Exam 1 prep u's

Which documentation example best reflects the complexity of client teaching by the nurse?

"Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal."

An older adult client comes to the clinic for a follow-up evaluation. During the visit, the client tells the nurse about "having trouble sleeping lately." Which question should the nurse ask to obtain more detailed assessment information to develop a plan of care

"Do you use nicotine, alcohol or caffeine?"

A pregnant client at 10 weeks' gestation is receiving education by the nurse about the importance of abstaining from alcohol while pregnant. What statement made by the client demonstrates an understanding of the education provided?

"I should abstain from alcohol to prevent the development of a fetal alcohol spectrum disorder."

While conducting a health history, the client responds yes to the nurse's inquiry of the use of complementary health approaches (CHAs) to treat headaches. The nurse asks which specific therapies the client uses. Which response would require the nurse to ask further questions?

"I take herbs to treat my headaches when I have them and to help prevent them from occurring."

The nurse is teaching a client with heart failure about taking digoxin safely. Which statement by the client indicates teaching was effective?

"I will call the health care provider if I develop dizziness, blurred vision, or nausea."

A nurse is showing an older adult client the correct method of self-administering an insulin injection at home. Which statement best describes lipoatrophy and lipohypertrophy to the client?

"Lipoatrophy and lipohypertrophy are conditions of the fatty tissue that can occur from not rotating injection sites."

The nurse just completed a refresher course on parenteral drug administration. Which statement by the nurse indicates that teaching was effective?

"Reconstitution is the process of adding liquid, known as diluent, to a powdered substance."

A client has been prescribed a one-time dose of 4 mg morphine IV. The medication is available in ampules of 10 mg/mL. What volume of morphine should the nurse draw up?

0.4

A child weighs 11 kilograms. The health care provider orders a drug as follows: 0.2 mg/kg intravenously. What dose should the nurse administer?

2.2

A child was given i teaspoon of cold syrup. How many milliliters (mL) of syrup would the nurse document on the child's chart?

5 ml

A health care provider instructs a nurse to administer a drug to a client STAT. What should the nurse perform in this situation?

Administer the drug as instructed by the health care provider.

What action should the nurse perform during the implementation step of the nursing process?

Administrations and documentation of medications.

Which statement represents an action that would interfere with providing effective drug therapy?

Any adverse reaction is a cause to discontinue a therapy regimen.

The client asks the nurse how to administer medication purchased over the counter for relief of arthritis pain. The nurse reviews the medication and determines that it is to be applied topically. Which instructions should the nurse provide?

Apply the medication to clean, dry skin of the affected area using gloves

A nurse at the health care facility needs to administer an otic application for a client with an earache. What should the nurse do after instilling the prescribed eardrops in the client's ear?

Ask the client to maintain the position for some time.

Which nursing intervention is an example of tertiary preventive care?

Assisting with speech therapy a client with a traumatic brain injury

A nurse is providing care for a client who has a history of dementia. Which method should the nurse use in order to determine the client's identity prior to medication administration?

Check the client's identification band.

A nurse is designing an education program for individuals who have recently immigrated from Iraq. Which consideration is necessary for culturally competent client education?

Develop written materials in the client's native language

A client is taking ginkgo biloba, a botanical supplement. She asks the nurse if it would be safe to take aspirin for her arthritis at the same time. The nurse's response is based on what knowledge?

Ginkgo biloba affects platelet function and should not be taken with aspirin

The spouse of a client who has recently been diagnosed with early-stage Alzheimer's disease asks the nurse to recommend websites that may supplement the spouse's learning about this diagnosis. How should the nurse respond to the spouse's request?

Identify and recommend some credible websites appropriate to the spouse's learning needs.

Which situation accurately describes a recommended guideline when administering oral medications to clients?

If a child refuses to take medication, crush the medication, if allowable, and add to a small amount of food.

A nurse is preparing to teach a 6-year-old client with a broken arm and the client's mother about caring for the child's cast. Which statement reflects the best education plan for these clients?

Include the child in the education; ask questions of both the mother and the child.

The nurse is caring for an older adult postsurgical client who will be immobile for several weeks. Which evidence prompts the nurse to monitor for a risk for infection?

Increased white blood cell count on laboratory results

A nurse is researching a standardized herbal supplement to help a client with pain. What does the word standardized mean?

It contains a certain amount of an active ingredient.

The nursing student learns that the apothecary system was at one time used for weight but was recently eliminated for which reasons?

It produced a high rate of errors.

Which contains all the components of a valid order?

John Smith, atenolol 50 mg, twice a day, by mouth

The nurse has completed teaching. Which client behavior demonstrates understanding within the psychomotor domain?

Provides return demonstration of use of inhaler

A group of students is reviewing information about traditional Chinese medicine as a complete healing system that includes acupuncture, massage, herbal treatments, nutrition, moxibustion, movement, and meditation. The students demonstrate understanding of this concept when they identify the core of traditional Chinese medicine as:

Qi

The nurse is unable to read the health care provider's handwriting for a new drug order. Which action by the nurse would be most appropriate in this situation?

Question the order with the primary health care provider.

Which principle does not encompass the basic goals of integrative medicine?

Reject allopathic medicine and embrace CAM practices.

A code is called and Nurse A hands several drugs to Nurse B, stating while rushing off, "Give these to my client while I help with the code." What is Nurse B's appropriate response?

State, "I cannot give medications for other nurses."

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client?

The client describes signs and symptoms of hypoglycemia

The nurse is admitting a new client whose health history includes chronic kidney disease. How should the nurse best interpret and document this assessment data on the nurses notes?

The client's drug excretion may be slower than normal.

A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which as a characteristic of an adult learner?

Their readiness to learn is often related to a developmental task or social role.

"Dose desired/dose on hand = dose administered" is the formula for calculating the dose to be administered. Under which circumstances is this to be used?

When the dose desired and dose on hand are in the same system

The nurse is preparing to administer a medication to a client when the client states, "Last time I took that medication, I broke out in hives." What is the priority action by the nurse?

Withhold the medication and notify the health care provider that ordered the medication Explanation:

While assessing a client, the client tells the nurse that he is a follower of traditional Chinese medicine and the concept of qi. Based on the nurse's understanding of this concept, which treatment modality would the nurse expect the client to mention?

acupuncture

A nurse is reading an online journal article about different approaches to health. The nurse is reading about a practice approach that is supported by evidence-based practice and is particularly effective when aggressive treatment is needed in an emergency situation. The nurse is reading about which type of approach?

allopathic needs

A nurse should read the instructions stated on a vial container before reconstituting it and administering it to a client. Which instructions are stated on the label of a vial container?

amount of diluent to be added

A client aged 88 years who lives alone experiences dizziness caused by blood pressure medication. What intervention would the nurse prioritize in teaching this client?

change positions slowly

A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In which domain is the client demonstrating successful learning?

cognitive

A nurse is planning a health fair in the community to highlight promotion and prevention of the leading cause of death in the United States. Which disease process should the nurse address? You Selected:

coronary artery disease

The nurse is providing education to a client recently diagnosed with diabetes. Which action should the nurse take first to address the client's educational needs?

creating a plan with the client based upon needs

An older adult client enjoys good overall health, but has just been diagnosed with pneumonia and has begun receiving an intravenous (IV) antibiotic. Shortly after being administered the first dose, the client pulled out his IV line and is now attempting to scale his bed rails. Which of the following phenomena most likely underlies this change in the client's cognition?

delirium

What term is used to describe various disorders that progressively affect cognitive function?

dementia

A nurse has been assigned the task of preparing educational materials for clients with diabetes. The nurse has included the drug name, the reason the drug was prescribed, the intended effect of the drug, along with important adverse effects that should be reported to the nurse or the health care provider. Which information is essential to include in the educational materials?

drug administration method

What is essential for the nurse to obtain before administering a medication to the client?

healthcare provider's prescription

A client wishes to integrate CAM into her treatment regimen for ovarian cancer. Which of the following modalities requires the most careful consideration by her health care team due to the potential for harm?

herbal remedies

The nursing instructor is discussing alternative therapy with a group of students. She explains that living organisms are "continuously connecting and interacting with their environment." Furthermore, the connecting and interacting signifies that the human body is a unified dynamic whole. The instructor is describing what theory to the students?

holism perspective

The client is experiencing a cold and has sinus congestion. The client is prescribed a decongestant by his primary care provider. The client has a poor response to the decongestant and seeks to include acupuncture treatment. The nurse explains the use of a decongestant and acupuncture at the same time is called what type of therapy?

integrative

To safely administer medications to clients, a nurse's responsibilities include what intervention?

interpreting the prescriber's prescriptions accurately

The nurse is preparing to administer allergy skin testing. Through which parenteral route should the nurse administer drugs to the client to optimize results?

intradermal

A nurse who had been caring for a client with a cardiac disorder has to now provide care on an outpatient basis. What information should the nurse provide to this client who is willing and now able to manage the treatment regimen?

method of drug administration

A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce the client's risk for cancer, improve respiratory status, and enhance the quality of life. The nurse also shares a personal story of smoking cessation, provides information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client?

motivational

What is the nursing diagnosis the framework for?

nursing interventions

While providing client care, a nurse determines that a client adheres to the health belief model. What would the nurse need to assess as a factor possibly affecting the client's response to illness?

personality characteristics

A camp nurse is educating a group of adolescent campers on the importance of regular physical exercise. Which level of preventive care does this activity represent?

primary

A client 36 years of age is able to understand the health education when given the opportunity to put the education into practice. The nurse helps the client to self-administer the medication dosage before the client is discharged from the health care facility. Which domain correctly identifies the client's learning style?

psychomotor

Which is an example of tertiary health promotion?

rehabilitation

An older adult client being cared for at home has developed a decubitus injury. The nurse would instruct the family caregiver to institute measures to:

relieve sustained pressure.

A nurse is preparing an education plan for an older adult. What would be least appropriate for the nurse to include in this plan?

scheduling education sessions to last 45 minutes

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone?

sociocultural needs

An older adult is admitted to the health care facility with a diagnosis of depression. The nurse would be especially alert for:

suicidal thoughts

What is the term used for the concentration of drug in the blood serum that produces the desired effect without causing toxicity?

therapeutic range

A nurse who "unblocks" and "clears" congested areas of energy in a client's body to promote comfort is applying the phenomenon known as:

therapeutic touch

A nurse is bunching the tissue of a client when administering a subcutaneous injection to that client. What is the reason for bunching when injecting subcutaneously?

to avoid instilling medication within the muscle

The nurse, when using the method of dispensing drugs in which each tablet or capsule is packaged separately. Which dispensing method is this?

unit dose method