Remediation Assignment for Exam 1

During measurement of a rectal temperature, the thermometer probe should be inserted about how many inches (centimeters) into the anus in an infant? 1.5 in (3.75 cm) 1 in (2.5 cm) 2 in (5 cm) 0.5 in (1.25 cm)

1 in (2.5 cm)

A health care provider orders 1.25 teaspoons of cough syrup to be administered to the client. How many milliliters (mL) willt he nurse adminster? 1.25 mL 18.75 mL 5.25 mL 6.25 mL

6.25 mL

A nurse is providing care to a client with end-stage cancer. After weighing the alternatives, the client decides not to participate in a clinical trial offered and is requesting no further treatment. The nurse advocates for the client's decision based on the understanding that the client has the right to self-determination, interpreting the client's decision as reflecting which ethical principle? Autonomy Justice Fidelity Beneficence

Autonomy

Which is a tenet of Maslow's basic human needs hierarchy? People have many needs and should strive to meet them simultaneously. A need that is unmet prompts a person to seek a higher level of wellness. A person feels ambivalence when a need is successfully met. Certain needs are more basic than others and must be met first.

Certain needs are more basic than others and must be met first.

A nurse is providing care to several clients. The nurse performs handwashing with soap and water instead of an alcohol-based hand sanitizer for a client infected with which pathogen? Select all that apply. Candida albicans Staphylococcus aureas Norovirus E. coli Clostridium difficile

Clostridium difficile Norovirus

Which nursing action demonstrates the principle of fidelity? Filing an incident report after making a medication error Treating an uninsured client in the emergency department Administering a vaccination Witnessing a client signature on an informed consent

Filing an incident report after making a medication error

A nurse is inserting a male client's indwelling urinary catheter. After preparing the sterile field and cleansing the client's meatus, the nurse realizes that he has brought the wrong-sized catheter to the bedside. What is the nurse's best action? Dismantle the sterile field, obtain a new dressing tray and the correct catheter, and then begin the procedure from the beginning. Teach the client the importance of not touching his penis or the sterile field and obtain the correct catheter. Illuminate the client's call light and have a colleague bring the correct catheter to the bedside. Place a sterile drape over the client's penis, obtain the right catheter, and proceed with insertion.

Illuminate the client's call light and have a colleague bring the correct catheter to the bedside.

A nurse administers a medication for pain but forgets to document it in the client's health care record. Legally, what does this mean? In the eyes of the law, if it is not documented, it was not done. Nothing, the nurse's honesty will not be questioned. The physician will verify that the nurse carried out the order. The nurse can add the documentation after the client goes home.

In the eyes of the law, if it is not documented, it was not done.

Which are subjective client data gathered during assessment? Respiratory rate of 22 breaths/min, blood pressure of 130/80 mm Hg Nausea, abdominal pain Vomiting, pulse rate of 96 beats/min Pale skin, thick toenails

Nausea, abdominal pain

Nurses play a key role in reducing both the spread of disease and adverse outcomes for clients. Which statement accurately describes this process? Select all that apply. -Nurses practice medical asepsis, which involves procedures and practices that reduce the number and of pathogens and the transfer of these pathogens. -Nurses perform surgical asepsis, which is intended to keep objects and areas free from microorganisms. -Nurses practice asepsis, which encompasses all activities to prevent infection. -Nurses limit the spread of microorganisms by directing the chain of infection. -Nurses use personal protective equipment (PPE), which is the most effective way to help prevent the spread of organisms. -Nurses use Standard and Transmission-Based Precautions as an important part of preventing infection.

Nurses practice asepsis, which encompasses all activities to prevent infection. Nurses practice medical asepsis, which involves procedures and practices that reduce the number and of pathogens and the transfer of these pathogens. Nurses perform surgical asepsis, which is intended to keep objects and areas free from microorganisms. Nurses use Standard and Transmission-Based Precautions as an important part of preventing infection

During the nurse's admission interview the client says, "I don't get too much rest because I am in nursing school and work full time to support myself and my kids." The nurse classifies this statement as an issue at which level of Maslow's basic needs? Love and belonging Self-esteem Physiologic Safety and security

Physiologic

A nurse caring for a client in a long-term health care facility measures the client's intake and output and weighs the client to assess water balance. These actions help to meet which type of need in Maslow's hierarchy of needs? Safety and security Love and belonging Self-actualization Physiologic

Physiologic A balance between the intake and elimination of fluids is essential to life and is, therefore, a physiologic need, according to Maslow's hierarchy of needs. Measuring intake and output and weighing the client help the nurse assess water balance. Safety needs in Maslow's hierarchy refer to the need for security and protection. The third stage in Maslow's hierarchy of needs is the social stage (also known as the love and belonging stage), which includes the need for interpersonal relationships. Self-actualization represents growth of an individual toward fulfillment of the highest needs; those for meaning in life.

When performing an assessment on an older adult client, the nurse discovers that the client needs a cane when walking and has problems seeing in the night. Under which stage of Maslow's Hierarchy of Needs Theory should the nurse cluster this data? Physiologic Safety and security Love and belonging Self-actualization Self-esteem

Safety and security

The health care provider requests an indwelling urinary catheter to be inserted into a woman who has had a total hip replacement and is on strict bed rest. When inserting the catheter, the nurse would place the client in which position? Supine Dorsal recumbent Semi-Fowler Sims

Sims

A client who has undergone resection of the intestine is NPO with a nasogastric (NG) tube in place. A food tray with regular food comes to the room, and the client insists that the health care provider be called. The nurse insists that it is okay and encourages the client eat the food. The client complies and later develops complications that require another operation. Which action constitutes the primary breach of duty in this situation? A. The nurse did not call the health care provider when requested. B. The nurse did not realize the importance and purpose of the NG tube. C.The nurse encouraged the client to eat. D.The dietary department sent the wrong diet for the client.

The nurse did not realize the importance and purpose of the NG tube.

When collecting data on a client, the nurse implements which nonverbal communication form as one of the most effective to express feelings? Gait Eye contact Touch Body posture

Touch

For which client would the use of standard precautions alone be appropriate? a client with diphtheria who needs p.m. care a client with TB who needs medications administered a child with chickenpox who is treated in the emergency room an incontinent client in a nursing home who has diarrhea

an incontinent client in a nursing home who has diarrhea

The nurse is caring for an older adult with influenza. Which precautions will the nurse begin? droplet none airborne contact

droplet

A nurse working on a critical care unit was informed by a client with multiple sclerosis that the client did not wish to be resuscitated in the event of cardiac arrest. Now the client is no longer able to express wishes, and the family has informed the physician that they want the client to be resuscitated. Aware of the client's wishes, the nurse is involved in a situation that may involve: paternalism. confidentiality. ethical distress. deception.

ethical distress.

A nurse is explaining the process of infection to a nursing student. Place the process in the most appropriate order. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. 1entry portal 2infectious agent 3an exit route 4transmission mode 5susceptible host 6a reservoir

infectious agent a reservoir an exit route transmission mode entry portal susceptible host

When the client who has been diagnosed with hepatitis B has been hospitalized, the type of isolation the nursing staff should observe is: droplet precautions. contact precautions. airborne precautions. standard precautions.

standard precautions. Standard or universal precautions relate to blood and certain body fluids to protect health care workers from clients possibly carrying HIV, hepatitis B virus, or other bloodborne pathogens.

A nurse uses a catheter to collect a sterile urine specimen from a client at a health care facility. If a catheter is required temporarily, which type of catheter should the nurse use? straight catheter condom catheter retention catheter urinary bag

straight catheter