is expected
7. Leader practice
8. Observe and ask the client if there is anything that can be done to help reduce her anxiety.
9. 1ml=40mg
100mg=2.5ml
Answer: 2.5 ml
25. Doppler will not be used
27. Trial and error
31. 1000mg=1ml
1ml=4mg
2mg=0.2 ml
34. Will notify the surgeon if urine out falls below 30ml/hour
36. The clients event is called "do not resuscitate" in which the docotor informs the medical staff that cardiopulmonary resuscitation should not be attempted.
37. Witness a patient's signature
39. Have a member of the Nursing staff try to reach the family at home to provide consent for the surgery.
42. All the options are applicable
46. All the options except "living will"
48. All are applicable except "delegation is not an option"
7. The nurse is implementing evidence-based practice. Which of the following is not a component of...
36.An elderly terminally ill client is experiencing apnea periods and within an hour, dies. No efforts were provided to resuscitate this client. Which of the following would describe this client’s event? Select all that apply Do-not-resuscitate Come depasse Brain dead Passive euthanasia Assisted suicide Active euthanasia 37. The nurse is ensuring that a client able to make knowledgeable decisions regarding an upcoming surgery and can provide informed consent. What is the responsibility of the nurse regarding informal consent? Explain the...
1. The nurse determines that a client is experiencing a risk associated with the use of anesthesia for a surgical procedure. Which of the following are considered risks of anesthesia? a.Sore throat b.Nausea & vomiting c.Seizure d.Hypothermia e.Postoperative myocardial infarction 46. A client hospitalized with an extensive cerebral vascular accident, is unable to make any treatment decisions. Which of the following documents addresses the client’s treatment choices? Select all that apply a.Living will b.Durable power of attorney for health care...
1. The nurse determines that a client is experiencing a risk associated with the use of anesthesia for a surgical procedure. Which of the following are considered risks of anesthesia? a.Sore throat b.Nausea & vomiting c.Seizure d.Hypothermia e.Postoperative myocardial infarction 48. The nurse reviews the American Nurses Association’s Code of Ethics for Nurses. Which of the following is included in this code? Select all that apply a.Care is provided with compassion and respect b.Primary commitment is to the client c.Strive...
Mr. S. is admitted to the hospital with MRSA abscess of the left foot. His physician orders Vancomycin IV. Order: Vancomycin 125 mg in 500 ml D5W to infuse over 2 hours via infusion pump. What is the flow rate in ml/hr? Mrs. N. suffered a 3rd degree burn to her right hand and was admitted to the hospital for wound debridement and IV antibiotic therapy. Order: Gentamycin 40 mg IV every 8 hours. Supply: Gentamycin 80 mg per 2...
A nurse is reviewing a client’s laboratory results prior to surgery. Which of the following findings should the nurse report to the provider? Bicarbonate 26 mEq/L Chloride 100 mEq/L Potassium 3.8 mEq/L Sodium 160 mEq/L A charge nurse is evaluating a newly licensed nurse’s understanding of advance directives. Which of the following statements by the newly licensed nurse indicates an understanding of advance directives? “I’ll refer clients who do not have advance directives for legal assistance.” “I have to witness...
A nurse is caring for a client who has diarrhea and is receiving intermittent enteral feedings. Which of the following actions should the nurse take? Discard the open can of formula after 36 hr. Administer feeding at a slower rate. Flush the tube with 10 mL of water after feedings. Provide chilled formula. A nurse is caring for a client who is postoperative and has a new prescription for hydromorphone. Which of the following actions should the nurse take? Withhold...
4. A nurse is caring for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the client’s plan of care? (Select all that apply) A. Initiate insulin drip. B. Monitor blood glucose levels. C. Continue regular diet as tolerated. D. Maintain NPO status until pain free. E. Manage acute pain.,
A nurse in the emergency department is assessing a client who has major depressive disorder. Which of the following actions should the nurse take first? (Exhibit) Encourage the client to verbalize feelings. Implement seizure precaution for the client. Administer ondansetron to the client for nausea. Obtain the client’s weight. A home health nurse is completing screenings for elder abuse during client visits. Which of the following findings should the nurse identify as an indication of potential elder abuse? A client...
8. A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter? Nondominant forearm basilic vein Dominant antecubital basilic vein Dominant distal dorsal vein Nondominant dorsal venous arch 9. A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take? Check the client’s lover function test...
A 55-years old female was transported to the medical-surgical floor after recovering from a surgical procedure. An epidural catheter with morphine was place prior to surgery for postoperative pain control. Upon arrival to the floor, the client’s complained of nausea and a headache. The nurse reported to client’s complaint to the on-call physician who then verbally ordered “Demerol 75mg every three hours for pain” The preprint medication orders from anesthesia stated, “No narcotics, sedatives, or other respiratory depressants to be...