Quiz Q&A's for Exam 2

heart rate of infants range from ?

110-130 --> rates below 100 should be reported

The concepts of "Health is a universal right" and "Accountability for Nursing Judgments" are found in which of the following documents

ANA code of ethics

which of the following individuals may legally give consent? a. 56 year old who doesnt understand treatment plan b. sedated 42 year old c. a 16 year old for her baby d. friend of an 84 year old client

C

nurse fails to administer a medication that prevents seizures, and client has a seizure. nurse is in violation of Nurse Practice Act, what type of law is the nurse in violation of?

Civil

which statement is an appropriate nursing diagnosis for the homebound cardiac client who has become fatigued upon minimal exertion

activity intolerance

legal document that states a clients health-related wishes-- such as preference for pain management if the client becomes terminally ill--- also allows the clients daughter to direct his or her care is an..

advance directive

nurse is assessing a newborn in nursery. infant has episodes in which breathing ceased for 20 seconds on 2 occasions, nurse recognizes this condition as

apnea

nurse is caring for a postoperative adult client who has developed pneumonia the nurse should assess the client frequently for symptoms of

atelectasis -->stiffer lungs tend to collapse and also cause their alveoli to collapse

to practice ethically the nurse should

avoid allowing his/her judgment to guide practice

nurse correctly differentiates race from ethnicity by noting that race is based on which characteristics

biological

parent calls the doctors office frantic that her 2 year old son drank bottle of cleaner, what instruction should the nurse give to this parent

call poison control center

The facility is conducting an educational seminar for newly employed nurses. The program addresses the reporting of sentinel events. which occurrences qualify for this criteria?

client faints during ambulation resulting in head trauma, nurse admins. a lethal dosage of medication in error (sentinel event is one in which a client experiences death or serious injury)

The nurse has just discovered that a patient has fallen, after assessing the patient what would the nurse do next?

complete an incident report

nurses use of ethical responsibility can best be seen in which of the following nursing actions

delivery of competent care

oxygen and carbon dioxide move between the alveoli and blood by

diffusion, molecules move from an area of greater concentration or pressure to an area of lower concentration or pressure

the nurse preceptor recognizes the new nurses ability to determine patient safety risks when which behavior is observed

disposing of used needles in a red needle container

to ensure the safe use of oxygen in the home by a patient, which of the following safety teaching points does the nurse include

do not use electrical equipment that may spark around oxygen, special precautions may be required when traveling with oxygen, smoking is prohibited

what contributes to a nurses risk for injury from radiation

failure to use lead shields during x rays

which area is typically included in a cultural assessment

food preferences

which of the following are considered a restraint

four side rails up, sedation medications

Ethical dilemmas often involve a conflict of opinion. Once the nurse has determined that the dilemma is ethical. which of the following would be a critical first step in negotiating the difference of opinion

gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma

when the nurse sings a consent form as witness, the nurses signature shows that the client

has signed that form and the witness saw it being done

a 40 year old man has been told he has a high level of LDL's how do you explain this factor

high levels of LDL increase the risk of a heart attack

Which statement should the nurse include in the education plan regarding safety issues for a group of adult clients

in most age groups, motor vehicle accidents are major causes of death

client suffering from COPD complains that it is hard to cough up secretions and they are thick and sticky, nurse should instruct client to

increase her fluid intake to thin secretions

client has increased anteroposterior chest diameter, dyspnea and nasal flaring. respiratory rate is 30 and shallow. most appropriate nursing diagnosis is

ineffective breathing pattern

beneficence

means doing or promoting good ex: treatment of clients pain is the nurses act of doing good

It may seem redundant that health care providers pledge to "do no harm" to clients. The purpose of this oath is to reassure the public that the health care team will work to heal clients with as little pain and harm as possible. Which principle underlies this pledge?

nonmaleficence

patient continues to get out of bed without help despite frequent reminders and keeps falling, the initial nursing intervention to prevent falls for patient is to

place a bed alarm device on bed

patient has been admitted and placed on fall precautions. the nurse explains to the patient that interventions for the precautions include

placing a high risk for falls armband on the patient

When educating families on fire safety, it is important to:

regularly practice crawling on the floor, using escape routes & having a meeting place outside the home

patient is confused, trying to get out of bed and is pulling at the intravenous infusion tubing. these data would help to support the nursing diagnosis of

risk for injury

cardiac output is a function of the HR and ..

stroke volume (SR) --> stroke volume refers to the amount of blood the heart ejects with each beat

who writes the national patient safety goals

the joint commission

which of the following factors is related to the highest proportion of falls in long term care settings

toileting

what are the standards for decision making that endure for a significant time in ones life

values

A client who is recently diagnosed with cancer is encouraged to be honest with her family and tell them about the diagnosis so they can support her. The nurse is using the principle of

veracity