SBL QUIZ Flashcards
In evaluating clients for obesity-related diseases such as heart disease, which of the
following would be the most increased risk?
46 year old Polynesian woman with a BMI of 38 and a waist circumference of
85cms
You receive a doctor’s order for a patient to take enteric coated Aspirin orally daily. The
patient has the following medication history: diabetes type 2, peripheral vascular
disease, and a permanent ileostomy. What is your next nursing action?
Hold the medication and notify the doctor the patient has an ileostomy
Burns should be cooled by immediate immersion in running tap water (8–15°C) for at
least _________ minutes.
20
A child is scalded when she spills hot tea onto her dress and thighs.
What immediate action should be taken when a child sustains a scald injury?
Simultaneously remove clothing and cool the scald under cool running water
A teenager who has been admitted with burns to her hands is reluctant to remove her
rings. The nurse explains to her:
Removing your rings now will ensure that they are kept in a safe place and
that they will not injure your fingers later if your hands start to swell.”
You are planning to teach 8 year-old Francesca how to use a spacer to self-administer
her asthma inhalers. What developmental characteristic of a child this age should the
nurse consider?
Francesca will welcome opportunities for participation in self-care
Francesca weighs 21kgs and is prescribed paracetamol 10mg/kg every 8 hours.
The paracetamol syrup comes as 125mg/5mls. You should administer
8.4mls
Francesca’s Godmother shares that Francesca’s mother has said she can have a look
through Francesca’s clinical notes during her visit.
advise her that the Privacy Act precludes this and suggest she speaks to
Francesca’s parents
During 8 year old Francesca’s admission you incorporate the principles of family
centered care.
The best way you demonstrate this is by:
acknowledge the importance of Francesca s family and empower then to be
involved in her care
Before you (the registered nurse) ask the Enrolled Nurse to shower a patient (Agnes)
you must first ensure that:
Agnes’ condition is stable and the enrolled nurse has the required skill and
experience
Which of the following factors would not be so critical to consider when deciding if a
particular task should be delegated?
number of RNs on staff that day
Which of the following is not one of the five rights of delegation?
Right time
Within the context of delegation, taking responsibility for both the action and inaction of
yourself and those to whom you delegate task describes:
Accountability
Which of the following is a specific benefit to an organization when delegation is carried
out effectively?
The organization benefits by achieving its goals more efficiently
Sarah is administered 400 mls of Red Blood Cells IV over 30 minutes instead of
the prescribed 3 hours. The patient begins to show which signs of fluid overload:
Hypertension, tachycardia, shortness of breath and increased urine output
A patient is 8 hours post operation from a colostomy placement and you are assessing
the patients’ stoma.
The stoma is black
The nurse caring for Sarah who had a colostomy 2 days ago, recognizes which client
outcome is MOST important for achievement of long range goals associated with
adjusting to a new colostomy?
Readiness to accept an altered body function
When educating Sarah on the care of her colostomy, what instructions should the nurse
provide to help prevent leakage of stool from the colostomy bag?
Empty the colostomy bag when it is approximately half full with feces
A nurse is caring for a patient who had a right radical mastectomy. To assist in
preventing the development of lymphedema immediately post-surgery, the nurse
should:
Keep the affected arm elevated on pillows higher than the axilla
When assessing the possible impact a mastectomy may have on the client, an
appropriate comment is:
Can you tell me how this surgery will change the way you feel about
yourself?”
A client with cancer is receiving IV chemotherapy in the oncology unit and when
inspecting the IV cannula, the nurse suspects an IV infiltration. What action should the
nurse take immediately?
Stop the infusion and leave the cannula in place
Mele is nauseated and has been vomiting all day. She needs some antiemetic. Which
of the following statements is most accurate?
An intravenous route is the best option
Mele may be considered for palliative radiotherapy treatment. Which instructions
regarding markings on the skin made by the oncology radiologist should be reinforced
with a client who is receiving radiation therapy?
Markings should be protected as they are treatment landmarks
