Medsurg unit 1 ch 1-7 Questions & Answers

Medsurg unit 1 ch 1-7 Questions & Answers A nurse is discussing restorative health care with a newly licensed nurse. Which examples should the nurse include in the teaching ? Home health care, rehabilitation facilities, skilled nursing facilities. A nurse is explaining the various types of healthcare coverage clients might have to a group of nursing students. Which health care financing mechanisms are federally funded? Medicare and Medicaid A nurse manager is developing strategies to care for the increasing number of clients who have obesity. What action should the nurse include as a primary health strategy? Collaborating with providers to perform obesity screenings during routine visits. A nurse is discussing the purpose of regulatory agencies during a staff meeting. What task should the nurse identify as the responsibility of state licensing boards? Ensuring that health care providers comply with regulations. A nurse is explaining the various levels of health care services to a group of newly licensed nurses. What examples of care or care settings should the nurse classify as tertiary care ? Intensive care unit, oncology treatment center, burn center. A nurse is caring for a group of clients on a med-surg unit. What client care needs should the nurse make a referral for a social worker? A client who has terminal ca requests hospice care at home, a client asks about community resources available for older adults, a client requests an electric wc for use after dc. A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral w/what member of the interprofessional care team? Occupational therapist A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. What members of the interprofessional care team can assist the client in understanding the medications effects? Provider, pharmacist, and registered nurse. A client who has had a cva has persistent problems with dysphasia. The nurse caring for the client should initiate a referral to what member of the interprofessional care team? Speech language pathologist A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical‑surgical unit. When she gives examples of the types of tasks CNAs may perform, what client activities should she include? Bathing, ambulating, toileting, and measure vital signs. QSEN: Safety Minimization of risk factors that could cause injury or harm while promoting quality care and maintaining a secure environment for clients, self, and others. QSEN: Patient Centered Care Provision of caring and compassionate, culturally sensitive care that addresses clients physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values. QSEN: Evidence-Based Practice Use of current knowledge from research and other credible sources, on which to base clinical judgement and client care. QSEN: Informatics the use of information technology as a communication and information-gathering tool that supports clinical decision-making and scientifically based nursing practice QSEN: Quality Improvement Care-related and organizational processes that involve the development and implementation of a plan to improve health care services and better meet clients needs. QSEN- Teamwork and Collaboration Delivery of client care in partnership with multidisciplinary members of the health care team to achieve continuity of care and positive client outcomes. A nurse observed an assistive personnel reprimanding a client for not using the urinal properly. The ap tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which tort is the ap committing? Assault A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the hospital ama. The nurse believes that this isn't in the clients best interest, so she preps a prn sedative the client has not requested along with his usual medication. Which tort is this nurse about to commit? False imprisonment A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which statement made by the client should indicate to the nurse an understanding of advance directives? I plan to write that I don't want them to keep me on a breathing machine. A nurse is caring for a client who is about to undergo an elective procedure. The nurse should take which actions regarding informed consents ? Make sure the surgeon obtained the clients consent and witness the clients signature on the consent form. A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. What action should the nurse take? Report the observations to the nurse manager on the unit. A nurse is preparing information for change of shift report. What should the nurse include in the report? Bone scan scheduled for today. Significant obj info about clients health problems, proceed in logical sequence, include no gossip or opinion, relate recent changes in meds, treatments, procedures , and the dc plan. A nurse is discussing the HIPPA privacy rule with nurses during new employee orientation. What information should be included? Family members should provide a code prior to receiving info, communication of client info can occur at the nurses station, a client can request a copy of medical record, a nurse may photocopy a Clients medical record for transfer to another facility. A nurse is reviewing documentation with a group of newly licensed nurses. What guidelines should be followed when documenting in a clients record? Date and time all entries, document objective date only no opinions. A nurse is discussing occurrences that require completion of an ir with a newly licensed nurse. Examples included in teaching are Medication errors, needle sticks, omission of prescription. A nurse is receiving a providers prescription by telephone for morphine. What nursing actions are appropriate? Repeat all the details of the prescription back to the provider, have another nurse listen to the telephone prescription, obtain the prescribers signature on the prescription within 24 hours. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? Reapplying a condom catheter A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff member should the nurse assign to this client? RN A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following info should the nurse share with the AP? Client ambulated with his slippers on over teds, client uses a front wheeled walker, client had pain med 30 min ago. An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question? Teaching a client who has asthma to use a metered dose inhaler. A nurse is preparing an in service program about delegation. 5 rights of delegation. Right task, right person, right supervision and evaluation, right direction and communication, right circumstances. The nurse is always accountable for the task/activity delegated. By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process? Reassess the client to determine the reasons for inadequate pain relief. A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "The client said his leg pain was back, so I checked his medical record, and he last received his pain medication 6 hours ago. The prescription reads every 4 hours PRN for pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it. I checked with the client 40 minutes later, and he said his pain is going away." The charge nurse should inform the newly licensed nurse that she left out which step of the nursing process? Assessment A charge nurse is reviewing the steps of the nursing process with a group of nurses. What data should the charge nurse identify as objective? Respiration's even unlabeled 22/min, skin pink warm and dry, ap reports guest walked w a limp. A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a prescription. What examples should the charge nurse include? Showing client how to use progressive relaxation, performing a daily bath after the evening meal, and repositioning a client q 2 hr to reduce pressure ulcer risk. A nurse is discussing the nursing process with a newly hired nurse. Which statement by the newly hired nurse should the nurse identify as appropriate for the planning step of the process? I will determine the most important client problems that we should address. A nurse is caring for a client who is 24 hr postop following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds , and is expressing a desire for real food. The nurse tells the client she will call the dr. And ask. The surgeon hears the report and orders a full liquid diet. Which level of critical thinking is this an example of ? Basic