nc quiz

which written statement made by the nurse while documenting factual records indicates a need for further training?

"the client seems restless". those are vague terms, and only factual information should to be written.

after having a transverse colostomy, the client asks what physical effect the surgery will have on future sexual relationships. which info would the nurse include in the client's teaching plan?

"you will be able to resume your usual sexual relationships".

which are the steps of evidence based practice (EBP) in order?

1) asking the relevant clinical question. 2) collecting the most relevant and best evidence. 3) critically appraising the evidence collected. 4) integrating all evidence with one's clinical expertise and client preferences. 5) evaluating the practice decision. 6) sharing the outcomes of EBP changes with others.

psychological symptoms of sleep deprivation?

agitation hyperactivity confusion disorientation increased sensitivity to pain are psychological symptoms of sleep deprivation.

the nurse is taking care of a client who has chronic back pain. which nursing considerations would be made when determining the client's plan of care?

ask the client about acceptable level of pain. administer pain medications regularly around the clock.

which nursing interventions would provide safe oxygen therapy?

check tubing for kinks. post "no smoking" signs in the client's rooms.

which nursing action is MOST appropriate to help reduce the likelihood of an older adult client falling during the night?

instructing the client to call the nurse before going to the bathroom.

which action would the nurse take for an older adult client with Alzheimer disease who sleeps very little and becomes more disoriented from sleep deprivation?

leave a dim light on in the client's room at night.

when the nurse manager is evaluating the care of a client receiving oxygen through a nasal cannula, which finding indicates a need for more staff education about oxygen therapy?

oxygen flow rate set to 8 L/min.

the nurse instructs the pt to breathe deeply to open collapsed alveoli. which explanation could the nurse offer to explain the relationship between alveoli and improved oxygenation?

oxygen is exchanged for carbon dioxide in the alveolar membrane.

which methods qualify as alternative therapies for pain?

prayer hypnosis aromatherapy guided imagery

which are physiological symptoms assessed in a client with sleep deprivation?

ptosis and blurred vision. decreased auditor alertness.

which nursing interventions would the nurse implement to promote sleep for a client in a health care setting?

reduce lighting. provide activities during the day.

a client receiving morphine is being monitored by the nurse for adverse effects of the medication. which clinical findings warrant immediate follow up by the nurse?

unconsciousness. bradycardia. bradypnea.

when taking the health history for a client admitted with heart failure, which assessment finding will the nurse expect the client to report?

using several pillows to sleep at night.