The nurse has received funding to design a health promotion project
for African American women who are at risk for developing breast
cancer. Which resource is most important in designing this
program? - ANS >>participation of community leaders in planning
the program
A pt with multiple injuries is being treated in the burn trauma unit
just hours after the injuries occurred. The healthcare provider
instructs the nurse to avoid auto contamination when performing
dressing changes. Which intervention is most important for the
nurse to implement? - ANS >>use gown, mask, and gloves with
dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV
nitro and heparin are infusing. The pt is sedated but responds to
instructions. After changing positions, the pt complains of pain at
the right groin insertion site. What action should the nurse
implement? - ANS >>Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which
pt assessment is most important for the nurse to obtain? - ANS >>
upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living
at home alone and never falling. Which action should the nurse
take? - ANS >>Continue to obtain pt data needed to complete the
fall risk survey
mailto:https://www.stuvia.com/en-us/user/techgrades
,The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The pt is weak and begins coughing while
attempting to drink through a straw. Which intervention should the
nurse implement? - ANS >>Teach coughing and deep breathing
exercises
mailto:https://www.stuvia.com/en-us/user/techgrades
,A pt presses the call bell and requests pain medication for a severe
headache. To assess the quality of the pt. Pain, which approach
should the nurse use? - ANS >>Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for
a pt. When exiting the room, which PPE should be removed first? -
ANS >>Gloves
An older pt is brought to the ED with a sudden onset of confusion
that occurred after experiencing a fall at home. The daughter, who
has power of attorney, has brought the client's prescriptions. Which
information should the nurse provide first when reporting to the
healthcare provider using SBAR communication? - ANS
>>Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and
swimming three times a week in an effort to lose weight and sleep
better. The pt states that it still is taking hours to fall asleep at night.
Which action should the nurse implement? - ANS >>Ask the pt for a
description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is
teaching a pt who is recovering from Guillain-Barre syndrome about
home. Which actions should the nurse include when providing
discharge teaching to the pt and spouse? SATA - ANS >>-review
safe transfer strategies
-develop a nutritional plan
-help identify community support
mailto:https://www.stuvia.com/en-us/user/techgrades
, The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that the
program was effective? - ANS >>pt who develop disease
complications promptly received rehabilitation
The nurse is teaching the pt about home care after surgery for an
ileal conduit placement. When reviewing the information, which
statement should the nurse recognize as needing additional
education? - ANS >>Empty the pouch when it is half full.
A 12 week gestation is admitted to the antepartum unit with a dx of
hyperemesis gravidarum. Which action is most important for the
nurse to implement? - ANS >>initiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best
prepare for the pt arrival, the nurse should ensure that the pt bed is
in which position? - ANS >>Picture with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious
and asking the nurse numerous questions about the procedure. In
preparing the pt for the procedure, which intervention has the
highest priority? - ANS >>Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
provider, the nurse should review which of the pt lab values? - ANS >>
culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription
for ciprofloxacin 500mg PO every 12hrs. When the client requests
an afternoon snack, which dietary choice should the nurse provide?
- ANS >>Cinnamon apple sauce
mailto:https://www.stuvia.com/en-us/user/techgrades
for African American women who are at risk for developing breast
cancer. Which resource is most important in designing this
program? - ANS >>participation of community leaders in planning
the program
A pt with multiple injuries is being treated in the burn trauma unit
just hours after the injuries occurred. The healthcare provider
instructs the nurse to avoid auto contamination when performing
dressing changes. Which intervention is most important for the
nurse to implement? - ANS >>use gown, mask, and gloves with
dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV
nitro and heparin are infusing. The pt is sedated but responds to
instructions. After changing positions, the pt complains of pain at
the right groin insertion site. What action should the nurse
implement? - ANS >>Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which
pt assessment is most important for the nurse to obtain? - ANS >>
upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living
at home alone and never falling. Which action should the nurse
take? - ANS >>Continue to obtain pt data needed to complete the
fall risk survey
mailto:https://www.stuvia.com/en-us/user/techgrades
,The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The pt is weak and begins coughing while
attempting to drink through a straw. Which intervention should the
nurse implement? - ANS >>Teach coughing and deep breathing
exercises
mailto:https://www.stuvia.com/en-us/user/techgrades
,A pt presses the call bell and requests pain medication for a severe
headache. To assess the quality of the pt. Pain, which approach
should the nurse use? - ANS >>Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for
a pt. When exiting the room, which PPE should be removed first? -
ANS >>Gloves
An older pt is brought to the ED with a sudden onset of confusion
that occurred after experiencing a fall at home. The daughter, who
has power of attorney, has brought the client's prescriptions. Which
information should the nurse provide first when reporting to the
healthcare provider using SBAR communication? - ANS
>>Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and
swimming three times a week in an effort to lose weight and sleep
better. The pt states that it still is taking hours to fall asleep at night.
Which action should the nurse implement? - ANS >>Ask the pt for a
description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is
teaching a pt who is recovering from Guillain-Barre syndrome about
home. Which actions should the nurse include when providing
discharge teaching to the pt and spouse? SATA - ANS >>-review
safe transfer strategies
-develop a nutritional plan
-help identify community support
mailto:https://www.stuvia.com/en-us/user/techgrades
, The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that the
program was effective? - ANS >>pt who develop disease
complications promptly received rehabilitation
The nurse is teaching the pt about home care after surgery for an
ileal conduit placement. When reviewing the information, which
statement should the nurse recognize as needing additional
education? - ANS >>Empty the pouch when it is half full.
A 12 week gestation is admitted to the antepartum unit with a dx of
hyperemesis gravidarum. Which action is most important for the
nurse to implement? - ANS >>initiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best
prepare for the pt arrival, the nurse should ensure that the pt bed is
in which position? - ANS >>Picture with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious
and asking the nurse numerous questions about the procedure. In
preparing the pt for the procedure, which intervention has the
highest priority? - ANS >>Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
provider, the nurse should review which of the pt lab values? - ANS >>
culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription
for ciprofloxacin 500mg PO every 12hrs. When the client requests
an afternoon snack, which dietary choice should the nurse provide?
- ANS >>Cinnamon apple sauce
mailto:https://www.stuvia.com/en-us/user/techgrades
