FUNDAMENTALS 300 FINAL

A client wishes to discontinue treatment for his cancer. Acting as the client advocate the nurse makes this statement to the clients physician

"The client is making his own decision"

Which of the following is the best example of the objective charting

"The patients skin is ashen and respiratory rate is 32 and labored"

The nurse is assessing a patient who says she is feeling fine. The patient however, is wringing her hands and is teary eyed. The nurse should respond to the patient in the following ways?

"You seem anxious is there anything on your mind"

Shaving with a disposable razor is contraindicated for a patient with?

A bleeding disorder

The nurse enters a clients room and finds the waste asker is on Fire the nurse immediately assists the client out of the room.what he the next nursing action?

Activate the fire alarm

A 15 year-old seems treatment for sexually transmitted I️infection at a local clinic. With regard to informed consent, the nurse should perform which action?

Ask he client to sign an informed consent form

A patient is being transferred from the emergency department to another institution for treatment. Which of the following cannot be delegated to nursing assistive personnel

Assessing the patients respiratory status before transport

A nurse enters the room of a patient who is sitting in a chair and begins to have a seizure. To promote patient safety,which nursing intervention will the nurse initially perform?

Assist the patient or the floor

The nurse is applying for a job at a local hospital. She wants to look her best for the interview and decides to wear artificial nails. She does this knowing that artificial nails:

Can lead to fungal growth under the nail

When removing and cleansing a patients eye prosthesis,the nurse:

Cleans the prosthesis using mild soap and water

The patient has been hospitalized for several days received multiple intravenous antibiotic medications. This morning, the patient had episodes of severe foul-smelling diarrhea. The nurse should institute

Contact precautions

The elderly patient is instructed to store his hearing aid in a ?

Container that keeps the moisture out

The nurse prevent self-injury but using which of the following when transferring a patient?

Correct posture Effective body lifting technique Correct posture

Just as health and health behavior are affected by internal and external variables, so are illnesses and illnesses behavior. Which external variables can affect illness and behavior?

Cultural background Social support Socioeconomic status

What is the function of American nurses associations code of ethics for nurses

Delineated nurses conduct and responsibilities

The patient is ready to go home from the hospital. What does the nurse provide to the patient and his family before he leaves the facility?

Discharge summary

Nursing documentation

Evaluated patient outcomes Provide legal evidence Ensures continuity of care

The nurse is giving report to an unlicensed assistive personnel(UAP) who will be caring for a client who has hand restraints (safety devices). The client instructs he UAP to check the skin integrity of the restrained hand how frequently?

Every 30 minutes

When instructing a patient correct technique for inserting a hearing aid into the ear, the nurse will include which of the following instructions

Fit the aid snuggly into the midline of the canal

An appropriate method of assessing a patients reputations is for the nurse to?

Gently place the patients hand in a relaxed positron I've the upper abdomen

Contact precautions are initiated for a client with health-care associated (nosocomial) infection caused by methicillin-resistant staphylococcus aureus. The nurse prepares to provide colostomy care and should obtain which protective items to perform is procedure?

Gloves,gown, goggles and face shield

Before entering the room of a patient on isolation where all protective barriers are required, the nurse first puts on the:

Gown

The nurse understands that the priority nursing action needed when medical asepsis is used includes?

Hand washing

A must is taking a medication that has the potential to cause orthostatic hypotension. Which of the following nursing intervention is appropriate for this patient?

Have the patient sit slowly and dangle legs

When comparing therapeutic communication versus social communication, the profession nurse realizes that therapuetic communication?

Is goal centered and patient centered

The nurse asks a patient where the pain is and the patient responds by pointing to the area of the pain, which form of communication is this?

Nonverbal

A ANA's proposal for entry level for professional practice initiated debate among nurses. Which of the following would be greatest risk if the ANA proposal were implemented?

Nurse State Practice Act

What is the legal source of rule of conduct for nurses?

Nurses practice acts

The nurse has arrived at the scene of a natural disaster and is assigned to care for four patients.To which patient should the nurse provide care first?

Patient who is breathing eight times per minute

A patient has been admitted and places in fall precautions. The nurse explains to the patient that interventions for the precautions include:

Placing a high fall risk wrist band on the patient

The nurse is sitting at the patients bedside taking a nursing history. Which zone of personal space is the nurse using.

Primary prevention

A man 75 years of age is being discharged to his home following a fall in his kitchen that resulted in a fractured pelvis. The time health nurse makes a home assessment that will be used to design interventions to news which priority need

Protection from potential harm

To assist the patient to a sitting position on the side of bed,what should the nurse do first?

Raise the head of bed 30 degrees

The nurse is preparing to provide a complete bed bath to a patient who has a running IV.She places a bath blanket over the patient and:

Removes the gown from the arm withouth the IV first

During admission of a patient,the nurse notes that the patient speaks another language and may have difficulty understanding English,what should the nurse do?

Request and wait for an interpreter

A nurse has a duty if no maleficence. Which of the following would be considered a contraindication to that duty.

Reuse to administer pain medication as ordered?

The nurse is to provide oral hygiene to an onconsious patient. To do so,she places the patient in which position?

Sims

The nurse receives a telephone call from the hospital admissions office and is told that a patient with human immunodeficiency virus (HIV) will be admitted to the nursing unit. In planning infection control measures for the client, which is the best type of isolation precaution that the nurse should prepare.

Standard precautions

He patient is returning from cardiac cauterization. the puncture sit is in the right femoral artery. The patient is having signs assessed every 15 minutes. along with vitals, the nurse assessed the pedal pulses of the right and left feet. Which of the following of would be of major concern?

The right pedal pulse is was weaker than the left

The nurse is preparing to reposition the patient. Which of the following is a principle of safe patient transfer and positioning

The wide the base of support the greater the stability of the nurse

A nurse should be aware of safety measures to prevent personal injury when lifting or moving patient. An appropriate principle to follow is:

Tighten the stomach muscles and pelvis

What should the nurse do to prevent from aspiration during a seizure

Turn the patient onto his/her side

Under the health insurance portability and accountability act (HIPPA), a patient must?

•Be informed of his privacy rights •Have his personal health information used on a need to know basis •Have is personal health information used for treatment or payment only

A nurse is caring for a client who is disoriented to time, place and person and is attempting to get out of bed and pull out and I.V line that is supplying hydration and antibiotics.the client has a vast restraint and bilateral soft wrists restraints. Which of the following actions by the nurse would be appropriate?

•Perform a face-to-face behavior evaluation every hour •Tie the restraints in quick release knots •Document the clients conditions •Document alternative methods used before restraints were applied •Document the clients response to the intervention •Document alternative methods used before the restraints were applied

Which identifies accurate nursing documentation?

•The clients left lower medial wound is 3 cm in length without drainage or edema •The client slept through the night •abdominal wound dressing is dry and intact without drainage

Which of the following are examples of a nurse demonstrating the professional value of altruism?

•The nurse arranged for an interpreter for a client whose primary language is Spanish •The nurse call the physician of a client whose pain medication is not strong enough