New Notes
A nurse is caring for a client who has a new RX for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he reviews the medication information? 
 
A) Knowledge 
B) Experience 
C) Intuition 
D) Competence Correct Answer - A) Knowledge 
 
A client who has an indwelling cathete...
- Exam (elaborations)
- • 23 pages •
A nurse is caring for a client who has a new RX for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he reviews the medication information? 
 
A) Knowledge 
B) Experience 
C) Intuition 
D) Competence Correct Answer - A) Knowledge 
 
A client who has an indwelling cathete...
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- Exam (elaborations)
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A, B,D 
Restorative health care involves intermediate follow-up care for restoring health and promoting self-care. Home health care, rehabilitation facilities, and skilled nursing facilities are a type of restorative health care Correct Answer - A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (select all that apply) 
A- home health care 
B- rehabilitation facilities 
C- diagnostic centers 
D- ...
- Exam (elaborations)
- • 48 pages •
A, B,D 
Restorative health care involves intermediate follow-up care for restoring health and promoting self-care. Home health care, rehabilitation facilities, and skilled nursing facilities are a type of restorative health care Correct Answer - A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (select all that apply) 
A- home health care 
B- rehabilitation facilities 
C- diagnostic centers 
D- ...
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- Exam (elaborations)
- • 9 pages •
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An RN observes assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing? 
A: Assault 
B: Battery 
C: False imprisonment 
D: Invasion of privacy Correct Answer - A 
Rationale: By threatening the client, the AP is committing assault. The AP's threats could make the 
 
A nurse is discussing restorative health care with a newly lice...
- Exam (elaborations)
- • 12 pages •
An RN observes assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing? 
A: Assault 
B: Battery 
C: False imprisonment 
D: Invasion of privacy Correct Answer - A 
Rationale: By threatening the client, the AP is committing assault. The AP's threats could make the 
 
A nurse is discussing restorative health care with a newly lice...
Advance directives- teaching Correct Answer - Communicates the client wishes regarding end of life care; are written before a client becomes ill 
 
Nurses role is to provide info about advance directives 
 
Document client's advance directive status 
 
Ensure advance directives reflects clients current decision 
 
Inform all members of the healthcare team of the client's advanced directives 
 
Culture (client who speaks a different language) Correct Answer - Use an interpreter always; try to g...
- Exam (elaborations)
- • 21 pages •
Advance directives- teaching Correct Answer - Communicates the client wishes regarding end of life care; are written before a client becomes ill 
 
Nurses role is to provide info about advance directives 
 
Document client's advance directive status 
 
Ensure advance directives reflects clients current decision 
 
Inform all members of the healthcare team of the client's advanced directives 
 
Culture (client who speaks a different language) Correct Answer - Use an interpreter always; try to g...
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take? Correct Answer - Ask another nurse to observe the medication wastage 
 
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (round to nearest whole number. Use a leading zero if it applies. Do not us...
- Exam (elaborations)
- • 10 pages •
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take? Correct Answer - Ask another nurse to observe the medication wastage 
 
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (round to nearest whole number. Use a leading zero if it applies. Do not us...
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- Exam (elaborations)
- • 17 pages •
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To use the NURSING PROCESS correctly, the nurse must FIRST 
 
A. Identify the goals for the client's care 
 
B. Obtain information about the client 
 
C. State the client's nursing care needs 
 
D. Evaluate the effectiveness of the client's care Correct Answer - B. Obtain information about the client. 
 
RATIONALE: while stating the client's needs, identifying goals, and evaluating the effectiveness of the client's care is an appropriate step in the nursing process, it is not the first step...
- Exam (elaborations)
- • 34 pages •
To use the NURSING PROCESS correctly, the nurse must FIRST 
 
A. Identify the goals for the client's care 
 
B. Obtain information about the client 
 
C. State the client's nursing care needs 
 
D. Evaluate the effectiveness of the client's care Correct Answer - B. Obtain information about the client. 
 
RATIONALE: while stating the client's needs, identifying goals, and evaluating the effectiveness of the client's care is an appropriate step in the nursing process, it is not the first step...
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- Exam (elaborations)
- • 20 pages •
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- Exam (elaborations)
- • 21 pages •
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Diaphragm of stethoscope? Correct Answer - Used for high-pitched sounds (heart sounds, bowel sounds, breath sounds)---placed firmly on the body 
 
Bell of stethoscope? Correct Answer - Used for low-pitched sounds (abnormal heart sounds, bruits)---placed lightly on the body 
 
Tympanic temperature--adults? children? Correct Answer - Adult--pull ear up and back; Children younger than 3 pull down and back 
 
Rectal temperature? Correct Answer - Sims position---inserted 3.5cm or 11/2 in for adults 
...
- Exam (elaborations)
- • 12 pages •
Diaphragm of stethoscope? Correct Answer - Used for high-pitched sounds (heart sounds, bowel sounds, breath sounds)---placed firmly on the body 
 
Bell of stethoscope? Correct Answer - Used for low-pitched sounds (abnormal heart sounds, bruits)---placed lightly on the body 
 
Tympanic temperature--adults? children? Correct Answer - Adult--pull ear up and back; Children younger than 3 pull down and back 
 
Rectal temperature? Correct Answer - Sims position---inserted 3.5cm or 11/2 in for adults 
...
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- Exam (elaborations)
- • 44 pages •
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- Exam (elaborations)
- • 25 pages •
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- Exam (elaborations)
- • 64 pages •
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A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all) 
A. Home health care 
B. Rehabilitation facilities 
C. Diagnostic centers 
D. Skilled nursing facilities 
E. Oncology centers Correct Answer - A. home health care 
B. rehabilitation facilities 
D. skilled nursing facilities 
 
A nurse is explaining the various types of healthcare coverage clients might have To a group of nursing s...
- Exam (elaborations)
- • 23 pages •
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all) 
A. Home health care 
B. Rehabilitation facilities 
C. Diagnostic centers 
D. Skilled nursing facilities 
E. Oncology centers Correct Answer - A. home health care 
B. rehabilitation facilities 
D. skilled nursing facilities 
 
A nurse is explaining the various types of healthcare coverage clients might have To a group of nursing s...
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- Exam (elaborations)
- • 19 pages •
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- Exam (elaborations)
- • 16 pages •
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A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful? 
 
Increase in hematocrit 
increase in respiratory rate 
Decrease in heart rate 
Decrease in capillary refill time Correct answers - Correct Answer: 
Decrease in heart rate 
Fluid volume deficit causes tachycardia. With correction of the imbalance, the heart rate should retu...
- Exam (elaborations)
- • 62 pages •
A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful? 
 
Increase in hematocrit 
increase in respiratory rate 
Decrease in heart rate 
Decrease in capillary refill time Correct answers - Correct Answer: 
Decrease in heart rate 
Fluid volume deficit causes tachycardia. With correction of the imbalance, the heart rate should retu...
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- Exam (elaborations)
- • 7 pages •
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Medicare Correct Answer - for clients over age 65 and/or with permanent disabilities. premiums applied as insurance program reimburses providers based on DRGs. Premiums applied as Managed Care Organizations (MCOs) provide enrolled clients with comprehensive care overseen by a primary care provider. Is federally funded. 
 
Medicaid Correct Answer - for clients with low income. is federally funded and individual states determine eligibility requirements. 
 
Traditional Insurance Correct Answer - r...
- Exam (elaborations)
- • 131 pages •
Medicare Correct Answer - for clients over age 65 and/or with permanent disabilities. premiums applied as insurance program reimburses providers based on DRGs. Premiums applied as Managed Care Organizations (MCOs) provide enrolled clients with comprehensive care overseen by a primary care provider. Is federally funded. 
 
Medicaid Correct Answer - for clients with low income. is federally funded and individual states determine eligibility requirements. 
 
Traditional Insurance Correct Answer - r...
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? 
1. The top of the cane is parallel to the client's waist. 
2. When walking, the client moves the cane 46 cm (18 in) forward. 
3. The client holds the cane on the stronger side of her body. 
4. The client moves her stronger limb forward with the cane. Correct Answer - 3 
The client should hold the cane on the stronger side of her body to increase support and...
- Exam (elaborations)
- • 23 pages •
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? 
1. The top of the cane is parallel to the client's waist. 
2. When walking, the client moves the cane 46 cm (18 in) forward. 
3. The client holds the cane on the stronger side of her body. 
4. The client moves her stronger limb forward with the cane. Correct Answer - 3 
The client should hold the cane on the stronger side of her body to increase support and...
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nursing include in the teaching? (Select all that apply) 
A. Home healthcare 
B. Rehabilitation facilities 
C. Diagnostic centers 
D. Skilled nursing facilities 
E. Oncology centers Correct Answer - a. home health care 
b. rehabilitation facilities c. skilled nursing facilities 
 
A nurse is explaining the various types of health care coverage clients might have to a group of nur...
- Exam (elaborations)
- • 42 pages •
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nursing include in the teaching? (Select all that apply) 
A. Home healthcare 
B. Rehabilitation facilities 
C. Diagnostic centers 
D. Skilled nursing facilities 
E. Oncology centers Correct Answer - a. home health care 
b. rehabilitation facilities c. skilled nursing facilities 
 
A nurse is explaining the various types of health care coverage clients might have to a group of nur...
A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? 
"I am having mild pain" 
"The pain is like a dull ache in my stomach" 
"I notice that the pain gets worse after I eat" 
"The pain makes me feel nauseous" Correct Answer - "The pain is like a dull ache in my stomach" 
 
A client in non ambulatory notifies the nurse that his trash can is on...
- Exam (elaborations)
- • 37 pages •
A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? 
"I am having mild pain" 
"The pain is like a dull ache in my stomach" 
"I notice that the pain gets worse after I eat" 
"The pain makes me feel nauseous" Correct Answer - "The pain is like a dull ache in my stomach" 
 
A client in non ambulatory notifies the nurse that his trash can is on...
Chapter 1 Correct Answer - Health care delivery systems 
 
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) 
 
A. Home health care 
B. Rehabilitation facilities 
C. Diagnostic centers 
D. Skilled nursing facilities 
E. Oncology centers Correct Answer - A, B, D 
 
A nurse is explaining the various types of health care coverage clients might have to a group of nursing studen...
- Exam (elaborations)
- • 127 pages •
Chapter 1 Correct Answer - Health care delivery systems 
 
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) 
 
A. Home health care 
B. Rehabilitation facilities 
C. Diagnostic centers 
D. Skilled nursing facilities 
E. Oncology centers Correct Answer - A, B, D 
 
A nurse is explaining the various types of health care coverage clients might have to a group of nursing studen...