Fundamentals Quiz - General Topics and Medication Administration

Which client would the nurse care for first based on vital signs?

Client B, Respiratory rate above 20 breaths per minute and SpO2 is 70%

Which are high priority problems to consider when planning care for a group of clients?

Complaints of chest pain following ambulation in the hallway Decreased level of consciousness after an automobile accident Respiratory depression after narcotic pain medication administration

When the clinic nurse is teaching a group of clients with heart failure (HF) about dietary interventions to prevent fluid overload, which topic will be included?

Use of fresh or frozen vegetables instead of canned ones

Which topics would be included when teaching a client with heart failure who will be discharged with a new prescription for digoxin?

Take your radial pulse daily and write it down. Notify the healthcare provider if you develop any vision changes. Call the healthcare provider if your pulse is irregular or less than 60 beats/minute.

Which statement by the student nurse indicates the need for further education about medication administration?

"I should advise the certified medical assistant to administer intravenous medication."

For a client with difficulty swallowing, the nurse will crush which medication?

Acetaminophen extra strength

Which action should be taken to hasten the drying of a newly applied cast?

Expose the cast to air

Which meal is most appropriate for a client with a large pressure injury?

Grilled chicken, steamed spinach, with a side of orange slices

An older client asks, "How do I know that the medications I take are safe?" Which response by the nurse is correct?

"Ask your healthcare provider how and when you should be taking your medications." "Check the name, dose, and instructions about administration of medications each time before leaving your pharmacy." "Inform your healthcare provider of the over-the-counter medications, recreational drugs, and amount of alcohol you ingest."

The registered nurse (RN) is teaching a nursing student about the process of medication reconciliation for a client who was admitted in a health care setting. Which statement made by the nursing student indicates the need for further teaching?

"I would avoid asking about the client's over-the-counter medications."

Which step in the research process is similar to the assessment step of the nursing process?

Identifying the problem

Which client would be appropriate for home health care services?

A client with a new ostomy A client requiring wound care A client receiving intravenous antibiotics A client receiving intravenous chemotherapy A client recently diagnosed with diabetes requiring insulin A client needing physical therapy after a total knee replacement

Which is the most important nursing action involved in caring for a client receiving medications?

Administering the medications

Which action would the nurse plan to take to prevent respiratory complications after abdominal surgery?

Assist client to use the incentive spirometer

Which nursing intervention is specific to clients in active labor who present with a history of cardiac disease?

Auscultating the lungs for crackles every 30 minutes

A client sustains fractured ribs as a result of an accident. Which clinical indicator suggests the client may be experiencing a complication of fractured ribs?

Diminished breath sounds on the affected side

The nurse is caring for an older adult client with dementia that has developed dehydration as a result of vomiting and diarrhea. Which assessment information best reflects the fluid balance of this client?

Blood lab results

A client with hypertensive heart disease who had an acute episode of heart failure is to be discharged on a regimen of metoprolol and digoxin. Which outcome would the nurse anticipate when metoprolol is administered with digoxin?

Bradycardia

The nurse is providing education about excellent food sources of Vitamin A for a client who is deficient in this vitamin. Which foods would the nurse include in this teaching?

Carrots Leafy greens Cantaloupe

Atenolol is prescribed for a client with moderate hypertension. Which information would the nurse include when teaching the client about this medication?

Change to standing positions slowly. Count the pulse before taking this medication. Mild weakness and fatigue are common side effects.

When performing a focused respiratory assessment, which action would the nurse take first?

Check for any evidence of respiratory distress

A client has a large, open abdominal wound. The healthcare provider's prescription states to cleanse the wound with normal saline, pack it with damp gauze, cover with abdominal pads, and cover with Montgomery straps twice a day. Which step would the nurse take to maintain sterility when changing the dressing?

Cleanse the wound with wet, sterile gauze from the center of the wound outward.

Which client's care can the registered nurse safely delegate to unlicensed nursing personnel (UNP) based on the given data?

Client A, with chronic hypertension and stable vitals

Which information must be clearly documented in the medication administration record (MAR) before administering a medication?

Dosage and route Client's full name Time to be administered Frequency of administration Full name of prescribed administration

Which explanation would the nurse include when teaching a client with heart failure about the reason for a low-sodium diet?

Decreased fluid retention

A client is hospitalized with pressure ulcers. Which task could be delegated to an unlicensed nursing personnel (UNP)?

Emptying wound drainage containers Reporting changes in wound appearance

The nurse is caring for an obese client with diabetes mellitus. Which nursing actions satisfy the Quality and Safety Education for Nurses (QSEN) competency called teamwork and collaboration?

Engaging the physical therapist in managing the client's condition. Explaining the client's medication routine to the next shift nurse. Consulting with the dietician to help manage the client's condition.

Which intervention would the nurse prioritize when planning a teaching program for a child who was recently diagnosed with type 1 diabetes?

Exploring the child's feelings about diabetes

The nurse is caring for a client who is having diarrhea. Which client data would the nurse closely monitor to prevent an adverse outcome?

Fluid and electrolyte balance

What daily diet recommendation would the nurse reinforce with a client that has arthritis?

Foods from a variety of food groups

The nurse observes that an older client seldom eats the meat on the meal trays. The nurse discusses the observation with the client, and the client states, "I only eat meat once a week because old people don't need protein every day." Which need would the nurse address in his or her reply?

Foods that meet basic nutritional needs

How would anxiety affect outcomes for a client with heart failure?

Increases the cardiac workload

The health care provider prescribes one tube of glucose gel for the client with type 1 diabetes. The nurse recognizes that this is for treatment of which diabetes complication?

Insulin-induced hypoglycemia

When teaching a group of clients about risk factors for heart disease, which topics will the nurse include?

Obesity Hypertension

Which instruction would the nurse give an unlicensed assistive personnel (UAP) to perform while caring for a client prescribed captopril?

Obtain blood pressure Measure intake and output Weigh the client every morning Notify the nurse if the client has a dry cough Assist the client to change positions slowly

Which steps are taken by the nurse during the implementation phase of medication research?

Obtaining necessary approvals Recruiting subjects and collecting data obtained from the study

Which nursing interventions would the nurse avoid when providing care for a client with a fractured extremity?

Removing the client's shoes or boots immediately

Which advice will the nurse include when teaching a client about digoxin for left ventricular failure?

Report increasing fatigue

Which instruction will the nurse include in a teaching plan for a client taking a calcium channel blocker such as nifedipine?

Report peripheral edema Avoid drinking grapefruit juice Change to a standing position slowly

The nurse determines that the adolescent with newly diagnosed type 1 diabetes has sufficient knowledge of the disorder. Which is the next appropriate action?

Setting goals with the client

Which clinical finding would the nurse expect to identify when assessing the client who has a fractured hip?

Shortening of the affected extremity

A health care provider prescribes daily docusate sodium for a client. The nurse explains to the client that this medication has which action?

Softens the feces

Which action would the nurse do immediately when the nurse finds the respiratory rate is 8 breaths per minute in a client who is on intravenous morphine sulfate?

Stop administering the medication

A client with burns develops a wound infection. The nurse plans to teach the client that local wound infections are primarily treated with which antibiotic formulation?

Topical

Which finding by the nurse when taking a client's health history indicates possible increased risk for respiratory disease?

Works as a nurse on a hospital medical unit