Fundamentals- Quiz #7 (Exam 3 Material)

A client is very anxious and states, "I am so stressed." What is the reason stress affects the client's safety? Stress increases retention of information Stress affects interpersonal relationships Stress increases concern about hazards Stress tends to narrow the attention span

Stress increases retention of information

A client with diabetes has impaired sensation in her lower extremities. What education would be necessary to reduce her risk of injury? "Take your insulin twice a day as we have discussed." "Always test the temperature of bath water before stepping in." "Remember to follow your diet so you lose weight this month." "Rub lotion on the skin of your legs and feet twice a day."

"Always test the temperature of bath water before stepping in."

A nurse is attending a job fair at the local community center and stops at a booth that is demonstrating technology for client care. While touring the booth, the nurse meets an informatics nurse specialist (INS). Being unfamiliar with this position, the nurse asks the INS, "How did you get this position?" Which response by the nurse would be most appropriate? "I am required to have a bachelor's degree in nursing." "I've had graduate-level education focusing on informatics." "I was involved in getting our electronic health record off the ground." "I have a doctorate in nursing with a minor in computer technology."

"I've had graduate-level education focusing on informatics."

An informatics nurse is working as part of a team considering an update to a clinical information system already in place. Which questions would be important for the team to ask first? Select all that apply. "What is the purpose of the change?" "Will it improve overall usability?" "How will its use be incorporated into the nurse's current workflow?" "How should the screen be laid out so it's consistent with other screens?" "Can the design support the nurse's workflow?"

"What is the purpose of the change?" "Will it improve overall usability?" "How will its use be incorporated into the nurse's current workflow?"

An informatics nurse is assisting with the development of a new clinical information system that will be implemented in the facility. As part of the process, the team is evaluating the purpose of the system and the technological options available. The team is in which phase of the system development lifecycle? Design Test Train Analyze and plan

Analyze and plan

An informatics nurse specialist is working with a team who is developing an expanded system for documenting critical values in the electronic health record (EHR) being used at the facility. The team has identified the need for this addition and provided appropriate evidence to support this change. The team would now proceed to which phase in the system development lifecycle? Design and build Test Train Analyze and plan

Design and build

A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke, but his care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client? Fowler's low-Fowler's protective supine semi-Fowler's

Fowler's

The nurse is preparing to send a client to the operating room for an exploratory laparoscopy. The nurse recognizes that there is no informed consent for the procedure on the client's chart. The nurse informs the physician who is performing the procedure. The physician asks the nurse to obtain the informed consent signature from the client. What is the nurse's best action to the physician's request? Inform the physician that it is his responsibility to obtain the signature. Obtain the signature and ask another nurse to cosign the signature. Inform the physician that the nurse manager will need to obtain the signature. Call the house officer to obtain the signature.

Inform the physician that it is his responsibility to obtain the signature.

Nurses provide many interventions to prevent falls in health care settings. What would be an appropriate intervention to prevent falls? Lock wheels on beds and wheelchairs. Apply restraints to all confused clients. Keep side rails up at all times. Keep bed in the high position.

Lock wheels on beds and wheelchairs.

A nurse is admitting a client to a geriatric medicine unit. Which nursing action would the nurse perform to reduce the client's risk for a fall? Orient the client to the room and environment upon admission. Provide the client with a bedpan to reduce ambulating to the restroom. Administer pain medications sparingly in order to minimize any cognitive side effects. Place the client in a shared room with a client who is stable and oriented.

Orient the client to the room and environment upon admission.

An informatics nurse is part of a team that is testing a new electronic health record system. The testing involves large groups of health care providers who will be using the system. During this testing, the system stalls and fails to respond when large numbers of providers are using the system at the same time. Which phase of testing is being conducted? Integration Function Performance User acceptance

Performance

A nurse is reading a journal article about nursing informatics in which the article describes the two types of nurse informaticists. The nurse demonstrates understanding of the article by identifying which characteristic as being solely reflective of an informatics nurse (IN)? The nurse has received primarily on-the-job training. The nurse has completed a post-master's educational program. The nurse has received formal graduate-level education in informatics The nurse has both a nursing and medical degree.

The nurse has received primarily on-the-job training.

The client lives in a remote area and has been referred to a specialist who travels to the area once a month. The client's condition requires an appointment as soon as possible. The low-income client has no reliable transportation. What would the nurse do to facilitate access to the specialist for the client? Use videoconferencing to access the specialist. Schedule an appointment with the specialist for next month. Make travel arrangements that include a bus trip and overnight stay at a motel. Send the client's records through the mail to the specialist and communicate through the mail.

Use videoconferencing to access the specialist.

A nurse is providing care for a client who has been newly admitted to the long-term care facility. What is the primary criterion for the nurse's decision whether to use a mechanized assistive device for transferring the client? the client's body weight the client's ability to assist the client's cognitive status the client's age

the client's body weight

The physician's admitting orders indicate that the client is to be placed in Fowler position. Upon positioning this client, how much will the nurse elevate the head of the bed? 45 to 60 degrees 15 to 20 degrees 30 degrees 90 degrees

45 to 60 degrees

Which of the following people has the greatest risk for accidental injury? An infant just learning to crawl An older adult who walks two miles a day An athlete who exercises on a regular basis A worker who operates industrial machines

A worker who operates industrial machines

A nurse is conducting a prenatal class for expectant parents. What is one topic that should be addressed to promote safety in the developing fetus? The stages of labor with possible complications The role of the father in proper prenatal care Infant hygiene and feeding Alcohol consumption and smoking

Alcohol consumption and smoking

An emergency room nurse is assessing a toddler with multiple bruises and burns. The nurse suspects the toddler has been abused. What is legally required of the nurse? Nothing; the nurse has no control over the toddler's home. Refer the caregivers of the toddler to a home health nurse. Verbally confront the caregivers about the suspicions. Report suspicions about the abuse to proper authorities.

Report suspicions about the abuse to proper authorities.

Which nursing diagnosis would be appropriate for educational interventions for a single mother who leaves her toddler unattended in the bathtub? Noncompliance Risk for Suffocation Risk for Falls Risk for Imbalanced Body Temperature

Risk for Suffocation

A facility is planning to implement an update to the electronic health record. This update is designed to facilitate documentation of critical changes in clients' condition to save time that nurses spend when documenting these changes. An informatics nurse specialist asks a group of staff nurses to test this update to determine if it is working as it was designed. The nurses are involved in which type of testing? Performance User acceptance Function Integration

User acceptance

A staff development nurse is discussing techniques to prevent back injury with a group of nurse aides . The nurse informs the group that back stress and injury can be prevented by: spreading the feet shoulder-width apart to broaden the base of support. using the strength of the back muscles during strenuous activities. holding the object that you are lifting/moving away from the body. pulling equipment, rather than pushing it, when possible.

spreading the feet shoulder-width apart to broaden the base of support.