243 Final

Question 1

Plan of care for the patient with an Upper GI bleed

Accepted Answer

NG Tube, Scope the PT, CBC, 2 Large IVS

Question 2

RN is addressing community about health policy and the availability of flu vaccines, what is true about health policy

Accepted Answer

Dynamic tension that exists between cost and access

Question 3

What is the FIRST nursing action for a patient that gets chest pain while walking

Accepted Answer

have the sit

Question 4

Culture is limited to thise that are in the same country

Accepted Answer

False

Question 5

We can evaluate readmission problems by gathering data and evaluating best practices

Accepted Answer

True

Question 6

there is more than 1 clinical judgement because every patient situation is unique

Accepted Answer

True

Question 7

which ction can the RN delegate to the UAP

Accepted Answer

walk a post op patient

Question 8

What is the point of using clinical judgement

Accepted Answer

Determine patient needs

Question 9

Patient that has a Pa02 of 58, they are a priority

Accepted Answer

True

Question 10

RN is taking a blood pressure and notices carpel spasams, what blood level should the RN evaluate

Accepted Answer

Calcium

Question 11

what is the focus of the primary survery in the trauma patient

Accepted Answer

brief focused assessments

Question 12

Which labs are coorelated with the pancreatic funtion

Accepted Answer

amalayse, lipase

Question 13

What is the main difference between Stable angina and Unstable angia

Accepted Answer

Stable goes away with nitro and rest, unstable wakes you up at night

Question 14

What does cultural competence consist of SATA

Accepted Answer

cultural desire, cultural skill, self-awareness, cultural knowledge

Question 15

Patient presents to the ED with a large piece of glass in their abdomen, what is the PRIORITY nursing action

Accepted Answer

Leave the glass and stabilize the wound

Question 16

What role do nurses play in healthcare economics

Accepted Answer

Reducing waste and managing efficiency in practice

Question 17

Which patient takes priority

Accepted Answer

Patient with Lower GI bleed that has a new onset of fever

Question 18

SATA what are the steps in the policy making process

Accepted Answer

Agenda Setting, Policy implemention, Policy adoption, Policy formation

Question 19

Patient is diagnosed with a right sided stroke, what order should the RN quesiton if recieved

Accepted Answer

High Calorie Diet, up ad lib

Question 20

I love you all! Yall are gonna be the best RN&#x27;s

Accepted Answer

True

Question 21

what does heallthcare economics encompass SATA

Accepted Answer

how we use available resources, access to care

Question 22

Patient is on pitocin and the FHR monitor shows late decels, what is the 1st nursing action?

Accepted Answer

Stop pitocin

Question 23

teaching for autonomic dysreflexia SATA

Accepted Answer

s/s:increased bp,flush face,sweating, headache,distended neck veins,HR down, reposition frequently, Monitor Bowel and Bladder, Do not wear constrictive clothing

Question 24

Patient with hepatic encephalopathy is being treated with lactulose, how do I know treatment is effective

Accepted Answer

improved mental status

Question 25

Muslim pt in peds. Parents request RN to apply her head garment. How does the RN show culturally competent care?

Accepted Answer

Learn how to apply it correctly

Question 26

what are some examples of healthcare disparities SATA

Accepted Answer

lack of insurance, increased healthcare cost, lack of transport, language barriers

Question 27

Pt in Labor starts having uterine tachysystole what is the best nursing action

Accepted Answer

bolus with LR

Question 28

What do dark and tarry stools indicate in my patient

Accepted Answer

GI bleed, medical ER

Question 29

RN works near an AMISH community what should she do to be culturally competent

Accepted Answer

Education on amish beliefs

Question 30

Patient had a paracentesis, which order if given by the MD would the RN question

Accepted Answer

Give oral fluids

Question 31

which of the following is a complication of a paracentesis

Accepted Answer

respiratory distress

Question 32

What is the reason for using a qualified interpreter

Accepted Answer

increase follow up care, avoid privacy issues, effective communication, Decrease med errors

Question 33

What is the purpose of the affordable care act (ACA)

Accepted Answer

reformed health insurance

Question 34

Signs of an MI SATA

Accepted Answer

nausea, dyspnea, diaphoresis

Question 35

Post-op Pt using incentive spirometer,what action if observed by the RN would indicate that the pt needsFURTHER TEACHING

Accepted Answer

Patient is blowing into the mouthpiece

Question 36

What is an indication for a chest tube with a hemothorax

Accepted Answer

to drain the blood

Question 37

What is an example of efficient care in Healthcare

Accepted Answer

Collaborating with social work and case workers to coordinate care

Question 38

What is the regulatory agency for healthcare quality SATA

Accepted Answer

Medicaid, Medicare

Question 39

Patient with Cirrhosis has an increased ammonia level, what should we change in their diet.

Accepted Answer

Decrease their protein

Question 40

aging is an exampe of unavoidable disparity in healthcare

Accepted Answer

True

Question 41

Your Health Condition can limit your access to healthcare T or F

Accepted Answer

False

Question 42

what does clinical judgement involve

Accepted Answer

reevaluating and prioritizing patient needs

Question 43

what causes automonic dysreflexia SATA

Accepted Answer

UTI, Anything that causes sensory stimulation, restrictive clothing, Restrictive clothing, Kink in the cath, Full Bladder

Question 44

Which meds should a patient with a history of a GI bleed avoid

Accepted Answer

NSAIDS, and aspirin

Question 45

Which pt represents a healthcare disparity that the RN should be concerned about

Accepted Answer

Asian Pt with cancer refuses meds to treat pain

Question 46

Which patient has the highest priority

Accepted Answer

Facial trauma

Question 47

What are examples of using clinical judgement SATA

Accepted Answer

monitoring H&H in a pt with an active bleed, pt with o2 sat of 89, apply 2L NC

Question 48

RN uses an untrained interpreter, what outcomes can come from this SATA

Accepted Answer

decreased rates of adherence, Poor rates of follow up care, privacy right conflict, decreased communication between pt and provider provider

Question 49

What are the treatment goals in a patient with Angina SATA

Accepted Answer

Increase their 02 supply, Decrease their o2 demand

243 Final

Questions 49

243 Final

Questions 49