Nursing Caps
An example of an intentional tort would be
Negligence
Malpractice
Breach of duty
False imprisonment
False imprisonment is a wrong committed by one person against another in a willful intenional way without just cause and /or excuse.
When preparing a client for ambulation with crutches, the nurse should recognize the need for further teaching when the client states, "I must practice:
Sitting down and standing up."
Ambulating several hours a day."
Standing and maintaining balance."
Doing active exercises for muscle strengthening."
Ambulating several hours a day."
A client who has breast cancer has received chemotherapy and a lumpectomy. She is now scheduled for radiation on an outpatient basis. The nurse should:
Assess the radiated site daily for redness or irritation
Rinse the radiated site once a day with an antibacterial solution
Encourage the client to wear a snug fitting bra between treatments
Instruct the client to apply lotion twice daily to the skin in the radiated site.
Assess the radiated site daily for redness or irritation
A client on the psychiatric unit who begins a regimen of haloperidol is observed pacing and shifting weight from one foot to another. The nurse recognizes that this may indicate
akathisia
parkinsonism
tardive dyskinesia
acute dystonic reaction
akathisia
A desire to keep moving
The most important test used to determine whether a transplanted kidney is working is
Renal Ultrasound
Serum Creatinine level
White blood cell count
Twenty-four hour output
Serum Creatinine level
When teaching about child abuse, the nurse tells a parent group that the best legal definition of assault is:
Threats to do bodily harm to another person
The application of force to another person without lawful justification
A legal wrong committed by one person against the property of another
A legal wrong committed against the public and punishable by law through the state and courts.
Threats to do bodily harm to another person
The physician orders daily sputum specimens to be collected from a client. It is most appropriate for the nurse to collect this specimen from the client:
after activity
before meals
on awakening
before a respiratory treatment
on awakening
Empty the bag every 6 hours
Keep the system closed at all times
Maintain slight tension on the tubing
Attach the bag tot he side rail fo the bed
Keep the system closed at all times
A newborn receives an intramuscular injection of vitamin K. The purpose of the injection is to:
Maintain the intestinal flora count
Promote proliferation of intestinal flora
Stimulate vitamin K production in the baby
Provide protection until intestinal floral are established
Provide protection until intestinal floral are established
Given a choice, the child with autism usually enjoys playing:
On a jungle gym
With a cuddly toy
With a small yellow block
On a playground merry-go-round
On a playground merry-go-round
The rhthmic movement of the merry-go-round provides soothing and nonthreatenting comfort to the child
When obtaining consent for surgery, the nurse should initially:
Explain the risks involved in surgery
Explain that obtaining the signature is routine for any surgery
Evaluate whether the client's knowledge level is sufficient to give consent
Witness the signature because this is what the nurse's signature documents
Evaluate whether the client's knowledge level is sufficient to give consent
When assessing a child with croup, the nurse would expect to find:
expiratory stridor, crackles
laryngospasm, barking cough
bronchospasm, whooping cough
productive cough, inspiratory stridor
laryngospasm, barking cough
A 3 1/2 year old child is admitted to the hosptial for an appendectomy. To best prepare the child for the hospital experience, the nurse should use:
A diagram
A storybook
Puppet play
Medical play
Medical play
Allows them to have hands on activity and manipulate objects
After a transurethral rescection of the prostate, the client's nursing care should include:
Changing the abdominal dressing
Maintaining patency of the cystostomy tube
Observing for hemmorrhage and wound infection
Maintaining patency of a three way indewelling catheter
Maintaining patency of a three way indewelling catheter
The nurse is assessing a cliet 8 hours after the creation of a colostomy. What would be an expected assessment?
Presence of hyperactive bowel sounds
Absence of drainage from the colostomy
Dusky-colored edematous appeariOn the client's left sideng stoma
Bright blood drainage from the nasogastric tube
Absence of drainage from the colostomy
Does not function for a couple of days due to lack of peristalsis
After an open reduction and internal fixation of a fractured hip, assessment of the affected leg should include checking the
Femoral pulse
Mobility of the toes
Condition of the pin
Mobility of the knee
Mobility of the toes
When caring for a client following a left pneumonectomy for cancer, the nurse should palpate the client's trachea at least once a day because:
The position may indicate mediastinal shift
Nodular lesions may demonstrate metastasis
Tracheal edema may lead to an obstructed airway
The cuff of the endotracheal tube may be onverinflated
The position may indicate mediastinal shift
A newborn weighing 5 pounds, 6 ounces is admitted to the newborn nursery after a cesarean birth. The nurse would assess the respiratory rate as within expected limits if it ranged between:
20 and 40 per minute
30 and 50 per minute
60 and 80 per minute
70 adn 90 per minute
30 and 50 per minute
When assisting a client to ambulate after repair of a fractured right hip, the nurse should be standing:
behind the client
In front of the client
On the client's left side
On the client's righ side
On the client's left side
The nurse identifies that teaching about warfarin is effective when the client states, "I must not drink
Apple juice."
Grape juice"
Orange juice"
Cranberry juice"
Cranberry juice"
When a client's colostomy is located on the left side of the abdomen, the type of stool the nurse should expect would be:
liquid
moist, formed
mucus-coated
pencil-shaped
moist, formed
When a client has a tracheostomy tube and is on a ventilator, the tracheostomy tube must
Have an inner cannula
be changed every week
be cleansed once a day
have a low pressure cuff
have a low pressure cuff
A client returns to the unit fully awake after a bronchoscopy and biopsy. The nurse should:
Provide ice chipts to reduce sweling
Evaluate the presence of a gag reflex
Advise the client to stay flat for 2 hours
Encourage the cleint to cough frequently
Evaluate the presence of a gag reflex
After a tonseillectomy, the nurse suspects hemorrhage postoperatively when the child:
snores noisily
becomes pale
complains of thirst
swallows frequently
swallows frequently
A lithotripsy to break up renal calculi is unsuccessful and nephrolithotomy is performed. A posteoperative observation that the nurse should report to the physician would be:
passage of pink-tinged urine
intake of 1750ml in 24 hours
Pink drainage on the dressing
Urine output of 20 to 30 ml per hour
Urine output of 20 to 30 ml per hour
should be 50 per hour