NUR 211 Fundamentals Exam 1

NUR 211 Fundamentals Exam 1 Question 1 1 out of 1 points A nurse is planning care for a 17 year old following a motor vehicle accident. Which of Erickson's developmental stages should the nurse keep in mind in the planning? Identity vs. Role Confusion  Question 2 1 out of 1 points Before developing a procedure, a nurse reviews all current researchbased literature on insertion of a nasogastric tube. What type of nursing will be practiced based on this review? evidence-based nursing  Question 3 1 out of 1 points A nurse is admitting a client to a geriatric medicine unit following the client's recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client's chance of experiencing a fall while on the unit? -Orient the patient to the room and environment thoroughly upon admission.  Question 4 1 out of 1 points What drawbacks does charting by exception (CBE) have? Vulnerability to legal liability since nurse’s safe, routing care is not recorded  Question 5 1 out of 1 points The student nurse knows mobility contributes to positive outcomes throughout the body. What is a positive effect of mobility on the respiratory system? Preventions of secretions pooling  Question 6 1 out of 1 points A nurse has completed an informed consent form with a client. The client then states, "I have changed my mind and do not want to have the procedure done." What action should the nurse take? notify the surgeon that the client wishes to withdraw informed consent from procedure client has right to withdraw informed consent  Question 7 1 out of 1 points A nurse is documenting care given to a client with a new right leg amputation. The nurse accidently documents a dressing change was performed on the left leg. What would be the best action to correct this error? Draw a single line through the entry and rewrite it above or beside it.  Question 8 1 out of 1 points Identify the statement that is not therapeutic communication? Not using silence?  Question 9 1 out of 1 points A child is admitted to the emergency department with a fractured arm. During the admission interview, the nurse should implement what communication technique to elicit the most information from the parents? The use of clarifying questions  Question 10 0 out of 1 points A nurse is administering influenza immunizations at a local clinic. What level of disease prevention is the nurse demonstrating? Primary  Question 11 1 out of 1 points Nurses provide many interventions to prevent falls in health care settings. What would be an appropriate intervention to prevent falls? Lock wheels on beds and wheelchairs.  Question 12 1 out of 1 points What charting entry would be the most defensible in court? Notified Dr. Jones of BP of 90/40  Question 13 1 out of 1 points The World Health Organization (WHO) defines health as which of the following? a complete state of physical, mental and social well-being and not merely the absence of disease or infirmity.  Question 14 1 out of 1 points The student nurse knows lack of mobility contributes to negative outcomes throughout the body. What is a negative effect of immobility on the musculoskeletal system? 1)disuse osteoporosis 2)disuse atrophy 3)contractures 4)stiffness and pain in the joints  Question 15 1 out of 1 points The student nurse knows lack of mobility contributes to negative outcomes throughout the body. What is a negative effect of immobility on the cardiovascular system? 1)decreased efficiency of orthostatic neurovascular reflexes (orthostatic hypotension) 2)altered distribution of blood volume 3)venous vasodilation and stasis 4)dependent edema 5)increase use of valsalva maneuver 6)thrombus 7)diminished cardiac reserve  Question 16 0 out of 1 points Barriers to evidence-based practice (EBP) include which of...Continued....