ASSESSMENT
Which organization is responsible for ensuring that Registered Nurses are minimally qualified to practice nursing?
State Boards of Nursing
An example of not letting a client eat dinner with the other residents in the dining room for not being compliant to a dressing change is called what?
Assault
What does BRAT diet stand for?
What does a Gluten Free diet eliminate?
List four food items that would be considered a clear liquid diet?
Bananas, Rice, Applesauce, and Toast.
Wheat
Jello, Tea, Coffee, Popsicle, Broth.
What should a nurse do if they suspect a nurse arriving for a shift smells alcohol on their breath?
Immediately report the finding to the nursing supervisor
Describe pursed lip breathing.
Instructions for preparing a client to collect sputum specimen.
Inhale through the nose and exhale through pursed lips.
Breathe deeply while coughing up sputum.
What is an early sign of hypoxia?
Restlessness
What is the primary purpose of completing the Incident Report when a client falls while getting out of bed unasssisted?
Prevent similar situations from happening again
Which drink provides a client with Vitamin D?
Fortified Milk
What is the nurse's responsibility while caring for a client scheduled for surgery regarding the consent form?
Witness the client's signature when the consent is signed
What is the goal of a nurse when teaching a client to cough and deep breathe?
Promote a patent (open) airway.
An assessment that would concern the nurse with acute asthma.
A client with SOB, test which indicates the O2 level in the circulatory system?
Inspiratory wheezing at a respiratory rate greater than 30.
Hemoglobin
Give an example of client that is experiencing a situational loss.
Contractual relationship between nurse and client is a factor of what?
A client is unable to function since her husband asked for a divorce two weeks ago.
Comparing negligence and malpractice
List three food items that are high in iron for a client that has been diagnosed with anemia.
Liver, Beef, and Dark Leafy Greens
Give an example of a healthy body mass index (BMI).
18.5 to 24.9 kg/m2
Exhale completely and then place mouth around mouthpiece before inhaling slowly to reach indicator.
Which position would a nurse put a client in if a client has a percutaneous endoscopic gastrostomy (PEG) tube inserted for continuous tube feedings?
Semi Fowlers
What document would allow a nurse to discontinue the feeding tube in a client who is in a chronic vegetative state request from a spouse?
An example of negligence.
Advanced Directives
Client with dementia left alone with bed up in the air and siderails down and client falls.
Intervention to assist thick respiratory secretions
Encourage client to drink more fluid.
An assessment finding which confirms diagnosis of asthma.
Inspiratory and Expiratory wheezing.
What is the term used to describe when a client coughs up bright red, frothy blood mixed with sputum?
Hemoptysis
If a client is receiving total parenteral nutrition (TPN), what is the nurse's priority intervention for the client?
Monitoring electrolytes
What does chest physiotherapy with percussion and vibration do for a client?
helps clear the airways of excessive secretions
Give some examples for a breakfast of a diet for a client that is lactovegetarian?
Give some examples of improper foods for a client's diet recently diagnosed with hypertension.
Scrambled eggs, veggie sausage patty, whole wheat toast, skim milk and orange juice.
Cheeseburger with bacon and fries
Give an example of abnormal hemoglobin, hematocrit and white blood count. What are normal values?
Hgb.
Hct.
WBC
Hgb. 10.2
Hct. 30.6
WBC 14,000
Which intervention position would a nurse place a client in for dyspnea and rest position for orthopnea?
Dyspnea is place in Semi-Fowler's position and Orthopnea is rest in Semi-Fowler's position.