NMNC 3135 Adaptive Quiz_3

A client requests information about the physician's prescribed medication regimen for care. What is the best response by the nurse

Ask the client to state what the client already knows about the prescribed medication regimen.

The leader is advising the nursing student to avoid making careless assumptions. Which critical thinking skill does the leader wants the nursing student to learn?

Analysis

The survivors of an explosion develop heat stroke. Which intervention should be performed by the nurse on the disaster management team?

Apply ice packs on the client's scalp.

When donning sterile gloves, how should the second glove be handled?

Place sterile glove under cuff, and slide hand in glove.

A disaster management team is planning measures to prevent the spread of pandemic influenza. Which interventions would the nurse consider to be most appropriate to be included in the plan?

Distribute antiviral agents to clients.

Which is the priority nursing action to include in a disaster plan for the radioactive dust and smoke that can cause illness from a radiologic dispersal device (RDD)?

Covering the nose.

According to Kübler-Ross, during which stage of grieving are individuals with serious health problems most likely to seek other medical opinions?

Denial.

While performing cardiac surgery, the cardiologist intentionally induces hypothermia in the client. The nurse understands that the rationale for this intervention is what?

To prevent tissue ischemia.

The chief operational officer (COO) interviews a nurse and asks, "Tell me about your practical experiences in clinical decision making." Which example would the nurse give?

"I identified impaired skin integrity in a pressure ulcer form upon finding redness in the client's hip."

The registered nurse is teaching the student nurse about writing nursing interventions. Which intervention written by the student nurse indicates effective learning?

"Irrigate the wound with 100 mL normal saline until clear: 6 AM—2 PM—8 PM.

Which intervention does the nurse implement to develop a caring relationship with the client's family?

Identifying the client's family members and their roles.

A client who underwent surgery feels pain in the lower abdomen. The nurse provides pain relief but the client is still reporting pain. Which actions of the nurse would help the client to get relief? Select all that apply.

Looking for different distraction techniques Involving the client's family in creating a new plan for pain relief

What is the priority nursing intervention for a forgetful, disoriented client with the diagnosis of dementia of the Alzheimer type?

Managing the client's unsafe behaviors.

The nurse is preparing a care plan for maintaining safety in clients who are injured in a bomb blast. Which intervention should the nurse include in the care plan to minimize the risk for error and adverse events?

Obtaining a thorough client and family history.

An older client with a history of chronic constipation develops acute appendicitis. Prior to arrival at the hospital, the client attempted self-care at home. Which self-care measures could potentially lead to rupture of the appendix?

Self-administering a small volume enema

A school nurse works with adolescents who recently immigrated to the U.S. and are adjusting to life in the public schools. What characteristics help the nurse differentiate students who are assimilating from students who are acculturating?

Students who assimilate abandon all aspects of their original culture.

The nurse plans care for a client who has anxiety related to uncertainty over the course of recovery. Which action of the client would indicate that the desired goal is achieved?

The client expresses acceptance of health status by the day of discharge.

A client reports that the client's family members are pressuring the client to attend physical therapy sessions. What does the nurse infer from this report?

The client is extrinsically motivated without self-determination.

The nurse is preparing discharge instructions for a client who acquired a nosocomial Clostridium difficile infection. What should the nurse include in the instructions?

The infection causes diarrhea accompanied by flatus and abdominal discomfort.

A client is diagnosed with herpes genitalis. What should the nurse do to prevent cross-contamination?

Wear a gown and gloves when giving direct care.