FON Exam 3 Quizzes: Weeks 7-9-10

A nurse caring for a client who has gas gangrene knows that this infection originated in which of the following reservoirs? Animals Food Other people Soil

Soil

A client is very anxious and states, "I am so stressed." What is the reason stress affects the client's safety? Stress increases retention of information Stress affects interpersonal relationships Stress increases concern about hazards Stress tends to narrow the attention span

Stress tends to narrow the attention span

Common time frames for routine assessments in the postoperative phase are every 15 minutes until stable, every 1 to 2 hours for the first 24 hours, and every 4 hours thereafter.True or False?

True

A client with diabetes has impaired sensation in her lower extremities. What education would be necessary to reduce her risk of injury? "Take your insulin twice a day as we have discussed." "Always test the temperature of bath water before stepping in." "Remember to follow your diet so you lose weight this month." "Rub lotion on the skin of your legs and feet twice a day."

"Always test the temperature of bath water before stepping in."

A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me any antibiotics." What would be the most appropriate response by the nurse? "I know what you mean; you need an antibiotic." "Let me talk to the physician and see what we can do." "Why do you think you need an antibiotic?" "Antibiotics have no effect on viruses."

"Antibiotics have no effect on viruses

A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include? "Mix your medications with your enteral feeding." "Flush the tube before and after each medication." "Mix all the crushed medications prior to dissolving them in cola." "Push tablets through the tube slowly."

"Flush the tube before and after each medication."

In order to prevent the possibility of venous stasis, a nurse is educating a surgical client on how to perform leg exercises. Which statement by the client indicates a sound understanding of leg exercises? "I'll practice these now and try to start them as soon as I can after my surgery." "I'll make sure to do these, as long as my doctor doesn't tell me to stay on bed rest after my operation." "I'm pretty sure my stomach muscles are strong enough to lift both of my legs off the bed at the same time." "I'll try to do these lying on my stomach so that I can bend my knees more fully."

"I'll practice these now and try to start them as soon as I can after my surgery."

A nurse is attending a job fair at the local community center and stops at a booth that is demonstrating technology for client care. While touring the booth, the nurse meets an informatics nurse specialist (INS). Being unfamiliar with this position, the nurse asks the INS, "How did you get this position?" Which response by the nurse would be most appropriate? "I am required to have a bachelor's degree in nursing." "I've had graduate-level education focusing on informatics." "I was involved in getting our electronic health record off the ground." "I have a doctorate in nursing with a minor in computer technology."

"I've had graduate-level education focusing on informatics."

An informatics nurse is working as part of a team considering an update to a clinical information system already in place. Which questions would be important for the team to ask first? Select all that apply. "What is the purpose of the change?" "Will it improve overall usability?" "How will its use be incorporated into the nurse's current workflow?" "How should the screen be laid out so it's consistent with other screens?" "Can the design support the nurse's workflow?"

"What is the purpose of the change?" "Will it improve overall usability?" "How will its use be incorporated into the nurse's current workflow?"

A nurse is educating a client about regional anesthesia. Which statement is accurate about this type of anesthesia? "You will be awake but will not be aware of the procedure." "You will be asleep but may feel some pain during the procedure." "You will be asleep and won't be aware of the procedure." "You will be awake and will not have sensation of the procedure."

"You will be awake and will not have sensation of the procedure."

Which questions asked by the nurse when taking a client's health history would collect data about infection control? "Tell me what you eat in each 24-hour period." "Do you sleep well and wake up feeling healthy?" "What were the causes of death for your family members?" 'When did you complete your immunizations?"

'When did you complete your immunizations?"

A nurse manager is reviewing guidelines for preventing injury with staff nurses. Which of the following instructions should the nurse manager include? (Select all that apply.) A. Request assistance when repositioning a client. B. Avoid twisting your spine or bending at the waist. C. Keep your knees slightly lower than your hips when sitting for long periods of time D. Use smooth movements when lifting and moving patients E. Take a break from repetitive movements every 2 to 3 hours to flex and stretch your joints and muscles

A. Request assistance when repositioning a client. B. Avoid twisting your spine or bending at the waist. D. Use smooth movements when lifting and moving patients

An informatics nurse is assisting with the development of a new clinical information system that will be implemented in the facility. As part of the process, the team is evaluating the purpose of the system and the technological options available. The team is in which phase of the system development lifecycle? Design Test Train Analyze and plan

Analyze and plan

Prior to inserting a nasogastric tube, the nurse correctly verifies the client's identity through which of the followingmethods?A) Ask the client: "Is your name___?"B) Check the client's identification bracelet.C) Verify the client's room number.D) Call the client by his or her first name.

Ans: BFeedback:The Joint Commission's National Patient Safety Goals include improving the accuracy of client identification. The nurseshould check the client's identification bracelet to verify the client's identity.

The nurse is providing care to an older adult client. Which interventions will the nurse perform to protect the client's skin? Select all that apply. Offer fluids every hour while the client is awake. Provide a bed bath every day. Minimize the use of any tape to the skin. Wash the perineal area every day. Apply moisturizing lotion to feet and hands daily.

Apply moisturizing lotion to feet and hands daily. Minimize the use of any tape to the skin. Wash the perineal area every day. Offer fluids every hour while the client is awake.

The alert and oriented client has just been notified of a terminal cancer diagnosis and the need for surgery to extend life. The client tells the nurse, "I am leaving. I am not having the surgery." The client refuses to wait and talk to the primary care provider. What is an appropriate action by the nurse? Request the primary care provider to prescribe a medication that would sedate the client. Ask for a referral for the client to be declared incompetent. Ask the client to sign a form that the client is being discharged against medical advice. Have security personnel stationed outside the client's room to prevent the client from leaving.

Ask the client to sign a form that the client is being discharged against medical advice.

Which of the following are characteristics of the stage of infection known as full stage of illness? Select all that apply.A) It is the interval between the pathogen's invasion of the body and the appearance of symptoms of infection.B) Specific signs and symptoms are present.C) The organisms are growing and multiplying.D) The signs and symptoms disappear, and the person returns to a healthy state.E) Early signs and symptoms of disease are present, but these are often vague and nonspecific.

B) Specific signs and symptoms are present.C) The organisms are growing and multiplying.

A nurse educator is reviewing proper body mechanics during employee orientation. Which of the following statements should the nurse identify as an indication that an attendee understands the teaching? (Select all that apply.) A. "My line of gravity should fall outside my base of support." B. "The lower my center of gravity the more stability I have." C. "To broaden my base of support, I should spread my feet apart." D. "When I lift an object, I should hold it as close to my body as possible." E. "When pulling an object, I should move my front foot forward."

B. "The lower my center of gravity the more stability I have." C. "To broaden my base of support, I should spread my feet apart." D. "When I lift an object, I should hold it as close to my body as possible."

In which phase of the perioperative period would the patient be transferred to the OR bed?A. PreoperativeB. IntraoperativeC. Postoperative

B. Intraoperative

A client who has had abdominal surgery develops an infection in the wound while still hospitalized. Which agent is most likely the cause of the infection? Fungi Spores Bacteria Virus

Bacteria

A nurse is caring for a client who is scheduled to undergo a breast biopsy. Which major task does the nurse perform immediately during the preoperative period? Reduce the dosage of toxic drugs. Conduct a nursing assessment. Review the surgical checklist. Obtain a signature on the consent form.

Conduct a nursing assessment. Get a baseline

What is the correct rationale for using body substance precautions?A) The risk of transmitting HIV in sputum and urine is nonexistent.B) Disease-specific isolation procedures are adequate protection.C) Only actively infected clients are considered contagious.D) All body substances are considered potentially infectious.

D) All body substances are considered potentially infectious.

An informatics nurse specialist is working with a team who is developing an expanded system for documenting critical values in the electronic health record (EHR) being used at the facility. The team has identified the need for this addition and provided appropriate evidence to support this change. The team would now proceed to which phase in the system development lifecycle? Design and build Test Train Analyze and plan

Design and build

A nurse is caring for an adolescent who is diagnosed with mononucleosis, commonly called "the kissing disease." The nurse explains that the organisms causing this disease were transmitted by: Direct contact Indirect contact Airborne route Vectors

Direct contact

The older adult client reports back pain, and an aquathermia heating pad has been prescribed for comfort. What actions will the nurse perform to provide a safe application of heat therapy for this client? Select all that apply. Instruct the client to lie on the pad to keep the pad in its proper position. Ensure the aquathermia unit contains water to the appropriate level. Assess the client's skin prior to application of heat. Set the temperature on the unit to the maximum heat setting. Apply the heating pad to the client's back for intervals of 1 hour.

Ensure the aquathermia unit contains water to the appropriate level. Assess the client's skin prior to application of heat. *remove after 15 to 30 minutes to avoid burns.*

The client has a wound on the ankle that the nurse has cleansed and dressed. The nurse now needs to apply a conforming bandage to keep the dressing in place. What technique will the nurse use to apply the bandage? (If you don't know them, learn them). Figure-of-eight turn Circular turn only Recurrent bandaging Spiral turn

Figure-of-eight turn

Which statement accurately represents a recommended guideline when providing postoperative care for the following clients? Force fluids for an adult client who has a urine output of less than 30 mL per hour. If the dressing was clean but now has a large amount of fresh blood, remove the dressing and reapply it. If vital signs are progressively increasing or decreasing from baseline, notify the physician of possible internal bleeding. If client is febrile within 12 hours of surgery, notify the physician immediately.

Force fluids for an adult client who has a urine output of less than 30 mL per hour.

A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke, but his care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client? Fowler's low-Fowler's protective supine semi-Fowler's

Fowler's

he nurse is documenting a variance that has occurred during the shift. This report will be used for quality improvement to identify high-risk patterns and, potentially, to initiate in-service programs. This is an example of which type of report?

Incident report

The nurse is preparing to send a client to the operating room for an exploratory laparoscopy. The nurse recognizes that there is no informed consent for the procedure on the client's chart. The nurse informs the physician who is performing the procedure. The physician asks the nurse to obtain the informed consent signature from the client. What is the nurse's best action to the physician's request? Inform the physician that it is his responsibility to obtain the signature. Obtain the signature and ask another nurse to cosign the signature. Inform the physician that the nurse manager will need to obtain the signature. Call the house officer to obtain the signature.

Inform the physician that it is his responsibility to obtain the signature.

A client comes to the emergency department with major burns over 40% of his body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for Infection? Age, race, sex, and hereditary factors influence susceptibility to infection. White blood cells provide resistance to certain pathogens. Intact skin and mucous membranes protect against microbial invasion. Stress may adversely affect normal defense mechanisms.

Intact skin and mucous membranes protect against microbial invasion.

An informatics nurse specialist is working with a group of staff nurses who are testing an electronic documentation system. The nurses using the system find that the different components of the system are working as they should from the time a client is admitted and throughout the client's care. The group is involved with which phase of testing?

Integration

Nurses provide many interventions to prevent falls in health care settings. What would be an appropriate intervention to prevent falls? Lock wheels on beds and wheelchairs. Apply restraints to all confused clients. Keep side rails up at all times. Keep bed in the high position.

Lock wheels on beds and wheelchairs.

The client has an infected nonhealing wound in which negative-pressure wound therapy (NPWT) has been applied. What actions would the nurse employ for this client? Select all that apply. Disconnect the machine for 2 hours daily to allow the client to bathe and ambulate Change the wound dressing every day. Measure and record the amount of drainage each shift. Assess for a problem if the machine alarms. Empty or replace the canister on the machine when full or nearly full.

Measure and record the amount of drainage each shift. Assess for a problem if the machine alarms. Empty or replace the canister on the machine when full or nearly full.

A nurse is admitting a client to a geriatric medicine unit. Which nursing action would the nurse perform to reduce the client's risk for a fall? Orient the client to the room and environment upon admission. Provide the client with a bedpan to reduce ambulating to the restroom. Administer pain medications sparingly in order to minimize any cognitive side effects. Place the client in a shared room with a client who is stable and oriented.

Orient the client to the room and environment upon admission.

While receiving a report, the nurse learns that a client has paraplegia. The nurse will plan care for this client based upon the understanding that the client has which of the following? Paralysis of the legs and arms Paralysis affecting one-half of the body Weakness affecting one-half of the body Paralysis of the legs

Paralysis of the legs

An informatics nurse is part of a team that is testing a new electronic health record system. The testing involves large groups of health care providers who will be using the system. During this testing, the system stalls and fails to respond when large numbers of providers are using the system at the same time. Which phase of testing is being conducted? Integration Function Performance User acceptance

Performance

Of all possible nursing interventions to break the chain of infection, which is the most effective? Providing good skin care Practicing hand hygiene Administering medications Wearing gloves at all times

Practicing hand hygiene

What are functions of the skin? Select all that apply. Protection Immunologic Temperature regulation Sensation Vitamin C production

Protection Immunologic Temperature regulation Sensation

A nurse is receiving a provider's prescription by telephone for morphine for a patient who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (Select all that apply.) Repeat the details of the prescription back to the provider. Have another nurse listen to the telephone prescription. Obtain the provider's signature on the prescription within 24 hours Decline the verbal prescription because it is no an emergency situation Tell the charge nurse that the provider has prescribed morphine by telephone

Repeat the details of the prescription back to the provider. Have another nurse listen to the telephone prescription. Obtain the provider's signature on the prescription within 24 hours

An emergency room nurse is assessing a toddler with multiple bruises and burns. The nurse suspects the toddler has been abused. What is legally required of the nurse? Nothing; the nurse has no control over the toddler's home. Refer the caregivers of the toddler to a home health nurse. Verbally confront the caregivers about the suspicions. Report suspicions about the abuse to proper authorities.

Report suspicions about the abuse to proper authorities.

The nurse is providing care to a team of clients. Which clients are at risk for injury to the skin? Select all that apply. The ambulatory client who is recovering from an endoscopic procedure for abdominal pain The client who has a temperature of 40° C and is perspiring The client who has a body mass index (BMI) of 34 The client who is experiencing an allergic reaction and is scratching the skin The client who is emaciated from self-induced vomiting anterm-61d food deprivation

The client who has a temperature of 40° C and is perspiring The client who has a body mass index (BMI) of 34 The client who is experiencing an allergic reaction and is scratching the skin The client who is emaciated from self-induced vomiting and food deprivation

The nurse is working with a group of clients. Which of the following clients are at risk for a skin alteration? Select all that apply. The client who has experienced vomiting and diarrhea for several days with a loss of 12 pounds in weight The client who experienced numbness in the right arm that has resolved after several hours The client who is a roofer and spends a lot of time outdoors participating in sports The client who has paralysis and is unable to move in bed, and the nurse provides turning every 2 hours The client who is newly diagnosed as having diabetes and requires management education of the disease

The client who has experienced vomiting and diarrhea for several days with a loss of 12 pounds in weight The client who is a roofer and spends a lot of time outdoors participating in sports The client who has paralysis and is unable to move in bed, and the nurse provides turning every 2 hours The client who is newly diagnosed as having diabetes and requires management education of the disease

A nurse is reading a journal article about nursing informatics in which the article describes the two types of nurse informaticists. The nurse demonstrates understanding of the article by identifying which characteristic as being solely reflective of an informatics nurse (IN)? The nurse has received primarily on-the-job training. The nurse has completed a post-master's educational program. The nurse has received formal graduate-level education in informatics The nurse has both a nursing and medical degree.

The nurse has received primarily on-the-job training.

The client lives in a remote area and has been referred to a specialist who travels to the area once a month. The client's condition requires an appointment as soon as possible. The low-income client has no reliable transportation. What would the nurse do to facilitate access to the specialist for the client? Use videoconferencing to access the specialist Schedule an appointment with the specialist for next month. Make travel arrangements that include a bus trip and overnight stay at a motel. Send the client's records through the mail to the specialist and communicate through the mail.

Use video conferencing to access the specialist

Which description most accurately defines an infection? a disease resulting from pathogens in or on the body the result of lack of knowledge about food preparationan illness resulting from living in an unclean environment an acute or chronic illness resulting from traumatic injury

a disease resulting from pathogens in or on the body

A nurse has seen several clients at a community health center. Which client would be most at risk for developing an infection? an infant who has just received first immunizationsa middle-age adult with joint pain and stiffnessan adolescent who had a physical prior to playing basketball an older adult with several chronic illnesses

an older adult with several chronic illnesses

The telemetry unit nurse is reviewing laboratory results for a client who is scheduled for an operative procedure later in the day. The nurse notes on the laboratory report that the client has a serum potassium level of 6.5 mEq/L, indicative of hyperkalemia. The nurse informs the physician of this laboratory result because the nurse recognizes hyperkalemia increases the client's operative risk for: fluid imbalances. bleeding and anemia. infection. cardiac problems.

cardiac problems.

Which intervention is of major importance during preoperative education? performing skills necessary for gastrointestinal preparation discussing the site and extent of the surgical incision encouraging the client to identify and verbalize fears telling the client not to worry or be afraid of surgery

encouraging the client to identify and verbalize fears

Teaching about pain management is implemented in the postoperative phase of the perioperative period. True or False?

false, teaching about postoperative activities is implemented in the PREoperative phase.

A client with a diagnosis of chronic obstructive pulmonary disease has been experiencing debilitating periods of dyspnea since being admitted to the health care facility. What position is most likely to alleviate this client's shortness of breath?

high fowler position

Which is an example of the body's defense against infection? level of susceptibility immune response characteristics body shape and size

immune response

Besides being an instrument of continuous client care, the client's health care record also serves as a(an):

legal document.

A college-aged student has influenza. At what stage of the infection is the student most infectious? full stage of illness incubation period convalescent period prodromal stage

prodromal stage

The nurse is aware that an antiviral medication is most effective when given during which phase of the infectious process? prodromal stage convalescent period full stage of illness incubation period

prodromal stage

A nurse is caring for a client who is receiving enteral tube feedings due to dysphagia. which of the following bed positions should the nurse use for safe care of this client?a. supineb. semi-fowlersc. semi-proned. trendelenburg

semi-fowlers

A nurse caring for a postoperative client observes the drainage in the client's closed wound drainage system. The drainage is thin with a pale pink-yellow color. The nurse documents the drainage as: (Know them all) purulent. sanguineous. serosanguineous. serous.

serosanguineous

Which documentation tool will the nurse use to record the client's vital signs every 4 hours? A flow sheet

A flow sheet

A woman tests positive for the human immunodeficiency virus antibody but has no symptoms. She is considered a carrier. What component of the infection cycle does the woman illustrate? A portal of entry An infectious agent A portal of exit A reservoir

A reservoir

The nurse has started an intravenous catheter in the client's hand. What type of dressing will the nurse use to secure the IV catheter? Hydrocolloid dressing Transparent film 2 × 2 gauze Hydrogel sheet

Transparent film

A nurse is providing care for a client who has been newly admitted to the long-term care facility. What is the primary criterion for the nurse's decision whether to use a mechanized assistive device for transferring the client? the client's body weight the client's ability to assist the client's cognitive status the client's age

the client's body weight

Which of the following people has the greatest risk for accidental injury? An infant just learning to crawl An older adult who walks two miles a day An athlete who exercises on a regular basis A worker who operates industrial machines

A worker who operates industrial machines

The physician's admitting orders indicate that the client is to be placed in Fowler position. Upon positioning this client, how much will the nurse elevate the head of the bed? 45 to 60 degrees 15 to 20 degrees 30 degrees 90 degrees

45 to 60 degrees

What situation would permit the nurse to disclose information without the client's approval? the nurse suspecting that a client is being abused or neglected the nurse sharing details of the client's wills and loans the nurse revealing the address of the client's place of residence the nurse informing the relatives of the client's noncompliance with treatment A

A

After a client falls out of bed, the nurse completes which of the following?A) Safety event report (incident report)B) Telephone call to hospital's attorneyC) Progress note stating event report was completedD) Malpractice report

A) Safety event report (incident report)

A nurse is changing the bed linen of a client admitted to the health care facility. Which of the following isolation precautions should the nurse follow?A) Standard precautionsB) Droplet precautionsC) Contact precautionsD) Airborne precautions

A) Standard precautions

The nurse is providing care to a postoperative client who has a Jackson-Pratt (JP) drain. The nurse notes the JP drain is expanded and full of sanguineous fluid. Place in order the steps the nurse will now perform. Use all options. A. Don clean gloves. B. Empty the JP's contents into a graduated collection container. C. Compress the chamber and replace the JP cap. D. Note the amount of output as well as color. E. Remove gloves and sanitize or wash hands. answer in similar manner: A, B, D, E, C

A, B, C, D, E

A nurse is caring for a patient who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select all that apply.) A. Make sure the surgeon obtained the patient's consent B. Witness the patient's signature on the consent form. C. Explain the risks and benefits of the procedure D. Describe the consequences of choosing not to have surgery.

A. Make sure the surgeon obtained the patient's consent B. Witness the patient's signature on the consent form.

A client with abdominal incisions experiences excruciating pain when he tries to cough. What should the nurse do to reduce the client's discomfort when coughing? Administer prescribed pain medication just before coughing. Ask the client to lie in a lateral position when coughing. Administer prescribed pain medication 30 minutes before deliberately attempting to cough. Ask the client to drink plenty of water before coughing

Administer prescribed pain medication 30 minutes before deliberately attempting to cough.

A man on an airplane is sitting by a woman who is coughing and sneezing. If she has an infection, what is the most likely means of transmission from the woman to the man? Direct contact Vectors Airborne route Indirect contact

Airborne route

Which nursing intervention occurs in the postoperative phase of the surgical experience? Airway/oxygen therapy/pulse oximetry reviewing the meaning of p.r.n. orders for pain medications teaching deep breathing exercises putting in IV lines and administering fluids

Airway/oxygen therapy/pulse oximetry key words - Nursing intervention.

A nurse is conducting a prenatal class for expectant parents. What is one topic that should be addressed to promote safety in the developing fetus? The stages of labor with possible complications The role of the father in proper prenatal care Infant hygiene and feeding Alcohol consumption and smoking

Alcohol consumption and smoking

An informatics nurse specialist has completed the evaluation of an update to a current clinical information system used by the staff at the local hospital and has documented the results. Documentation reveals the need for an improvement in the screen display. Which action would be next?

Analyze and Plan

An informatics nurse is assisting with the development of a new clinical information system that will be implemented in the facility. As part of the process, the team is evaluating the purpose of the system and the technological options available. The team is in which phase of the system development lifecycle? Analyze and plan

Analyze and plan

A nurse makes a medication error and fills out an incident report. What will the nurse do with the incident report once itis filled out?A) Place it in the client's medical record.B) Take it home and keep it locked up.C) Maintain it according to agency policy.D) Include it with documentation of the error.

Ans: CFeedback:An accident in a health care agency requires filling out an incident report, a confidential document that objectivelydescribes the circumstances of the accident. The incident report is not a part of the medical record and should not bementioned in the documentation. The report is maintained by the agency.

The facility risk management team is preparing an in-service to nursing staff members. The presentation will highlightrisk factor increase related directly to the type of clientele on a nursing unit. The presenter will correctly explain thatwhich of the following risks is increased for female nurses who work on an oncology care unit?A) Back injuriesB) Bloodborne pathogensC) Adverse reproductionD) Neurologic disorders

Ans: CFeedback:Common risks in health care facilities are exposure to bloodborne pathogens from stick injuries via used needles, backinjuries caused by heavy lifting, and potential adverse reproductive outcomes as a result of overexposure toantineoplastic medications. On oncology divisions, the nurse is continually exposed to antineoplastic agents.

An appendectomy is considered which classification of surgery based on purpose? A. Diagnostic B. Ablative C. Palliative D. Reconstructive

Answer: B. Ablative Rationale: Ablative surgery is performed to remove a diseased part. Diagnostic surgery is performed to make or confirm a diagnosis. Palliative surgery is performed to relieve or reduce intensity of an illness. Reconstructive surgery is performed to restore function to tissue.

Tell whether the following statement is true or false. Teaching about pain management is implemented in the postoperative phase of the perioperative period. A. True B. False

Answer: B. False Rationale: Teaching about pain management is implemented in the preoperative phase of the perioperative period.

In which phase of the perioperative period would the patient be transferred to the OR bed? A. Preoperative phase B. Intraoperative phase C. Postoperative phase

Answer: B. Intraoperative phase Rationale: The intraoperative phase begins when the patient is transferred to the OR bed and lasts until transfer to the postoperative recovery area. The preoperative phase begins with the decision to perform surgery and lasts until the patient is transferred to the OR bed. The postoperative phase lasts from admission to the recovery area to complete recovery from surgery.

Which type of anesthesia would be the best choice for an older adult undergoing surgery of the lower abdomen? A. General anesthesia B. Topical and local anesthesia C. Moderate sedation/analgesia D. Regional anesthesia

Answer: D. Regional anesthesia Rationale: Regional anesthesia is appropriate for lower abdomen surgery. Research has proven that regional anesthesia is especially useful in reducing postsurgical pain, bowel dysfunction, and length of hospital stay for older adult patients.

A nurse is preparing information for change-of-shift report. Which of the following information should the nurse include in the report? Input and output for the shift Blood pressure from the previous day. Bone scan scheduled for today Medication routine from the medication administration record (MAR).

Bone scan scheduled for today

A nurse has completed morning care for a client. There is no visible soiling on her hands. What type of technique is recommended by the CDC for hand hygiene?A) Do not wash hands, apply clean gloves.B) Wash hands with soap and water.C) Clean hands with an alcohol-based handrub.D) Wash hands with soap and water, follow with handrub.

C) Clean hands with an alcohol-based handrub.

A nurse is completing discharge instructions for a client who has COP. The nurse should identify that the client understands the orthopneic position when she states that she will do which of the following when she has difficulty breathing at night?A. Lie on her back with her head and shoulders on a pillowB. Lie flat on her stomach with her head to one sideC. Sit on the side of the bed and rest her arms over pillows on top of her bedside tableD. Lie on her side with her weight on her hip and shoulder with her arm flexed in front of her

C. Sit on the side of the bed and rest her arms over pillows on top of her bedside table

A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the include in the teaching? (Select all that apply). Medication error Needlesticks Conflict with provider and nursing staff Omission of prescription Missed specimen collection of a prescribed laboratory test

Medication error Needlesticks Omission of prescription

After conducting a preoperative health assessment, the nurse documents that the client has physical assessments supporting the medical diagnosis of emphysema. Based on this finding, which postoperative intervention would be included on the plan of care? Conduct a head-to-toe assessment each shift. Monitor respirations and breath sounds. Perform sterile dressing changes each morning. Administer pain medications as needed.

Monitor respirations and breath sounds.

A nurse is taking care of a client during the immediate postoperative period. Which duty performed during the immediate postoperative period is most important? Monitor the client for complications. Ensure the safe recovery of surgical clients. Assess the client's health constantly. Prepare a room for the client's return.

Monitor the client for complications.

Which nursing diagnosis would be appropriate for educational interventions for a single mother who leaves her toddler unattended in the bathtub? Noncompliance Risk for Suffocation Risk for Falls Risk for Imbalanced Body Temperature

Risk for Suffocation

A facility is planning to implement an update to the electronic health record. This update is designed to facilitate documentation of critical changes in clients' condition to save time that nurses spend when documenting these changes. An informatics nurse specialist asks a group of staff nurses to test this update to determine if it is working as it was designed. The nurses are involved in which type of testing? Performance User acceptance Function Integration

User acceptance

A nurse is educating a rural community group on how to avoid contracting West Nile virus by using approved insect repellant and wearing proper coverings when outdoors. By what means is the pathogen involved in West Nile virus transmitted? Vectors Airborne route Direct contact Indirect contact

Vectors

A staff development nurse is discussing techniques to prevent back injury with a group of nurse aides . The nurse informs the group that back stress and injury can be prevented by: spreading the feet shoulder-width apart to broaden the base of support. using the strength of the back muscles during strenuous activities. holding the object that you are lifting/moving away from the body. pulling equipment, rather than pushing it, when possible.

spreading the feet shoulder-width apart to broaden the base of support.

Of the many topics that may be taught to clients or caregivers about home wound care, which one is the most significant in preventing wound infections? All are correct - which 1 is the most correct? thorough hand hygiene adequate sleep and rest proper intake of food and fluids taking medications as prescribed

thorough hand hygiene