prepu
A client has told the nurse that she has been invited to a work colleague's house where she and some of her peers will be able to receive Botox injections. What is the nurse's best response?
"It's safest to have these injections performed under medical supervision."
A client taking clozapine states, "I do not like feeling so sedated during the day. I can hardly keep my eyes open." Which response by the nurse would be most appropriate?
"Let us talk to your health care provider about taking most of the drug at bedtime."
The school nurse has just finished a presentation for parents of special needs children. Which statement by a participant indicates a need for further education?
"Our school is not meeting the requirements of reviewing my son's IEP twice a year."
A client in a long-term care facility signed a form requesting not to be resuscitated. The client develops pneumonia, and the client's health rapidly deteriorates. The client is no longer competent, but the family wants everything possible done for the client. When the family asks the nurse what will be done, what is the best response by the nurse?
"We will continue to use antibiotics to treat the pneumonia."
The client being admitted to the oncology unit conveys his wishes regarding resuscitation in the event of cardiopulmonary arrest. The nurse advises the client that it would be in his best interest to obtain which document?
A living will
Which individual has experienced the consequences of deinstitutionalization?
A woman who was transferred from a psychiatric hospital to the community because of the hospital's impending closure
Which physician is known as the "Father of Pediatrics"?
Abraham Jacobi
A new resident in a long-term care facility who was having difficulty adapting to the routine has begun participating in activities on a daily basis. Which stage of culture shock is this resident displaying?
Beginning resolution
A nurse at a health care facility has just reported for duty. Which of the following should the nurse do to ensure maximum efficiency of change-of-shift reports?
Come prepared with the material required to take notes.
A nurse has migrated to a different country and started working there. Which of the following factors is important for effective functioning?
Cultural habituation
Ethnocentrism is closely related to which of the following?
Cultural imposition
The emergency room nurse documents progress notes in the above note. When completing the documentation, which information would be included? Select all that apply.
Diagram of site of injuries Description, including color and measurement, of injuries Objective findings from a thorough head to toe assessment
A client is admitted with an infectious wound. Contact precautions are initiated. To help the client cope with staff using isolation procedures, which nursing action is most helpful?
Discuss the rationale for contact precautions
Which is also known as a proxy directive?
Durable power of attorney for health care
A community-based nurse is assessing the needs of a family of four, which includes a physically challenged 9-year-old. Which activity would the nurse prioritize to be an advocate for this family?
Establish eligibility for assistive devices for child.
While the nurse is caring for a primiparous client on the first postpartum day, the client asks, "How is that woman doing who lost her baby from prematurity? We were in labor together." Which response by the nurse would be most appropriate?
Explain to the client that "Nurses are not allowed to discuss other clients on the unit."
Nurses have an important role in health care reform. The goals of health care reform include which of the following?
Focus on cost containment with improved access and quality of services for everyone.
An obese client is undergoing abdominal surgery. During the procedure a surgical resident states, "The amount of fat we have to cut through is disgusting." What is the best response by the nurse?
Inform the resident that all communication needs to remain professional.
Which is a true statement regarding Medicaid?
It covers individuals and families with low incomes.
The physician has ordered that the client should ambulate 3 times a day. The nurse enters the room to ambulate the client and the client reports pain. What is the nurse's most appropriate action?
Medicate the client and wait to ambulate later.
The nurse is caring for a young child who has been admitted to the hospital with pertussis. To prevent the spread of the infection, which of the following is the most important action of the nurse?
Provide masks for everyone entering the room.
The nurse is looking for information to care for a client. Which information would the nurse be unable to locate in the client care summary or kardex?
Respiratory assessment
Which nursing diagnosis takes highest priority for a client with a compound fracture?
Risk for infection related to effects of trauma
When recording data regarding the client's health record, the nurse mentions the analysis of the subjective and objective data in addition to detailing the plan for care of the client. Which of the following styles of documentation is the nursing implementing?
SOAP charting.
A nurse is preparing a presentation on current American trends in maternal morbidity and mortality in order to lobby for program funding. Which statements would the nurse include? Select all that apply.
The United States ranks below more than 45 countries in rates of maternal deaths. Most of pregnancy-related complications respond well to proper care. The leading causes of pregnancy-related mortality are hemorrhage, infection, preeclampsia-eclampsia, obstructed labor, and unsafe abortion.
Which of the following is the most important indicator of high quality nursing practice?
The nurse considers the individual needs of clients.
A client who gave birth yesterday refuses to eat the food provided by the hospital. She states that she must eat special food brought from home by her family. How would the nurse most appropriately address this situation?
The nurse should plan no action because the client is not exhibiting a health problem.
A nurse is assisting a pregnant client in signing up for Medicaid to help with the cost of her medical care. The nurse explains that Medicaid is a federally funded program mandated by which act of Congress?
Title XIX of the Social Security Act
The nursing instructor is preparing to teach a group of students about the history of maternity care. What major development will the instructor emphasize as greatly influencing the practice of maternity care in the United States over the past century?
development of anesthesia and acceptance of the germ theory
For which religious group is all meat prohibited?
hindu
Cancer is the second leading cause of death in the United States, second only to heart disease. Half of all men and one third of all women will develop cancer during their lifetimes. Which types of cancer have the highest prevalence among both men and women?
lung and colon
The nurse is caring for a Native American client who states that he uses an indigenous healer. The nurse seeks clarification by asking whether the client is referring to a(n)
shaman.
What is one of the most significant trends in health care today?
shift from hospitals to community-based care
