care coordination/ family dynamics EAQ
pulse ox is prescribed for an adolescent. which would the nurse do to ensure accuracy of the pulse ox reading? a. attach the probe to a finger or earlobe b. wait 30 mins before obtaining a reading c. calibrate the oximeter at least every 8 hours d. place the probe on the abdomen or upper leg
a
the objective of a therapy group is to assist the members to change behavior so they are able to participate in life in a more satisfying manner. which leadership style is best to achieve this objective? a. democratic, guiding b. hierarchical, directing c. autocratic, controlling d. laissez-faire, observing
a
which aspect of total client care needs to be taken into consideration if used on a 24 bed care area? a. cost of nurses b. training needs c. documentation d. client satisfaction
a
which members of the interprofessional team in a palliative care setting serves as the client advocate, evaluating the physical, emotional, and spiritual needs of the client? a. nurse b. pharmacist c. music therapist d. primary health care provider
a
in providing effective nursing care to clients from different cultural backgrounds, which strategy would the nurse follow? a. advise clients that some cultural practices may be harmful to health b. provide care that fits the client's cultural beliefs c. strictly adhere to organization policies regarding nursing care d. ignore the cultural aspect and focus on the medical aspect of care
b
the nurse is caring for an adolescent admitted to the hospital after taking an acetaminophen overdose. which result is most important for the nurse to monitor at this time? a. blood gas level b. liver function tests c. CBC d. glycosylated hemoglobin
b
when the nurse revises the care plan because the goals have not been met, which phase of the nursing process is being applied? a. planning b. evaluation c. assessment d. implementation
b
which client care activity may the nurse safely delegate to an unlicensed health care worker? a. assessing a client's mastectomy incision for signs of inflammation b. assisting a client who is recovering from an abdominal hysterectomy to the bathroom c. providing information about side effects to a client receiving chemo for breast cancer d. evaluating the effectiveness of an antiemetic that was administered to a client to relieve nausea
b
which rationale supports the nursing intervention to turn the client with paraplegia every 1 to 2 hours? a. to maintain client comfort b. to prevent development of pressure injuries c. to prevent flexion contractures of the extremities d. to improve venous circulation in the lower extremities
b
an adolescent with terminal cancer tells the home care nurse, 'I'd really like to get my general education development certificate. do you think that's possible?' which is the best approach to the adolescent's question? a. refocusing the conversation on things the adolescent has already accomplished in life b. trying to help the adolescent understand that this goal is too taxing and slightly unrealistic c. arranging a conference with the school and encouraging the adolescent to prepare for the test d. suggesting to the adolescent that this energy should be directed toward expressing feelings about the illness
c
the RN assigned a task to UNP. the UNP observed a change when measuring a client's BP. which action should the UNP take in this situation? a. administer meds b. inform the LPN c. inform the RN immediately d. discuss the problem with other UNPs
c
which activity would the nurse manager complete during an emergency event when acting as the triage officer according to the hospital incident command system? SATA a. facilitating client movement through the system b. bringing in personnel and supply resources to meet needs c. rapidly evaluating each person who comes to the hospital d. identifying the need for and call in specialty providers e. determining numbers, acuity, and medical resource needs of client arriving at the hospital
c
which health care team member is familiar with all the needs of any individual client? a. orderly b. nursing aide c. charge nurse d. PCA
c
which health care team member supervises UNPs in providing care to the client? a. charge nurse b. nurse manager c. RN d. PCA
c
which organization provides scope and practice guidelines on the roles and responsibilities for nursing and nursing specialties? SATA a. state nursing association b. national league of nursing c. american nurses association d. academy of medical surgical nurses e. quality and safety education for nurses
c
a client diagnosed with AIDS states "I'm not worried because they have a cure for AIDS." which response would the nurse use? a. repeated phlebotomies may be able to rid you of the virus b. you may be cured of AIDS after prolonged pharmacological therapy c. perhaps you should have worn condoms to prevent contracting the virus d. there is no cure for AIDS but there are meds that can slow down the virus
d
a student in high school asks the school nurse why a classmate has been absent for so long. which is the best response? a. have you asked his girlfriend b. i wonder why you're so curious c. students sometimes miss school for long periods d. i know you're concerned, but you'll need to ask your classmate for yourself
d
an adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. which would the nurse tell the girl that may help her wear the bracelet consistently? a. hide the bracelet under long sleeves b. wear the bracelet when engaging in contact sports c. ask her friends to wear bracelets that look like hers d. select a bracelet similar to bracelets worn by her peers
d
which intervention would the nurse add to the plan of care for a client who enrages in ritualistic behavior? a. redirect the client's energy into activities to help others b. teach the client that the behavior is not serving a realistic purpose c. administer antianxiety medications that block out the memory of internal fears d. help the client understand that the behavior is caused by maladaptive coping with increased anxiety
d
which is the average optimal BP of an adolescent? a. 85/53 mm Hg b. 95/65 mm Hg c. 105/65 mm Hg d. 110/65 mm Hg
d