final review- RON & PRO/REG

Which type of immunity will clients acquire through immunizations with live or killed vaccines?

artificial active immunity

Which examples mentioned by the nurse belong to the fifth level of Maslow's hierarchy of needs?

-"A client wishes to become the best swimmer in the whole world." - "A client tells the nurse that he or she wishes to become a successful engineer despite having dyslexia." - A client who is bedridden requests a physical therapist consultation to achieve maximum mobility.

Which information would the nurse provide to a client regarding a do-not- resuscitate (DNR) order?

-"Do-not-resuscitate orders would be reviewed routinely by the primary health care provider." -"Legally competent adults may issue a do-not-resuscitate order verbally or in writing after receiving proper information about it." -"Primary health care providers would check for a DNR order before deciding to perform cardiopulmonary resuscitation."

The nurse is teaching a client self-management care in preventing and spreading methicillin-resistant Staphylococcus aureus (MRSA). Which statements made by the client indicate the need for further learning?

-"I can share athletic equipment." -"I can participate in contact sports. -"I should sit on upholstered furniture."

Which information would the registered nurse provide a nursing student about assault?

"Assault refers to any action that places a client in apprehension of harmful contact without consent."

Which question is the most therapeutic to ask the parents of a 3-year-old child who has just died?

"Can I be of any help with traditional practices that are important to you?"

A client who is admitted to the hospital and requires a colon resection states, "I want to be a do not resuscitate [DNR]." The nurse questions the client's understanding of a DNR order. Which response by the client best indicates to the nurse an understanding of a DNR order?

"If something happens to me, I do not want cardiopulmonary resuscitation [CPR]."

A client with a new diagnosis of type 1 diabetes is told that lifelong insulin will be needed. The client becomes agitated and says, "I am scared of shots. If that is my only option, l'Il just have to go into a coma and die!" How will the nurse respond?

"Injections are not the only option available for insulin."

Tetanus immune globulin is prescribed for the client with a puncture wound. Which information will the nurse include when teaching the client about this medication?

"It provides immediate, passive, short-term immunity."

Which examples mentioned by the nurse belong to the third level of needs according to Maslow's hierarchy?

-"A client is depressed because his or her spouse has passed away." -"A client wants to reconnect with old friends after being diagnosed with cancer." -"client never goes to family gatherings because he or she is not accepted by family members."

client who is scheduled for a bowel resection is to receive antibiotics preoperatively. Which explanation would the nurse include when teaching the client about the purpose of the antibiotics?

"They are given to eliminate bacteria from the gastrointestinal (Gl) tract."

When a client with a health care-acquired respiratory tract infection asks the nurse what this means, which response will the nurse give?

"Your infection occurred because of exposure to a health care facility.

Which situations qualify under the fourth level of Maslow's hierarchy of needs?

-A client laments that he or she is the ugliest person in the whole world. -A client tells the nurse that he or she is the only member in the family who does not work. - A client feels that he or she has not been able to live up to his or her partner's expectations.

Which situations come under the second level of Maslow's hierarchy of needs?

-A client tells the nurse that he or she is taunted by his or her boss every day. -A client tells the nurse that his or her spouse belongs to a criminal gang. -A client tells the nurse that he or she lives beside a factory that manufactures harmful chemicals.

Which collaborative and nursing actions would help prevent venous thrombosis in a client during the perioperative period?

-Administer subcutaneous heparin injections. -Assist the client to don antiembolism stockings. -Apply pneumatic compression devices to the legs.

Which are common negligent acts of nurses found in the hospital setting?

-Failure to notify the health care provider of problems -Failure to follow the six rights of medication administration -Failure to ensure the safety of a client with disequilibrium problems

Which activities would the nurse perform to meet the client's safety and security needs based on Maslow's hierarchy of needs?

-Positioning the bed in a low position and keeping the side rails up -Monitoring vital signs, such as blood pressure to decrease the risk of falls -Observing a client who has suicidal tendencies to prevent adverse incidents

Which are the best ways for the nurse to be protected legally?

-Provide care within the parameters of the standards for nursing practice set by the state or province. -Document consistently and objectively. -Clearly document a client's nonadherence to the medical regimen.

Which is an example of an intentional tort?

-false imprisonment

The registered nurse (RN) delegates the care of a client in the immediate postoperative period to the patient care associate (PCA). Which tasks are in the scope of practice of the PCA?

-feed client -assistance bathing pt

Which therapeutic outcomes are expected after administering ibuprofen?

-pain relief -fever reduce -reduce inflammation

Arrange which nursing actions are prioritized according to Maslow's hierarchy of needs.

1. Administering medications to regulate the client's body temperature 2. Collaborating with the social service department to keep the client away from abusers 3. Contacting the client's family members to help the client mend relationships 4. Initiating therapeutic communication to boost the client's self-esteem

Which describes a living will?

A written document that directs treatment according to the client's wishes, in case of a terminal illness or condition

Which action describes the process of artificial active immunity?

Antibodies are made after an antigen is injected into the body.

Which purpose is served by establishing a therapeutic nurse-client relationship?

Assisting the client in acquiring more effective behavior

Nursing actions after a client has had general anesthesia are directed at preventing which postoperative respiratory complication?

Atelectasis

When getting a postoperative client out of bed, which action will the nurse take to avoid postural hypotension?

Have the client sit on the edge of the bed for a few minutes before standing up.

Which would the nurse do when obtaining consent for surgery?

Determine whether the client's knowledge level is sufficient to give consent.

A client had a first-trimester abortion and has been unable to function for 3 months. Which type of grief is the client experiencing?

Disenfranchised

grief differences

Disenfranchised grief is grief over a loss that is not a socially recognized relationship. Grief after an abortion or death of a pet are examples of disenfranchised grief. Complex bereavement is a prolonged (longer than 12 months) and dysfunctional grieving. In anticipatory grief, the loss is expected or predictable so there is an opportunity to work through a part of the grief process before death. Complicated grieving occurs when there is a failure to progress through the grief process. There is preoccupation about the deceased, accompanied by depression, anger, and feelings of emptiness

Which factor is most important in predicting a person's reaction to imminent loss and grief?

Earlier experiences with grief

Which laboratory test will be elevated in a client with inflammatory arthritis?

Erythrocyte sedimentation rate (ESR)

Which action should the nurse manager take when it becomes apparent that communication between the nurse and the client is consistently superficial?

Evaluate how well the nurse uses active listening.

Which client situation will the nurse address first on priority basis of Maslow's hierarchy of needs?

Has multiple fainting episodes due to lack of proper nutrition

Which task is classified as low priority when planning client care for the day?

Teaching self-administration of insulin injections before discharge

client is hospitalized for intravenous antibiotic therapy and an incision and drainage of an abscess that developed at the site of a puncture wound. Whenwould the nurse begin to teach the client about how to care for the wound?

In the preoperative period

A visitor from a room adjacent to a client asks the nurse which disease the client has. The nurse responds, "I cannot discuss any client's illness with you." Which legal issue supports the nurse's response?

Invasion of privacy

Which leukocyte values determine the adequacy of a client's response to inflammation?

Monocytes Neutrophils Macrophages

Which criteria would the nurse consider when determining if an infection is a health care-associated infection?

Occurred in conjunction with treatment for an illness

Which action by a client who requires an above-the-knee amputation for peripheral arterial disease best indicates emotional readiness for the surgery?

Participates in learning perioperative care

Which communication technique is a part of therapeutic communication?

Providing relevant information to the client

Which intervention is most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client?

Removing the catheter within 24 hours

Which nonpharmacological nursing intervention is effective in helping relieve postoperative pain?

Repositioning

Which element is the basic therapeutic tool that the nurse uses to foster a client's ability to cope?

Self

As a part of informed consent, a surgeon explains to the client scheduled for surgery the details of the surgery and the related care. The nurse leader witnesses the complete procedure. Which information would the nurse leader ensure was provided to the client?

Surgical procedure Name of the surgeon Explanation of the possible risks

According to research, which factor increases the probability that the surviving spouse will have a pathological or morbid grief response?

The cause of the spouse's death was suicide.

Which statement about the nurse confirms she or he understands reminiscence therapy?

The nurse builds self-esteem by asking about the client's previous achievements.

Which definition of assault would the nurse include in teaching a group of parents about child abuse?

Threat to do bodily harm to another person

Which type of immunity would a 4-year-old child develop during the course of an infection with varicella?

active natural immunity

Which therapeutic communication technique is used when the nurse and a client have a conversation and the client begins to repeat the conversation to her- or himself?

focusing

Nosocomial

hospital acquired infection

Which type of immunity is acquired through the transfer of colostrum from the mother to the child?

natural passive immunity

A client is likely to undergo reconstructive surgery for which purpose?

restore function or appearance

Which quality is the most important tool the nurse brings to the therapeutic nurse-client relationship?

self and a desire to help

Which routine screening would the nurse perform specifically for pregnant adolescents?

sexual assalt

An older adult client is diagnosed with cancer and fears death. Which nursing intervention would demonstrate caring?

touch