EAQ exam 3

Alternative therapy measures have become increasingly accepted within the past decade, especially in the relief of pain. Which methods qualify as alternative therapies for pain? (Select all that apply.) 1.Prayer 2.Hypnosis 3.Medication 4.Aromatherapy5.Guided imagery

1,2,4,5

Which nursing interventions enhance comfort in an imminently dying client in the hospital? Select all that apply. A) Frequently repositioning the client B) Maintaining oral hygiene in the client C) Limiting frequent visits of the family members D) Measuring the vital signs of client frequently E) Applying body lotion to the client's skin daily

a,b,e

The nurse is getting ready to perform an initial assessment interview of a Chinese older adult who does not speak English and is hard of hearing. Which would be available before starting the interview to minimize communication problems that may lead to health disparity?

hearing aid and interpreter

the nurse caring for a client with a nasogastric tube after gastric surgery would anticipate performing which action - monitor for signs of electrolyte imbalance - change the tube at least once every 48 hours - connect the nasogastric tube to high continuous suction - assess placement by injecting 10 mL of water into the tube

monitor for signs of electrolyte imbalance

A client asks about the purpose of a pulse oximeter. The nurse explains that it is used to measure what? - eespiratory rate - amount of oxygen in the blood - percentage of oxygen carrying hemoglobin - amount of carbon dioxide in the blood

percentage of oxygen carrying hemoglobin

The registered nurse is teaching a nursing student about the safety guidelines for nursing skills. Which statement by the student nurse indicates the need for further education? - "I should set up and prepare medications in distraction-free areas." - "I should advise the certified medical assistant to administer intravenous medication." - "I should be vigilant during the entire process of medication administration." - "I should identify each client using at least two identifiers before administrating medications."

"I should advise the certified medical assistant to administer intravenous medication.

the registered nurse is teaching a nursing student about the process of medication reconciliation for a client who was admitted in a health care setting. which statement made by the nursing student indicates the need for further teaching - "i would check the new medication prescription against the current list of medicines._ - "i would avoid asking about the client's over-the counter medications." - "i would obtain a comprehensive and current list of the clients medications" - "i would avoid distractions and go slowly when reconciling the clients medications'

"i would avoid asking about the client's over-the counter medications."

Which action would the nurse take first for a postsurgical client who is still intubated but becoming restless, with an increased pulse rate and blood pressure, when it has been 4 hours since the last dose of pain medication? - notify the provider - perform a full physical assessment - administer the prescribed pain medication - play soft, relaxing music to help calm the client

administer the prescribed pain medication

when assessing a client who had a thyroidectomy yesterday, which cue would the nurse associate with an intial sign of hypocalcemia? - headache - pallor - paresthesias - blurred vision

paresthesias

which describes the purpose of preoperative antibiotics for a client scheduled for a surgical resection of the colon and creation of colostomy? - to decrease peristalsis - to minimize electrolyte imbalance - to decrease bacteria in the intestines - to treat inflammation caused by the malignancy

to decrease bacteria in the intestines

a nurse assesses a client's serum electrolyte levels in the lab report. what electrolyte in intracellular fluid should the nurse consider most important? 1. sodium 2. calcium 3. chloride 4. potassium

potassium

the nurse would primarily focus on which concept when providing preoperative teaching? - helping the client and family decide if surgery is necessary - providing emotional support to the client and family - giving specific details of the surgery to the client and family - providing general information to reduce client and family anxiety

providing general information to reduce client and family anxiety

for a client admitted with metabolic acidosis, which two body systems would the nurse assess for compensatory changes - skeletal and nervous - circulatory and urinary - respiratory and urinary - muscular and endocrine

respiratory and urinary

A nurse is providing preoperative teaching for a client regarding use of an incentive spirometer and should include what instructions? - "inhale completely and exhale in short, rapid breaths" - "inhale deeply through the spirometer, hold it as long as possible, and slowly exhale." -"exhale completely; take a slow, deep breath; hold it as long as possible, and slowly exhale." - "exhale halfway, then inhale a rapid, small breath; repeat several times"

"exhale completely; take a slow, deep breath; hold it as long as possible, and slowly exhale."

when the nurse arrives at 8:00 am, D5W is infusing at 100 mL per hour. At 11:00 am the health care provider changes the order for the intravenous solution to 0.9% sodium chloride to be administered at 75 mL per hour and changes the dietary order from nothing by mouth to clear liquids. from 1:00 pm to 8:00 pm, the client has 4 oz of apple juice, 4 oz of tea, 4 oz of gelatin, and 6 oz of water. how many mL would the nurse document as the client total fluid intake for the shift?

1515 mL

A client has been admitted with a diagnosis of intractable vomiting and can only tolerate sips of water. The initial blood work shows a sodium level of 122 mEq/L and a potassium level of 3.6 mEq/L. Based on the lab results and symptoms, what is the client experiencing? 1. Hypernatremia 2. Hyponatremia 3. Hyperkalemia 4. Hypokalemia

2. hyponatremia

A nurse is evaluating different situations related to obtaining informed consent. Which situation does the nurse consider to be the most appropriate method of obtaining informed consent? 1 A client consents to a medical procedure after the nurse has explained its risks and benefits in detail. 2 A client provides consent for a surgery after the primary healthcare provider gives the details of the benefits of the surgery. 3 A client consents to a medical procedure after all the details of the procedure have been provided using strictly medical terminology. 4 A client provides consent after the primary healthcare provider has given a detailed explanation of the risks, benefits, and alternatives to the procedure.

4 A client provides consent after the primary healthcare provider has given a detailed explanation of the risks, benefits, and alternatives to the procedure.

An older clients asks, "how do I know that the medications that I take are safe?" Which response by the nurse is correct? Select all that apply. One, some, or all responses may be correct.(A.) ask your health care provider how and when you should be taking your medications (B.) stop taking a prescribed medication if you are not feeling better in a a few days (C.) discard medications into the toilet that have exceeded the expiration date on the bottle (D.) check the name, dose, and instructions about administration of medications each time before leaving the pharmacy (E.) Inform your health care provider of the over-the-counter medications, recreational drugs, and amount of alcohol you ingest

A, D, E

A nurse is caring for a client who is having diarrhea. To prevent an adverse outcome, the nurse should most closely monitor what patient data or assessment finding? - Skin condition - Fluid and electrolyte balance - Food intake - Fluid intake and output

Fluid and electrolyte balance

The nurse is caring for a client who got discharged from the hospital. The nurse finds that the client is having difficulty in determining which medications to take. What would be the best nursing intervention in this situation? - The nurse fills and labels the medication bottles. - The nurse advises the caregiver to support the client in taking medication. - The nurse recommends the client's pharmacy to re-label the medication in large letters. - The nurse shows the client examples of pill organizers that will help the client to sort the medication.

The nurse recommends the client's pharmacy to re-label the medication in large letters.

Which nursing interventions would be beneficial for providing safe oxygen therapy? a. check tubing for kinks b. run wires under carpeting c. post "no smoking" signs in the clients' rooms d. place oxygen tanks flat in the carts when not in use e. make sure that the client is familiar with the phrase "Stop, drop, and roll"

a, c

Which information must be clearly documented in the medication administration record (MAR) before administering a medication? Select all that apply. One, some, or all responses may be correct. a.Dosage and route b.Client's full name c.Time to be administered d.Frequency of administration e.Full name of prescribed medication

a,b,c,d,e

the nurse is preparing to administer an ophthalmic medication to a client. which steps would the nurse include for this procedure? a. clean the eyelid and eyelashes b. place dropper against the eyelid c. apply clean gloves before beginning the procedure d. instill the solution directly onto the cornea e. press on the nasolacrimal duct after instilling the solution

a,c,e

A client is transferred to an acute care nursing unit after surgery. Which action of the nurse is most important and should be performed first? - assess the patency of airway - ask if the client is comfortable - determine the level of consciousness - review the order for IV fluids

assess the patency of airway

A client with a diagnosis of malabsorption syndrome exhibits a symptom of spastic muscle spasms. Which electrolyte is responsible for this symptom? A. Sodium B. Calcium C. Potassium D. Phosphorous

calcium

The nurse is teaching a client about safe insulin administeration. Which statement made by the client indicates the need for further education? a. i should see whether the insulin is expired b. i should keep a daily logbook of times of the insulin injection c. i should keep my medication in its original labeled container d. i should administer insulin only if there are symptoms

d. i should administer insulin only if there are symptoms

a family member of a client who is prescribed a blood transfusion mentions that blood transfusions are not permitted in their faith. which action would the nurse take to handle the situation? 1 The nurse should wait for the court's order to give blood to the client. 2The nurse should proceed with the transfusion in order to save the client's life. 3The nurse should inform the primary healthcare provider and not give blood to the client. 4The nurse should explain to the family member that the client needs this transfusion.

inform the primary healthcare provider and not give blood to the client.

which clinical finding would the nurse associate with hypokalemia? 1Edema 2Muscle spasms 3Kussmaul respirations 4Muscle weakness

muscle weakness

a nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. one of the nurses on the unit says it is the nurses' responsibility to discourage "these people" from bringing all that "home medicine stuff" to their family members. which response by the recently hired nurse is most appropriate? a. hospital policies should put a stop to this b. everyone should conform to the prevailing culture c. nontraditional approaches to health care can be beneficial d. you are right because they may have a negative impact on people's health

nontraditional approaches to health care can be beneficial

which action would the nurse take first when caring for a postoperative client who reports pain? - provide an ice bag administer pain medication as perscribed - perform a focused assessment of the client - document the client's complaint in the chart

perform a focused assessment of the client