Nur 342 Exam Two Questions With Complete Solutions
Right medication
Right Patient
Right dosage
Right route
Right time
Right Reason
Right response
Right to education
Right to refuse
A client accuses a nurse of negligence when he trips when
ambulating for the first time since hip replacement surgery.
Which action is the best defense against allegations of
negligence? Correct Answers Accurately documenting client
care on the client record
A nurse needs to administer an intradermal injection to a client.
What is the most common site for administering an intradermal
injection? Correct Answers Forearm
A nurse on a night shift entered an older adult client's room
during a scheduled check and discovered the client on the floor
beside the bed, the result of falling when trying to ambulate to
the washroom. After assessing the client and assisting into the
bed, the nurse has completed an incident report. What is the
primary purpose of this particular type of documentation?
Correct Answers identifying risks and ensuring future safety for
clients
,A nursing student has established a strong therapeutic rapport
with a patient who was admitted to the hospital with a perforated
appendix. The patient is similar in age to the student and is
interested in a career in nursing. Before being discharged, the
patient asks if she can add the student as a contact on a social
networking site in order to ask her more questions about
nursing. How should the student respond to the patient's
request? Correct Answers Explain that nurses are not permitted
to have social contact with patients but offer to answer questions
before the patient is discharged.
A nursing student is admitting a new resident to a long-term care
facility and will perform the admission assessment. What
potential benefit of electronic documentation will affect the
student's assessment? Correct Answers The computer can
prompt the student if he omits a necessary piece of data.
A person living on a mountain will have an increase or decrease
in sensitivity to drugs? Correct Answers increase; due to
oxygen deprivation
All information about patients is considered private or
confidential, whether written on paper, saved on a computer, or
spoken aloud. What is an example of breach of confidentiality?
Correct Answers Failing to log off computer.
Allergic Effect Correct Answers Immune system response that
occurs when the body interprets an administered drug as a
foreign substance and form antibodies against the drug
, Ampule Correct Answers Glass flask containing a single dose
of medication for parenteral administration
Anaphylactic Reaction Correct Answers Life threatening;
Respiratory distress, sudden severe bronchospasm and
cardiovascular collapse.
Give hem vasopressors, bronchodialters, corticosteroids, oxygen
therapy, IV fluids, antihistamines
Are nurses legally responsible for medication they administer?
Correct Answers Yes, therefore they should question any drug
order suspected to be in error and have the right to refuse to give
it to the patient
Bag with blood needs to be changed every Correct Answers
MAXIMIUM 4 hours
Blood must be in the the patient within Correct Answers 30
min (or else return it to the blood bank)
Change of Shift Report Correct Answers communication
method used by nurses who are completing care for a patient to
transmit patient information to nurses who are about to assume
responsibility for continuing care; may be exchanged verbally in
a meeting or audiotaped
Charting by Exception Correct Answers shorthand method for
documenting patient data that is based on well-defined standards
of practice; "We don't chart unless something abnormal happens
or something went wrong."
Right medication
Right Patient
Right dosage
Right route
Right time
Right Reason
Right response
Right to education
Right to refuse
A client accuses a nurse of negligence when he trips when
ambulating for the first time since hip replacement surgery.
Which action is the best defense against allegations of
negligence? Correct Answers Accurately documenting client
care on the client record
A nurse needs to administer an intradermal injection to a client.
What is the most common site for administering an intradermal
injection? Correct Answers Forearm
A nurse on a night shift entered an older adult client's room
during a scheduled check and discovered the client on the floor
beside the bed, the result of falling when trying to ambulate to
the washroom. After assessing the client and assisting into the
bed, the nurse has completed an incident report. What is the
primary purpose of this particular type of documentation?
Correct Answers identifying risks and ensuring future safety for
clients
,A nursing student has established a strong therapeutic rapport
with a patient who was admitted to the hospital with a perforated
appendix. The patient is similar in age to the student and is
interested in a career in nursing. Before being discharged, the
patient asks if she can add the student as a contact on a social
networking site in order to ask her more questions about
nursing. How should the student respond to the patient's
request? Correct Answers Explain that nurses are not permitted
to have social contact with patients but offer to answer questions
before the patient is discharged.
A nursing student is admitting a new resident to a long-term care
facility and will perform the admission assessment. What
potential benefit of electronic documentation will affect the
student's assessment? Correct Answers The computer can
prompt the student if he omits a necessary piece of data.
A person living on a mountain will have an increase or decrease
in sensitivity to drugs? Correct Answers increase; due to
oxygen deprivation
All information about patients is considered private or
confidential, whether written on paper, saved on a computer, or
spoken aloud. What is an example of breach of confidentiality?
Correct Answers Failing to log off computer.
Allergic Effect Correct Answers Immune system response that
occurs when the body interprets an administered drug as a
foreign substance and form antibodies against the drug
, Ampule Correct Answers Glass flask containing a single dose
of medication for parenteral administration
Anaphylactic Reaction Correct Answers Life threatening;
Respiratory distress, sudden severe bronchospasm and
cardiovascular collapse.
Give hem vasopressors, bronchodialters, corticosteroids, oxygen
therapy, IV fluids, antihistamines
Are nurses legally responsible for medication they administer?
Correct Answers Yes, therefore they should question any drug
order suspected to be in error and have the right to refuse to give
it to the patient
Bag with blood needs to be changed every Correct Answers
MAXIMIUM 4 hours
Blood must be in the the patient within Correct Answers 30
min (or else return it to the blood bank)
Change of Shift Report Correct Answers communication
method used by nurses who are completing care for a patient to
transmit patient information to nurses who are about to assume
responsibility for continuing care; may be exchanged verbally in
a meeting or audiotaped
Charting by Exception Correct Answers shorthand method for
documenting patient data that is based on well-defined standards
of practice; "We don't chart unless something abnormal happens
or something went wrong."
