Med Surg _ Exam 1

Question 1

. A nurse enters a client’s room and observes the client sitting in a chair looking out the window. The nurse obtains the client’s vital signs and gathers information about the client’s current level of pain. Based on this information, the nurse identifies a potential problem with pain control and decides to call the provider to obtain a prescription for an analgesic. The nurse is engaged in which action?
using the nursing process
care planning
concept mapping
evaluatin

Answer 1

‘NURSING PROCESS

Question 2

The nurse has applied Rest’s framework of moral reasoning to a clinical situation that is ethically complex. In navigating the situation, the nurse has applied each of the components of the model, including moral judgment/reasoning. By acting on this component, the nurse has also exemplified what step in the Clinical Judgment and Measurement Model (CJMM)?
recognize cues
generate solutions
prioritize hypotheses
evaluate outcomes

Answer 2

Generate solutions

Question 3

A client with a history of benign prostatic hyperplasia presents to the emergency room with reports of urinary retention. The nurse collects data related to the client’s voiding patterns, weight gain, fluid intake, urine volume in the bladder, and level of suprapubic discomfort. What type of assessment is the nurse performing?

Focused
Initial
Emergency
Time-lapse

Answer 3

‘Focus