NURS 131 PrepU Questions
The expected outcome for a client with a new diagnosis of rheumatoid arthritis (RA) is: "Client will describe appropriate actions when implementing the prescribed medication routine." Which statement by the client indicates the outcome expectation has been met?
"I should call my health care provider if I have a sore that won't heal."
A nurse is planning nursing interventions for patients on a busy hospital ward. Which guideline would the nurse follow when designing the plan of care?
Date the nursing interventions when written and when the plan of care is reviewed.
Which of the following activities would the nurse consider to be lifestyle risk factors for the development of health problems? Select all that apply.
Maintaining a stressful job Avoiding exercise Participating in extreme sports
A nurse is using the nursing process to provide care to a client admitted to the facility. During the assessment phase, which activities would the nurse likely perform? Select all that apply.
Obtain a baseline oxygen saturation level. Check the results of the client's blood work.
A nurse is caring for a 48-year-old man with congestive heart failure. The nurse manager informs the nurse that the client was enrolled in a clinical trial to assess whether a 10-minute walk, three times per day, leads to expedited discharge. What type of evaluation best describes what the researchers are examining?
Outcome evaluation
A nurse is caring for a client 4 hours following closed reduction and casting of a radial fracture. The client reports pain at 9 on a 1 to 10 scale, and capillary refill is greater than 3 seconds. The cast is bivalved and capillary refill is observed at 2 seconds. What is the best modification to the care plan by the nurse?
Perform hourly neurovascular assessment.
A nurse has developed a plan of care for an adult client. What nursing function is important when using a nursing diagnosis to guide the care of this client?
Prioritize the nursing diagnoses.
The nurse understands that medications are not just manufactured and dispensed. How many phases of clinical trials must a drug go through in order to meet approval standards?
4
Which client situation most likely warrants a time-lapse nursing assessment?
An older adult resident of an extended-care facility is being assessed by a nurse practitioner during the nurse's scheduled monthly visit.
The nurse is performing an assessment on a client who presents with a rash on the back that is red and raised. What would be the most appropriate nursing action?
Assess the client's back visually.
A 16-year-old client was admitted to the medical unit 1 hour ago for sickle cell crisis. Vital signs are as follows: T: 36.8°C sublingual, HR: 95, RR: 20, BP: 130/65. The client rates pain as a 9/10. The nurse is talking with the medical resident on service to discuss client orders. What order is the nurse likely to request first for the client?
Narcotic pain medication to treat pain
A nurse is interviewing a new client admitted to the hospital for surgery. Which action would the nurse perform in the introductory phase of the interview?
The nurse assesses the client's comfort and ability to participate in the interview.
Generic drugs are required to be:
bioequivalent and less expensive than trade-name drugs.
How may drugs be prescribed and dispensed?
by generic or trade name
A client's diagnosis of breast cancer necessitates a bilateral mastectomy and breast reconstruction with tissue expanders. The nurse recognizes that the client's surgery will have a significant impact on her activities of daily living (ADLs) during her period of recovery. When should discharge planning to address ADLs begin for this client?
Upon her admission to the hospital
What factor does the nurse understand is the key safeguard in drug therapy?
educating clients about drug therapy
The Food and Drug Administration assigns newly approved drugs to which categories? (Select all that apply.)
prescription nonprescription controlled substance
The nurse is discussing resources to assist a 72-year-old client who has congestive heart failure (CHF) and lives at home. Which organization should the nurse recommend to help the client with health-related costs?
program that finances healthcare costs of persons 65 years of age and older
During the interview component of the health assessment, how does the nurse convey to the client that the information is important?
sitting at eye level with the client
Which is a key concern related to clinical pharmacology?
the drug's effects on the body
A nurse is teaching a client about the pharmacotherapeutics of the hormone replacement therapy that the client has been prescribed. What topic should the nurse address?
the effect of the drug on the client's body