EAQ Basics of Nursing Practice

A healthcare provider prescribes an antidysrhythmic to be administered intravenously (IV) at 1000 mcg/min. The directions from the pharmacy state that 500 mg of the drug should be added to 500 mL of D5W. At what rate should the nurse set the volume control device to administer the medication correctly? Record your answer using a whole number. ___ mL/hr

60

A licensed practical nurse prepares a chart about the dietary practices of clients of different cultures. Which chart entry shows that the nurse has an effective understanding on this topic?

African Americans

A nurse is caring for a client who is scheduled to undergo radiation therapy as a palliative treatment for advanced-stage breast cancer. A family member asks the nurse, "What is the expected outcome of the therapy?" Which is the most appropriate response by the nurse?

"This therapy will reduce the pain caused by local recurrence and metastasis."

A registered nurse is educating a licensed practical nurse (LPN) about the importance of palliative care in clients with HIV disease. Which statement made by the LPN indicates a need for further teaching?

"While palliative care is being provided to a client with HIV disease, intravenous therapy, blood transfusions, and radiation therapy should be considered."

A nurse is caring for a client who has a poor understanding of weight reduction strategies. The nurse instructs the client to follow a healthy diet regularly because crash dieting can lead to serious health issues. Which of these reactions might the nurse expect if the client is in the precontemplation stage? Select all that apply.

*"As far as I know, having a thin body means that I'm healthy." *"Who says that I don't eat properly? I'm just skipping my breakfast." *"I don't care about following the diet plan; I just want to lose weight as soon as possible."

The recently employed licensed practical nurse (LPN) is stating to the supervisor his understanding of how to report unethical behavior in colleagues. Which statements made by the LPN indicate adequate knowledge on the subject? Select all that apply.

*"I should have objective documentation of the incident I am reporting." *"I would consider any behavior to be unethical if it fails to adhere to the established standards of care."

The licensed practical nurse is discussing with a nursing student the instructions to be followed while documenting. Which statement made by the nursing student indicates the need for further discussion? Select all that apply.

*"I should leave blank spaces between each line of documentation." *"I should apply correction fluid to correct errors while documenting."

A nursing student is learning about the nursing process, which consists of four components. Which scenarios should the nursing student consider as the "input" component? Select all that apply.

*"The nurse checks the client's health history for allergy to iodine before inserting a urinary catheter." *"The nurse checks if the client has a history of substance abuse before administering nasal medications." *"The nurse checks the medical records of the client to know if he/she has had a rectal surgery in the past year before placing an internal fecal catheter."

For which situations would total client care be an appropriate delivery system? Select all that apply.

*Client with an endotracheal tube for pulmonary sepsis *Client recovering from cardiovascular bypass graft surgery *Client recovering from the placement of a cerebrospinal fluid shunt

Which qualities should a nurse who is promoted to leader of a unit possess? Select all that apply.

*Having adaptability to hospital rules *Encouraging the newly appointed nurses *Being aware about the events of organization *Collaborating with the staff for decision making

Which age-related change should the nurse consider when formulating a plan of care for an older adult? Select all that apply.

*Increased sensitivity to glare *Diminished sensation of pain

What economic factors increase the cost of health care? Select all that apply.

*Malpractice insurance *Advances in technology *Increasing number of aging individuals

What should the nurse assess to determine whether a 75-year-old individual is meeting the developmental task associated with aging?

Attainment of a sense of worth as a person

A nursing student is learning about the cultural beliefs and practices of Muslim Americans, Chinese Americans, African Americans, and Native Americans. Which statement by the nursing student is correct?

Chinese Americans prefer to sit at right angles to carry on conversation and African Americans tend to have a small comfort area of personal space.

The nurse is caring for four different clients. Which client's facility is most appropriate?

Client 1

Which nursing action constitutes a breach of the Patient Self-Determination Act?

Failure to adhere to a client's advance directive

Four days after abdominal surgery a client has not passed flatus and there are no bowel sounds. Paralytic ileus is suspected. What does the nurse conclude is the most likely cause of the ileus?

Impaired neural functioning

The nurse plans care for a client with a somatoform disorder based on which understanding about the disorder?

It is an unconscious means of reducing stress.

A nurse is helping a client prepare a dietary menu. The client observes the traditional Jewish dietary laws. What considerations should the nurse make?

Meat and milk at the same meal are forbidden.

The nurse caring for a client approaches the primary health-care provider and asks about adding medication and modifying the client's discharge summary. Which element of communication addressed by SBARR is the nurse implementing?

Recommendation

A nurse leader finds a post-operative client in a semi-conscious state due to the after effects of anesthesia. The client has impaired psychomotor functions. Which need of the client would the nurse leader prioritize according to Maslow's subcategories of human needs?

Safety and security need

A licensed practical nurse cares for a client with attention deficit hyperactivity disorder. The client's mother informs the nurse, "I've been encouraging her to try meditation to improve her focus." Which statements about the health belief of the client's mother are true?

The mind and body constitute a single unit.

Which action of the nurse relates to the Quality and Safety Education for Nurses (QSEN) competency of quality improvement?

The nurse uses data to monitor the outcomes of care.

A graduate nurse is preparing to apply to the State Board of Nursing for licensure to practice as a licensed practical nurse. What group primarily is protected under the regulations of the practice of nursing?

The public

After providing feedback to a student nurse, the registered nurse motivates the student nurse to become a leadership "tag." What does the registered nurse refer to by this statement?

To be philosophic, client-centered, and values driven