Prep U - Exam 1 Fundies

In what time period did nursing care as we now know it begin? early civilization to 16th century pre-civilization 16th to 17th century 18th to 19th century

18th to 19th century

The nurse is reviewing relaxation techniques with the client who has chronic back pain that radiates to the legs. What information does the nurse include? Close your eyes while practicing the relaxation exercises. Tighten and relax muscles starting with the upper body. Take shallow abdominal breaths. Sit in a wood chair with a straight back.

Close your eyes while practicing the relaxation exercises.

Evelyn is a 90-year-old woman who just returned from the operating room to your medical unit. She is otherwise healthy and has a history of some mild arthritis. As you examine Evelyn, you know that all of the following are signs of pain EXCEPT which? Elevated lactic-acid production Elevated kidney function

Elevated kidney function Kidney function would be temporarily suppressed by acute pain.

Which action should the nurse implement when working with a medically homeless client? Encourage client to utilize the free health care clinic. Assist the client in finding housing. Encourage the client to utilize the emergency room when ill. Assist the client in finding a job.

Encourage client to utilize the free health care clinic.

Priority setting is based on the information obtained during reassessment and is used to rank nursing diagnoses. Each factor contributes to priority setting except which? Feedback from the family The client's condition Finances of the client Time and resources

Finances of the client

Who established the first public health service for the sick and poor? Lillian Wald Florence Nightingale Isabel Hampton Robb Dorothea Dix

Lillian Wald

Attracting minorities to the profession of nursing is an important consideration for the future of nursing. Which key historical nursing figure set a precedent in this area? Mary Elizabeth Mahoney Nora Gertrude Livingston Mary Ann Bickerdyke Mary Agnes Snively

Mary Elizabeth Mahoney

A client's diagnosis of breast cancer necessitates a bilateral mastectomy and breast reconstruction with tissue expanders. The nurse recognizes that the client's surgery will have a significant impact on the client's activities of daily living (ADLs) during the period of recovery. When should the nurse begin discharge planning to address this client's ADLs? On the client's admission to the hospital Once the client is admitted to the nursing unit from postanesthetic recovery As soon as possible after the client's surgery Once the client has received a discharge order

On the client's admission to the hospital

A nurse is participating as a team member involved in the facility's evaluation process. The facility is conducting a retrospective evaluation. Which methods should the nurse expect to use to collect data? Select all that apply. Direct observation of client care Chart review Client interviews during the client's stay Post-discharge client questionnaires Telephone interviews of discharged clients

Post-discharge client questionnaires Chart review Telephone interviews of discharged clients

A client recovering after an appendectomy is reporting pain. The nurse administers the ordered pain medication and assists the client to splint the incision. What is the nurse's next step in implementing the plan of care? Notify the physician that the client has required pain medications. Instruct the client that pain medication is available at regular intervals. Reassess the client to determine the effectiveness of the interventions. Perform additional nonpharmacological pain interventions.

Reassess the client to determine the effectiveness of the interventions.

The type of intervention that the nurse performs when he or she observes the spouse of a postoperative client performing the client's dressing change is described as Supervisory Technical Surveillance Maintenance

Supervisory

A nurse is working with a client who is having a difficult time accepting a new diagnosis of type 2 diabetes. The nurse pulls up a chair next to the client's bed and holds the client's hand while listening to the client's story. What type of nursing intervention is the nurse engaging in? Psychosocial interventions Supervisory interventions Supportive interventions Coordinating interventions

Supportive interventions

While auscultating a client's lung sounds, the nurse notes crackles in the left lower lobe, which were not present at the start of the shift. The nurse is engaged in which type of nursing intervention? Surveillance Maintenance Psychomotor Educational

Surveillance

A PCA has been ordered for a client who is experiencing significant postoperative pain. To minimize the risk of adverse effects of this therapy, the nurse should perform what action? Arrange for a high-protein, low-residue diet. Encourage the client to drink an 8-oz glass of water every 2 hours. Apply sequential compression stockings. Teach the client to perform deep-breathing and coughing exercises.

Teach the client to perform deep-breathing and coughing exercises.

The client reports right knee pain of 6/10 on the pain scale and requests medication. The nurse assesses and flushes the intravenous site. Which type of intervention skill is the nurse using? Mechanical skill Intellectual skill Interpersonal skill Technical skill

Technical skill

The registered nurse communicates with the physical therapist that a client is now on strict bed rest due to bradycardia. Which statement best explains the standard exemplified by the nurse? The RN identifies outcomes. The RN collects client data. The RN coordinates care delivery. The RN analyzes client data.

The RN coordinates care delivery.

The student nurse is having difficulty feeling the pedal pulse of the client with a fractured leg. What should the nurse do next? Connect the client to the oxygen saturation monitoring device. Ask another student nurse to check it for him. Use the Doppler ultrasound device. Use the Bell side of the stethoscope to listen.

Use the Doppler ultrasound device.

The client identifies three strategies for minimizing leakage of an ileostomy bag. This is an example of: a cognitive outcome. an affective outcome. a psychomotor outcome. a physiologic outcome.

a cognitive outcome.

A nurse mentoring second-year nursing students from a community college plans clinical experiences for them. These students will most likely graduate in which time frame? at the end of the year in 2 more years in 3 more years in 1 more year

at the end of the year

The nurse is caring for a client who has had unrelieved back pain for 3 years. How will the nurse document this type of pain? Select all that apply. acute neuropathic chronic somatic visceral

chronic somatic

A nurse can most accurately assess a client's heart rate and rhythm by which of the following methods? listen with the stethoscope at the fifth intercostal space at the sternum listen with a stethoscope at the neck to the right of the coracoid process listen with a stethoscope at the second intercostal space left sternum listen with the stethoscope at the fifth intercostal space left mid-clavicular line

listen with the stethoscope at the fifth intercostal space left mid-clavicular line that is the apex

A nurse is filling out an incident report after an older adult client fell while attempting to transfer from her bed to a commode. Which health problem should the nurse consider when client falls occur? primary hypertension orthostatic hypotension secondary hypertension dyspnea

orthostatic hypotension