NUR 166 Chapters 27,28
The nurse caring for patients in a long term care facility knows that there are factors that place certain patients at a higher risk for falls. Which patients would the nurse consider to be in this category?
A patient who has already fallen twice A patient who experiences postural hypotension A 70 year old patient who is transferred to a long term care
A nurse is working in a long term care facility incorporates aromatherapy into her practice. For which patient would the nurse use the herb ginger?
A patient who has nausea
A nurse manager who works in a hospital setting is researching the use of energy healing to use as an integrative care practice. What patient would be the best candidate?
A patient who is anxious about residual pain from a cervical spinal surgery.
What consideration should the nurse keep in mind regarding the use of side rails for a patient who is confused?
A person of small stature is at increased risk for injury from entrapment.
A nurse is assessing children. Which child would the nurse identify as having the greatest risk for choking and suffocating?
A toddler playing with a 9 year old brothers construction set
What information would be important to include about preparations for a terrorist attack when discussing emergency preparedness with first responders?
BLI is a serious consequence following detonation of an explosive device.
What information should be included when teaching parents in a parenting class about the use of car seats and restraints for infants and children?
Booster seats should be used for children until they are 4'9 tall and weigh between 80-100 lbs.
A nurse is guiding a patient in the practice of meditation. Which teaching point is most useful in helping the patient to achieve a state of calmness, physical relaxation, and psycho- logical balance? a. Teach the patient to always lie down in a comfortable posi- tion during meditation. b. Teach the patient to focus on multiple problems that the patient feels demand attention. c. Teach the patient to let distractions come and go naturally without judging them. d. Teach the patient to suppress distracting or wandering thoughts to maintain focus.
C. Teach the patient to let distractions come and go naturally without judging them
A nurse mentor is teaching a new nurse about about the underlying beliefs of CHAs versus allopathic therapies. What shows understanding
CHA proponents believe the mind, body and spirit are integrated and together influence health and illness They believe that health is a balance of body systems: mental, social, and spiritual as well as physical The emphasis is on disease for allopathic proponents and drugs, surgery and radiation are tools for curing
What would the best response be for a nurse working in a pediatricians office who receives a call from a parent whose child has ingested toxins be?
Call the PCC immediately before attempting any home remedies
A nurse orients an older patient to the safety features in her hospital room. What is a priority component of this admission routine? a. Explain how to use the telephone. b. Introduce the patient to her roommate. c. Review the hospital policy on visiting hours. d. Explain how to operate the call bell.
D. Explain how to operate the call bell
A nurse works for a health care provider who practices naturopathic system of medicine. What is this focus of medicine?
Provide patient education Making appropriate interventions to prevent illness Believing in the healing power of nature Encouraging patients to take responsibility for their own health
What is an example of a restraint being properly used?
The nurse insures that two fingers can be inserted between the restraint and the patients ankle.
Which action would be most appropriate for the nurse to use for an older disoriented patient who likes to wonder the halls of the long term care facility as an alternative to restraints?
Identify their door with pictures and balloons
A nurse is caring for a postoperative patient who is experiencing pain. Which CHA might a nurse use to ensure active participation by the patient to achieve effective pre- or postoperative pain control?
GUIDED IMAGERY
What would be the nurses priority intervention to prevent trauma when caring for older adults in a nursing home?
Make sure patients room is de cluttered
The nurse is proving a lecture on CHA's to a group of patients in a rehabilitation facility. Which teaching point should be included?
Many nurses are expanding their clinical practice by incorporating CHA to meet the demands of patients
A school nurse is teaching parents about home safety and fires. What information would be accurate to include in the teaching plan?
Most people who die in fires die from smoke inhalation Fire related injury and death have declined due to smoke alarms Fires are more likely to occur in homes without electricity or gas
What nursing diagnosis would be appropriate for a patient that states they smoke cigarettes in bed before falling asleep at night?
Risk for suffocation related to unfamiliarity with fire prevention guidelines
A nurse is caring for a patient who has crippling rheumatoid arthritis. Which intervention best represents the use of integrative care?
The nurse administers naproxen and uses guided imagery to take the patients mind off of the pain
A nurse is filing a safety event report for an older adult client who tripped and fell when getting out of bed. Which action exemplifies an accurate step of this process?
The nurse details the client's response and the examination and treatment of the client after the incident.
At a follow up visit, a patient recovering from a myocardial infarction tells the nurse: "I feel like my life is out of control ever since I had the heart attack. I would like to sign up for yoga, but o don't think I am strong enough to hold poses for long." What would be the nurses best response?
There is a slower paced yoga called kripalu that focuses on coming into balance and relaxation that you could look into.
When a fire occurs in a patient's room, what would be the nurse's priority? a. Rescue the patient. b. Extinguish the fire. c. Sound the alarm. d. Run for help.
a. Rescue the patient