ATI Remediation
A nurse is beginning nutrition counseling with a patient who has a BMI of 34.2. Which of the following questions should the nurse ask first to address the clients excessive nutrition and obesity? "What are some strategies you use to reduce the portions sizes of the foods you eat? "Should we begin with a discussion of healthy vs unhealthy food choices?" "Are you ready to make a lifelong commitment to a healthier lifestyle?" "Did you know that you need to consume 500 fewer calories every day to lose a pound .week?"
"Are you ready to make a lifelong commitment to a healthier lifestyle?" The first action the nurse should take when using the nursing process is to assist the patient. The nurse should ask questions to determine the patients level of motivation for making the lifestyle changes that will result in weight loss and maintaining a healthy weight over time. Without motivation, the patient is unlikely to lose weight.
A nurse is teaching sleep hygiene to a client who has insomnia. Which of the following statements should the nurse make? "Plan to catch up on sleep during the weekend." "Limit watching tv in bed to 1 hour." "Get out of bed if you are unable to fall asleep within 10 minutes." "Exercise in the morning after arising."
"Exercise in the owning after arising." Daily exercise has many benefits, including enhancing cardiovascular, psychological, and musculoskeletal health. The nurse should recommend that the patient avoid exercising within 2 hours of bedtime to limit stimulation and enhance sleep.
A home health nurse is providing teaching to the parent of a child who is receiving chemotherapy and experiencing nausea. Which of the following statements should the nurse make? "Have your child rest with his head elevated after meals." 'Administer the antiemetic at least 4 hours before chemotherapy." "Increase your child's intake of favorite foods when he feels nauseated."
"Have your child rest with his head elevated after meals." The nurse should instruct the parent to have the child rest with his head elevated after meals. This will allow for easier digestion and help to decrease the nausea associated with eating.
A nurse is providing teaching to the parent of a 6-year old girls about preventing UTI. Which of the following statements by the parent indicates an understanding of the teaching? "I will have her wear panties made of nylon" "I will teach her how to wipe from back to front." "I will increase her intake of foods high in fiber." "I will limi her fluid intake in the evenings."
"I will increase her intake of foods high in fiber." Constipation increases the risk of development of a UTI. Therefore, the nurse should instruct the parent to increase the child's daily intake of fiber to prevent constipation. Other interventions include increasing physical activity activity and using a stool softener as needed.
A nurse is assessing the spiritual wellbeing and development of a preschooler. The nurse asks the preschooler, "why is it wrong to kick your baby sister?" Which of the following responses should the nurse expect? "Its not wrong bc she made me mad." "Its wrong bc my dad said I cant kick her." "Its wrong to kicker her bc the gods wont like it" "Its wrong bc she would get hurt and be sad."
"Its wrong bc my dad said I cant kick her." The nurse should expect the preschooler to be motivated to choose right from wrong bc of rules taught to him by his parents. The nurse should understand that, even though the preschooler might know the rules, he is not yet able to understand the rationale for the rules.
A nurse is teaching a client about strategies to prevent recurrent constipation. Which of the following instructions should the nurse include? (SATA) "Perform moderate exercises daily" "Add more whole grains to your diet" "Increase your fluid intake" "Consume a dose of castor oil every day" "Take an iron supplement every day"
"Perform moderate exercises daily" - physical activity helps increase peristalsis, which helps prevent constipation. "Add more whole grains to your diet" - whole grains, fresh fruits and vegetables, and legumes promote regular defecation by adding fiber to the diet, which helps prevent constipation. "Increase your fluid intake" - consuming at least 1,500 mL of water and fruit juice each day helps soften stool and prevent constipation.
A nurse is providing teaching to a client who has chronic fatigue syndrome. Which of the following statements should the nurse make? "Take NSAIDs for body aches + pain" "Report a sore throat immediately to your provider." "Avoid taking any herbal supplements for 6 months." "Exercise in 2 hr increments every day of the week."
"Take NSAIDs for body aches + pain" The nurse should instruct the client that NSAIDs can alleviate the body aches + pain that are associated w chronic fatigue syndrome. Alternative therapies, such as tai chi + massage, can also be helpful.
A nurse is providing change-of-shift report about a group of clients to the oncoming nurse at the end of the shift. Which of the following statements should the nurse include? "The client received a PRN dose of pain meds this morning" "The client has been very tearful since finding out he has diabetes mellitus." "The clients routine vital signs were obtained at 0700, 1100 and 1500." "The clients husband visited during lunch as he has done each day."
"The client has been very tearful since finding out he has diabetes mellitus." The nurse should include significant information such as a new diagnosis in the change-of-shift report. The nurse should also identify changes in the clients emotional status that might indicate a need for additional client support and teaching.
A nurse is preparing to contact a patients provider regarding the need for a prescription for pain meds. When using the Situation, background, Assessment, Recommendation (SBAR) communication tool, the nurse should provide which of the following info in the assessment portion of the tool? "The client is a 75-yr old female who has a hip fracture + is reporting pain" "The client is in need of a prescription for pain meds at this time." "The client was admitted this afternoon + is scheduled for surgery in the morning." "The client is in audible distress + rates her pain as an 8 on a scale from 0-10."
"The client is in audible distress + rates her pain as an 8 on a scale from 0-10." Assessment data regarding the clients current pain level is info the nurse should include in the assessment portion of the SBAR communication tool.
A nurse is caring for a child who has contact dermatitis due to poison ivy. The parent asks the nurse how to prevent further reactions. Which of the following responses should the nurse make? "Rinse you child's skin with hot water within 30 min of contact with the poison ivy plant." "Wash your child's exposed clothing with hot water and detergent." "Scrub your child's exposed skin with warm water and antibacterial soap." "Dont allow your child to have a contact with other children who have poison ivy."
"Wash your child's exposed clothing with hot water and detergent." The nurse should instruct the parent to wash the child's clothing in how water and detergent after exposure to the poison ivy plant. This will remove the oil, urushiol, which causes the skin reaction.
A nurse is teaching an older adult client about accessing electronic resources for health care information on the internet. Which of the following statements should the nurse include in the teaching? "Websites that are evidenced-based avoid placing direct links to other evidenced-based websites on their home pages." "Websites that market products are credible as long as the products are beneficial for health care." "Websites ending in 'dot-gov' are reliable sites for obtaining health information from government agencies." "Websites forums with the opinions of other clients provide factual and trustworthy information."
"Websites ending in 'dot-gov' are reliable sites for obtaining health information from government agencies." The nurse should teach the clients how to select reliable internet websites when researching health care information. The nurse should identify that websites ending in "gov" (government agencies) and ".edu" (educational organizations) are considered reliable and credible sources for health information. Websites ending in ".com" should not be used for researching credible health care information.
A nurse is talking with a client who reports difficult adjusting to the death of her partner. Which of the following responses by the nurse demonstrates the therapeutic communication technique of reflecting? "I am here to listen if you;d like to talk about your current situation." "What do you think would help you cope with your loss." "You've expressed that you having difficulty adjusting to the loss of your partner." Can you please provide an example of how you're having difficulty adjusting?"
"What do you think would help you cope with your loss." The nurse uses the technique of reflecting when asking this questions. Reflecting encourages the client to explore her personal thought about a situation so that a plan can be developed to meet the patients individual needs.
A nurse is teaching about advance directives with an older adult client who has a terminal illness. Which of the following statements should the nurse make? "Having advance directives means that you don't want to receive CPR." "Your next of kin can amend your advance directives for you if you are unconscious." "Advance directives are verbal or written instructions," "Your advance directives can designate a friend to make your health care decisions."
"Your advance directives can designate a friend to make your health care decisions." The nurse should inform the client that he may include a health care proxy or durable power of attorney for health care as part of his advance directives. This form designates a person of the clients choosing to make health care decisions for him if he becomes unable to do so for himself.
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following clients should the nurse monitor for the development of reflex urinary incontinence? A client who has a T12 spinal cord injury A client who has an acute bladder infection A client who has Alzheimer's disease
A client who has a T12 spinal cord injury The nurse should identify that a client who has a C1 to C2 spinal cord injury is at risk of developing reflex urinary incontinence. With this type of incontinence, the client is unaware that the bladder is full and therefore lacks the urge to void, resulting in the involuntary loss of urine. The nurse should monitor for this form of incontinence and implement interventions such as intermittent catheterization.
A nurse is assessing a preschooler who has a UTI. Which of the following findings should the nurse expect? Diarrhea Abdominal Pain Increased thirst Skin rash
Abdominal pain The nurse should expect a preschooler who has a UTI to experience abdominal pain. Other manifestations include constipations, dysuria, foul-smelling urine, and fever.
A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. The client states he is experiencing a dull, burning pain in the leg that was amputated. Which of the following actions should the nurse take to treat the clients pain? Inform the client that phantom lib pain is not real. Administer a beta-blocking medication to the client. Place the client on a soft mattress Loosen the bandage on the clients residual lim.
Administer a beta-blocking medication to the client. The nurse should administer a beta-blocking medication to the client. This classification of medication has been shown to receive the phantom limb pain manifestations of constant dull and burning type pain.
A community health nurse is planning prevention strategies for hypertension among members among members of her community. The nurse should identify that which of the following ethnic groups in the community is at greatest risk of developing hypertension? African Americans Hispanic Americans European Americans Native Americans
African Americans Evidence-based practices indicates that individuals of American American ethnicity have the highest prevalence of hypertension. Therefore the nurse should identify community member of this ethnicity are at greatest risk of developing hypertension.
A nurse is admitting a client who has pulmonary TB. Which of the following transmission-based precautions should the nurse initiate? Airborne Droplet Contact Protective environment
Airbone Pulmonary TB is an infection that is transmitted by airborne droplets smaller than 5 microns in diameter. Therefore, this client requires airborne precautions to prevent communicating this infection to others.
A hospice nurse is planning care for a client who has terminal cancer. The patient tells the nurse that she practices the Hindu religion. Which of the following interventions should the nurse include in the plan of care to support the clients religious beliefs? Position the clients bed in her home so that she faces east. Arrange for the Sacrament of the Sick when the patient nears death. Allow time for a family member to perform a ritual bath after the patient dies. Coordinate with the funeral home for burial within 24 hr of the clients death.
Allow time for a family member to perform a ritual bath after the patient dies. The nurse should recognize a patient who practices the Jewish, or Hindu religions might want a ritual bath after death. This ritual bath can be performed by a family member or by certain members of the patients faith.
A nurse in a mental health facility is preparing an educational program for a group oof staff nurses about the proper use of restrains. Which of the following information should the nurse plan to include? An adult patient may be in a mechanical restraint for up to 4 hr. Documentation of the patients status should be performed hourly. The provider can write a client prescription for an as-needed restraint. The clients should be offered toileting privileges every 2 hrs.
An adult patient may be in a mechanical restraint for up to 4 hr. The nurse should specify that a patient who is 18 years or older may be in a restraint for not more than 4hr. Children who are 9-17 yrs old are limited to 2 hour and children who are younger than 9 years old are limited to 1 hr.
A nurse is preparing to administer Enoxaparin subcutaneously to a client who is post operative following orthopedic surgery. The nurse should plan to administer this medication in which of the following locations? (Synch photo 2/28)
B is correct The nurse should administer low molecular weight heparins, such as Enoxaparin, into the anterolateral aspect of the patients abdomen to promote absorption of the medication. Other recommended subcutaneous sites for this medication include the portero lateral aspect of the patients abdomen, the butttocks, and the upper thighs.
A nurse is providing teaching about nutrition management to the parent of an 18-month-old toddler who has phenylketonuria. Which of the following foods should the nurse recommend? Strawberry yogurt Refried beans Cheddar cheese Baked potato
Baked potato The nurse should recommend low-protein foods to the parent of a toddler who has phenylalanine. The nurse should also recommend the parent off the toddler fruits, juiced and cereal with limited phenylalanine.
A nurse is preparing to collect a stool specimen from a client who has had diarrhea for 3 days, w fever and abdominal cramping. When reviewing the clients recent medication administration record, the nurse should recognize that treatment w which of the following medications increases the clients risk of developing a C. Diff infection? Fidaxomicin Metronidazole Vancomycin Ciprofloxin
Ciprofloxacin Recently, a virulent strain of c. Diff, a bacterium that causes diarrhea and potentially life-threatening colon inflammation, has emerged as a result of antibiotic therapy w flouroquinolones, such as ciprofloxacin. A stool culture confirms the diagnosis. Medication that treat a c. Diff infection include fidaxomicin, metronidazole, and vancomycin
A nurse is preparing to document care in a clients medical record. In adherence with the joint commission national patient safety goals regarding communication errors, which of the following entries should the nurse make? Client fell to the floor Client medicated with morphine 5 mg IM for pain Thenmedisted with morphine 5 mg IM FOR PAIN PHYSICAL THERSPY CONSULT RECOMMENDD FOR THE CLIENT CLIENT REPORTED PSINRELEIF
Client medicated with morphine 5 mg IM FOR PAIN THEE NURSE IS USING APPROVED ABBREVIATIONS AND PROVIFING ACCURATE AND DETAILED UNFIRMWTIONS , WHICH SHOULD REDUce communications errors according to the joint commission national patient safety goals.
A nurse is preparing to admit a client to the hospital. Which of the following actions should the nurse take first? Determine the need for an interpreter. Orient the client to the room. Obtain a health history. Perform a physical examination.
Determine the need for an interpreter. The first action the nurse should take using the nursing process is to determine the need for an interpreter. If the client and the nurse do not speak the same language, info gathered can be inaccurate.
A nurse on a pediatric unit is admitting an infant who has pertussis. Which of the following isolation precautions should the nurse initiate? Protective environment Airborne Droplet Contact
Droplet The nurse should initiate droplet precautions for an infant who has pertussis. The nurse should initiate droplets precautions for micro-organisms that are transmitted via droplets larger than 5 microns, including rubella, streptococcal pharyngitis, and diphtheria. Droplet precautions include a private room and mask or respirator.
A nurse is caring for a client who is morbidly obese and is 3 days postoperative following bariatric surgery. Which of the following dietary recommendations should the nurse make? Restrict fluid intake to no more than 1,000 mL (34 oz) each day. Eat foods that are high in protein. Avoid drinking fluids that contain sodium. Begin adding soft foods one to two times a day
Eat foods that are high in protein. The nurse should recommend that the client increase protein intake to promote healing from surgery. A client who is 3 days postoperative following bariatric surgery should limit foods to clear and liquids. The nurse should recommend food items such as Greek yogurt. This full-liquid food also meets the dietary requirement for protein-rich foods.
A nurse is reviewing a clients new prescriptions that were just documented in the clients medical record by the provider. Which of the following abbreviations should the nurse clarify with the provider? Enoxaparin 40 mg SQ QD Cindamycin 500 mg IM q 8hr Furosemide 40 mg IV STAT Acetaminophen 650 mg PO q 6 hr PRN pain
Enoxaparin 40 mg SQ QD The nurse clarify this prescription witht he provider. The abbreviation "SQ" + "QD" are considered error-prone + should not be used in documentation. The nurse should clarify that the provider intends the prescription to be administered subcutaneously once daily. "Subcutaneous" or "subcut" should be used instead of "SQ" + "daily" should be used instead of "QD".
A nurse is caring for a 2 year old toddler who is immediately postoperative. Which of the following pain scales should the nurse use to assess the toddlers pain level? FACES scale COMFORT scale Visual analog scale FLACC scale
FLACC scale The nurse should use the FLACC scale to assess pain for a 2 year old. The FLACC scale assesses facial expression, leg movement, activity, cry, and consolability in children 2 months - 7 years of age. The nurse assigns a score of 0-2 for each area.
A nurse is planning to implement bladder retraining for a client who has an urge urinary incontinence. Which of the following actions should the nurse plan to take? Assist the client to the toilet as soon as the urge to void is reported. Apply an adult diaper to the client during nighttime hours. Gradually lengthen the time between the clients scheduled voids. Decrease the clients fluid intake beginning at 2000
Gradually lengthen the time between the clients scheduled voids. The nurse should gradually lengthen the time between scheduled voids when implementing bladder retraining. The patient is encouraged and taught to suppress the urge to void between scheduled voids through the use of pelvic exercises, distraction, and abdominal breathing. When the patient is successfully able to suppress the urge, the time between voids is slightly increased. This process of scheduled voiding promotes retraining of the bladder and decreases urge incontinence.
A nurse is administering ophthalmic solution to a client who has bacterial conjunctivitis. Which of the following actions should the nurse take? Have the patient lie supine Tell the patient to look down toward the floor Place a finger on the upper eyelid to pull it outward. Instill the drops onto the patients cornea.
Have the patients lie supine. This is a comfortable position for the client, + it makes it easy for the nurse to access the eye. It also reduced the risk of the medication escaping through the teat duct.
A nurse in a providers office is caring for a male client who just turned 50 years old. The client has no significant health problems or family history of health problems. Which of the following preventative health screening should the nurse recommend? (SATA) Initial screening colonoscopy Digital rectal examination Yearly glaucoma screening Monthly testicular self-examination Annual skin examination
Initial screening colonoscopy -(Current guidelines recommend that clients who are age 50 years and older receive an initial screening for colonoscopy. Subsequent screenings should be scheduled depending on the results.) Digital rectal examination- (Current guidelines recommend that male clients who are age 50 years and older have a yearly digital rectal examination to screen for prostate cancer. The client should have his prostate-specific antigen level checked annually.) Monthly testicular self-examination- (Current guidelines recommend that clients who are age 15 years and older perform a monthly TSE to screen for testicular cancer. The nurse should encourage the client to continue this preventive screening.) Annual skin examination- (Current guidelines recommend that clients who 40 years and older receive an annual skin examination to screen for skin cancer. If a suspicious lesion is detected, a biopsy should be performed.)
A nurse is caring for a child who has celiac disease. Which of the following items should the nurse remove from the child's meal tray? Corn-flake cereal OJ Scrambled eggs Oatmeal w raisins
Oatmeal w raisins Celiac disease is the intolerance to dietary gluten, which is a protein in wheat, rye, oats, and barely. This intolerance causes diarrhea, weight loss, abdominal pain and fatigue. Therefore, the nurse should remove oatmeal from the child's meal tray.
A nurse in a long-term care facility is performing a fall risk assessment on a newly admitted client using the Timed Up and Go (TUG) test. The client reports using a tripod cane for ambulation. Which of the following actions should the nurses take when using this test? Observe the client ambulating a distance of 3 m (10ft) during the TUG test. Instruct the clients to perform the TUG test without the use of the cane. Assist the client to stand up front the chair when starting the TUG test. Advice the client to use the arms of the chair to stand when starting the TUG test.
Observe the client ambulating a distance of 3 m (10ft) during the TUG test. The nurse should mark a spot 3 m (10ft) away from the clients sitting location. The nurse should instruct the client to stand, ambulate to the marked spot, turn ambulate back to the chair, and sit down. The nurse should observe the clients ability to perform the test and use a stopwatch to time the client. The nurse should identify that the client is at increased risk of falls if it takes longer than 14 seconds to complete the test.
A nurse is developing a plan of care for an older adult client who is experiencing functional incontinence following hip arthroplasty. Which of the following interventions should the nurse include? Dress the client in pants w a zipper. Measure residual after each void. Insert a urinary catheter. Place grab bars by the toilet.
Place grab bars by the toilet. The nurse should place grab bars by the toilet and install a raised toilet seat. These aid the client in reaching and sitting on the toilet, decreasing the chance of incontinence.
A nurse is reviewing the medication administration record of a patient who is 2 days postoperative following abdominal surgery. The nurse should identify that which of the following medications can result in delayed would healing? Metoprolol Prednisone Vitamin C Ropinirole
Prednisone The nurse should identify that taking prednisone can result in delayed wound healing. Prednisone is a corticosteroid used in the tx of inflammatory disorders. It can mask the manifestations of infection d/t its ability to impair the inflammatory response. Other meds, such as anticoagulants + broad-spectrum antibiotics, can also play a role in delayed would healing.
A nurse is assessing a client who has fibromyalgia. Which of the following treatment modality prescriptions should the nurse expect for the clients mixed pain? Referral for a nutritional consult PCA infusion pump with morphine Pregablin PO twice daily. Progressive exercise plan leading to running 3x / week.
Pregablin PO twice daily. The nurse should expect a prescription for an antidepressant medication such as pregablin. The mixed pain experienced by a patient who has fibromyalgia has components of both nociceptive and neuropathic pain, which responds best to adjunctive treatments modalities such as antidepressants. These medications work to increase the release of serotonin and norepinephrine neurotransmitters in the brain.
A nurse is administering Enoxaparin subcutaneously to a client who is postoperative and is at risk of thromboembolic events. Which of the following actions should the nurse take? Insert the needle at a 15 degree after cleansing the site Pull up a small amount of skin using the thumb and forefinger of the non dominant hand. Insert about half of the needle length into the tissue. Pull back on the plunger to check for blood return before administering the medication.
Pull up a small amount of skin using the thumb and forefinger of the non dominant hand. Pulling up or pinching the skin brings the SQ tissue upward and helps reduce the pain of the injection.
A home health nurse manger is assisting in the implementation of an electronic medical record (EMR) system for client care. Which of the following actions should the nurse manager take to promote interoperability? Scan each clients prescribed medication into the individual EMR. Recommend a single coding system for each department to use. Seek reimbursement opportunities for the use of EMR system. Establish a personal health record (PHR) for each client.
Recommend a single coding system for each department to use. The nurse manager should recommend a unified coding system for each department to use when documenting in the EMR system. This use of a single coding system ensures that data is shared accurately among Interprofessional departments and that each departments system is able to process the coding information. This continuity of shared data and the ability to use the data is referred to interoperability.
A nurse is preparing to leave the room of a client who is on isolations precautions. Which of the following actions should the nurse take when removing a tied surgical mask? Take the mask off immediately after leaving the clients mask. Perform hand hygiene prior to removing the mask. Untie the tap strings of the mask and then untie the lower strings. Remove the mask by securely holding the ties and moving it away from the face.
Remove the mask by securely holding the ties and moving it away from the face. The nurse should untie the bottom strings and then the top strings. Finally, while still holding the strings, the nurse should remove the mask from her face. The action prevents the nurse from touching the front of the mask, which is contaminated.
A nurse is caring for an older adults client who has osteoarthritis and plans to go to an assessed living facility due to decreased mobility. Which of the following actions should the nurse take when acting in the role of client advocate? Research facilities for the client that best meet her specific needs. Inform the client about the discharge plan for treatment of her osteoarthritis. Assist the client as needed while encouraging independence w her ADLs. Coordinate the prescriptions from the health cart exam into the discharge plan.
Research facilities for the client that best meet her specific needs. The nurse is acting in the role of a client advocate when identifying the clients specific needs + then advocating for those needs by researching assisted living facilities that best meet those needs. The nurses research findings support the clients autonomy by providing her with info needed to make an informed decision when selecting a facility.
A nurse is planning care a client who has an in dwelling urinary catheter. Which of the following interventions should irse include in the plan to prevent the development of a catheter-associated urinary tract infection (CAUTI)? Ensure that the catheter tubing has a dependent loop. Empty the urinary collection bag when it is 75% full Secure the catheter tubing to the clients leg. Use an open method for catheter irrigation
Secure the catheter tubing tot the clients leg. The nurse should assess the clients need for urinary catheterization and should follow evidence-based practice to prevent or reduce the risk of CAUTI development. This includes securing the catheter tubing to the clients leg so that the catheter does not move, reducing the risk of urethral trauma and introduction of bacteria into the urinary system.
A community health nurse is developing a brochure about the use of smokeless tobacco. Which of the following information should the nurse plan to include? Smokeless tobacco provides a higher dose of nicotine than cigarettes. Smokeless tobacco users are at an increased risk for lung cancer. Smokeless tobacco is more addictive than cigarettes. Smokeless tobacco users have a lower risk for developing stomach cancer.
Smokeless tobacco provides a higher dose of nicotine than cigarettes. Smokeless tobacco is placed in the mouth, where nicotine is then absorbed sublingual. A higher dose of nicotine is delivered w the use of smokeless tobacco compared to smoking cigarettes, bc heat destroys nicotine.
A nurse on a medical-surgical unit is caring for a group of clients. The nurse should identify that which of the following types of pain are classified as neuropathic? (SATA) Spinal nerve pain Postherpetic neuralgia pain Phantom limb pain Fractured hip pain Osteoarthritic pain
Spinal nerve pain- neuropathic pain occurs when there is damage to or impaired fxns of nerves d/t an injury or illness. Spinal nerve pain is a type of neuropathic pain. Postherpetic neuralgia pain- " " Phantom limb pain - " "
A community health nurse is participating in a task force initiative to reduce the incidence of disease from injection drug use among the city's homeless population. Which of the following plans should the nurse recommend as part of tertiary prevention? Offer HIV testing Start a needle-exchange program Screen clients who are homeless for drug use Provide community education about needle sharing
Start a needle-exchange program Initiating a program for needle exchange + treating patients who are homeless for any disease they. May have already acquainted are examples of tertiary prevention.
A charge nurse is teaching a group of newly licensed nurses how to prevent errors during administration of blood transfusions. Which of the following actions should the nurse include? Complete the administrations of 1 unit of packed RBCs within 6 hr of initiation of the transfusion. Infuse 500 mL of lactated Ringers when administering whole blood. Vigorously massage the blood bag to mix the cells r prior to administration Use a new blood administration tubing set for each blood bag infused.
Use a new blood administration tubing set for each blood bag infused. The nurse should use a new blood infusion tubing set for each component of blood. A blood infusion set should not be reused, even for the same client.
A nurse is preparing to administer a unit of packed RBCs to a client. In adherence w the Joint Commission National Patient Safety Goals regarding blood administration, which of the following actions should the nurse plan to take? Review the client medical record for previous transfusion info. Administer premedication to the client as prescribed by the provider. Verify the client and blood competent using a two person process. Educate the client about manifestations to report to the nurse immediately.
Verify the client and blood competent using a two person process. The Joint Commission National Patient Safety Goals regarding blood transfusions included improving the accuracy of client identification. The nurse should eliminate transfusion errors r/t client misidentification by using a 2 person verification process to identify the client and the blood component
