NUR 256 / NUR256 EXAM 1. QUESTIONS AND ANSWERS.

67. Chronic disease A disease that develops gradually and continues over a long period of time 68. Medical surgical nursing a specialty area of practice that provides nursing services to patients from adolescence through the end-of-life in hospital medical-surgical units, clinics, ambulatory care units, urgent care centers, home health care agencies, and long-term care facilities 69. A nurse is discussing pain assessment with a newly licensed nurse. which of the following information should the nurse include? a. most clients exaggerate their pain level. b. pain must have an identifiable source to justify the use of opioids c. objective data are essential in assessing pain d. pain is whatever the client says it is 70. A nurse assesses a client's respiratory status. Which observation indicates that the client is having difficulty breathing? Rationale: The use of accessory muscles for respiration indicates the client is having difficulty breathing. 71. One of the most effective communication strategies to improve patient safety is to 72. SBAR Situation Background Assessment Recommendation 73. Allowing the clients to share their personal beliefs and stories about their cultural background and beliefs will give the nurse some insight into each client. She should show genuine interest in what each client says and, when appropriate, ask questions to gain a better understanding. Cultural competent 74. There is also a decrease in lean muscle mass and an increase in body fat meaning that medications will have a smaller muscle volume of distribution and lipid soluble medications will accumulate. It is recommended that opioids be prescribed at the lowest effective dose, which is approximately 25% to 50% of the adult recommended starting dose, and then slowly titrated to minimize adverse effects for patients older than age 70 years. Older adult considerations with analgesics 75. Which independent nursing interventions are appropriate for a client who is experiencing an alteration in oxygenation? Select all that apply. A) Encouraging deep breathing exercises B) Assisting with positioning C) Providing suctioning D) Prescribing bronchodilators E) Monitoring activity intolerance 76. ADPIE - Nursing Process Assessment Diagnosis Planning Implementation Evaluation 77. The nurse is discussing follow-up care with a client who is being discharged. The client and his family cross their arms and state angrily that the care team's suggestions are not acceptable. Which response by the nurse is appropriate? A) "We will leave you alone to discuss your options." B) "We only want what's best for you." C) "Let's discuss other options that might work well for you and your family. "D) "Perhaps you did not understand the recommendations."