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Duplicate of Duplicate of Exam 3 Review B Flashcards | StudBud
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Duplicate of Duplicate of Exam 3 Review B
Duplicate of Duplicate of Exam 3 Review B
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Flashcards
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Questions
30
Answers
1
A complete nursing diagnosis will contain (select all that apply)
Defining characteristics
Etiology
Dependent nursing actions
The problem
2
The client asks the nurse about alternative therapies that may help lower their BP and HR. The nurse correctly states
Over-the-counter medications
Biofeedback therapy
Relaxation therapy
Meditation
3
Which of the following tasks can be delegated to a CNA?
Assisting the client with repositioning every 2 hours
Reading the EKG stripes after obtaining an EKG on an MI patient
Cleaning the pins on a patient's fixator
Preparing discharge teaching papers
4
When helping the visually impaired client with their meal the nurse should
be aware that this condition affects mainly men
never track the patient's weight in order to maintain their self-esteem
teach them the type of foods they're eating based on the food texture
tell them where their food is using a clock as a reference
5
When communicating with the hearing impaired patient the nurse should (select all that apply)
Give the patient time to respond to questions
Never speak directly into their ear
Face them directly
Get their attention first, before speaking
6
Which of the following should the nurse not include in the end of shift report?
The patient is scheduled for an MRI in at 1100
The patient's physician is John Doe M.D
The patient's family is at the bedside
The patient stated that the morphine IV relieves their pain
7
The nurse properly teaches a PEG tube patient on self-administrating feedings at home when the nurse states
Flushing with water before and after feeds is not required
A feeding pump is not required for continuous feedings
Do not push the feeding in with the syringe
Residual is checked every 6 hours
8
A client who practices Christian Science is refusing to take their scheduled meds. The nurse understands that
they will have to ask again at a time more convenient for the patient
Christian Science do not normally seek traditional health care
the physician needs to be notified stat
the patient is wanting to save on the visitation cost
9
A Jewish client may ask for which type of diet during their stay in the hospital?
Halal
Vegetarian
Kosher
Medium steaks
10
The client with a PEG tube feeding complains of naseau and fullness. The most approrpriate action by the nurse is to
call the physician and stop the feeding
lay the patient flat
change the feedings to a low calorie formula
slow the feeding to 20 mLs/hr
11
Which of the following best demonstrates the nurse giving clear and concise orders to the CNA?
Make sure to teach room 103 how to take their inhaler before leaving today
Assist Mr. Z in room 112 to ambulate from their room to the nurses station
Ask the physician to clarify the medication order for Mr Radcliffe
I need you to take vital signs on the first 10 rooms
12
While discharge teaching the client about vitamins and minerals the nurse correctly states (select all that apply)
Vitamin A deficiency can lead to night blindness
You do not need iron supplements if you suffer from anemia
Vitamin K is not necessary for blood clotting
Vitamin C aids in wound healing
13
When teaching about foods with high sodium content, the nurse tells the patient to avoid (select all that apply)
Cream of potato soup
Tofu
Milk and milk products
Papaya
14
An advantage of focus charting is (select all that apply)
It's compatible with the use of the nursing process
Patient problems are never missed
It shortens documentation time
The focus is not limited to patient problems or nursing diagnoses
15
Which of the following is an example of adequate documentation?
Patient ambulated with little difficulty, will continue to monitor
The patient's blood pressure is 145/90, physician notified
Pt states aching pain in right leg, morphine given
Reports of dyspnea, O2 sat 88%, HR 120, prn inhaler given, O2 sats now 95%
16
Alternative meat products the nurse can offer to the patient with heart and cholesterol issues include (SATA)
halibut
fried chicken and mashed potatoes
spare ribs
grilled salmon
17
The client at high risk for hypertension should be taught which of the following?
Decrease their intake of unsaturated fats
Increasing saturated fats in the diet will help lower LDL levels
Lower LDL levels will be good for your heart
Keep their recommended fiber intake to only every other day
18
When assessing the client's diet, the nurse should consider having the client do which of the following?
Write down their meals from the past few days
Consider the client's family's meal plan
Inform the nurse of any religous considerations
Have the client state their likes and dislikes
19
The nurse with a client on a PCA rechecks their pain at regular intervals. This is which phase of the nursing process?
Implementation
Planning
Evaluation
Assess
20
When prioritizing nursing diagnoses according to Maslows which of the following would the nurse address first?
Risk for infection aeb tissue injury
Acute pain r/t injury of soft tissue aeb guarding, protective behavior
Impaired physical mobility r/t fatigue aeb frequent daytime naps
Deficient knowledge r/t unfamiliarity w/ condition aeb misconception of fx
21
Which of the following vitamins will aid in hemoglobin and red blood cell synthesis? (select all that apply)
Retinol
Folic Acid
Vitamin B12
Thiamine
22
With fat soluble vitamins the nurse understands that
they have high caloric value
those are the most important of all the vitamins
consumption of too much fat soluble vitamins can lead to toxicity
they are easily absorbed into the bloodstream
23
A client came to the ER with paleness and extreme fatigue. What should the nurse assess
next
?
Medications they took during their last visit to the hospital
Whether their spouse or S.O will stay the night with them at the hospital
The client's bowel habit needs to be observed
The nurse should ask about their daily diet
24
Purposes of documentation includes (select all that apply)
Calculate insurance reimbursement
Provide evidence of care
Research and data collection
Evaluate staff performance
25
The new nurse calls the MD and states, "Good morning doctor, I am nurse Ratchet...". Which part of ISBARR is this?
Introduction
Read back
Recommendation
Situation
26
Documentation that only requires abnormal assessment findings to be recorded is known as which type of charting?
PIE charting
Charting by exception
Problem-oriented charting
Narrative charting
27
Which commonly used herb is thought to decrease migraines and hay fever symptoms?
Cranberry
Ginseng
Butterbur
Ginkgo biloba
28
This type of charting allows for documentation at the point of care but is costly and time consuming to implement
Focus charting
Problem-oriented
Case management charting
Computer charting
29
This complementary treatment is directed at disease prevention, lifestyle management, and a diet of natural foods
Naturopathic medicine
Aromatherapy
Ayurveda
Homeopathy
30
The nurse states, "Everything will work out eventually" is an example of
Clarifying
Looking at alternatives
Giving advice
Using clichés