Quizzes Flashcards
a postop pt is ordered pain med every 4-6hrs for pain. the pt has been asking for meds every 6hrs. the nurse evals the pt at 4hrs and finds that the pt’s pain level is 8 on a scale of 1-10, with 10 being the highest. based on the assessment of the pt, the nurse prepares to give the pain med after 4hrs. this intervention is
a response to a change in the pt’s condition
a nurse has just received a shift report and is preparing to care for the pt assignment on a med-surg unit. which of the following pts should the nurse plan to assess first?
the pt experiencing SOB
a female pt seen in an urgent care clinic is complaining of abdominal pain. the pt tells the nurse that the food she ate last night must have been tainted. what action would the nurse take after the pt states that the food was tainted
ask the pt open-ended questions to further assess the situation
the home health nurse is visiting a pt who is 2 weeks postop from a CABG. the nurse assess the pt and finds that the pt has lost 10lbs, is continuing to experience pain, and is not eating. the nurse’s best action is to
examine the current intervention for pain relief
the nurse is conducting a class for a group of expectant mothers regarding basic infant care techniques. upon completion of the class, the nurse would expect the participants to
provide a return demonstration of a bath on a newborn doll
a nurse explains to a pt that there is a need for the pt to have a bowel prep before undergoing a collonoscopy. the nurse should focus on improving simplistic communication by
using words commonly undersstood
a nurse is teaching a pt about a dressing change that should be done three times a day, and the pt is from a culture that is “present oriented” the nurse should instruct the pt to perform the dressing change at which of the following times?
after breakfast, lunch, and dinner
a nurse is working with a pt who is nonverbal. the nurse wants to implement strategies that will promote communication with this patient. which of the following interventions would be appropriate for the pt in this situation
- using a picture board to facilitate communication
- having pen and paper on hand for the pt
a nurse is teaching a group of students about professionalism. the educator teaches the students that a profession is distinguished from other kinds of occupants through which of the following methods
by being autonomous
by acquiring specialized education
by participating in ongoing research
the nurse is caring for a pt with cancer who is struggling with chronic pain. the nurse tells the pt, “its normal to feel frustrated about the discomfort” the nurse is displaying which skill that is often assoc. with the working phase of the nurse-pt relationship
respect
:the nurse is validating the pts feelings
- *genuiness: making a personal statement
- *concreteness: assisting the pt by giving specific examples rather than speaking in generalizations
the nurse is working on a med-surg unit that is short staffed due to a call out.the manager of the unit is unable to replace the nurse, so the extra pts were assigned to the remaining nurses. the manager was able to get the help of UAP from he house pool to help on the unit. in order for effective care to be given to the pts, the nurse should
delegate vital signs and a.m. care to the UAP
the nurse is caring for several med surg pts. the nurse has delegated skin care of an incontinent pt to new UAP on the unit. in order to improve effectiveness of the care given, the nurse plans to
demonstrate the appropriate care needed, then delegate the task for the remainder of the shift
the nurse delegated a UAP to assist a pt with performing a simple dressing change. the pt was formerly able to do the procedure, but because of painful arthritis is now unable to perform the redressing. the UAP has done this procedure before. which of the following must the nurse emphasize to the UAP
report immediately anything unusual, such as bleeding or infection
the physician has written the following orders for the client with excess fluid volume. the client’s morning assessment includes bounding peripheral pulses, weight gain of 2lbs, pitting ankle edema, and moist crackles bilaterally. which order takes priority at this time
admin Lasix IV push
