Exam 2 Remediation Assignment

A client with cancer pain is taking morphine for pain relief. Knowing constipation is a common side effect, what would the nurse recommend to the client?

"Increase fluids and high-fiber foods, and use a mild laxative."

A health care provider orders 1.5 teaspoons of cough syrup to be administered to the client. How many milliliters (mL) willt he nurse adminster?

7.5 mL

The nurse is asking questions about the client's pain experience during the interview. Which questions are important to address when assessing pain? Select all that apply. A)"What seems to make the pain worse?" B)"Why do you have the pain?" C)"How long does the pain last?" D) "Where is the pain located and does it move anywhere else?" E) "Have you taken acetaminophen for the pain?" F)Intensity

A)"What seems to make the pain worse?" C)"How long does the pain last?" D)"Where is the pain located and does it move anywhere else?" F)Intensity

The client is to receive his third dose of vancomycin IV and an order for peak and trough levels is to be done. What is the correct way of doing trough level?

Blood is drawn before the third dose is administered.

Which statements regarding risk factors are accurate? Select all that apply. A)Risk factors are unrelated to the person or event. B)All risk factors are modifiable. C)An increase in the number of risk factors increases the likelihood of developing an illness. D)A family history of breast cancer is a nonmodifiable risk factor. E)School-aged children are at high risk for communicable diseases.

C)An increase in the number of risk factors increases the likelihood of developing an illness. D)A family history of breast cancer is a nonmodifiable risk factor. E)School-aged children are at high risk for communicable diseases.

The nurse has received an order to remove a client's indwelling urinary catheter. Which actions are appropriate when carrying out this order? Select all that apply. A)The nurse may delegate this task to unlicensed assistive personnel (UAP). B) Strict aseptic technique must be used when removing the client's catheter. C)The nurse may delegate this task to a licensed practical/vocational nurse (LPN/LVN). D)The nurse should remove the water from the balloon by withdrawing it with a syringe. E)Limit the client's fluid intake for 2 to 4 hours prior to removal.

C)The nurse may delegate this task to a licensed practical/vocational nurse (LPN/LVN). D)The nurse should remove the water from the balloon by withdrawing it with a syringe.

The nurse needs to prepare an insulin pen for injection of a prescribed dose of insulin. Place the following steps in the correct order. Use all options. You Selected: Clean the tip of the reservoir with alcohol. Screw the correct needle onto the reservoir. Dial the dose selector to 2 units. Hold the pen upright and press the plunger firmly. Watch for a drop of insulin at the needle tip. Verify the dose selector returned to "0."

Clean the tip of the reservoir with alcohol. Screw the correct needle onto the reservoir. Dial the dose selector to 2 units. Hold the pen upright and press the plunger firmly. Watch for a drop of insulin at the needle tip. Verify the dose selector returned to "0."

The nurse is caring for a client who has had a cerebrovascular accident. Prior to administering oral medications, what is the nurse's appropriate action?

Consult with a speech therapist for dysphagia.

What strategies would you like to try to help with stress response and your stress level, what have you tried that worked.

Insnhale slowly and as deeply as possible through the mouthpiece without using the nose.

The nurse who is caring for a child admitted after an automobile accident recognizes the importance of including the child's family in the plan of care. Inclusion of the family meets which of Maslow's basic human needs?

Love and Belonging

The nurse is giving a talk to a local community group on the harms of smoking. The nurse tells the group that a risk factor is something that increases a person's chances for illness or injury. What type of risk factor is smoking?

Modifiable

The health care provider prescribes a long-term continuous drainage system to monitor a chronically ill client. What type of catheter would best suit this client's needs?

suprapubic catheter

A client has been discharged from the hospital after being treated for a myocardial infarction. The client has been asked to evaluate the care received by completing the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The results of this survey may affect:

the amount of money the hospital receives from the Centers for Medicare & Medicaid Services.

A nurse is caring for an older adult client who is to be discharged from the health care facility. The client has been prescribed an oxygen concentrator at home to continue oxygen therapy. What instructions would the nurse tell the client regarding the use of the oxygen concentrator in the home? Select all that apply. A)Do not smoke or use oxygen where open flames, such as a gas stove, are in use. B)The unit may give off an odor even if cleaned regularly. C)The oxygen concentrator needs to be used in a grounded electrical plug. D)Keep the oxygen concentrator flush with the wall and out of the way. E)The oxygen concentrator is portable and cost-effective.

A)Do not smoke or use oxygen where open flames, such as a gas stove, are in use C)The oxygen concentrator needs to be used in a grounded electrical plug. E)The oxygen concentrator is portable and cost-effective.

The nursing is preparing to provide hygiene to a middle-aged male client who practices Christianity. The client told the nurse that they had a bath yesterday and does not need a bath today. What factor(s) may be the reasons the client declined the bath? Select all that apply. A)culture B)spiritual practices C)health status D)personal preferences E)gender

A)culture C)health status D)personal preferences

A health care provider has prescribed oxygen to be delivered at 8 L/minute for a client who does not have a tracheostomy. Which oxygen delivery device(s) will the nurse consider using? Select all that apply. A)simple mask B)partial rebreather mask C)Venturi mask D)nonrebreather mask E)T-piece

A)simple mask B)partial rebreather mask

A rapid onset of symptoms that lasts a relatively short time indicates which condition?

An acute illness

The nurse is preparing to make a home visit to evaluate a 3-week-old infant. The nurse knows that the parents are a lesbian couple. When planning appropriate nursing interventions for this family, which must the nurse do first?

Assess for any personal biases about this nontraditional family structure.