Nursing Research

The nurse explains to the parents of a 6 year old child with pinworm infestation how pinworms are transmitted. Which statement indicates that the teaching has been understood?

"She needs to wash her hands before eating anything."

An adolescent was recently diagnosed with type 2 diabetes mellitus. Which information will the nurse include when providing education to the family?

"The most important interventions are good nutrition and portion control."

When identifying a delivery model of client care, which factors would the nurse manager take into consideration?

Budget, Unit objectives, Client population, Organizational goals

Which intervention would the nurse encourage the parents of a child with plumbism (lead poisoning) to do?

Assess the family's home environment for lead sources and have them removed

Which is the most appropriate approach for the school nurse to take regarding children who are to be given medications while in school?

Assuring the children that their privacy will be respected

Before delegating a task. which aspects are considered when determining the willingness of a nursing assistant?

Attitude, confidence, commitment

Which component of delegation is the ability to perform duties in a specific role?

Authority

Which product would the nurse instruct intravenous drug users (IDUs) to use for cleaning of needles and syringes between uses?

Bleach

Which information regarding varicella is correct?

Communicable until al vesicles are dry

An adolescent girl is concerned about her body image after amputation of a leg for bone cancer. After the nurse has obtained the girl's consent, which action is most therapeutic?

Encouraging her peers to visit

For which age group would the nurse anticipate experiencing the most challenge in providing care?

From 1 to 4 years of age

Which anti-infective agent may lead to blindness if not used correctly by the client in prescribed amounts?

Gentamicin

While the nuse is teaching a client with diabetes about food choices, the client states, "I do not like broccoli." Which food would the nurse suggest to substitute for broccoli?

Green beans

Which manifestation indicates tertiary syphyilis?

Gummas

Which sexually transmitted infection causes condylomata acuminate?

Human papillomavirus (HPV)

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

The nurse determines that an adolescent with newly diagnosed type 1 diabetes has sufficient knowledge of the disorder. Which is the next appropriate action?

Setting goals with the client

Which would the nurse do first if an allergic reaction to a blood transfusion occurs?

Shut off the infusion

A health care provider prescribes daily docusate sodium for a client. The nurse explains to the client that this medication has which action?

Softens the feces

The nurse is teaching a client with a diagnosis of pulmonary tuberculosis about recovery after discharge. Which is the most important intervention for the nurse to include in this plan?

Taking medications as prescribed

The nurse provides education about self-care management to a client who was recently diagnosed with emphysema. The nurse concludes that further teaching is needed when the client makes which statement?

"I will maintain complete bed rest."

Cardiac catherization in a child with a ventricular septal defect (VSD) serves which purpose?

Identifies the specific location of the defect

Which nursing intervention would the nurse provide to prevent heat loss in the neonate immediately after birth?

Putting the naked newborn on the mother's bare chest.

The school nurse presented a program for teachers about infection- control and hand-washing techniques. Which evaluation method is the most effective way for the nurse to evaluate the teacher's knowledge of hand-washing techniques?

Watch the teachers demonstrate infection-control techniques

A client has a tonic-clonic seizure at work and is admitted to the emergency department. Which question is most useful when planning nursing care related to the client's seizure?

"Were you aware of anything different or unusual just before your seizure began?"

A client has a leaking thoracic duct after a radical neck surgery. The nurse expects that the postoperative plan of care will include which prescriptions?

A chest tube, total parenteral nutrition (TPN), and bed rest.

Which reaction is an example of a type I hypersensitivity reaction?

Anaphylaxis

Which of Gardner's leadership tasks is the nurse leader following when instructing an obese client complaining of leg pain when ambulating long distances about different exercises to try for relieving the pain?

Explaining

A 13 year old client is found to have idiopathic scoliosis. The client is upset about the treatment regimen and is worried about being different from peers. Which would the nurse provide to maintain a positive self-image during treatment?

Help investigate appropriate clothing to minimize appearance of the brace.

A client is admitted to the hospital with the diagnosis of cancer of the thyroid, and a thyroidectomy is scheduled. What is important for the nurse to consider when caring for this client during the postoperative period?

Hoarseness and airway obstruction may result from laryngeal nerve damage.

Which was the underlying purpose of the national health information technology infrastructure that originated from the executive order Incentives for the Use of Health Information Technology issued by President George W. Bush in 2004?

Improves the quality, safety, and efficiency of health care

Which trauma center will the nurse recommended transfer for the most critical clients involved in a multiple-vehicle accident?

Level I

Which clinical manifestation is found in a client with a deficiency of adrenocorticotropic hormone?

Malaise

Which phase of disaster management is the nurse executing when teaching hygiene practices and symptoms of various infections to victims of a hurricane?

Mitigation

Which health care team member is the designated delegator?

Nurse manager

A client with an obstruction of the pancreatic ducts is diagnosed with acute pancreatitis. A subtotal pancreatectomy is performed. The nurse would monitor the client for which postoperative complication?

Paralytic ileus

Which condition would the nurse suspect in the client who reports a burning sensation and sharp pain on the sole of a foot?

Plantar fasciitis

Which electrolyte found in intracellular fluid would the nurse consider most important?

Potassium

The nurse is caring for a child who has an external fixation device on the leg. Which is the nurse's priority goal when providing pin care?

Preventing infection

Which team member acts as a liaison between the health care facility and the media?

Public information officer

A client is admitted to the emergency department with a stab would of the chest. Which is a priority nursing assessment?

Quality and depth of respirations

A client arrives in the emergency department with multiple crushing wounds of the chest, abdomen, and legs. What are the priority nursing assessment?

Quality of respirations and presences of pulses

A primary health care provider prescribes propylthiouracil (PTU) for a client with hyperthyroidism. Two months after being started on the mediation, the client calls the nurse and complains of feeling tired and looking pale. Which action would the nurse take for this client?

Schedule the client for an appointment

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

The nurse is caring for a child with a diagnosis of meningitis. Which clinical findings indicate an increase in intracranial pressure?

Irritability, bradycardia

Which developmental evaluation would the nurse make when parents tells the nurse that their 7 month old infant has just started sitting up without support?

Is expected developmental behavior at this age

The nurse is planning to teach the four-point alternate crutch gait to a 9 year old with cerebral palsy. How would the nurse explain this choice to the parents?

It provides for equal but partial weight bearing on each limb.

A client is admitted to the hospital with a diagnosis of acute pancreatitis. The health care provider's prescriptions include nothing by mouth and total parentaeral nutrition (TPN). The nurse explains that the TPN therapy provides which benefit?

Will meet the client's nutritional needs without causing the discomfort precipitated by eating

The registered nurse is teaching the newly hired nurse about active delegation. Which statement made by the newly hired nurse indicates the need for further teaching?

"I will instruct the licensed vocational nurse (LVN) to administer intravenous (IV) medications

For which clinical indicators would the nurse monitor when caring for a client with cholelithiasis and obstructive jaundice?

Dark urine, yellow skin, clay-colored stool

The school nurse is planning to teach the importance of hand washing to the children in first grade. Which is the most effective approach for this age group?

Demonstrating hand washing and asking for return demonstrations

Which factors contribute to a client's slow rate of healing?

Diabetes, Smoking, Alcohol abuse

The nurse is teaching a parent of a 2 year old toddler how to administer eardrops. Which direction would the nurse teach the parent to pull the pinna?

Down and back

Which emergency severity index (ESI) level should be considered a high priority for the nurse caring for clients in the emergency department (ED)?

ESI-1

The nurse provides discharge teaching to a client who had a total hip replacement. The client states that the plan is to go swimming at the community pool the day after discharge. Which action would the nurse take in response to the client's comment?

Explain that the incision should not be immersed in water until it has healed.

Intravenous fluids and insulin are prescribed to treat a client's diabetic ketoacidosis. The client develops peripheral paresthesias and shortness of breath. The cardiac monitor shows that appearance of a U wave. Which complication would the nurse suspect?

Hypokalemia

The nurse is providing postoperative care for a client 1 hour after an adrenalectomy. Maintenance steroid therapy has not begun yet. The nurse would monitor the client for which complication?

Hypotension

Which statement must the nurse emphasize to the frailly when preparing a school-aged child with persistent asthma for discharge?

Medications must be continued even when the child is asymptomatic.

Which nursing action would be included in the plan of care for a child with acute poststreptococcal glomerulonephritis?

Monitoring for seizures

Which member of the interprofessional team in a palliative care setting as the client advocate, evaluating the physical, emotional, and spiritual needs of the client?

Nurse

Which colors are often included in an organizational disaster plan for use during triage?

Red, black, green, yellow

Which health care team member is responsible for analyzing the knowledge and work of newly hired unlicensed assistive personnel before delegating a task?

Registered nurse

Which health care team member supervises unlicensed nursing personnel (UNPs) in providing care to the client?

Registered nurse

The registered nurse suggested that the newly hired registered nurse delegate tasks to nursing assistants. Which element fosters effective delegation decisions by the newly hired RN?

Stability

Which stage of the human immunodeficiency virus (HIV) would a client with a CD4+ T cell count of 325 cells/mm3 be classified?

Stage 2

Which health care team member is familiar with all the needs of any individual client?

Charge nurse

For which client illness would airborne precautions be implemented?

Chickenpox

Which sexually transmitted infection (STI) is most commonly reported?

Chlamydia

A team member has asked the nurse leader about changes in the work schedule. Which action would be taken by the nurse leader in this situation?

Clearly explaining the reason for the change to the team member

Which client would the nurse state shows symptoms of influenza?

Client 4: Headache, muscle aches, fever, chills, fatigue, weakness, sore throat, cough, watery nasal discharge lasting more than a week, nausea, vomiting, diarrhea.

A child becomes cyanotic during a generalized tonic-clonic seizure. Which is the most appropriate action by the nurse?

Continuing to observe the seizure

Which dietary nutrients would the nurse teach a client regarding the support of natural defense mechanisms?

Vitamins A, C, E, and selenium

A 50 year old client has difficulty communicating because of expressive aphasia after a cerebrovasular accident (CVA, also known as a "brain attack"). When the nurse inquired about the client's feelings, the spouse responded. Which communication strategy would the nurse use to address this behavior?

Acknowledge the spouse, but look at the client for a response

Why is the vomitus of an infant with pyloric stenosis white rather than bile-stained?

There is an obstruction above the opening of the common bile duct.

How do toddlers learn self-protection?

Through trial-and-error strategies

Which equipment would the nurse need to obtain to assess the client's vagus nerve (cranial nerve X)?

Tongue depressor

Using Erikson's theory of development, which task would the nurse determine that a healthy 9 month old infant is in the process of achieving

Trust

Which nursing action has the highest priority when preparing to transfer an unconscious client who sustained a head injury from the emergency department to a neurological trauma unit?

Validating availability of a bag-valve-mask during transfer

A parent tells the nurse, "My 9-month-old doesn't have the same strong grasp as at birth, and my child is not startled by loud noises anymore." Which education would the nurse provide the parent to explain these changes in behavior?

"Those responses are replaced by voluntary activity around 5 months."