Final Exam

A high school student arrives at the local blood drive center to donate blood for the first time. As the site is being prepared for needle insertion, the student becomes agitated, starts to hyperventilate and complains of dizziness and tingling of the hands. Which would the nurse instruct the student to do?

Breathe into cupped hands

The nurse is teaching pursed-lip breathing to a client with chronic obstructive pulmonary disease. The client asks about the benefit of the exercises. Which explanation would the nurse give?

Keeps the airway open longer to decrease the work that goes into breathing

Which nurses are taking actions that contribute to the nursing goal of achieving cultural competence?

Nurse A examines own beliefs about mental health Nurse B reads an article about interpreting nonverbal behavior Nurse C volunteers at a clinic that serves an immigrant population Nurse E uses a cultural assessment tool to gather clinic data

A client with heart failure reports walking suddenly and feeling short of breath during the night. How will the nurse document this information?

Paroxysmal nocturnal dyspnea

The nurse is assisting the registered nurse (RN) with delegation decisions regarding management of a client with SOB. Which action by the nurse indicates a need for correction?

Providing constructive feedback about client care management

Which level of Maslow's hierarchy of needs is the nurse using when she teaches the client about the call light system?

Safety

Which level of Maslow's hierarchy of needs will the nurse classify a client who reports working in a factory that manufactures explosives?

Second level, which includes safety and security needs

According to Maslow's hierarchy of needs, which level of need did the nurse prioritize when assisting an older postoperative client to the restroom to prevent falling?

Secondary level

Which parameter describes the maximum volume of air a clients lungs may contain?

Total lung capacity

Which points would the nurse keep in mind when caring for a client who belongs to a different culture?

be aware of his or her own cultural values and behavior patterns focus on understanding the clients traditions, values, and beliefs understand that unique cultural perceptions exist regarding health practices

The nurse leader states, "The people in rural America dress and act differently from those in urban centers." Which concept describes this statement?

cultural marginality

Which level of Maslow's hierarchy of needs is fulfilled by the nurse fitting a client who nearly died of asphyxiation with an oxygen mask?

first level

Which level of Maslow's hierarchy of needs would the nurse need to follow for a client brought to the emergency department with severe breathing difficulty?

first level

Which actions by the nurse increase safety in the clinical setting?

keeping current with evidence and best practices using only quality resources, especially websites reporting faulty equipment as soon as discovered

Which infection requires airborne precautions?

measles