Canvas Adaptive questions 05/19/2020

A client who is to receive radiation therapy for cancer says to the nurse, "My family said I will get a radiation burn." What is the nurse's best response?

"A localized skin reaction usually occurs. radiodermatitis occurs three to six ween after the start of treatments

At 10 AM the nurse hangs a 1000-mL bag of D5W with 20 mEq of potassium chloride to be administered at 80 mL/hr. At noon the healthcare provider prescribes a stat infusion of an intravenous (IV) antibiotic of 100 mL to be administered via piggyback over 1 hour. How much longer than expected will it take the primary bag to empty if the nurse interrupts the primary infusion to use the circulatory access for the secondary infusion of the antibiotic?

- An infusion of 1000 mL at 80 mL should take 12.5 hours. Because the primary infusion is interrupted for an hour while the antibiotic is infused, the primary bag will run an hour longer than if it were running uninterrupted

Which health care organization has recently focused on promoting the need for changes in the nursing work force?

- Institute of medicine

When providing care for a client with a nasogastric (NG) tube, the nurse should take measures to prevent what serious complication?

- aspiration pneumonia - care should be taken by preventing dislodging of the tube or vomiting -proper position of patient with an NG tube would be supine or side lying semi fowlers or high

When caring for a patient with enteral feedings

- elevate the HOB to 30-45 degrees to prevent aspiration

When assessing a client's blood pressure, the nurse notes that the blood pressure reading in the right arm is 10 mm Hg higher than the blood pressure reading in the left arm. The nurse understands that this finding:

- it is a normal occurance readings can vary from 10 mm hg higher in the right arm than the left arm

A client has seeds containing radium implanted in the pharyngeal area. What should the nurse include in the client's plan of care?

- maintain the client in an isolation room during radiation therapy with radium implants, the client is placed in isoaltion so exposure to radiation is decreased by family and staff

A genetic counselor is working with a couple, each of whom is a carrier of an autosomal recessive disorder. Which statement indicates that the couple has understood the teaching about this disorder?

-"There is a 1-in-4 chance of having a child with the disorder. According to , when both parents are carriers of an autosomal recessive disorder there is a 25% probability that a child will have the disorder

Which organization's goal was to set educational standards for nurses?

-American society of superintendents of training

A nursing understands that a nursing theory is a conceptualization of some aspect of nursing that describes, explains, predicts or prescribes nursing care. Which points about theories made by the nursing students are accurate? Select all that apply.

-B,C,E A nursing theory helps to identify the focus, means, and goals of practice. Theories give a perspective for assessing clients' situations and organizing data and methods for analyzing and interpreting information. Application of nursing theory in practice depends on the knowledge of nursing and other theoretical models, how they relate to one another, and their use in designing nursing interventions. A theory constitutes much of the knowledge of a discipline. Theory and scientific inquiry are vital links to one another, providing guidelines for decision making, problem solving, and nursing interventions .

Which system thinking theory principle is involved when the nurse considers the decision of a client to terminate clinical treatment?

-Balancing short-term and long-term objective

Which aspect relates to the quality of relationships while assessing the degree of conflict resolution in nursing leadership? Select all that apply.

-Generation of empathy -Understanding being created

When reviewing a drug to be administered, the nurse identifies that the package insert indicates that the Z-track injection technique should be used. Under what circumstance does the nurse expect that this technique will be necessary?

-Medication is irritating to subcutaneous tissue and skin. the z-track method seals the puncture at the intramuscular level preventing seepage of the of the injected medication up the needle track and thereby avoiding injury to subcutaneous tissue and skin

The nurse discovers several palpable elevated masses on a client's arms. Which term most accurately describes the assessment findings?

-Papules are superficial and elevated up to 0.5 cm.

A nurse is caring for an adult client who immigrated to this country 5 years ago. What does the nurse know about the past experiences of clients who have immigrated to this country?

-They are important in assessment of their values Past experiences are important and must be recognized because they set the parameters for the individual's enduring values throughout life. Past experiences do not affect inherited traits. Past experiences play an important role in an individual's life. Nothing establishes how an individual responds over a lifetime; new experiences continue to influence future responses

which statement about active transport is true select all that apply.

-active transport requires energy expenditure -involves trapping of bacterial cells through phagocytosis

which cell organelle helps in spindle formation during mitosis?

-centrioles centrioles help the spindle form during mitosis for cell division

what does "information salience", a characteristic of communication, refer to according to anthony and vidal?

-clarity of information

A nurse who lacks confidence in her performance in a new position is worried about an upcoming review with the nursing director. What type of power does the nursing director hold in this scenario?

-coercive power arises from someones real or perceived fear of another person and may be caused by lack of confidence in performance in a new position or about an upcoming review with the nurising director

A nurse is caring for an older adult with a hearing loss secondary to aging. What can the nurse expect to identify when assessing this client? Select all that apply.

-dry cerumen -difficulty hearing high pitched voices

what other sign can be found with a patient with an increased temperature?

-increased repiratory rate' -decrease in appetite

Fentanyl

-it can treat severe pain Opioid Analgesic and high risk for addiction

Which amount of time is appropriate for nurse to spend triaging each patient during a mass casualty incident?

-less than 15 seconds

which health care professionals can become members of the nflpn?

-lvn -lpn

which cell organelle is responsible for the digestion of microbes that have invaded the cell

-lysosomes -contains digestive enzymes that have invaded the cell

The nurse leader is monitoring a student nurse who is accessing various databases. Which search platform should the nurse leader suggest to access a variety of databases including Cumulative Index to Nursing and Allied Health Literature (CINAHL) and MEDLINE? Select all that apply.

-ovid -ebsco OVID and EBSCO are search platforms for a variety of databases including CINAHL and MEDLINE

What is the priority of care to promote client safety directly after esophagogastroduodenoscopy? Select all that apply.

-preventing aspiration -monitoring signs of perforation

A hospitalized client feels drowsy and dizzy due to the administration of multiple doses of antihistamines over a 24-hour period. Which client need would the nurse leader address according to Maslow's subcategories?

-safety and security A client suffering from side effects of antihistamines should be provided safety needs.Because the client is drowsy and dizzy, he or she may lose a sense of balance and fall.Therefore, the client should be protected from any physical harm. Self-esteem needs are addressed when dignity and recognition are taken into consideration. Self-actualization needs involve personal growth and maturity. Love and belonging needs also would not be applicable here.

A 70 year old client with minor burns on his hands and legs receives care from a voluntary home health agency. Which of these statements about this agency are true? select all that apply

-the agency receives fees from the client -this agency offers public health services -a community based board of directors governs this agency

A licensed practical nurse is about to meet the family of a client in hospice care who is near death. The nurse is aware that the client's family belongs to the Unitarian Universalist Association. Which religious belief may the client's family may hold?

-the clients family is likely to prefer cremation to burial

Kotter's 8 step model

1. Establishing a sense of urgency 2. Forming a powerful guiding coalition 3. Creating a vision 4. Communicating the vision 5. Empowering others to act on the vision 6. Planning for and creating short-term wins 7. Consolidating improvements, produce more change 8. Institutionalizing new approaches

2 structures in the Skeletal System

1. Joints 2. Bones

4 functions of the Integumentary System

1. PROTECTION 2. REGULATION OF BODY TEMPERATURE 3. SYNTHESIS OF CHEMICALS AND HORMONES 4. SENSE ORGAN

6 structures/organs in the Integumentary System

1. SKIN2. HAIR3. NAILS4. SENSE RECEPTORS5. SWEAT GLANDS6. OIL GLANDS

4 functions of the Skeletal System

1. SUPPORT 2. MOVEMENT (WITH JOINTS AND MUSCLES) 3. MINERAL STORAGE (CA+) 4. BLOOD CELL FORMATION

what are the four stages of primary intention?

1. haemostasis 2.inflammation 3.proliferation 4.remodeling

semi fowlers

30-45 degrees

high fowlers

60-90 degrees

Path-Goal Theory of Leadership

A theory that states that the most important aspect in leadership is the follower's expectation that a task can be accomplished and that it will lead to rewards.

a hospitalized client is scheduled to have a sigmoidoscopy. What pre-procedure interventions will the nurse anticipate?

Administering a fleet enema 1 hour before the procedure -this helps facilitate visualization of the rectum ans sigmoid colon and must be empited before procedure

Lysosomes

An organelle containing digestive enzymes

what is protein essential for?

Building muscle, building and repairing tissue, growth and energy

A nursing student is giving examples of healthcare settings and services. Which scenario is a perfect example of tertiary care?

Caring for a postoperative client in the intensive care unit who is suffering from respiratory distress Tertiary care consists of intensive care and subacute care.

Central Venous access device

Catheter inserted into the superior vena cava

DARE charting

Data, Action, Response and evaluation, education and patient teaching

The registered nurse is teaching the student nurse about the concepts of delegation. Which response given by the student nurse indicates the need for further teaching?

Delegation is the transfer of the responsibility for the task, while the final accountability is always retained with the delegator.

malice

Desire to harm others

Situational Leadership

Effective leadership varies with the *task* in hand and situational leaders adapt their leadership style to each situation

The nurse is caring for a client who is recovering from a stroke. The primary health care provider has referred the client for rehabilitative care. Which interventions by the nurse help to make a successful referral process? Select all that apply.

Explain the need for referral to the client and family. Provide the referral with adequate client information. Determine what the referral recommends for client care.

Mary Breckenridge

Founder of the Frontier Nursing Service

Apical rate

Heart rate obtained from the apex of the heart

pitocin

Hormone, induces labor

nurse-initiated intervention

Independent—Actions that a nurse initiates

What makes a crisis access hospital (CAH) different from an intensive care unit (ICU)?

It provides temporary care for 96 hours or less.

tort law

Law that deals with harm to a person or a person's property.

malignant melanoma

Most serious form of skin cancer; often characterized by black or dark brown patches on the skin that may appear uneven in texture, jagged, or raised.

What does NFLPN mean?

National Federation of Licensed Practical Nurses founded by Lillian Kuster 1949

nodules and tumors

Nodule and Tumors Are elevated, solid, hard or soft palpable masses extending deeper into the dermis than a papule. Nodules have circumscribed borders and are 0.5 to 2 cm; tumors may have irregular borders and are larger than 2 cm.

Which qualities of a leader indicate a transformational approach to leadership? Select all that apply.

Possessing charismatic behavior Possessing intellectually stimulating behavior Having inspirational and motivational behavior

what is Povidone-iodine?

Povidone-iodine, also known as iodopovidone, is an antiseptic used for skin disinfection before and after surgery. It may be used both to disinfect the hands of healthcare providers and the skin of the person they are caring for. It may also be used for minor wounds

radial pulse

Pulse felt at the wrist (thumb side)

rhonchi

Rattling noise of mucous in the lungs

Which initiative demonstrated by the registered nurse is an effective art of communication of a leader?

Reinforcing the values behind the change

which is known as the chemical messenger in the protein synthesis process?

Ribonucleic acid (RNA)

what is the briefer adaption of the charting format POMR?(Problem-oriented Medical Record)

SOAPE (subjective, objective, Assessment, Plan, Evaluation)

two-factor theory

Schachter's theory that to experience emotion one must (1) be physically aroused and (2) cognitively label the arousal

SOAPIER charting

Subjective data Objective data Assessment data Plan Intervention Evaluation Revision

autosomal recessive disorders

Tay-Sachs, Cystic fibrosis, sickle cell anemia, phenylketonuria

skeletal traction

The most effective means of traction, applying to a bone with wire pins or tongs - always assess the pin sites every shift or as needed

The American Society of Superintendents was renamed

The national league for nursing education

remodeling

The process of resorption and formation of bone

The nurse leader is executing quality improvement (QI) processes in a team. Why are QI processes important

They review the nursing activities. QI only reviews nursing activities and does not inspect

What is the key idea of role theory in nurse leadership? Select all that apply.

To understand behavior in certain circumstances To collect concepts that predict the actors' performance in a given role

According to style theory of leadership, which is an action of a nurse leader?

Using feedback from superiors to measure own performance

inflammation

a localized physical condition in which part of the body becomes reddened, swollen, hot, and often painful, especially as a reaction to injury or infection.

Haemostasis

blood clotting

erosions

characterized as a loss of the epidermis layer

what procedure should be performed to verify placement of the CVAD?

chest x ray

wheezes

continuous high-pitched whistling sounds produced during breathing

cardiac telemetry

continuous monitoring of a patient's heart rate and rhythm via EKG electrodes

pleural friction rub

continuous, dry grating sound caused by inflammation of pleural surfaces and loss of lubricating pleural fluid

pulse deficit

difference between the apical and radial pulse rates

cerumen

ear wax- becomes drier as as someone ages

macules

flat spots on the skin, such as freckles

Accreditation

granting approval or belief in a school

Atherosclerosis

hardening of the arteries

myocardial infarction

heart attack

which action of the clinical nurse is consistent with gardner's task of achieving work unity?

helping clients accomplish optimal functioning

Tertiary care

highly complex care and therapy services from practitioners in a hospital or overnight facility

Antihistamines

inhibit allergic reactions of inflammation, redness, and itching caused by the release of histamine

Povidone-iodine

iodine suspended in a synthetic polymer that reduces the toxic effects of iodine yet maintains the antimicrobial properties

Proprietary home health agency

is free standing and may or may not receives support from services that may or may not have medicare or medicaid

hemiplegia

paralysis of one side of the body

what drug is available in injectable form?

pitocin

(PIE) charting

problem, intervention, evaluation -originates from the nursing process

What are the phases of cell division?

prophase, metaphase, anaphase, telophase

what nutritional diet would be prescribed for a patient with a patient with a recovering wound from an abdominal surgery?

protein and vitamin c

the apical rate is more rapid than the

radial rate when a pulse deficit exists

proliferation

rapid increase in numbers

how to dispose of a fentanyl transdermal patch

remove and dispose of the patch in a appropriate receptacle

normative-decision making model

shows that team decisions fall on a continuum ranging from leaders making the decision themselves to delegating the decision to the team

Which epithelial tissue is only involved in osmosis by absorption?

simple Squamous

A nurse needs to record a client's data from admission until discharge. Which record will the nurse use?

source record

lymphedema

swelling due to an abnormal accumulation of lymph fluid within the tissues

Which type of leadership theory explains the effectiveness of leadership and depends on the match between a leader's style and the demands of the situation?

the contingency theory of leader ship

Bronchovesicular

the normal breath sound heard over major bronchi, characterized by moderate pitch and an equal duration of inspiration and expiration

case law

the rules of law announced in court decisions

Primary intention healing

tissue surfaces are approximated (closed) and there is minimal or no tissue loss, formation of minimal granulation tissue and scarring

vesicles

transparent, filled with serous fluid and are blister like elevation

Fentanyl transdermal patch

used for round the clock chronic pain relief especially for long term.

Charting by exception

uses standardized forms that identify norms and allows selective documentation of deviations from those norms

esophagogastroduodenoscopy

visual examination of the esophagus, stomach, and duodenum

sigmoidoscopy

visual examination of the sigmoid colon

which vitamin promotes wound healing

vitamin c

Secondary intention healing

wound in which the tissue surfaces are not approximated and there is extensive tissue loss; formation of excessive granulation tissue and scarring