Quiz Q&A's for Exam 2
heart rate of infants range from ?
110-130 --> rates below 100 should be reported
The concepts of "Health is a universal right" and "Accountability for Nursing Judgments" are found in which of the following documents
ANA code of ethics
which of the following individuals may legally give consent? a. 56 year old who doesnt understand treatment plan b. sedated 42 year old c. a 16 year old for her baby d. friend of an 84 year old client
C
nurse fails to administer a medication that prevents seizures, and client has a seizure. nurse is in violation of Nurse Practice Act, what type of law is the nurse in violation of?
Civil
which statement is an appropriate nursing diagnosis for the homebound cardiac client who has become fatigued upon minimal exertion
activity intolerance
legal document that states a clients health-related wishes-- such as preference for pain management if the client becomes terminally ill--- also allows the clients daughter to direct his or her care is an..
advance directive
nurse is assessing a newborn in nursery. infant has episodes in which breathing ceased for 20 seconds on 2 occasions, nurse recognizes this condition as
apnea
nurse is caring for a postoperative adult client who has developed pneumonia the nurse should assess the client frequently for symptoms of
atelectasis -->stiffer lungs tend to collapse and also cause their alveoli to collapse
to practice ethically the nurse should
avoid allowing his/her judgment to guide practice
nurse correctly differentiates race from ethnicity by noting that race is based on which characteristics
biological
parent calls the doctors office frantic that her 2 year old son drank bottle of cleaner, what instruction should the nurse give to this parent
call poison control center
The facility is conducting an educational seminar for newly employed nurses. The program addresses the reporting of sentinel events. which occurrences qualify for this criteria?
client faints during ambulation resulting in head trauma, nurse admins. a lethal dosage of medication in error (sentinel event is one in which a client experiences death or serious injury)
The nurse has just discovered that a patient has fallen, after assessing the patient what would the nurse do next?
complete an incident report
nurses use of ethical responsibility can best be seen in which of the following nursing actions
delivery of competent care
oxygen and carbon dioxide move between the alveoli and blood by
diffusion, molecules move from an area of greater concentration or pressure to an area of lower concentration or pressure
the nurse preceptor recognizes the new nurses ability to determine patient safety risks when which behavior is observed
disposing of used needles in a red needle container
to ensure the safe use of oxygen in the home by a patient, which of the following safety teaching points does the nurse include
do not use electrical equipment that may spark around oxygen, special precautions may be required when traveling with oxygen, smoking is prohibited
what contributes to a nurses risk for injury from radiation
failure to use lead shields during x rays
which area is typically included in a cultural assessment
food preferences
which of the following are considered a restraint
four side rails up, sedation medications
Ethical dilemmas often involve a conflict of opinion. Once the nurse has determined that the dilemma is ethical. which of the following would be a critical first step in negotiating the difference of opinion
gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma
when the nurse sings a consent form as witness, the nurses signature shows that the client
has signed that form and the witness saw it being done
a 40 year old man has been told he has a high level of LDL's how do you explain this factor
high levels of LDL increase the risk of a heart attack
Which statement should the nurse include in the education plan regarding safety issues for a group of adult clients
in most age groups, motor vehicle accidents are major causes of death
client suffering from COPD complains that it is hard to cough up secretions and they are thick and sticky, nurse should instruct client to
increase her fluid intake to thin secretions
client has increased anteroposterior chest diameter, dyspnea and nasal flaring. respiratory rate is 30 and shallow. most appropriate nursing diagnosis is
ineffective breathing pattern
beneficence
means doing or promoting good ex: treatment of clients pain is the nurses act of doing good
It may seem redundant that health care providers pledge to "do no harm" to clients. The purpose of this oath is to reassure the public that the health care team will work to heal clients with as little pain and harm as possible. Which principle underlies this pledge?
nonmaleficence
patient continues to get out of bed without help despite frequent reminders and keeps falling, the initial nursing intervention to prevent falls for patient is to
place a bed alarm device on bed
patient has been admitted and placed on fall precautions. the nurse explains to the patient that interventions for the precautions include
placing a high risk for falls armband on the patient
When educating families on fire safety, it is important to:
regularly practice crawling on the floor, using escape routes & having a meeting place outside the home
patient is confused, trying to get out of bed and is pulling at the intravenous infusion tubing. these data would help to support the nursing diagnosis of
risk for injury
cardiac output is a function of the HR and ..
stroke volume (SR) --> stroke volume refers to the amount of blood the heart ejects with each beat
who writes the national patient safety goals
the joint commission
which of the following factors is related to the highest proportion of falls in long term care settings
toileting
what are the standards for decision making that endure for a significant time in ones life
values
A client who is recently diagnosed with cancer is encouraged to be honest with her family and tell them about the diagnosis so they can support her. The nurse is using the principle of
veracity