Week 7/8 test questions

1.A caregiver asks a nurse to explain respite care. How would the nurse respond? "Respite care is a service that allows time away for caregivers." "Respite care is a special service for the terminally ill and their family." "Respite care is direct care provided to people in a long-term care facility." "Respite care provides living units for people without regular shelter."

A

A new nurse is administering pain medication to a patient who states, "I only want half of the pill". The nurse is unsure of what to do and cuts the pill in half and gives it to the patient but documents the entire dose. How would this action be interpreted? Fraud Beneficence Battery Paternalism

A

A patient with a history of atherosclerosis and hypertension visits the cardiologist for follow-up and cardiovascular disease management. The cardiologist recommends that the patient have a cardiac stress test in the clinic. The patient is receiving which type of health care? Secondary Preventive Primary Tertiary

A

A nurse is preparing medications for patients in the ICU. The nurse is aware that there are patient variables that may affect the absorption of these medications. Which statements accurately describe these variables? Select all that apply. Patients in certain ethnic groups obtain therapeutic responses at lower doses or higher doses than those usually prescribed. Some people experience the same response with a placebo as with the active drug used in studies. People with liver disease metabolize drugs more quickly than people with normal liver functioning. A patient who receives a pain medication in a noisy environment may not receive full benefit from the medication's effects. Oral medications should not be given with food as the food may delay the absorption of the medications. Circadian rhythms and cycles may influence drug action.

A, B, D, F

A nurse who is administering medications to patients in an acute care setting studies the pharmacokinetics of the drugs being administered. Which statements accurately describe these mechanisms of action? Select all that apply. Distribution occurs after a drug has been absorbed into the bloodstream and is made available to body fluids and tissues. Absorption is the change of a drug from its original form to a new form, usually occurring in the liver. During first-pass effect, drugs move from the intestinal lumen to the liver by way of the portal vein instead of going into the system's circulation. The gastrointestinal tract, as well as sweat, salivary, and mammary glands, are routes of drug absorption. Excretion is the process of removing a drug, or its metabolites (products of metabolism), from the body.

A,C,E

1.A nurse is caring for patients in a primary care center. What is the most likely role of this nurse based on the setting? Assisting with major surgery Performing a health assessment Maintaining patients' function and independence Keeping student immunization records up to date

B

A health care provider orders a pain medication for a postoperative patient that is a PRN order. When would the nurse administer this medication? A single dose during the postoperative period Doses administered as needed for pain relief One dose administered immediately Doses routinely administered as a standing order

B

A patient is preparing to get pregnant and wants to start taking prenatal vitamins. She plans to a visit with the local midwife for a _________ health care visit. preventive primary secondary tertiary

B

While teaching about advance care planning, which fact is important for the nurse to share with a patient who has been diagnosed with a terminal illness? Advance directives must be completed 30 days prior to hospitalization in order to be valid. A durable power of attorney for health care appoints an agent the person trusts to make decisions. Living wills provide specific instructions related to the client's personal property upon death. The Patient Self-Determination Act of 1990 requires hospital patients to have an advance directive.

B

A nurse caring for patients in the intensive care unit develops values from experience to form a personal code of ethics. Which statements best describe this process? Select all that apply. People are born with values. Values act as standards to guide behavior. Values are ranked on a continuum of importance. Values influence beliefs about health and illness. Value systems are not related to personal codes of conduct. Nurses should not let their values influence patient care.

B, C, D

1.A nurse is providing health care to patients in a health care facility. Which of these patients are receiving secondary health care? Select all that apply. A patient enters a community clinic with signs of strep throat. A patient is admitted to the hospital following a myocardial infarction. A mother brings her son to the emergency department following a seizure. A patient with osteogenesis imperfecta is being treated in a medical center. A mother brings her son to a specialist to correct a congenital heart defect. A woman has a hernia repair in an ambulatory care center.

B, C, F

A nurse who is working in a hospital setting uses value clarification to help understand the values that motivate patient behavior. Which examples denote "prizing" in the process of values clarification? Select all that apply. A patient decides to quit smoking following a diagnosis of lung cancer. A patient shows off a new outfit that she is wearing after losing 20 pounds. A patient chooses to work fewer hours following a stress-related myocardial infarction. A patient incorporates a new low-cholesterol diet into his daily routine. A patient joins a gym and schedules classes throughout the year. A patient proudly displays his certificate for completing a marathon.

B, F

1.A nurse administers a dose of an oral medication for hypertension to a patient who immediately vomits after swallowing the pill. What would be the appropriate initial action of the nurse in this situation? Readminister the medication and notify the primary care provider. Readminister the pill in a liquid form if possible. Assess the vomit, looking for the pill. Notify the primary care provider.

C

A nurse discovers that a medication error occurred. What should be the nurse's first response? Record the error on the medication sheet. Notify the physician regarding course of action. Check the patient's condition to note any possible effect of the error. Complete an incident report, explaining how the mistake was made.

C

1.Nursing students are reviewing information about health care delivery systems in preparation for a quiz the next day. Which statements describe current U.S. health care delivery practices? Select all that apply. Access to care depends only on the ability to pay, not the availability of services. The Patient Protection and Affordable Care Act provides private health care insurance to underserved populations. Every health insurance plan in the Health Insurance Marketplace offers comprehensive coverage, from doctors to medications to hospital visits. The uninsured pay for more than one third of their care out of pocket and are usually charged lower amounts for their care than the insured pay. Fifty years ago, half of the doctors in the United States practiced primary care, but today fewer than one in three do. Quality of care can be defined as the right care for the right person at the right time.

C, E, F

A nurse discovers that a medication error occurred. What should be the nurse's first response?

Check the patient's condition to note any possible effect of the error.

A nurse incorporates the "five values that epitomize the caring professional nurse" (identified by the American Association of Colleges of Nursing) into a home health care nursing practice. Which attribute is best described as acting in accordance with an appropriate code of ethics and accepted standards of practice? Altruism Autonomy Human dignity Integrity

D

A nurse is named as a defendant in a malpractice lawsuit. Which action would be recommended for this nurse? A. If a mistake was made on a chart, change it to read appropriately. B. Be prepared to tell your side to the press, if necessary. C. Discuss the case with the plaintiff to ensure understanding of each other's positions. D. Do not volunteer any information on the witness stand.

D

1.A nurse who is administering medications to patients in an acute care setting studies the pharmacokinetics of the drugs being administered. Which statements accurately describe these mechanisms of action? Select all that apply. Distribution occurs after a drug has been absorbed into the bloodstream and is made available to body fluids and tissues. Metabolism is the process by which a drug is transferred from its site of entry into the body to the bloodstream. Absorption is the change of a drug from its original form to a new form, usually occurring in the liver. During first-pass effect, drugs move from the intestinal lumen to the liver by way of the portal vein instead of going into the system's circulation. The gastrointestinal tract, as well as sweat, salivary, and mammary glands, are routes of drug

a, d, f