Managed Care 2

Which of the following statements by the mother of an infant with a repaired upper lumbar myelomeningocele indicates that she understands the nurse's teaching at the time of discharge? a) "I will call the doctor if his urine has a funny smell." b) "I can apply a heating pad to his lower back." c) "I will prop him on pillows to keep him from rolling over." d) "I'll be sure to keep him away from other children."

"I will call the doctor if his urine has a funny smell."

A small child is admitted to the facility with a fever. Which statement made by the child's mother indicates understanding of the nurse's teaching? a) "I will keep the child in light clothing." b) "I should bring the child back to the emergency department (ED) if his temperature reaches 103° F (39.4° C)." c) "If acetaminophen doesn't reduce the fever, I can give ibuprofen in 2 hours." d) "I will starve a fever and feed a cold."

"I will keep the child in light clothing."

Question: Which is the correct order, from first to last, for proper placement of a urinary catheter? 1 Prepare a sterile field. 2 Lubricate the catheter adequately with a water-soluble lubricant. 3 Insert the catheter far enough into the bladder to prevent trauma to the urethral tissue. 4 Ensure free flow of urine.

1 Prepare a sterile field. 2 Lubricate the catheter adequately with a water-soluble lubricant. 3 Insert the catheter far enough into the bladder to prevent trauma to the urethral tissue. 4 Ensure free flow of urine.

An emergency department nurse is awaiting the arrival of multiple persons exposed to botulism at the local shopping mall. What should the nurse do? a) Activate the facility's emergency disaster plan. b) Notify community agencies of the incident. c) Implement contact precautions with all exposed victims. d) Separate those exposed to botulism from those who were not exposed

Activate the facility's emergency disaster plan.

At the beginning of a shift, the nurse is assigned to care for four school-age children admitted that day due to an acute asthma exacerbation. Which of the following children should the nurse assess first? a) Child with oxygen saturation of 93% and no wheezing on auscultation b) Child whose mother reports that the child sometimes forgets to take the inhalers c) Child with a respiratory rate of 24 breaths/minute and wheezing d) Child with an oxygen saturation of 95% and wheezing on auscultation

Child with oxygen saturation of 93% and no wheezing on auscultation

The treatment team plans to place a client in full leather restraints. What is the best care for this client? a) Remove the leather restraints every 10-15 minutes b) Remove the leather restraints every 60 minutes c) Remove the leather restraints 2 hours d) Remove the leather restraints every 30 minutes

Remove the leather restraints every 10-15 minutes

While caring soon after birth for a neonate of a mother with diabetes, the nurse has fed the newborn formula to prevent hypoglycemia. The nurse checks the neonate's blood glucose level and it is 60 mg/dl (3.3 mmol/l), but the neonate continues to exhibit jitteriness and tremors. The nurse should first: a) Request a prescription for a blood calcium level. b) Refeed the infant to continue to increase the blood glucose level. c) Take the neonate's temperature and place him in the radiant warmer. d) Administer glucose intravenously based on infant glucose level.

Request a prescription for a blood calcium level.

The physician prescribes morphine sulfate 2 to 4 mg IV push every 2 hours PRN pain for a client who has postoperative pain following abdominal surgery. Prior to performing an abdominal dressing change with packing at 10 am, the nurse assesses the client's pain level as 1 on a scale of 0 = no pain to 10 = the worst pain. The client is awake and oriented, and vital signs are within normal limits. The nurse reviews the pain medication record (see chart). The nurse should: a) Administer morphine 2 mg IV before the dressing change. b) Call the physician for a new medication prescription. c) Perform the dressing change. d) Administer morphine 4 mg IV after the dressing change.

a) Administer morphine 2 mg IV before the dressing change.

An unconscious client with multiple injuries arrives in the emergency department. Which nursing intervention receives the highest priority? a) Establishing an airway. b) Checking for a neck fracture. c) Stopping bleeding from open wounds. d) Replacing blood loss.

a) Establishing an airway.

A client has been receiving radiation therapy for 3 weeks to treat cancer and has fatigue. Which of the following should be considered while the nurse plans interventions to help the client cope with the fatigue? a) The client should be encouraged to maintain activity to combat the fatigue. b) The client should be closely examined to determine the cause of fatigue. c) Fatigue indicates that the client's cancer is not under control. d) Fatigue is a temporary problem that requires no active intervention.

a) The client should be encouraged to maintain activity to combat the fatigue.

A primigravid client at 37 weeks' gestation has been hospitalized for several days with severe preeclampsia. While caring for the client, the nurse observes that the client is beginning to have a seizure. Which of the following actions should the nurse do first? a) Turn the client to the right side. b) Insert a padded tongue blade into the client's mouth. c) Pad the side rails of the client's bed. d) Call for immediate assistance in the client's room.

a) Turn the client to the right side.

The nurse asks the client to sign a consent form before undergoing surgery. The client cannot state the risks of the surgical procedure. Which of the following statements by the nurse is most appropriate? a) "What are your concerns? I can answer any questions that you have." b) "You can go ahead and sign the form. I will be sure to tell the surgeon you have questions." c) "It is important that your questions are answered and you understand the risks before you consent to the procedure. I will contact the surgeon." d) "Actually, the risks associated with this procedure are minimal. The surgeon has performed this surgery many times."

c) "It is important that your questions are answered and you understand the risks before you consent to the procedure. I will contact the surgeon."

A nurse is analyzing a client's intake and output. The client has a temperature of 102° F (38.9° C) and is receiving I.V. fluid therapy because of his nothing-by-mouth status due to acute pancreatitis. Before planning nursing actions, the nurse should first consider which of the following? a) When the client last ate. b) The client's body mass index. c) Insensible fluid loss through the lungs and skin. d) The number of bags of I.V. fluid for the client.

c) Insensible fluid loss through the lungs and skin.

A client was recently diagnosed with a deep vein thrombosis in the right leg. The nurse should incorporate which of the following activities into the client's plan of care? a) Have the client do active leg exercises hourly with both legs. b) Assess the edema of the right leg every 4 hours. c) Keep the right leg elevated above heart level. d) Encourage the client to ambulate twice a shift

c) Keep the right leg elevated above heart level.

A staff nurse on a pediatric unit has a four-client assignment. Which child should the nurse assess first? a) A 7-year-old child whose mother is waiting for discharge instructions b) A 9-year-old child with a broken leg who wants help moving from the bed to the chair c) An 8-year-old child admitted from the postanesthesia care unit who's complaining of pain d) A 10-year-old child with asthma whose oxygen saturation levels are dropping

d) A 10-year-old child with asthma whose oxygen saturation levels are dropping

After several years of providing bedside care in an inpatient setting, a nurse has taken a position with the state board of nursing. In this role, the nurse may contribute to which of the following activities of a state board of nursing? a) Promoting the visibility of the nursing profession within the state b) Providing consultation on ethically challenging clinical situations c) Allocating financial resources within clinics and hospitals in the state d) Issuing and transferring nursing licenses within the state

d) Issuing and transferring nursing licenses within the state