Principles Quiz 3 (Ch. 20,21,43,46,31,36)

A client with a superficial (2nd degree) burn is being discharged home. For which reason should the nurse recommend that the client consume Vitamin C daily?

To promote healing of the burn

A nurse is justified in assessing for sexual dysfunction among male clients who are receiving which of the following?

Antihypertensive medication

A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients and 3 supply the body with energy. What are the 3 sources of energy?

carbohydrates, proteins, lipids

The pre-operative nurse is teaching a client about deep breathing exercises. The client asks, "Why do I need to learn about this?" Which response by the nurse is correct?

"After surgery, deep-breathing exercises help to remove anesthetic gases and mucus and improve oxygen supply to body tissues"

A primary care office has just recently implemented the use of a client portal. The nurse manager of the office is conducting an orientation for the staff about it. One of the staff asks the nurse manager, " So how will the portal benefit the clients?" Which response by the nurse manager is appropriate?

"Studies show clients adhere better to their medication regimens"

A nurse manager is working with a newly hired nurse to create a password to access the clinical information system on the assigned unit. Which suggestion by the nurse manager is appropriate?

"Use a password that has at least 8 characters"

Upon arrival to the ER, the mother of a client involved in a MVA becomes upset when she learns her son is unconscious and unstable. The mother begins to yell at the ER staff in unintelligible words, and she is trembling. She becomes short of breath and yells she can't breathe. What is the mother likely experiencing? aA panic attack bMild anxiety cModerate anxiety dSevere anxiety

A panic attack

Which client will have an increased metabolic rate and require nutritional interventions? aA healing young adult who works in an office bA retired person living in a temperate climate cAn older, sedentary adult with painful joints dCorrect! A person with an serious infection and fever

A person with an serious infection and fever

Upon admission for an appendectomy, the client provides the nurse with a document that specifies instructions for his health care team to follow in the event he is unable to communicate these wishes postoperatively. This document is best known as:

An advance directive

A client is postoperative day 1 and the nurse's assessment reveals signs of pain, such as grimacing and guarding. Which is the most reliable method for assessing the client's pain? aCorrelate the client's vital signs with their symptoms bAsk the client to describe and rate their pain cCompare the client's presentation to expected outcomes at this point in recovery dAssess and document the client's behaviors over a period of hours

Ask the client to describe and rate their pain

The nurse is caring for a client in the post-anesthesia care unit (PACU). Which assessment is the priority for this client?

Assess respiratory status

The nurse notes that the blood glucose level of a client has increased and is planning to notify the HCP by telephone. Which technique would be most appropriate for the nurse when communicating with the HCP?

ISBAR-R

A nurse is assessing a postoperative client who has developed pneumonia. The plan of care includes positioning the client in the Fowler's or semi-Fowler's position. What is the rationale for this position?

It promotes full aeration(expansion) of the lungs

An informatics nurse specialist is conducting an orientation for the staff of a primary care providers office about a new web based tool that they will be implementing. The goal of the tool is to promote client engagement. The informatics nurse specialist is most likely orienting the staff to which system?

Patient portal

A client in the emergency department is diagnosed with a myocardial infarction (heart attack). The client describes pain in the left arm and shoulder. What name is given to this type of pain?

Referred

The nurse is caring for a client during the first 12 hours of receiving epidural analgesia and assesses the client every hour. Along with vital signs, which best describes the priority of the hourly assessment?

Respiratory status, oxygen saturation, pain, and sedation level

The nurse should instruct an Islamic female client who is reluctant to undergo pelvic examination from an assigned male HCP to:

Seek a female HCP to perform the examination

A middle age woman's father has passed away and her mother requires physical and emotional help due to disabilities. The woman is married and raising 2 children along with with working full-time. All of the factors described are: aStimuli bStressors cIllnesses dDemands

Stressors

A nurse realizes that the dosage of the medication administered to the client has been entered incorrectly into the client paper record. Which action would be most appropriate for the nurse to do?

Strike out the entry with a single line, place initials next to it and write the correct entry

The nurse at the student health center is seeing a group of nursing students who are interested in reducing their stress level. The nurse identifies guided imagery as an appropriate intervention. What does guided imagery involve?

The mindful use of a word, phrase, or visual image that allows oneself to be distracted and temporarily escape from stressful situations

A nurse is teaching an older adult client to use an incentive spirometer following hip replacement surgery. When the client asks why using this machine is necessary. How will the nurse respond?

This exercise will help prevent pneumonia

A 38-year-old client is in an outpatient clinic reporting chronic back pain. As the nurse reviews the chart, the nurse notices that the client has required escalating doses of hydromorphone to treat this pain. The client tells the nurse that ' the old dose just doesn't work anymore". What term best describes this client's situation?

Tolerance

A client has a severe abdominal injury with damage to the colon from a motorcycle crash. What types of pain will predominate?

Visceral

A nurse is learning about religious dietary restrictions as a nursing conference. Which religious meal selection should the nurse understand is appropriate? aVegetable plate for a client who practices Hinduism bGrilled shrimp for a client who practices Orthodox Judaism cToast with coffee for a client who practices the restored gospel of Jesus Christ dGrilled pork chop for a client who practices Orthodox Judaism

aVegetable plate for a client who practices Hinduism

A burse is caring for a client who has a malabsorption disease. The nurse should understand that which structure in the gastrointestinal system absorbs the majority of digested food and minerals? aStomach bSmall intestine cLiver dLarge intestin

bSmall intestine