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Foundations Exam 3 > Exam 3 > Flashcards

Exam 3 Flashcards

0
Q

Urinary retention will likely require which of the following nursing interventions

A

Catheterization

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1
Q

Is said to be well approximated when?

A

The skin edges are close together in the wound care is closed

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2
Q

An incident report is

A

Created to resolve system errors in order to assure patient safety

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3
Q

The Professional nurses is trained to go beyond the physical and consider the client spiritual, psychological and cultural issues this makes nursing a ___________ profession

A

Holistic

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4
Q

All of the following Help prevent constipation and fecal impaction except

A

Bedrest

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5
Q

The nurse is assisting the patient with coughing and deep breathing exercises following abdominal surgery. This is Which priority nursing need for this patient?

A

Intermittent priority

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6
Q

The purpose of the health insurance portability and accountability act of 1996 was two?

A

Create strict Guidelines regarding access to medical records.

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7
Q

Patient with severe kidney disease often produces no urine. This is referred to as

A

Anubis

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8
Q

Which of the following is true regarding a wound which is in the proliferation phase of healing and is currently forming granulation tissue?

A

Wound bed will have a bright red granular appearance

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9
Q

Which of the following statements by the nurse would help a person be successful with smoking cessation

A

Cigarettes causes cancer and heart disease

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10
Q

In regard to the pain experience which of the following is correct

A

The client is the best authority on the pain experience

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11
Q

Which of the following is not one of the speak up initiatives?

A

Use of a medical alert bracelet to communicate allergies

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12
Q

When caring for a patient at the end of life it is important to

A

Let their desires guide your treatment

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13
Q

30 minutes after administering oral analgesics, the nurse asked the client to rate his or her pain on a scale of 0 to 10. The nurses engaging in which phase of nursing process

A

Evaluation

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14
Q

While assisting client with a bath, the nurse has the opportunity to________?

A

Communicate with the patient to better understand the client needs
Assess the skin thoroughly
Assess mobility
All of the above

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15
Q

Any break in skin posses a risk for _________?

A

Infection

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16
Q

A patient with chronic pain is bedridden. She’s receiving morphine for milligrams intravenously every four hours PRN. The nurse would anticipate which of the following problems?

A

constipation

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17
Q

Which of the following are not true regarding ostomies?

A

They should appear pale in color

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18
Q

A Patient who experiences withdrawl symptoms if an opioid is abruptly withdrawn would be suffering from which of the following?

A

Physical dependence

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19
Q

Which of the following is true regarding a computer-based administration system?

A

Personal identification code and or fingerprints are used

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20
Q

Make mistake while charging you should

A

Brought a single line through it

21
Q

The nurse cannot read the newly written medication order on the physician order sheet which of the following actions by the nurse would be most appropriate

A

Contact the physician to clarify the order?

22
Q

Klint needs to learn to use a walker. Acquisition of this skill will require learning in the

A

Psychomotor domain

23
Q

You’re giving a handoff report to another nurse at change of shift. Which of the following pieces of information do you include in the report

A

Age

24
Q

Producing environmental stimuli would be an important nursing intervention for which of the following diagnoses

A

Sensory overload

25
Q

The most important factor in providing nursing care to clients in a specific ethnic group is

A

Communication

26
Q

The nurses administering sustained-release capsule to a new client. The client insists that he cannot swallow pills the best course of action for this nurse is to

A

Ask the physician to change the order

27
Q

A guiac test may be performed by the nurse to assess for what

A

Blood in the stool

28
Q

Which of the following is true about the WHO analgesic latter in treating cancer pain

A

Opioid medication for mild to moderate pain is the second level

29
Q

The nurse assesses a postoperative client in regards to his or her need for pain medication. The client denies the need then 30 minutes later reports I’m really in a lot of pain. Can you bring me my pain pill now? The nurse recognizes that the client education is needed related to which of the following

A

All of the above

30
Q

Which is following is true about the WHO analgesic latter in treating cancer pain?

A

Start with opioid medication to relieve cancer pain

31
Q

And there’s a 27-year-old how to adjust his insulin dosage based on blood sugar results. What type of learning is this

A

Cognitive

32
Q

You’re a charge nurse on the afternoon shift and you must delegate the taking of vital signs to the nursing assistant. Which of the following patients would be appropriate to get delegate this to

A

Adult postop patient, awaiting discharge, who is angry at the delay

33
Q

The 30-year-old patient complains of urinary frequency, which of the following factors would you want to assess

A

Fluid intake, medications, and health history

34
Q

Following signs or symptoms in an opioid patient is a great concern to the nurse when assessing the patient one hour after administering the opioid

A

Difficulty arising the patient

35
Q

Which of the following is not a nursing principal when administering analgesics

A

Select the highest dose when more than one dose is ordered

36
Q

Reading incentive spirometry, and chest physiotherapy are all nursing interventions used in the surgical client to prevent

A

Pneumonia

37
Q

Select the route for administering medication according to

A

The physicians orders

38
Q

Intact skin with non-blanchable redness would be considered a stage________Pressure Alster

A

Stage 1

39
Q

When you delegate a task to another individual is important to

A

Understand the scope of practice of the delegate
Remember that we remain accountable for the care provided
Follow the policies and procedures
ALL OF THE ABOVE

40
Q

The debridement of your clients phone is done using a scalpel to remove the necrotic tissue. Which type of debridement is this?

A

Mechanical

41
Q

An older adult with multiple health problems has a severe case of diarrhea the nurse would assess this client for which of the following common complications of diarrhea in this client population?

A

Fluid and electrolyte imbalance

42
Q

Which of the following regarding UTI is not true

A

Condom catheters increase the risk of UTIs

43
Q

You’re looking for an 80-year-old dementia patient who believes that she is 15 months to get ready for her upcoming prom which of the following actions would be most appropriate?

A

Attempt to redirect her by asking her something like do you enjoy dancing

44
Q

You’re the PACU nurse today you’ll be using a scale to assess your patience which of the following skills would be appropriate to use

A

Aldrete score

45
Q

The nurse is caring for a client who has recently lost a limb in a motor vehicle accident. And helping the client adjust to this recent loss the nurse should?

A

Allow the client sufficient time to express normal personal feelings openly and honestly

46
Q

The large intestine plays numerous rolls indigestion and defecation. Which of the following is not a function of the large bowel

A

Absorption of chyme

47
Q

The nurse documents in the postop patient assessment the presence of grimacing and guarding of the abdomen this type of data is called

A

Objective

48
Q

No to patient scenarios are identical which makes the foaming concept central to an effective nurse

A

Critical thinking

49
Q

Your supervising a beginning nursing student who is documenting patient care. Which of the following actions requires you to intervene? The student

A

Documented medication given by another student

Foundations Exam 3 (1 decks)

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