Exam 4 Review EAQ

School health nursing programs have while goal?

Health promotion

Which action describes a therapeutic effect of atenolol?

Heart rate decreases

Which example illustrates health promotion activities? Select all that apply. One, some, or all responses may be correct. -Good nutrition -Regular exercise -Physical awareness -Immunization against measles -Education about stress management

-Good nutrition -Regular exercise

Which technique will the nurse employ to prevent excessive bruising when administering subcutaneous heparin?

Avoid massaging the injection site after the injection.

Which information would the nurse provide to a child's caregivers to ensure safe, proper handling, and use of medication? Select all that apply. One, some, or all responses may be correct. -Medication storage -Written instructions -Calculation of the dosage based on symptoms -Nature and duration of the adverse response -Demonstration of the techniques of administration

-Medication storage -Written instructions -Nature and duration of the adverse response -Demonstration of the techniques of administration

A registered nurse is teaching a nursing student about the nurse's professional roles and responsibilities. When would the nurse play the role of an educator?

"A client is being discharged from the hospital setting with an implanted port. The nurse describes the routine care activities to prevent any complications."

A parent calls the clinic about the appropriate dosage of acetaminophen for a 16-month child. The directions on the bottle are 120mg every 4 hours when needed. However, at the 15-month visit, the health care provider prescribed 150mg. Which response by the nurse is most appropriate about the prescribed dosage?

"The prescribed dose of the medication was based on weight, and this is more accurate way of determining a therapeutic dose."

When preparing to administer medications to a client, which action made by the new nurse requires an intervention?

Using one client identifier

The medication prescribed for an infant is to be given intramuscularly. Which site will the nurse select for administration of the medication?

Vastus lateralis

Which statement by the student nurse indicates the need for further education about medication administration?

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

The registered nurse (RN) 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 avoid asking about the client's over-the-counter medications."

Which response would the nurse give to a client taking ibuprofen for rheumatoid arthritis who asks the nurse if acetaminophen can be substituted?

"Ibuprofen has anti-inflammatory properties, and acetaminophen does not."

The nurse is providing discharge education for a parent whose child will be receiving a prescription at home. Which statement by the parent requires correction?

"The full dose needs to be readministered if my child spits some out."

Which client statement indicates effective teaching about an automatic epinephrine injector to self-treat reactions to inset stings? Select all that apply. One, some, or all responses may be correct. -"I will inject the medication into my thigh." -"I will call 911 before I inject the medication." -"I will store the medication in the refrigerator." -"I will keep the medication with me at all times." -"I will replace the medication when the expiration date is approaching."

-"I will inject the medication into my thigh." -"I will keep the medication with me at all times." -"I will replace the medication when the expiration date is approaching."

Which key points need to be remembered to maintain health and wellness of a client? Select all that apply. One, some, or all responses may be correct. -"Internal and external variables are considered when planning care for the client." -"The health belief model considers the relationship between a person's health beliefs and health behaviors." -"The health promotion model highlights factors that increase individual well-being and self-actualization." -"Holistic therapies are used by nurses only for pregnancy and pregnancy-related issues to help clients deal with the pain." -"The American Nurses Association (ANA) emphasizes identifying a client's individual needs, prioritizing needs, and encouraging the client's self-actualization."

-"Internal and external variables are considered when planning care for the client." -"The health belief model considers the relationship between a person's health beliefs and health behaviors." -"The health promotion model highlights factors that increase individual well-being and self-actualization."

The nurse understands incorporating which interventions would prevent medication errors? Select all that apply. One, some, or all responses may be correct. -Avoid using abbreviations and acronyms. -Minimize the use of verbal and telephone orders. -Try to guess what the client is saying if the language is not understood. -Document each dose of the medication using trailing zeros when recording the dose. -Check three times before giving a medication by comparing the medication prescription and medication profile.

-Avoid using abbreviations and acronyms. -Minimize the use of verbal and telephone orders. -Check three times before giving a medication by comparing the medication prescription and medication profile.

The nurse is preparing to administer an ophthalmic medication to a client. Which steps would the nurse include for this procedure? Select all that apply. One, some, or all responses may be correct. -Clean the eyelid and eyelashes. -Place the dropper against the eyelid. -Apply clean gloves before beginning the procedure. -Instill the solution directly onto the cornea. -Press on the nasolacrimal duct after instilling the solution.

-Clean the eyelid and eyelashes. -Apply clean gloves before beginning the procedure. -Press on the nasolacrimal duct after instilling the solution.

Which factor may help in providing excellent health care services to the client? Select all that apply. One, some, or all responses may be correct. -Cultural sensitivity -High client literacy -Competent health care -One-way communication -Interprofessional teamwork

-Cultural sensitivity -Competent health care -Interprofessional teamwork

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

-Dosage and route -Client's full name -Time to be administered -Frequency of administration -Full name of prescribed medication

Which descriptions are characteristics of the secondary level of prevention? Select all that apply. One, some, or all responses may be correct. -Activities are aimed at health promotion -Focuses on individuals with health problems and illnesses -Activities are directed at diagnosis and prompt interventions -Helps in minimizing the effects of long-term disease and disability -Includes screening techniques and treating diseases at early stages

-Focuses on individuals with health problems and illnesses -Activities are directed at diagnosis and prompt interventions -Includes screening techniques and treating diseases at early stages

Which information would the nurse provide to a student about the primary level of prevention? Select all that apply. One, some, or all responses may be correct. -Known as true prevention -Applied to clients who are considered physically and emotionally healthy -Directed toward rehabilitative care rather than diagnosis and treatment -Activities enable clients to return to a normal level of health as early as possible -Includes health education programs, immunizations, and physical nutritional fitness activities

-Known as true prevention -Applied to clients who are considered physically and emotionally healthy -Includes health education programs, immunizations, and physical nutritional fitness activities

The nurse is advised to join a community health center that mainly caters to Latino clients. Which skill would the nurse develop to help reduce health disparities? Select all that apply. One, some, or all responses may be correct. -Learning to speak basic medical Spanish -Updating paper supplies at the health care facility -Learning about the health literacy rate of the community -Incorporating the health beliefs of the community in any nursing care plans -Learning about and respecting unique beliefs and values prevalent among the group

-Learning to speak basic medical Spanish -Learning about the health literacy rate of the community -Incorporating the health beliefs of the community in any nursing care plans -Learning about and respecting unique beliefs and values prevalent among the group

Which instructions would the nurse provide an individual about the role an individual plays in health and wellness and its effect? Select all that apply. One, some, or all responses may be correct. -Using passive strategies for health promotion enables one to benefit from the activities of others. -Lifestyle choices affect quality of life and well-being. -Individuals should take responsibility for health and wellness by making proper lifestyle choices. -Individuals should realize that illness prevention has a positive economic effect on their lives. -Individuals should understand that it is enough to make positive lifestyle choices to prevent illness.

-Lifestyle choices affect quality of life and well-being. -Individuals should take responsibility for health and wellness by making proper lifestyle choices. -Individuals should realize that illness prevention has a positive economic effect on their lives.

The client is experiencing postoperative pain and requests a pain shot. Which health care providers are legally permitted to administer an intramuscular (IM) injection to the client? Select all that apply. One, some, or all answers may be correct. -Registered nurse (RN) -Licensed practical nurse (LPN) -Licensed vocational nurse (LVN) -Unit secretary -Unlicensed assistive personnel (UAP)

-Registered nurse (RN) -Licensed practical nurse (LPN) -Licensed vocational nurse (LVN)

Which is the maximum volume of an intramuscular injection recommended for a preschool-aged child?

1.0mL

Which angle would an obese client be taught to self-administer an insulin injection at?

90-degree angle

Planning to provide self-care health information for several clients, which client would the nurse anticipate will be most motivated to learn?

A 56-year-old client who had a heart attack last week and is requesting information about exercise

Identify the preferred site for the self administration of a subcutaneous injection of insulin.

Abdomen

Which measure would the nurse take when administering enoxaparin subcutaneously?

Administer in the abdomen.

When a client is seen in the emergency department with sudden onset severe dyspnea, coughing, and wheezes, which prescribed treatment would the nurse administer first?

Albuterol via nebulizer

Which action by a transgender client during teach-back learning about applying an estrogen hormone patch needs review for correction?

Applies the patch over hair

A client requests information about the primary health care provider's prescribed medications. Which is the correct response by the nurse?

Ask the client to state what the client already knows about the medications.

While preparing to teach a client about self-injection of insulin, which nurse's action would increase the effectiveness of the teaching session?

Assess the client's barriers to learning self-injection techniques.

The health care provider prescribes alprazolam 5mg by mouth three times a day for a client with anxiety. Which intervention will the nurse take before administering this prescription?

Clarify the prescription with the health care provider.

The nurse is preparing discharge instructions for a client who has begun to demonstrate signs of early Alzheimer's dementia and lives alone, with adult children living nearby. According to the prescribed medication regimen, the client is to take medications six times throughout the day. Which nursing intervention is correct to assist the client with taking the medication?

Contact the primary health care provider and discuss the possibility of simplifying the medication regimen.

In which role is the nurse acting when verbalizing to a client ways to relieve injection-associated discomfort?

Educator

Which strategy is an example of a passive health promotion?

Fluoridation of municipal drinking water

A child with type 1 diabetes is receiving 15 units of regular insulin and 20 units of NPH insulin at 7:00 AM each day. Which time would the nurse anticipate a hypoglycemic reaction from the NPH insulin to occur?

In the afternoon

When a registered nurse (RN) determines a new nurse is unwilling to participate in a community health literacy program for clients with diabetes mellitus, which action by the RN shows good leadership ability?

Inspiring the new nurse to actively participate

Which insulin will the nurse prepare for the emergency treatment of ketoacidosis?

Insulin aspart

The nurse educator is providing information about different insulin types. Which type of insulin can be safely mixed with regular human insulin in the same syringe?

Isophane insulin neutral protamine hagedorn (NPH)

Which condition is the most common major stressor that diminishes teaching effort effectiveness?

Limited time to engage in teaching

Which type of health service would the nurse offer in a health promotion or primary care program?

Nutrition counseling

In which way is public health nursing different from community health nursing?

Public health nursing focuses on a population.

A client with hemiplegia becomes frustrated when performing skills. Which nursing intervention would motivate the client toward independence?

Reinforce success in tasks accomplished.

Which assessment finding indicates a need for the nurse to consult with the health care provider before administering the prescribed metoprolol to a client with stable angina?

Sinus bradycardia, rate 54 on monitor

Which reason would the nurse provide for the gradual reduction in dosage to a client who recently started receiving oral corticosteroids for a severe allergic reaction and is instructed that the dosage will be reduced gradually until all medication is stopped at the end of 2 weeks?

Slow reduction of the medication will prevent a physiological crisis because the adrenal glands are suppressed.

Which consideration would the nurse make when preparing to give a preschooler an intramuscular injection in the vastus lateralis site?

The maximum recommended length of the needle insertion at the vastus lateralis site is 1 inch for preschoolers.

An intravenous injection of morphine sulfate, 2mg, is prescribed for an 8-month-old infant weighing 15lb 7oz (7kg). The recommended dose for an infant is 0.1mg/kg. The nurse would question the prescription for which reason?

This amount of morphine sulfate is unsafe for an infant of this weight.