Math
Culture
Math
Assessment
Communication/Critical Thinking
100
Order - 60 mg.
On hand - 80mg / ml.
How many mL will you administer?
60mg/80mg=0.75
0.75 x 1=0.75mL
100
The belief that one’s own cultural values and beliefs are superior or the only correct values and belief is:
A.Cultural competency
B.Cultural diversity
C.Ethnocentrism
D.Cultural sensitivity
c Ethnocentrism is the belief that one’s own cultural values and beliefs are superior or the only correct values and beliefs. Cultural competency is the ability to work and interact effectively with people of other cultures. Culture diverse describes the diverse groups in society, which have varying races and national origins, religious affiliations, languages, physical size, gender, sexual orientation, age, disabilities, socioeconomic status, occupational status, and geographic location. Cultural sensitivity is the understanding of the diverse needs, characteristics, and values of individuals, families, and groups.
100
ØThe order states Augmentin 500 mg po daily. The drug is supplied in 250-mg tablets. How many tablets will the nurse administer?
•2 tablets
100
A patient comes into the emergency department complaining of abdominal pain. The patient states her pain is in her right lower quadrant. Which quadrant should the nurse assess Last?
A. RLQ
B. RUQ
C. LUQ
D. LLQ
A.
You should always save the quadrant that is in pain for last.
You always examine the area that is tender last Slide 40 – Physical Assessment lecture
100
To maintain a therapeutic environment with a client and his family, the nurse can use communication techniques such as clarification. An example of clarification is:
A.How is it going?”
B.“You say you aren’t concerned, but you’ve asked me many questions on this same subject..?”
C.“What do you mean when you say….?”
D.“For now, I would like to concentrate on…?”
C. Is example of clarification or seeking validation
200
The physician has ordered Penicillin to be given 2mg/kg. You have available 40mg/mL. The patient weighs 136.4 lbs. How many mL will you administer to the client?
136.4/2.2=62kg
2mg x 62kg=124mg
124mg/40mg=3.1
3.1 x1 mL=3.1 mL
200
A Hispanic speaking patient comes into the ED complaining of an infection in her ear. The Patient is treated with antibiotics and is being sent home. State at least 2 ways you can help her understand her teaching or that you know the teaching was retained.
-Provide written information in Spanish
-Slow down your speech
-Have the patient teach back to you
-Limit Humor
*Head nodding can mean they heard you but didn't understand
200
The physician orders minocycline 200 mg po daily. Minocycline 50 mg is available. How many capsules will the nurse administer?
4
200
A nurse is assessing a patient's head for lice, what position out of the choices below should they be in?
A. Supine
B. High Fowler's
C. lithotomy
D. Dorsal Recumbent
B. High Fowler's
To gain the easiest access to the patient's head
200
What action by the nurse would most ensure accurate interpretation of patient communication?
a. Providing feedback regarding the conveyed message
b. Writing down the patient's conversational highlights
c. Assuming significant cultural differences exist
d. Verifying the patient's emotional state
a. Providing feedback regarding the conveyed message
300
The physician ordered Coumadin tabs 2.5 mg. Available are Coumadin tabs 5 mg. How many tablets will you give?
2.5/5=0.5
½ tab
300
Which action should the nurse implement when providing wound care instructions to a client who does not speak English?
A.Ask an interpreter to provide wound care instructions.
B.Speak directly to the client, with an interpreter translating.
C.Request the accompanying family member to translate.
D.Instruct a bilingual employee to read the instructions
◦B. Wound care instructions should be given directly to the client by the nurse with an interpreter who is trained to provide accurate and objective translation in the client's primary language, so that the client has the opportunity to ask questions during the teaching process. The interpreter usually does not have any health care experience, so the nurse must provide client teaching. Family members should not be used to translate instructions because the client or family member may alter the instructions during conversation or be uncomfortable with the topics discussed. The employee should be a trained interpreter to ensure that the nurse's instructions are understood accurately by the client.
300
The physician ordered atovaquone 750 mg twice daily pc. Atovaquone 150 mg/mL is available. How many milliliters will the nurse administer per dose?
5
300
A patient comes in with a dark skin tone. It is hard for the nurse to tell if their skin is turning colors. Where should you examine for color changes?
Oral mucosa or nail beds
300
John reviews the phases of the nursing process.
Rank in correct order the phases of the nursing process:
•Evaluation
•Planning
•Assessment
•Diagnosis
•Implementation
Assessment
Diagnosis
Planning
Implementation
Evaluation
400
Order: Decadron 0.0005g daily. How many tablets with the patient receive?
2 tablets
400
Mrs. Gomez tells Samantha that an IV placement cannot be done for Maria until her husband arrives. What reason would explain the Mexican cultural rationale for this behavior?
- A Men may act as the decision makers in Mexican culture.
- B Mexican culture is often present oriented, so until the husband arrives, no action can occur.
- C Nurses may be seen as authority figures, so Mrs. Gomez hesitates to ask her questions.
- D Treatment decisions are often made by the family, not the individual.
A. Men may act as the decision makers in Mexican culture.
400
Order: administer 250 units before meals. How many mL's will you give each dose?
2.5 mL
400
Name all the pulses you have to check on a physical assessment.
Carotid
Brachial
Radial
Popliteal
Dorsalis Pedis
Posterior Tibial
400
Which question would be most appropriate for the nurse to ask while evaluating the relevance of patient data?
a. Do these findings make sense?
b. How can this information be verified?
c. What are the most significant factors in the problem?
d. What is the relationship of this information to other data?
d. What is the relationship of this information to other data?
500
Order: Give patient 40mg BID. How many mLs will be given in a day?
20mL
500
The female interpreter has arrived on the unit and greets Samantha. Samantha shares the diagnosis of the 4-year-old Maria, the treatment orders received, the need for hospitalization, and the treatment approval having to come from Mr. Gomez per his wife’s directive. The interpreter has completed her report and enters the ED area where the Gomezes are introduced by Samantha. Samantha asks the physician in the ED to join them because he is a male. Why would including the physician be advised?
- A Samantha is capable of making decisions and is a health care professional to be respected.
- B Samantha is a woman and not capable of providing the information Mr. Gomez needs.
- C Samantha can gather her supplies and begin to start the IV line while the translation occurs.
- D Mr. Gomez may work more effectively with a male doctor providing him the information.
D. Mr. Gomez may work more effectively with a male doctor providing him the information.
500
The physician orders potassium chloride (KCl) 60 mEq three times a day with meals. KCl 40 mEq/30 mL is available. How many milliliters will the nurse administer per dose?
•45 mL
500
A patient on the med surg floor as purple/red round bruise type pigment to their lower legs and ankles. What is this skin condition called?
A. Erythema
B. Purpura
C. Albinism
D. Vitiligo
B. Purpura
500
The mental health nurse plans to discuss a client’s depression with the HCP in the ED. There are two other clients sitting across from the ED desk. Which nursing action is best?
A.Only refer to the client by gender
B.Identify the client only by age
C.Avoid using the client’s name
D.Discuss the client another time
D. The best nursing action is to discuss the client another time. Confidentiality must be observed at all times, so the nurse should not discuss the client when the conversation can be overheard by others. Details can identify the client when referring to the client by gender or age, even when not using the client's name.