NUR 240 Final Exam questions with answers

NUR 240 Final Exam questions with
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answers

The nurse reviews assessment data on a group of
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patients. Which patient should the nurse identify as
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experiencing a critical illness? |\ |\ |\




1. Chronic airflow limitation with VS: BP 110/72, P 110, R
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16
2. Acute bronchospasm with VS: BP 100/60, P 124, R 32
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3. Motor vehicle crash with VS: BP 124/74, P 74, R 18
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4. Chronic renal failure on hemodialysis with no urine
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output with VS: BP 98/50, P 108, R 12 - CORRECT
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ANSWERS ✔✔2 |\




Which patient should the nurse expect to be transferred
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to a critical care unit? Select all that apply.
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Note: Credit will be given only if all correct choices and no
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incorrect choices are selected.
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1. Experiences an acetaminophen overdose
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2. Diagnosed with an acute mental illness
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3. Receiving treatment for chronic renal failure
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4. New onset of acute decompensated heart failure
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,5. Treatment for bacteremia from an infected foot wound -
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CORRECT ANSWERS ✔✔1,4,5
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The nurse employed in a hospital in a small rural town
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would expect to provide which level of care in the critical
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care unit? |\




1. Level I
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2. Level II
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3. Level III
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4. It is unlikely that the hospital would have a critical care
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unit. - CORRECT ANSWERS ✔✔3
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With which individuals should the nurse expect to provide
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patient care in an "open" ICU?
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1. Multidisciplinary team with physicians who are also
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responsible for patients on other units |\ |\ |\ |\ |\




2. Multidisciplinary team that includes a physician
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employed by the hospital |\ |\ |\




3. Physician in charge of patient care who is a specialist in
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critical care
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4. Primary care physician who must consult a critical care
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specialist - CORRECT ANSWERS ✔✔1 |\ |\ |\ |\

,What should the nurse who provides care to patients in a
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critical care unit realize the role of technology is on the
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amount of errors? |\ |\




1. It relies heavily on human decision making.
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2. Devices are programmed to function without double
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checks.
3. It makes the workload seem overwhelming to health
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care providers.|\




4. There is uniform equipment throughout each facility. -
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CORRECT ANSWERS ✔✔2 |\ |\




What should the nurse identify as an example of an
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installed forcing function or a system-level firewall to
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prevent errors when providing patient care?
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1. Prior to administration of insulin, two nurses check the
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dose.
2. Prior to obtaining a medication, height, weight, and
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allergies are recorded. |\ |\




3. All medications are checked by two nurses prior to
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administration.
4. Undiluted potassium chloride is not available on critical
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care units. - CORRECT ANSWERS ✔✔4
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, The nurse realizes that the increased use of technology in
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critical care units has resulted in which consequence for
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patient care? |\




1. Decreased risk of errors in patient care
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2. Decreased therapeutic nurse-patient communication
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3. Improved overall patient satisfaction with care
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4. Improved patient safety across the entire spectrum -
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CORRECT ANSWERS ✔✔2 |\ |\




The nurse in the critical care area is completing a
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preoperative checklist before sending a patient for |\ |\ |\ |\ |\ |\ |\



surgery. This nurse's activity is an example of which
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recommendation issued by the Institute of Medicine? |\ |\ |\ |\ |\ |\




1. Utilizing constraints
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2. Simplifying key processes
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3. Avoiding reliance on vigilance
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4. Standardizing key processes - CORRECT ANSWERS
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✔✔3


Which actions should the nurse complete after realizing
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that an incorrect dose of medication has been
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administered to a patient? Select all that apply. |\ |\ |\ |\ |\ |\ |\




Note: Credit will be given only if all correct choices and no
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incorrect choices are selected.
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1. Notify the patient and family.
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