Nursing 111

Analyze the data and create an individualized nursing diagnosis.

The nurse is caring for a client who presents with polydipsia, polyphagia, and polyuria. The client's laboratory test results reveal an increased HgbA1C level, which could indicate increased blood glucose levels. What is the next step for the nurse to take based on the nursing process

art of nursing

The nurse is caring for a client with a new diagnosis of cancer, and allows the client to verbalize fears relating to how to tell the children. The nurse's intervention reflects which aspect of nursing?

pursuing postlicensure education becoming cross-trained in another area of the hospital implementing evidenced-based clinical pathways coordinating health care services before client discharge

Which nursing actions will increase efficient management of client care and decrease the ramifications of the nursing shortage?

Refer the mother for a home care visit.

Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding?

Scientific problem solving can occur within the nursing process.

Which statement is true of the nursing process?

The client receiving the care

A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care?

"I notice you might be experiencing some feelings of sadness. Would you like to share how you are feeling with me?"

A nurse is working with a client who has undergone a lower leg amputation. While conducting an assessment, the nurse notes the client has a downcast mood. Which statement by the nurse conveys empathy to the client?

administering bedside blood glucose testing

A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which task is most appropriate for the nurse to delegate to the licensed practical nurse (LPN)?

False

When carrying waste bag hold them around the bottom to help keep the bottom of the bag from splitting and spilling waste

Encourage client to utilize the free health care clinic

Which action should the nurse implement when working with a medically homeless client?

Facilitating coping

A client is distraught because a recent computed tomography (CT) scan shows that the client's colon cancer has metastasized to the lungs. Which nursing aim should the nurse prioritize in the immediate care of this client?

avoid offering personal opinion to which action to take next

A client is very upset after being told by the health care provider that test results confirm a diagnosis of colon cancer. Which action should the nurse consider most important when answering questions from this client?

Researches surveys of new schools for furthering education goals Determines which schools are nationally accredited

A graduate nurse is joining the National League for Nursing (NLN) prior to furthering education in the field of nursing. What actions by the graduate when becoming a member will assist the student in attaining educational goals? Select all that apply.

be an advocate for appropriate care

A novice nurse is excited to finally be able to put all the training to use on the inpatient unit. Which factor should the nurse be sure to prioritize when beginning to interact with clients?

Prioritize the nursing diagnoses.

A nurse has developed a plan of care for an adult client. What nursing function is important when using nursing diagnoses to guide the care of this client?

TRUE

when removing gloves becareful not to touch the outside of either glove with bare skin

true

you should treat all patients blood as if it is infected w blood borne pathogen

Completing clinical hours supervised by a nursing instructor

Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this

True

If you are exposed to a blood borne pathogen you are not automatically infected

Administer a high-calorie diet, excluding wheat, rye, and oats.

The nurse is caring for an underweight female client diagnosed with a new food allergy to wheat, rye, and oats and with a nursing diagnosis of Imbalanced Nutrition: less than body requirements. What is the most appropriate intervention for this client?

Activities focused on maintaining wellness

The community health nurse creates a program to promote the health of the community using health promotion principles. Which intervention would the nurse include in this program?

American Journal of Nursing

The first nursing journal owned, operated, and published by nurses was:

World War II

The need for university-based nursing education programs was brought to light during which important historical time?

Repositioning the client

The nurse administers pain medication to a postoperative client. Which nursing intervention will assist with the client's unrelieved pain

involving the client with all the steps of the process in care development

The nurse is assisting with the creation of a plan of care for a client with newly diagnosed diabetes mellitus. When creating the plan of care, what is the priority action for the nurse? You Selected:

To restore health

The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?

Educator

The nurse is performing an extensive dressing change on a client with burns. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step?

Evaluate Plan Assess Implement

The nursing process includes step(s)? Select all that apply.

health promotion

The primary aim of the Healthy People 2030 initiative is:

Palpating a mass in the right lower quadrant of the abdomen

Which is the most appropriate example of the assessment phase of the nursing process?

false

alcohol based hand rub is not effective to decontaminate hands

true

check personal protective equipment routinely for tears or flaws

true

dried hbv has been shown to survive on environment surfaces at room temp for up to one week

false

food and drink can be kept in places where blood or other potential infectious material

true

hiv, hbo and ccv are all transmitted through contact w blood or other potentially infected materials

False

most infected with hep b never recover or clear the infection

Outcomes

A nurse identifies the following: "The client will report a pain rating of 4 or less within 30 to 45 minutes of receiving prescribed analgesic." The nurse has identified:

Inspecting Auscultating Percussing Palpating

A nurse is engaged in the assessment phase of the nursing process. When completing the physical exam, which techniques would the nurse likely use? Select all that apply.

Modify the plan of care and interventions to meet the client's needs.

The nurse is caring for a client with a nursing diagnosis of deficient fluid volume. The nurse has implemented the plan of care and on evaluation finds that the client continues to exhibit symptoms of deficient fluid volume. What should the nurse do next?

A nurse allowing a crying client to verbalize fears of death

Which scenario is the best example of a nurse in the role of counselor?