Healthcare Delivery
A nurse has been hired to work as an occupational health nurse. In this position as a registered nurse, what will this nurse provide?
education and safety programs in industrial settings
assessment and motivation services to the unemployed
occupational therapy to school children
education and safety programs in industrial settings
The patient is to receive 200 mg of a medication. There are 100-mg scored tablets available. The nurse prepares how many tablets?
2
A client interested in acupuncture asks a nurse, "Just exactly what does it do?" What would the nurse explain?
"It changes the flow of energy and helps healing."
"Acupuncture is based on a philosophy of laying on of hands."
"I don't think it does anything, so I don't know anything about it."
"It changes the flow of energy and helps healing."
The nurse enters the patient's room to give medications. Which action is most appropriate to identify the "right patient"?
Ask the patient to state his name and birth date.
Ask the patient to state his name.
Say the patient's name and date of birth and request patient validation.
Ask the patient to state his name and birth date.
A client who has been on a medication that caused diarrhea is now off the medication. What could the nurse suggest to promote the return of normal flora?
stool-softening laxatives, such as docusate
drinking fluids with a high sugar content
eating fermented products, such as yogurt
eating fermented products, such as yogurt
A client who requires treatment for breast cancer is referred to an oncologist. She is receiving chemotherapy at a hospital and interacts with many other health care providers in the course of her treatment. The confusion that might arise concerning her treatment and care is a problem known as:
knowledgeable consumers.
health care rationing.
fragmentation of care.
fragmentation of care.
A nurse correctly recognizes that administration of medication via the rectal route is appropriate for which client?
A client being treated for a heart attack
A small child who does not like the taste of orally administered medication
A client who is recovering from prostate cancer surgery
A small child who does not like the taste of orally administered medication
A nurse caring for a postoperative client observes the drainage in the client's closed wound drainage system. The drainage is thin with a pale pink-yellow color. The nurse documents the drainage as:
purulent.
serous.
serosanguineous
serosanguineous
A client is experiencing shortness of breath, lethargy, and cyanosis. These three cues provide organization, or:
grouping.
categorizing.
clustering.
clustering.
When preparing to administer medication through a feeding route, the nurse takes which appropriate action?
Dissolves and administers each medication separately
Flushes the tube with 30 to 60 mL apple or orange juice between administrations
Mixes different medications together to simplify administration
Dissolves and administers each medication separately
A man is scheduled for hospital outpatient surgery. He tells the nurse, "I don't know what that word, outpatient, means." How would the nurse respond?
"It means you will have surgery in the hospital and stay for 2 days."
"You will have surgery and go home that same day."
"Why would you ask such a question? Don't worry about it."
"You will have surgery and go home that same day."
The nurse is caring for a client who crushes medications and administers them via a gastrostomy tube. Which medication could safely be included in the client's plan of care?
Liquid-filled gel caps
Chewable antacids
Sustained-release analgesics
Chewable antacids
The patient is admitted with an open pressure ulcer with necrotic tissue around the base of the wound. How would the nurse classify this ulcer?
Wound that cannot be staged
Stage III pressure ulcer
Stage II pressure ulcer
Wound that cannot be staged
Which characteristic of a nurse's charting will assist most in the avoidance of errors?
Timeliness
Subjectivity
Detail
Timeliness
While providing care for an older adult client, the nurse learns that the client has had only small, watery stools for several days. Which is the nurse's priority in providing care for this client?
Collect a stool specimen for analysis.
Administer medication to slow the diarrhea.
Assess the client for an impaction.
Assess the client for an impaction.
A client has a private insurance policy that pays for most health care costs and services. Why is this plan called a third-party payer?
Medicare and Medicaid will pay most of the costs.
The client gets the bill and pays out-of-pocket costs.
The insurance company pays all or most of the costs.
Medicare and Medicaid will pay most of the costs.
The patient is to receive three different medications via a nasogastric tube. What is the total amount of water the nurse should prepare to administer?
60 mL of water
30 mL of water
90 mL of water
90 mL of water
When clients are pulled up in bed rather than lifted, they are at increased risk for the development of a decubitus ulcer. What is the name given to the factor responsible for this risk?
friction
shearing force
necrosis of tissue
shearing force
In addition to identifying responses to actual or potential health problems, what is another purpose of the diagnosing step in the nursing process?
to collect information about subjective and objective data
to correlate nursing and medical diagnostic criteria
to identify etiologies of health problems
to identify etiologies of health problem
A nurse is caring for a client with a colostomy. What type of stools would she expect to find in the colostomy bag?
Watery
Formed
Liquid
Formed
The nurse recognizes that the goals established for a client's discharge are more likely to be accomplished when:
the multidisciplinary team develops the goals.
the physician develops the goals.
the client assists in developing the goals.
the client assists in developing the goals.
The prescriber orders 3 mg/kg/d of a medication to be given in 3 equal doses. The patient weighs 44 pounds. The nurse calculates that the proper amount per dose is?
20 mg
A patient with anemia is at risk for developing pressure ulcers as a result of which of the following?
Diminished oxygen to the tissues
Reduced tensile strength
Increased sedation
Diminished oxygen to the tissues
When nurses identify outcomes and related interventions, the nurses adhere to established standards of care by various agencies. What agencies have standards that nurses must uphold when providing nursing care? Select all that apply.
Professional physicians' organizations
State Nurse Practice Acts
The Joint Commission
The Patient Health Partnership
The Agency for Health Care Research and Quality
State Nurse Practice Acts
The Joint Commission
The Agency for Health Care Research and Quality
An older adult client is admitted to the hospital for a bowel obstruction, and part of the client's duodenum was surgically removed. Which condition does the nurse recognize as a potential problem for the client?
Limited stomach capacity
A decreased ability to absorb nutrients
Poor absorption from shortening of the colon
A decreased ability to absorb nutrients