professional nursing practice Flashcards
The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient’s input. The patient states, “How is this different from what the doctor does?” Which response would be most appropriate for the nurse to make?
“In addition to caring for you while you are sick, the nurses will assist you to develop an individualized plan to maintain your health.”
The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for patients. Which statement, if made by the nurse, would be the most accurate?
Recommendations are based on research, clinical expertise, and patient preferences.”
The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which statement, if made by the student nurse, indicates that teaching was successful
“The nursing process is a problem-solving tool used to identify and treat patients’ health care needs.”
A patient has been admitted to the hospital for surgery and tells the nurse, “I do not feel comfortable leaving my children with my parents.” Which action should the nurse take next?
Gather more data about the patient’s feelings about the child-care arrangements.
A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip. Which nursing diagnosis is most appropriate?
Impaired skin integrity related to altered circulation and pressure
A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis. Which outcome would the nurse recognize as most appropriate for this patient?
Patient has a balanced intake and output.
A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the evaluation phase of the nursing process?
To determine if interventions have been effective in meeting patient outcomes
The nurse interviews a patient while completing the health history and physical examination. What is the purpose of the assessment phase of the nursing process?
To obtain data with which to diagnose patient problems
Which nursing diagnosis statement is written correctly?
Ineffective coping related to response to biopsy test results
The nurse admits a patient to the hospital and develops a plan of care. What components should the nurse include in the nursing diagnosis statement?
The problem with an etiology and the signs and symptoms of the problem
A nurse is caring for a patient with heart failure. Which task is appropriate for the nurse to delegate to experienced unlicensed assistive personnel (UAP)?
Obtain the patient’s blood pressure and pulse rate after ambulation.
A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registered nurse (RN), one unlicensed assistive personnel (UAP), and one licensed practical/vocational nurse (LPN/LVN). Which assignment, if delegated by the nurse, would be inappropriate?
Check for the presence of bowel sounds and flatulence by UAP
Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse (LPN/LVN)?
Obtain bedside blood glucose on a patient before insulin administration.
A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury. The patient can expect the nurse functioning in this role to perform which activity?
Coordinate the services that the patient receives in the hospital and at home.
The nurse is caring for an older adult patient who had surgery to repair a fractured hip. The patient needs continued nursing care and physical therapy to improve mobility before returning home. The nurse will help to arrange for transfer of this patient to which facility?
A transitional care facility
A home care nurse is planning care for a patient who has just been diagnosed with type 2 diabetes mellitus. Which task is appropriate for the nurse to delegate to the home health aide?
Help the patient with a daily bath and oral care.
The nurse is providing education to nursing staff on quality care initiatives. Which statement would be the most accurate description of the impact of health care financing on quality care?
“Payment for patient care is primarily based on clinical outcomes and patient satisfaction.”
The nurse documenting the patient’s progress in the care plan in the electronic health record before an interdisciplinary discharge conference is demonstrating competency in which QSEN category?
Informatics and technology
Which information will the nurse consider when deciding what nursing actions to delegate to a licensed practical/vocational nurse (LPN/LVN) who is working on a medical-surgical unit
Institutional policies
Stability of the patient
State nurse practice act
Experience of the LPN/LVN
The nurse is administering medications to a patient. Which actions by the nurse during this process are consistent with promoting safe delivery of care
Throws away a medication that is not labeled
Uses a hand sanitizer before preparing a medication
Checks lab test results before administering a diuretic
Gives the patient a list of current medications upon discharge
The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to communicate a change in patient status to a health care provider. In which order should the nurse make the following statements?
d. “This is the nurse on the surgical unit. After assessing the patient, I am very concerned about increased shortness of breath over the past hour.”
b. “The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis, but urine output has been low.”
c. “The patient has crackles audible throughout the posterior chest and the most recent oxygen saturation is 89%. Her condition is very unstable.”
a. “The patient needs to be evaluated immediately and may need intubation and mechanical ventilation.”
