NCLEX Questions for Ch. 3-5
Which type of topical drug is more readily absorbed by infants? - fat soluble - water soluble - protective - emollient
water soluble; the skin of infants are fully hydrated and not fully developed
How does a nursing diagnosis differ from a medical diagnosis? - a nursing diagnosis concerns a disease that impairs physiologic function - a nursing diagnosis evaluates a patient's response to actual or potential health problems - a nursing diagnosis determines the rate of Medicare reimbursement - a nursing diagnosis does not consider potential future problems
a nursing diagnosis takes the form of a three part statement relating to a patient's response to actual or potential health problems and life processes
Which piece of information is a subjective finding? - patient states "I have pain" - temp of 38.5 C - 400 mL of clear, yellow urine - blood pressure of 116/74 mm Hg
a patient's report of pain is a subjective finding because people experience pain differently
The nurse is suppose to educate the patient but they appear fatigued, in pain and irritable. There will be little time for teaching on the day of discharge. What is the best course of action? - deliver the teaching now - allow the patient to nap and return to perform the teaching - teach the family member who is present - determine the patient's need for analgesia and rest then return to perform teaching later
after the patient's basic needs are assessed and met, they will be better able to focus on the educational material and be prepared for discharge
The nurse who is new to a large urban hospital has found that many of the hospitalized patients are of different cultural groups in the area. Which approach is best for the nurse to take in caring for these patients? - care for all patients the same way because it is more efficient - ask not to be assigned to these patients due to the nurse's lack of experience - develop a plan of care that is individualized to each patient's needs - follow a more experienced burs around for several months to gain more experience
nurses must be prepared to care for patients from different cultures and develop an awareness of and respect for cultural diversity
What is the foundation for the clinical practice of nursing? - assessment - nursing process - implementation - planning
nursing process; it encompasses the full care of a patient
A clinical judgment that a person is more susceptible to a particular problem than others in the same situation is defined as which type of nursing diagnosis? - actual - wellness - risk/high risk - syndrome
risk/high risk; supported by risk factors that increase a patient's vulnerability beyond that of the same population
If a drug level of .5 to 2 mg/mL is considered therapeutic, a drug level of .45 mg/mL is considered to be what? - toxic - therapeutic - sub-therapeutic - tolerant
sub therapeutic; would require increasing the dose for the patient to achieve the maximum benefit of the drug
Due to the decreased protein-binding capacity in preterm infants, what adjustment in dosage of protein-binding drugs would need to made? - the dosage should be decreased - the dosage should be increased - the dosage should be kept at the same levels - protein-binding drugs are not administered to infants
the dosage should by increased; drugs that are relatively insoluble are transported in the bloodstream bound to plasma proteins, there is a decreased affinity for binding in infants
An older adult patient is being prepared for discharge and are scheduled to receive a large amount of information. What is the nurse's best course of action? - present the patient and family with all the information a few days before discharge - present the patient and family with all of the information that day before discharge - break the teaching content down into manageable sections and present them individually in the days before discharge - have a home health nurse teach the patient and family at home a week after discharge
the patient and family need to learn about home care before discharge and the content should be presented in small sections and repeated as necessary because repetition enhances learning
The nurse is preparing to educate the patient and the patient says "Just show me how to do it, let me try and I'll learn what to do". Which domain of learning is indicating by this statement? - cognitive - affective - psychomotor - determined
the patient's willingness to see, hear and do indicates a learning style in the "doing domain"
Which patient has the greatest percentage of body water? - older adults - teens - infants - toddlers
infants; total body water is 74%, as we age the total percentage of body water decreases and our body fat increases
Which form of medication is more easily administered for a toddler who requires a course of antibiotics? - enteric - capsules - tablets - liquid
liquid; toddlers are not able to swallow solids
The nurse is preparing a patient for discharge after a surgical procedure. Which method is best for teaching the patient about his or her prescribed drugs? - prescription blank handwritten by the physician - magazine ads featuring the prescribed medications - verbal explanations along with drug summary sheets - unit dose packages form this morning's medications
verbal explanations along with drug summary sheets
