Lecture 1
A client who has recovered from surgery refuses to participate in group therapy and expresses feeling hopeless. Which Maslow level is being addressed?
Self-esteem
What is Watson's Theory based on?
Transpersonal Caring
A client is admitted with abdominal pain. Which question best collects subjective data?
A. “Can you rate your pain on a scale from 0 to 10?”
B. “Your abdomen is tender on palpation; did it hurt just now?”
C. “I see redness around your incision.”
D. “Your lab results show elevated WBCs.”
Can you rate your pain on a scale from 0-10
sequential compression devices, SCD's are used to prevent?
What is the next step after inspecting the abdominal area?
Auscultate
Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups, and communities, sick or well, and in all settings. This definition is from the ___.
ICN
A client is referred by a primary care provider to a cardiologist for further evaluation of an abnormal EKG.What type of care is the patient going to recieve?
Tertiary
A client with type 2 diabetes receives education on insulin administration. During the follow-up visit, the nurse observes the client correctly drawing insulin but notices incorrect injection technique.
Evaluation
List the steps to donning off.
gloves, goggles, gown, mask
This device is rigid, padded, fabric splint that immobilizes the ____?
Elbow
Expert
The nurse is sitting with a patient that is refusing to eat and says "I just can't do this anymore". The nurse holds the patient's hand, still allowing him to express his feelings. This is an example of which therapeutic communication style?
Being with
A client with type 2 diabetes says, “I know I should check my blood sugar, but it’s too much hassle.” The nurse replies, “I understand it feels overwhelming. What do you think would make it easier to check your blood sugar?” This is what type of interviewing?
Motivational interviewing
By rotating the patient's shoulder towards the patient's head until the thumb is upward and lateral to the head and returning it to the center is an example of?
Passive ROM; External Shoulder Rotation
If the blood pressure cuff is too big than the BP will be inaccurately ____?
Lower
Monitoring readmission rates for heart failure patients and adjusting discharge teaching. This process is an example of:
Quality Improvement
A nurse has four clients:
Post-op appendectomy, stable vital signs, pain 4/10
COPD client with oxygen saturation 91% on 2 L NC
Diabetic client reporting dizziness and diaphoresis
Client scheduled for discharge teaching
Which client should the RN see first?
Diabetic client reporting dizziness and diaphoresis
A client refuses a life-saving procedure due to religious beliefs. The family insists the client comply. What is the most culturally competent nursing action?
A. Respect the client’s decision, document refusal, and inform the provider.
B. Follow the family’s wishes to prevent conflict.
C. Override the refusal to prevent harm.
D. Ignore the situation and continue routine care.
A. Respect the clients decision, document refusal and inform the provider
A nurse accidentally administers the wrong dose of insulin to a client. The client’s blood sugar remains stable and shows no adverse effects. What is the nurse’s next action?
Document the error in the medical record and complete an incident report.
Under which condition is the patient appropriately staying in a positive pressurized room?
Immunocompromised
A nurse promises a client, “I’ll come back in 10 minutes to check your pain,” but becomes busy and does not return. Which ethical principle has the nurse violated?
Fidelity
A client says, “I’m scared about going home after surgery.” The nurse replies, "What concerns you most about going home?" This is an example of?
Enabling
A diabetic client reports dizziness. Vital signs: BP 90/60, HR 130, BG 42 mg/dL. Which step of the nursing process is used when the nurse administers glucose and plans to monitors response?
A. Assessment
B. Diagnosis
C. Evaluation
D. Implementation
Implementation
Calculate the patients I/O over 24 hours. The patient received 150 mL of water at 0900 and 1030. She also had 100 mL of ice chips that afternoon. She urinated 100 mL at 1500. She also had two 120 mL orange juices at 1700.
Input: 590 mL
Output: 100 mL
The nurse is preparing to move a patient who is unable to assist from the bed to a char. Which action by the nurse demonstrates proper use of body mechanics?
Place feet shoulder-width apart and bend at the knees when lifting