PNC3 Safety and EBP questions

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A client taking disulfiram during alcohol rehabilitation therapy reports to the nurse that he has a mild cold and plans to use a cough medicine. Which statement made by the client indicates understanding of the nurse's teaching? A) "I realize that taking cough syrup with this medication might cause me to be depressed." B) "As long as the physician is aware, its okay." C) "Small doses of cough syrup might make me crave alcohol." D) "I may experience vomiting and an upset stomach if I take cough medicine while taking this medicine."

D

A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which of the following statements demonstrates the principle of accountability?

Filling out an occurrence report and notifying the health care provider

A nurse is assessing a patient's level of independent functioning. Which tool would the nurse most frequently use

Functional Independence measure test

The cardiac response to exercise is well-researched and documented. Which of the following is a cardiovascular response to regular exercise?

Increased efficiency of the heart

What makes up the Cushings Triad?

Irregular Respirations, Bradycardia, and systolic hypertension

What organization audits charts regularly?

Joint Commission of Accreditation Organization

Which action should the nurse anticipate in a client who has been diagnosed with acute respiratory distress syndrome (ARDS)?

Mechanical Ventilation- Endotracheal Intubation more effective than Tracheotomy

In which of the following patients is the use of cidofovir contraindicated?

Patients with renal impairment should not be given cidofovir. Ribavirin is contraindicated in patients with cardiac disease. Antivirals should be used cautiously in patients with low blood cell counts. The nurse should also be very careful while administering rimantadine to patients who have a history of epilepsy.

A group of nurses of the orthopedic floor of a hospital wish to improve their clinical performance. The nurse manager suggests a program in which the nurses will evaluate each other and provide feedback for improved performance. The nurses know that this program is termed which of the following

Peer Review

Which gland is considered the master gland?

Pituitary gland- hypothalamus is considered the master switchboard- pituitary hangs from that and reg activity of endocrine system.

Which of the following is caused by improper catheter placement and inadvertent puncture of the pleura?

Pneumothorax

An elderly client who experiences several adverse drug reactions may benefit from:

Reduced drug dosages

The nurse uses the QSEN competency of Informatics when planning care for patients. What is an example of the use of this skill?

The nurse researches new technological advances in the treatment of cancer.

A nurse enters the client's room and finds the client lying on the floor experiencing a seizure activity. After stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an incident report. What is the purpose of an incident report?

To evaluate quality care and potential risks for injury to the client

Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree?

Using research findings to improve practice

How often should women diagnosed with human papillomavirus (HPV) have Pap smears?

Yearly

The digestion of carbohydrates is aided by

amylase

A decreasing amount of white blood cells circulating is referred to as?

leukopenia

The nurse on the orthopedic unit is going to lunch and is conducting a "hand-off" to the charge nurse. The goal of the "hand-off" communication is:

to provide accurate information about client's care to the next caregiver.


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