Prep U Collaboration

A client who is schedules for a hysteroscopy says to the nurse, "I thought I would be able to have children, but now I know that I will never be possible." Which response would be the most appropriate for the nurse to make?

"I will call the health care provider to come visit with you"

pharmacological therapy frequently is used to dissolve small gallstones. It takes about how many months of medication with UDCA or CDCA for stones to dissolve?

6-12

A nurse is caring for a client with acute pyelonephritis. Which nursing intervention is the most important?

A client with a feeding tube to receive medication. The medication supplied is enteric-coated tablet. Which of the following would be most appropriate?

A nuse if floated to orthopedics to help with a new admissions following a major accident on the highway. While caring for one client, the nurse notes a change in behavior, some disorientatio, shortness of breath anf tachycardia. Susspecting fat embolism, the proority for the healthcare provider should include which interventions?

Begin oxygenation page respiratory therapy to draw arterial blood gas administer corticosteroids stat

The LPN is collaborating with the RN in developing a plan of care for a new client. Which description of nursing roles best describes the LPN's contribution to the plan?

Data gathering, identification of the client strengths, and assurance of client safety during the assessment phase

cliesnt must contend with chronic illness daily. Nurses relate more effectively to clients when they understand the following as characteristics of chronic illness Choose all that apply

The management of chronic conditions is a process of discovery managing chronic conditions must be a collaborative process chronic illness affects the entire family

A nurse is preparing for handoff communication for a client who is being discharged form the hospital to home health care. Which example is not an action performed during this process?

The nurse prepares the new room for the client

The nurse is working with a child life specialist to assist a young preadolescent who is preparing for treatment for cancer. Which technique will the nurse and specialist prioritize to assist this child in better understanding what will be happening in treatment of cancer?

Therapeutic play

The nurse is managing the care of a child with a chronic health condition who is admitted to the hospital. How will the nurse enhance communication between the parents and the health care team?

Use the dry erase board for updating the daily plan of care

What test will the nurse assess to determine the client's response to antiretroviral therapy?

Viral load

A client is about to undergo a cardiac catheterization for which informed consent was obtained. As the nruse enters the room to administer sedation for the procedure, the client states "I'm really worried about having this open heart surgery." Based on this statement, how should the nurse proceed?

Withhold the medication and notify the physician immediately the nurse should withhold the medication and notify the physician that the client does not understand the procedure. The physician then has the obligation to explain the procedure better to the client and determine whether or not the client understands. If the client does not understand, there cannot be a true informed consent. If the medication is administered before the physician explains the procedure, the sedation may interfere with the client's ability to clearly understand the procedure. The nurse may not just medicate the client and document the finding; the physician must be notified. The procedure does not need to be canceled, only postponed until the client receives more education and is able to give informed consent

Kaposi Sarcoma (KS) is diagnosed through

biopsy

When caring for a client with cirrhosis, which symptom(s) should the nurse report immediately?

change in mental status

A home care nurse is looking at ways that home care nurses can promote holistic care of the client. Which action will the nurse implement in order to accomplish this task?

collaboration with an interdisciplinary team

The sone of a dying female client is surprised at his mother's adamant request to meet with the hospital chaplain and has taken the nurse aside and said, "I don't think that's what she really wants. She's never been religious person in the least." What is the nurse's best action in this situation?

contact the chaplain to arrange a visit with the client

Which intervention would be most important when caring for the client with breech presentation confirmed by ultrasound?

continue to monitor maternal and fetal status

A client with an upper respiratory infection has been prescribed macrolides. Which changes during an ongoing assessment would the nurse to notify the health care provider? Select all that apply:

decrease in blood pressure increase in respiratory rate sudden increase in temperature

The nurses at a healthcare facility were informed of the change to organize the clients's records into problem-oriented records. Which explanation could assist the nurses in determining the advantage of using problem- oriented records?

problem-oriented recording emphasizes goal-directed care to promote the recording of pertinent data that will facilitate communication among health care providers

A client diagnosed with terminal leukemia is receiving home health care services to assist in the client's care. After assessing the client, the home health care nurse determines that the client is unable to afford needed medical supplies. Which is the best strategy for the nurse to implement to assist the client?

refer the client to a social worker to determine eligibility for assistance

A client with metastatic pancreatic cancer under went surgery to remove a malignant tumor in the pancreas. Despite the tumor being removed, the physician informs the client that chemotherapy must be started. why might the physician opt for chemotherapy?

to prevent metastasis

A nurse is evaluating a client's discharge collaboration between the refering agency and the home care agency. What response by the client would indicate an understanding of the planning process?

"the nurse helped me make a list of my needs and goals for recovery and shared them with the home care team?"

A nurse educator is preparing to discuss immunodeficiency disorders with group of fellow nurses. What would the nurse identify as the most common secondary immunodeficiency disorder?

AIDS

A client with a surgical wound has developed excessive granulation tissue extending above the wound edges. Which action should he nurse take?

Ask the healthcare provider about surgical options to remove the excess tissue and promote wound healing

A nurse is in charge of a large group of employees on a bysy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation?

Authoritarian

The nurse manager is reviewing the QSEN quality and safety competencies for nurses. Which competencies are included in this initiative? select all that apply

Client-centered care teamwork and collaboration quality improvement

The working stage of group therapy is marked by which of the following?

Conflict and cooperation among group members

A client tells the nurse that he is experiencing floaters in the eye. What is the appropriate nursing intervention?

Contact the physician

which primary cancer treatment goal is prolonged survival and containment of cancer cell growth?

Control

The nurse is caring for a client with a head injury. The client is experiencing CSF rhinorrhea. Which order should the nurse question?

Insertion of nasogastric (NG) tube

The nurse educator is planning a teaching session for nursing students related to the treatment and management of gestational diabetes. The nurse educator arranges for a dietitian, pharmacist, and physician assistant to participate in the lesson plan. Which professional nurse competency is the nurse educator demonstrating?

Interdisciplinary teamwork

The nurse in the neurological ICU is canring for a client who sustained a severe brain injury. Which nursing measures will the nurse implement to help control intracranial pressure (ICP)?

Maintain cerebral prefusion pressure from 50 to 70 mmHg

A client with acute pancreatitis has been started on total parenteral nutrition (TPN). Which action should the nurse preform after administration of the TPN?

Measure blood glucose concentration every 4-6 hours

a nurse suspects a child is experiencing cardiac tamponade after surgery. What would be the priority nursing intervention?

Notify the doctor immediately

A 50- year old client is an alcoholic. The client had been diagnosed with pancreatic cancer and underwent surgery to remove the tumor. Despite the tumor being removed, the physician informs the client that chemotherapy needs to be started immediately. Using evidence based practice, which intervention might the nurse expect the physician to include, with the goal of improving quality of life, mood, and median survival.

Palliative care

Which would be most important for the nurse to do in order to maximize client adherence with the discharge plan?

Partnering with the client from the beginning

A health care provider who just arrived on the unit gives a verbal order regarding a non emergent client situation. What is the nurses appropriate response?

Tactfullt request the provider to input the order into the computerized provider order system.

The registered nurse (RN) and unlicensed assistive personnel (UAP) are providing care to a client receiving intravenous (IV) immune globulin (IVIG) for the treatment of Kawasaki's disease. Which task will the RN delegate to the UAP?

Taking the client's meal tray into the room

A client has undergone diagnostic testing for human immunodeficiency virus (HIV) using the enzyme immunoassay (EIA) test. The results are positive and the nurse prepare the client for additional testing to confirm seropositivity. The nurse would prepare the client for which test?

Western blot assay

Which therapeutic factor refers to the group members' relationship to the therapist and other group members?

group cohesion

A client has been experiencing a decrease in serum calcium. After diagnostics, the physician believes the calcium level fluctuation is due to altered parathyroid function. What is the role of parathormone?

increase serum calcium level

Which nursing theory focuses on the nurse-client relationship and development pf problem solving skills?

interpersonal theory

a client cannot afford the treatment prescribed. Who would be the most appropriate professional for the nurse to ii=nvolve with the client's care ?

nurse case manager

The client is being discharged to the home setting following a stroke. The client requires assistance in relearning how to cook safely. To which home health care team member shouls the nurse refer the client>

occupational therapy

The nurse is monitoring a clients postoperative course after an appendectomy. The nurse's assessment reveal that the client has vomited, has abdominal tenderness and rigidity, and had tachycardia. The nurse reports to the physician that the client has signs/symptoms of which complication?

peritonistis

The nurse is monitoring a client's postoperative course after an appendectomy. The nurse's assessment reveals that the client has vomited, has abdominal tenderness and rigidity, and has tachycardia. The nurse report to the physician that the client has signs/symptoms of which complication?

peritonitis

A woman is in the hospital only 15 minutes when she begins to give birth precipitously. The fetal head begins to emerge as the nurse walks into the labor room. The nurse's best action would be to:

place a hand gently on the fetal head to guid birth

A nurse is working in the emergency department when a physician asks for help as the client is preforming a Romberg test. In which position would the nurse stand to be most helpful?

the nurse would stand laterally to the client, opposite side to where the physician is standing

When a multidisciplinary team is involved in meeting the home care needs of a client, who is the person responsible for the coordination of the care provided?

the registered nurse

Nursing students reviewing information about attitudes related to death and dying. the students demonstrate understanding of the information when they identify which of the following as most acurate?

there remains a conspiracy of silence about dying despite progress in the ares