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NUR 220 FA 22 Final Review Flashcards | StudBud
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NUR 220 FA 22 Final Review
NUR 220 FA 22 Final Review
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1
Which is an example of "battery"?
Teaching the patient about the risks and benefits of a procedure
Applying a restraint without trying alternative ways to calm the patient
Obtaining advance directives for a patient
Providing perineal care for a patient with dementia who does not want it
2
What is the definition of "assault"?
a threat, either real or perceived
touching the patient without permission
3
Which clinical findings would the nurse expect if the patient's RBC, HgB, and Hct are low?
Hypoactive bowel sounds, rigid and distended abdomen
Urinary frequency, urgency, incontinence and hematuria
Bradycardia, bradypnea, dyspea on exertion
Dyspnea, pallor, fatigue, and weakness
4
Which client will the nurse need to assess first?
Pulse 88
Blood pressure 136/88
Pain at 3 on a scale of 10
Respiration rate 33
5
How would the nurse interpret a RBC count of 3.2?
Normal
High
Low
6
How would the nurse interpret a positive finding on a RF laboratory test?
The client may have an infection
The client may have rheumatic fever
The client may have sepsis
The client may have rheumatoid arthritis
7
What findings would the nurse anticipate if the patient's RF was positive?
Pedal pulse +1, capillary refill at 2 seconds
Redness and edema in the calf
Low hemoglobin and hematocrit
Joint discomfort and edema
8
How would the nurse interpret a hemoglobin of 10?
Low
High
Normal
9
What military time will the nurse use to document 12:34am?
1034
0034
1234
2334
10
Which is the P for the PICOT questions, "for adults with COPD, does use of a new inhaler vs the old decrease death?"
Death
New inhaler
Old inhaler
Adults with COPD
11
How would the nurse interpret a positive finding on an ANA laboratory test?
The client may have an infection
The client may have anemia
The client may have sepsis
The client may have an autoimmune disorder
12
Which cue is most relevant to a patient's skin status?
Lung sounds
Bedfast
Irregular pulse
Affect
13
If the RBCs, HgB, and Hct are low, what happens in the body?
Increased blood pressure
Infection begins
Cellular hypoxia
The inflammatory process is initiated
14
Which is the I for the PICOT questions, "for adults with COPD, does use of a new inhaler vs the old decrease death?"
Adults with COPD
Old inhaler
New inhaler
Death
15
A patient has a WBC of 15,000 mm3. What would the nurse assess?
Infection
Inflammation
Fatigue
High blood pressure
16
When would the nurse place a patient in High Fowler's position?
Sleeping
Pain
Oral care
Shock
17
A nurse has formulated a clinical question in PICOT format. Which is the next step?
Evaluate the outcomes
Communicate the results
Integrate the evidence
Search for best evidence
18
Which findings would a nurse anticipate if the patient's ANA is positive?
Pressure injuries and thin, fragile skin
Radial pulse +2, no pulse deficit, pulse pressure 40
Headache, nausea, and vomiting
Redness, edema, and tenderness in areas of the body
19
What technique provides the best assessment when assessing peripheral pulses?
Compare side to side
Only check proximal pulses
Take an apical pulse
Assess one side at a time
20
When a nurse's performace is questioned in court, which is the standard of proof used?
What a reasonable and prudent nurse would have done
The state Nurse Practice Act
Federal statutes and laws
The policies of the healthcare institution
21
Which is the best way for a nurse to get involved with EBP?
Search Google Scholar
Look up information on Wikipedia
Develop a spirit of inquiry
Ask a reference librarian
22
Which is the O for the PICOT questions, "for adults with COPD, does use of a new inhaler vs the old decrease death?"
Death
New inhaler
Old inhaler
Adults with COPD
23
Which would the nurse do for a patient whose RBCs, HgB, and Hct are low?
Teach the provider that the patient requires a blood transfusion
Encourage the patient to begin an exercise program
Tell the patient to TCDB every 2 hours
Assess O2 sat and if low, apply oxygen
24
A nurse has found evidence indicating that a policy needs to be changed. Before doing this, what would the nurse do?
Integrate the evidence
Appraise the evidence
Search for more evidence
Evaluate the outcomes
25
Which is the role of the nurse in relation to informed consent?
Witnessing the patient's signature
Informing patients of the risks and benefits of the procedure
Encouraging the patient to refuse the procedure
Teaching the patient about the alternatives
26
What is performance improvement?
Focuses on the benefits, risks, costs, & effects of treatment on a patient
An objective means of acquiring/conducting research and gaining knowledge
Way to identify new knowledge & improve professional education and practice
A formal approach for the analysis of healthcare-related processes
27
Which is the C for the PICOT questions, "for adults with COPD, does use of a new inhaler vs the old decrease death?"
Adults with COPD
Death
Old inhaler
New inhaler
28
What does the nurse anticipate if the patient has a low RBC?
The hemoglobin and hematocrit will be high
The hemoglobin will be high and the hematocrit will be low
The hemoglobin and hematocrit will be low
The hemoglobin will be low and hematocrit will be high
29
Which healthcare professional provides informed consent?
Provider
Nurse
Ethics committee member
Case manager
30
A nurse is caring for a client with a temperature of 94.8F. What would the nurse do first?
Begin an intravenous line for warmed fluids
Cover with warm blankets
Call the primary healthcare provider
Evaluate nursing actions
31
Who can BEST help the nurse find the latest evidence?
An expert nurse
A healthcare provider
A peer
A reference librarian
32
Which best describes a tort?
a legal issue involving an ethical dilemma
a national guideline about healthcare services
caring for a vulnerable child or adult
an act against a person or their property
33
Which action demonstrates nursing advocacy?
Signing informed consent
Providing hygiene care
Clarifying an order
Teaching about a medication
34
The PI committee is evaluating a program to reduce falls. Which method would be used to evaluate the program?
Ask nurses from another unit to evaluate effectiveness of the program
Set a benchmark of < 2 falls monthly
Compare the number of falls before and after program implementation
Survey nurses for their thoughts on the effectiveness of the program
35
Which statement about research terms is false?
Informed consent = knowing risks & benefits & what the study is about
Confidentiality = keeping subject information private
Generalizability = the ability to make general decisions
Bias = personal opinions that may influence study results