Nursing Fundamentals A PrepU questions

The nurse is talking with the mother of a 4-year-old boy who will soon be going to a pre-kindergarten program. The child has had the Snellen vision test done at home, and he was unable to distinguish the pictures at the distance that would indicate his vision is normal. The child's mother asks the nurse if he will need glasses. Which statement made by the nurse would be most appropriate regarding the child's vision?

"A child's vision is not completely developed by this age. Your child might outgrow this nearsightedness."

A client newly admitted to a psychiatric inpatient setting demands a soda from a staff member who tells the client to wait until lunch arrives in 20 minutes. The client becomes angry and pushes over a sofa. How should the nurse respond?

"Did you hurt yourself? Can you tell me what you're feeling right now?"

The family of an older adult client is wondering why his "blood counts" are not rising after his last GI bleed. They state, "He has always bounced back after one of these episodes, but this time it isn't happening. Do you know why?" The nurse will respond based on which pathophysiologic principle?

"Due to stress, the red blood cells of older adults are not replaced as promptly as younger people."

The parent of a school-age child with autism asks the nurse how she should tell her son that he has autism. Which response by the nurse is most therapeutic?

"Explain the definition of autism and emphasize your child's strengths as well as his areas of challenge."

The nurse is caring for a client following gastrointestinal diagnostic testing. The client verbalizes feeling shame due to having frequent gas. Which nursing suggestion is best?

"Having gas following the procedure is normal. Expel the gas to decrease discomfort."

Which question would help the nurse gather information about a client's lifestyle that may be a factor in the client's present illness?

"How many cups of coffee do you drink each day?"

During postprandial monitoring, a client with bulimia nervosa tells the nurse, "You can sit with me, but you're just wasting your time. After you sat with me yesterday, I was still able to purge. Today, my goal is to do it twice." What is the nurse's best response?

"I know it's important for you to feel in control, but I'll monitor you for 90 minutes after you eat."

The health care provider has just informed the parents of a 3-year-old that their child has leukemia. The mother begins crying and tells the nurse she does not want her baby to die. What is the nurse's best response?

"I know this is scary, but leukemia has a high cure rate in children these days."

A nurse is caring for a client who has a history of sleep apnea. The client understands the disease process when they say

"I should become involved in a weight loss program."

The nurse is caring for a client who is in a sickle cell crisis. The child is hospitalized for pain management during the crisis. The parents tell the nurse that they do not think their child needs any pain medication because the child is sleeping a lot. How should the nurse respond?

"I understand why you think your child is not in pain; sleep is often a way for children to cope with pain."

The nurse is auscultating the lungs of a lethargic, irritable 6-year-old boy and hears wheezing. The nurse will most likely include which teaching point if the child is suspected of having asthma?

"I'm going to have this hospital worker take a picture of your lungs."

A client says, "Nobody listens to me; even you don't!" Which response is most therapeutic?

"It sounds like you're feeling unappreciated."

A 13-year-old adolescent with hyperthyroidism who takes antithyroid medication has a sore throat and a fever. The parent calls the nurse and asks what to do. Which is the best response from the nurse?

"Please take your child straight to the emergency department."

A client who comes to the clinic reporting low-grade afternoon fevers, night sweats, and a productive cough is diagnosed with tuberculosis. Which statement by the nurse would be most appropriate during an initial assessment?

"Tell me how you feel about the diagnosis of tuberculosis."

A client asks to stay in contact with a discharge nurse who's discharging him and asks if the nurse would like to meet for coffee. The nurse's best response is:

"Thank you, but it's important that we maintain a professional relationship."

When the preoperative client tells the nurse that the client cannot sleep because the client keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is:

"The thought of having surgery is keeping you awake."

The nurse is teaching the parents of a 6-year-old who has sustained a large laceration about providing care to the wound at home. The nurse determines that the parents need additional teaching when they state:

"We need to keep the wound tightly bandaged for at least 3 days."

A client is admitted to the facility with an exacerbation of chronic systemic lupus erythematosus (SLE). The client gets angry when the call bell isn't answered immediately. What is the nurse's most appropriate response?

"You seem angry. Would you like to talk about it?"

When a nurse enters a client's room, the client frowns and states, "I've had my damn light on for 20 minutes. It's about time you got here. I'm sick of this place and the staff." The nurse's best response would be:

"You seem upset this morning."

A client with lymphoma tells the nurse that a holistic practitioner has offered to treat the client with coffee enemas. How does the nurse respond?

"You should speak with your oncologist about this treatment."

A nurse is assessing vital signs on a pregnant client during a routine prenatal visit. The client states, "I know labor will be so painful, it sounds awful. I am sure I will not be able to stand the pain; I really dread going into labor." What is the best response from the nurse?

"You're worried about how you will tolerate the pain associated with labor."

A nurse is speaking to a client with a soft smile and eye contact. Which statement said by the nurse would indicate a congruent message?

"Your hard work and determination has helped you recover."

The parent of 1-week-old infant voices concerns about the infant's weight loss since birth. At birth the infant weighed 7 lb (3.2 kg); the infant currently weighs 6 lb 5 oz (2.9 kg). Which response by the nurse is most appropriate?

"Your infant's weight loss is within the expected range."

A nurse is conducting a teaching session with a group of adolescent females at a local women's health clinic when describing appropriate screening at things for sale cancer and Which Wich with the nurse with instruct the group to have their first Papanicolaou test

21

A registered nurse RN on oncology floor is busy with another client so the RN delegate care of a client to a coworker a licensed practical nurse LPN the client that the LPN begins caring for requires a three hour chemotherapy infusion which statement is in accordance with the nursing practice act

A chemotherapy certified RN must begin the chemotherapy then the LPN may monitor the client

"Get the stuff from him" is an example of which type of message?

Abstract

The nurse is caring for a 20 month old girl with equivocal bacterial otitis media superior making a temperature of 102.2°F which intervention with the nurse expect to implement

Administering antibiotics as soon as they are available

A child is hospitalized with complications related to hemophilia. The health care provider has discussed the child's plan of care with the parents, but they continue to ask questions. What action will the nurse take?

Answer the parents' questions as completely as possible.

Which is a goal of case management

Appropriateness of services Explanation: The goals of care management are to ensure the quality, appropriateness, and timeliness of services as well as to reduce costs. Case managers do not have prescriptive authority. Fixed price reimbursement is a feature of managed care. Case managers do not utilize the nursing process.

When completing the morning postpartum data collection, the nurse notices the client's perineal pad is completely saturated. Which action should be the nurse's first response?

Ask the client when she last changed her perineal pad.

The nurse is caring for a child whose family recently immigrated from a developing country or completing the administration history the parents report all the child's immunization serve today which nursing action is most appropriate

Ask the parents which immunizations have been given

In an effort to improve the health status of women in their children several national campaigns have implemented the campaign that reduce the incidence of sudden infant death syndrome SIDS 50% was

Back to sleep campaign

In women which of the following types of cancer exceeds colorectal cancer

Breast

What is is an example of a community risk factor?

Children are kept inside on a sunny day due to a lack of recreational opportunities

An 11-year-old client has come to the school nurse more than 15 times for somatic complaints during the first quarter of school and has subsequently left school after each visit. What should the school nurse do?

Contact the child's parents to discuss the situation.

The framingham cohort study exam characteristics of people who later developed which disease

Coronary disease

Select the nursing action that is least likely to motivate a person to learn.

Emphasis on negative outcomes as a method to prevent learning incorrect practices

The mother of a 10-year-old child diagnosed with rubella asks what can be done to help her child feel better during her illness. What information can be provided?

Encourage rest and relaxation.

A nurse is working in a clinic where a family member spouse is treated for a sexually transmitted disease the nurse is concerned about the risk to family members what is the most Appropriate action for the nurse to take

Encourage the client to speak with the family member about the diagnosis if the client has not done so already

Which action should the nurse implement when working with a medically homeless client

Encourage the client to utilize free healthcare clinic

What would be important for the nurse to consider at the beginning of an interview?

Establish rapport with the client and family members

The nursing agenda for healthcare reform American nurses association ANA identifies a recipient of healthcare the reforms main focus is on

Health promotion

Nurse on a night shift entered an elderly client room during a scheduled check and discover the client on the floor beside the bed after falling on trying to ambulate to the washroom after assessing and assisting the client back to bed the nurse is completed an incident report what is the primary purpose of this particular type of documentation

Identifying risks and ensuring future safety for clients

A nurse is conducting an in-service program for a group of nurses on the health of women in their families incorporating information from healthy people 2030 the nurse determines that additional discussion and clarification is needed when the group makes which statement

Immunizations may be the cause of some illnesses being seen currently

Which is a true statement regarding Medicaid

It covers individuals and families with low incomes

Which statement best describes the pattern of maternal mortality since World War II

It has steadily decreased

Yes which is true of the occupational safety and health act

It helps to reduce workforce injuries and illness in the workplace

A client diagnosed with the autoimmune disorder Hashimoto's thyroiditis asks the nurse what he has done to cause this disorder. What knowledge by the nurse should the response be based upon?

It is a result of the loss of immunologic self-tolerance.

The financial stability of health maintenance organization's HMOs it's based on which factor

Keeping patients healthy and out of the hospital through periodic screening health education and preventive services

When documenting the care of a client the nurse is aware of the need to use abbreviations conscientiously and safely. This includes

Limiting abbreviations to those approved for use by the institution

Several families arrive at the scene of the disaster And are asking for information about their family members which person would be most appropriate to provide them with information

Public information officer

A nurse has been asked for that information to a group leaders concerning one's health issues and repairing the information the nurse include hot girl from healthy people 2030

Reduce the rate of cesarean birth among low risk birth

Select the screening procedure performed a newborns to decrease the risk of intellectual disability and compromise neurological development

Serum phenylalanine test

The nurse is with a client who has a chronic illness and is reinforcing positive behaviors and teaching about health promotion. For which phase of the trajectory model of chronic illness are these nursing actions appropriate?

Stable

A client has been diagnosed with otosclerosis. The nurse explains to the client that this is a common cause of hearing impairment among adults and is the result of a bony overgrowth of the:

Stapes

A nurse is working as a registered nurse first assistant as defined by the states nurse practice act the nearest parks under the direct supervision of which surgical team member

Surgeon

The interdisciplinary team is discussing the best approach to planning care for a client with complex psychiatric mental health needs when determining which task can be performed by the psychiatric mental health registered nurse PMH - RN and which must be performed by the psychiatric mental health advanced practice registered nurse PMH - APRN the team should prioritize guidelines from what source

The American nurses association standards of practice

A client is treated in the client for sexually transmitted infection and the nurse expects that the client is at risk for HIV the physician determines the client should be tested for the virus what responsibility does the nurse have

The nurse ensures a written consent is obtained prior to testing

Which six trends in healthcare reflect the Institute of medicines IOM focus

The system should be safe, effective, efficient, patient centered, timely, and equitable

A couple has just been notified that their unborn child care is the genetic disorder. The couple expresses concern that the insurance company will not cover the cost associated with the medical bills or the child. What is the most appropriate response by the nurse

There are laws in place that prohibit that from happening

Professional regulations and laws that govern nursing practice are in place for which reason

To protect the safety of the public

The nursing instructor is talking to the class of nursing students about the Americans with disability And persons having burgers disabilities I have the right to education in the least restrictive environment the nursing instructor asked the students what is the reason for the least restrictive environment which example should the nurse choose

Unique needs

Call proper nutrition when the my plate bottle is used for healthy eating which food group should the nurse encourage the client to eat most of

Vegetables

A nursing assessment for a client with alcohol abuse reveals a disheveled appearance and a foul body odor. What is the best initial nursing plan that would assist the client's involvement in personal care?

assisting the client with bathing and dressing by giving clear, simple directions

A nurse is caring for a 30-year-old woman who was just diagnosed with cervical cancer. Which psychosocial need would be the priority for the nurse with her client?

clear information on the disease, management, and treatment

Two days ago, a woman gave birth to her third infant; she is now preparing for discharge home. After the birth of her second child, she developed an endometrial infection. Nursing goals for this discharge include all of the following except:

maintaining previous household routines to prevent infection.

An adolescent girl and her caregiver present at the pediatrician's office. The adolescent reports severe abdominal pain. A diagnosis of pelvic inflammatory disease (PID) is made. The nurse notes in the child's chart that this is the third time she has been treated for PID. The most appropriate action by the nurse would be to:

take the child to a private room and interview her regarding her sexual history and partners.

A mother expresses surprise to the nurse that her daughter has begun masturbating. The most important initial nursing response is that:

this is a normal and expected activity best treated matter-of-factly.