Elsevier Quiz for Mgmt Final

An adolescent with a hx of asthma arrives in the ER experiencing resp distress. The primary health care provider admits the adolescent. Implementing which prescription is the nurse's priority? Dyspnea, flaring of nares, productive cough; sputum is frothy, clear, and gelatinous; wheezing, shortness of breath, chest discomfort, HA, feeling tired. Temp- 98.8, Pulse- 108, RR- 30, BP- 130/86 A) administer the nebulizer treatment facilitate breathing B) obtain a blood specimen to send to the lab for tests C) notify the resp therapist to perform chest PT D) send a requisition to central supply for an IS

A

Which client in the postoperative unit would be a safety priority for the nurse to monitor for fluid volume overload? A) client with lymph node dissection B) client with laparoscopic cholecystectomy C) client with surgical intervention for hemorrhoids D) client with liver transplantation

A

Which nursing goal would be a priority for an adolescent who has a hx of fighting, stealing, vandalizing property, running away from home, and has been suspended from school repeatedly? A) preventing violence B) encouraging insight C) supporting self-esteem D) promoting social interaction

A

Which color tag is assigned the lowest priority for care in a mass casualty event? A) red B) black C) green D) yellow

B

Which intervention would be a priority for the nurse to include in the plan of care for a client with a gunshot wound who has sever hemiplegia associated with abnormal body posturing and fixed and dilated pupils? A) monitoring skin integrity B) monitoring bowel patterns C) monitoring RR D) monitoring nutritional status

C

Which priority parameter would the nurse assess when caring for an older adult client with a neurocognitive disorder who demonstrates disorientation and numerous unmanageable behaviors? A) orientation to time, place, and person B) ability to perform daily activities without assistance from others C) stressors that appear to precipitate the client's disruptive behaviors D) cognitive impairments until complete adjustments are accomplished

C

Which task would the nurse classify as low priority when planning client care for the day? A) drawing arterial blood gases on a client in respiratory distress B) turning and positioning a client after hip replacement surgery C) teaching self-administration of insulin injections before discharge D) obtaining and recording vital signs q 2 hrs on a post-op patient

C

When providing care for a client during the first few hours after admission to the burn unit with full thickness burns of the truck and head, which goal is the nurse's priority during the emergent phase of this injury? A) preventing pain B) managing leukopenia C) preventing infection D) managing fluid loss

D

Which client would the triage nurse classify as requiring the least priority of care? A) extreme resp distress- COPD B) sever resp distress- asthma C) moderate shortness of breath- TB D) foreign body aspiration- Pneumonia

D

Which intervention would the nurse classify as the highest priority for an older client with lower-extremity ulcerations due to chronic venous insufficiency? A) teaching techniques for dressing changes B) informing the client about insurance companies C) discussing community resources to obtain support D) teaching how to transfer from a bed to a chair in the least painful manner

D

Which priority nursing intervention would the nurse implement for a client on diuretic therapy who has developed metabolic alkalosis? A) fall prevention measures B) monitoring electrolytes C) administering antiemetics D) adjusting the diuretic therapy

A

Which priority concern would the nurse monitor for while working with clients withdrawing from cocaine? A) risk for self-injury B) potential for seizure C) danger for dehydration D) probability of injuring others

A

A client who underwent open heart surgery died 2 days after the surgery because of septicemia. Which tool will the nurse use to determine the cause of the client's death? A) plan-do-study-act (PDSA) B) root cause analysis (RCA) C) failure mode effective analysis (FMEA) D) computerized physician order entry (CPOE)

B

A postmenopausal client with cancer of the breast decides to have a lumpectomy followed by chemotherapy. After receiving chemo for several weeks, she is not feeling well. The nurse reviews the medical record data presented. After analysis of the available hx, lab tests, and clinical manifestations, which goal has the highest priority for this client? Meds: Cyclophosphamide, doxorubicin, fluorouracil lab: RBC- 4.2 WBC- 3,000 H&H- 12.5 & 39% Platelets: 190,000 Temp: 99.8F Pulse- 88 RR- 24 BP- 126/88 A) promote rest B) prevent infection C) avoid bodily harm D) maintain fluid balance

B

What is the priority nursing action immediately after the insertion of a subclavian central venous catheter for a client who is to begin TPN? A) Obtain a chest X-ray to determine placement B) Auscultate the lungs to evaluate breath sounds C) Draw a blood sample to assess blood glucose level D) assess the right upper extremity for neurological deficits

B

Which intervention is the primary priority for decreasing a client's risk for morbidity and mortality? A) treatment B) prevention C) rehabilitation D) surgical therapy

B

Which is the priority intervention for a dependent client with peptic ulcer disease (PUD) who is vomiting bright red blood? A) apply O2 B) place the client in a side-lying position C) prepare to administer packed RBC D) assess the client's pulse and BP

B

A client with hyperemesis gravidarum is receiving rehydration infusion therapy at home. Which is the priority nursing activity for the home health nurse? A) determining fetal well-being B) monitoring for signs of infection C) monitoring the client for signs of electrolyte imbalance D) teaching about changes in nutritional needs during pregnancy

C

Based on the info in the chart of a client with emphysema and recovering from an acute myocardial infarction, which prescribed medication would the nurse consider the priority at this time? Lab results: WBC- 10,000 H&H- 11, 34% INR: 2.5 VS: Temp- 100F Pulse- 100/min & reg. rhythm RR- 24 BP- 176/96 Using pursed lip breathing pulse bounding Face appears flushed reports HA and dizziness A) albuterol B) warfarin C) metoprolol D) acetaminophen

C

During the immediate postinjury period, which action is the priority focus of nursing care for a client with a spinal cord injury? A) inhibiting UTI B) preventing contractures and atrophy C) avoiding flexion or hyperextension of the spine D) preparing the client for vocational rehab

C

For a client admitted to the hospital with partial and full thickness burns of the chest and face obtained while attempting to extinguish a brush fire, which concern would the nurse establish as a priority? A) loss of skin integrity caused by the burns B) potential infection as a result of the burn injury C) inadequate gas exchange caused by smoke inhalation D) Decreased fluid volume because of the depth of the burns

C

Which assessment is a nursing priority to prevent complications in clients with respiratory acidosis? A) observing the nail beds B) listening to breath sounds C) monitoring breathing status D) checking muscle contractions

C

Which nursing intervention would be a priority for an older client with depression who is prescribed a tricyclic antidepressant? A) providing psychotherapy to the client B) teaching strategies to overcome depression C) encouraging the client to walk for 30 mins D) requesting that the health care provider change the medication

D

Which priority treatment would the nurse help implement for a newly admitted client with anorexia nervosa? A) medications to reduce anxiety B) family psychotherapy sessions C) separation from family members D) correction of electrolyte imbalances

D

Which statement made by the nurse indicates a need for further teaching when educating staff about The Joint Commission's National Patient Safety Goals (NPSG) into the behavioral health unit? A) "we should screen all clients for the risk of suicidal ideations" B) "it is important to perform hand hygiene for at least 15 seconds" C) "it is required to obtain a current medication list upon admission" D) "we should use one client identifier before giving medications"

D