NLN Basic Nursing Care 1 Questions and Answers with complete solution

A nurse should recognize that an adult patient with normal kidney function will have an average hourly urine output of at least 100 mL 200 mL 50 mL 150 mL - Answer-50 mL A nurse is about to give a patient a medicated shampoo for treatment of pediculosis (head lice) for the first time. The patient asks, "Have you ever done this before?" Which of these responses by the nurse would most likely increase the patient's confidence? No, but I've read the instructions, and it's very similar to other things I have done. I know what to do, and anyway, the worst that can happen is that I'll get soap in your eyes. Do you want me to get someone else to do it? Oh, yes, I've done it many times. - Answer-No, but I've read the instructions, and it's very similar to other things I have done. Which of these foods should a nurse recommend as a means of increasing a patient's intake of iron? Red meat. Fresh Fruits. Yellow vegetables. Milk. - Answer-Red meat A patient receives several bouquets of flowers at the same time. When a nurse takes them to the unit, the patient becomes upset and says, "When I'm sick, flowers always remind me of funerals. Please take them away!" Which of these actions should the nurse take? Remove the accompanying cards, give them to the patient, and ask what the patient would like to have done with the flowers. Remind the patient of the thoughtfulness of those sending the flowers, and encourage the patient to keep them.Attempt to divert the patient's attention from thoughts of death, and arrange the flowers in an attractive manner within view. Explain to the patient that the purpose of the flowers is for cheer, and suggest that the patient might change his/her feelings about the flowers if they are left in the room. - Answer-Remove the accompanying cards, give them to the patient, and ask what the patient would like to have done with the flowers. To conform to guidelines for standard precautions, a nurse should use which of these methods when resuscitating a patient? Using alcohol swabs to cleanse the victim's nose and mouth. Wearing a facial mask. Using a resuscitator bag. Wearing protective goggles. - Answer-Using a resuscitator bag. Which of these statements is a nursing prescription? Weigh patient daily. Improve circulation to affected area. patient will drink 3,000 mL per 24 hours. Fatigue due to nutritional anemia. - Answer-Weigh patient daily. A nurse is caring for a patient whose arms are in restraints. At which of these times is it essential for the nurse to remove the restraints? At bedtime to promote relaxation. Every four hours to perform range-of-motion exercises. Every two hours to check circulation. Every eight hours for skin care. - Answer-Every two hours to check circulation. In which of these situations could a nurse be held negligent? The nurse records a patient's toxic reaction to a drug but fails to report it to the physician. The nurse allows a newly admitted patient to give any valuables to the person who accompanied the patient to the hospital.The nurse delays giving a medication pending clarification of the order with the physician. The nurse removes the water pitcher of a patient who is scheduled to have fasting blood work, and the patient falls when getting out of bed to get a drink. - Answer-The nurse records a patient's toxic reaction to a drug but fails to report it to the physician. Which of these patients would probably need a lower caloric intake than a healthy person of the same age? One who has a seizure disorder that is partially controlled by medication. One who has cystic fibrosis and takes pancreatic enzymes. One who has insulin-dependent diabetes mellitus. One who has muscular dystrophy and uses a motorized wheelchair. - Answer-One who has muscular dystrophy and uses a motorized wheelchair.