Eaq

What does the ethical principle of justice mean in the context of nursing?

All clients have the same right to nursing interventions

A client is discharged home the same day as a hernia repair. Where did the operation likely take place?

Ambulatory surgery center

Which health care organization was renamed the National Association of Practical Nurse Education (NAPNE) in 1942?

Association of practical nurse schools

A nursing student is recalling the definitions of acts that are classified as torts in nursing practice. Which tort involves intentional touching without the client's consent?

Battery

The health-care provider is discussing the nursing home facilities with a new member of the staff. Which statement made by the staff member indicates the need for further discussion?

"A nursing home setting should resemble a hospital "

A client with a long history of alcohol dependence spends 28 days in an alcohol-rehabilitation unit. What type of referral does the nurse anticipate will be included in the discharge plan?

Community based self help group

Which action is recommended for a client who is planning to prepare a living will and choose a health care proxy?

Ensure the physician agrees with the clients wishes

A health care facility uses cardiac telemetry for a client. Which Quality and Safety Education for Nurses (QSEN) competency does this intervention adhere to?

Informatics

After several days of bedrest, a preschool-age boy with the diagnosis of a liver laceration becomes demanding and will not listen to the nurses. The child was found in the playroom twice on the previous shift. How can the nurse best meet the needs of this child?

Move the child into a room with another preschooler with whom he can play

Which health care organization is limited to licensed practical nurses and licensed vocational nurses?

National federation of licensed practical nurses

A 7-year-old child was recently found to have juvenile idiopathic arthritis. The parents are concerned about the lifelong effects of the disorder and are investigating other therapies to use with the medications. What referral should the nurse recommend?

Physical therapy

Relatives of the victims of a home invasion in which several family members were killed receive crisis intervention services. Which therapy is most beneficial after the immediate event has passed?

Greif

A 15-year-old client tells a school nurse, "I have this awful pain during my periods, it never stops." What should the nurse encourage her to do?

Have a gynecologist exam

A nurse is notified that the latest potassium level for a client in acute renal failure is 6.2 mEq. What action should the nurse take?

Take vital signs and notify the primary health care provider

A client hospitalized for heart failure is receiving digoxin (Lanoxin) and will continue taking the drug after discharge. What should be included in the plan of care for the next few days?

Taking the apical pulse before drug administration and teaching the client how to count the pulse.

When talking with one of the day nurses, a client with the diagnosis of anorexia nervosa states that the day nurses give better care and are nicer than the night nurses. The client also asks a question that the day nurse knows was already answered by one of the night nurses. What conclusion should the nurse make about the client

The client is trying to divide the staff, and the behavior should be reported to the other staff members

A delegator working in a rural setting has to handle a task of managing care for clients in that area. Which crucial step should the delegator take to develop a productive strategy in delegating tasks to a delegatee?

Understanding the capabilities of the delegatee

While auditing unit documents, a nurse finds some omissions. Which term best describes when the nurse meets with the staff to discuss the findings and communicates ways to achieve the desired goals?

management

Which responsibility of the nurse manager differs from the responsibilities of a nurse leader?

Planning the budget

Which tag is suitable for a client with high priority during a disaster with mass casualties

Red

Which statement is true regarding focus charting format of documentation?

The format uses a modified lists of nursing diagnosis

Which type of home care agency includes Visiting Nurses Association?

Voluntary agency

A nurse is teaching a client about false imprisonment. What information should the nurse provide? Select all that apply.

"False imprisonment is an example of an intentional tort." "False imprisonment involves restraining a person unjustly without any legal warrant." "A falsely imprisoned client should be aware of his or her confinement."

A woman who has just delivered an infant asks to take the placenta home with her and her new baby on discharge. What is the most appropriate response?

"I need to check the hospital protocol for our policy on that practice."

A nurse in the post-anesthesia care unit is caring for a client who received a general anesthetic. Which finding should the nurse report to the health care provider? 1 Client pushes the airway out. 2 Client has snoring respirations. 3 Respirations of 16 breaths/min are shallow. 4 Systolic blood pressure drops from 130 to 90 mm Hg

4 Systolic blood pressure drops from 130 to 90 mm Hg

The nurse is caring for a postoperative client. When the nurse educates the client regarding medications, which organization's standard is being fulfilled?

American hospital association

Why is the Glasgow Coma Scale used by the nurse while performing an assessment of a traumatized client?

At assess loc

A primary healthcare provider notes that all conventional treatment procedures have proved to be ineffective in managing a client's disorder. The primary healthcare provider decides to try an experimental treatment. The nurse ensures that the client has understood the implications of the new treatment plan thoroughly and then signs the client's consent form as a witness. Which basic healthcare ethic does the nurse follow in this situation?

Autonomy

What should a nurse recommend to help a client best during the period immediately after a spouse's death?

Bereavement counseling

A registered nurse is educating a nursing student about descriptive theories. Which point stated by the nursing student needs correction?

Descriptive theories help direct specific nursing activities.

A visitor in the waiting room of the emergency department has a syncopal episode and collapses on the floor. The event is witnessed by a nurse, who provides initial care. The nurse assesses the client, maintains safety of the environment, and gives a report to the emergency department nurse who will provide ongoing care. What should the nurse who witnessed the event do next?

Document the incident

What is the nurse's specific responsibility when the rights of a client on a mental health unit are restricted by the use of seclusion?

Documenting both the client's behavior and the reason that specific rights were denied

A practical nurse discusses the goals of hospice care with a group of nursing students. Which statement by a nursing student indicates a need for further discussion?

I should not allow the caregiver to be involved in decisions about the care plan."

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

Institute of medicine

Which statement is true about home health care service?

It includes shoppers, respite care workers, and nursing care staff

A client with a 20-year history of excessive alcohol use has developed jaundice and ascites and is admitted to the hospital. What is the priority nursing action during the first 48 hours after the client's admission?

Monitor vitals

After a motor vehicle crash, a client who sustained multiple injuries is oriented to person and place but is confused as to time. The client complains of a headache and drowsiness, but assessment reveals that the pupils are equal and reactive. Which nursing action takes priority

Monitoring for increasing intracranial pressure

Which tool is used to standardize and measure nursing treatments?

Nursing Interventions Classification (NIC) -Nursing Interventions Classification (NIC) is a tool that helps to define nursing interventions, as well as helps to standardize and measure the nursing care provided.

The licensed practical nurse (LPN) instructs a nursing student to avoid using generalized phrases in documents. What is the concern behind this instruction?

Overlooking the actual content of the report

Which sources provide prepaid health plans? Select all that apply.

PPO HMO

An 8-year-old girl visits the school nurse frequently with vague ailments. The nurse spends time listening to the girl, takes her temperature, and always sends her back to class. One Thursday the girl tells the nurse that she no longer wants to visit her grandfather at his home because he "hugs me too tight and touches me down there" (pointing to her genitals). She has told her mother that she does not want to spend the weekend with her grandparents, but her mother says that she has no choice. What is the most appropriate action by the nurse?

Reporting the alleged abuse to the local child protective agency and encouraging an investigation before the weekend visit

A nurse is evaluating a client's understanding regarding postoperative concerns after mastectomy. Which development near and around the incision noted by the client should be reported to her practitioner?

Swelling with erythema

What are the goals of care when working with families according to the family health system? Select all that apply

To improve family health or well being To assist family in management of illness conditions To achieve health outcomes related to the families area of cincern

Which member of the hospice care team is responsible for providing respite care to the client's caregiver?

Volunteer coordinator

The nurse leader is teaching the staff that the health care provider continuously strives to work effectively within the cultural context of a client. Which cultural principle is the nurse leader explaining?

cultural competence

A 16-year-old single mother of a 1-month-old infant and the infant's grandmother bring the baby to the emergency department and report that the infant accidentally fell down the stairs. The nurse knows that a consent form for treatment should be signed. Who has the responsibility for signing the consent?

The mother, despite her age

With which roommate should the nurse place a 4-year-old boy who has been admitted to the hospital with nephrotic syndrome?

A 5-year-old girl with acute glomerulonephritis

Which client is at greatest risk for the development of venous thrombosis?

A 68 year old male on bed rest following a left hip fracture

A client with angina pectoris is scheduled for a stress echocardiogram. What should the nurse tell the client that an echocardiogram is?

A noninvasive approach to assess cardiovascular status

A nurse manager is helping staff reach optimal functioning to enhance organizational functions. Which Gardner's task is reflected in this leadership behavior?

Achieving workable unity

A client with multiple myeloma who is receiving chemotherapy has a temperature of 102.2° F. The temperature was 99.2° F when it was taken six hours ago. What is a priority nursing intervention

Administer the prescribed antipyretic and notify the charge nurse or primary health care provider

Which health care organization proposed in 1965 that nursing education should take place in institutions of learning within the general education system?

American nurses association

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

American society of superintendents of training

Which intervention is most likely to decrease mortality in the septic client?

Antibiotics

A client has a pulse deficit. Which documentation by the nurse supports this finding

Apical pulse 86 and radial pulse 78 indicating pulse deficit of 8

A client recovering from a laryngoscopy is reminded by a graduate nurse to not eat or drink anything until instructed to do so. How does the graduate's preceptor evaluate the client's direction

Appropriate; oral intake after the procedure may result in aspiration

Which type of home health care agency is most likely to be owned by corporate chains and be profit oriented?

Proprietary agency

Who acts as a delegator in the absence of the registered nurse?

Charge nurse

A direct care nurse performs exceedingly well on a cancer project. As a result, the managerial team decides to promote the nurse to a managerial position. Which actions by the nurse would justify the decision of the panel? Select all that apply.

Inspiring new ideas Establishing short-term goals Demonstrating positive feelings Maximizing results from existing resources

Which services are covered by the hospice Medicare benefit? Select all that apply.

Medication Equipment Palliative care related to the terminal Illness

Which client-made, legally enforceable document contains the instructions of the client regarding his or her refusal to receive cardiopulmonary resuscitation upon admission to a hospital for surgery?

Physician orders for life sustaining treatment

A client with terminal cancer signs a do-not-resuscitate (DNR) order upon admission to the hospital. When the client goes into respiratory arrest a week later, the client is not resuscitated. Which factor does the nurse determine is most relevant to the legal aspects of a DNR order?

Policies of the agency establish the status of DNR orders

Which actions could be performed by a rehabilitation registered nurse (RN)?

Promotes independence

A nurse is counseling a pregnant client who is a vegetarian. What should the nurse plan to do to ensure optimal nutrition during the pregnancy

Refer the client to a dietitian to help plan her daily menu

Which right is applicable when the delegator and delegatee understand a common work-related language

Right communication