RN concept-based assess level 1 (QUESTIONS AND ANSWERS )

which of the following statements shows understanding of the breast self-exam - ANSWER-I should expect to feel a firm ridge along the bottom curve of each breast Which of the following actions should the nurse take to provide emotional support to the parent - ANSWER-inform the parent that anger is a natural response when dealing with loss Accessing electronic resources- which should the nurse include - ANSWER-websites endin gin .gov are reliable pt had knee "lock" and is lying on the floor. Which action - ANSWER-check the pt. for injuries RA about chronic pain. Which indicates understanding - ANSWER-I should use a warm paraffin dip for the hands and feet preventative hypertension. Which ethnic group is at greatest risk - ANSWER-African americans Estinguishing fire, which should the nurse take using the fire extinguisher - ANSWERslide the pin on top of the fire extinguisher straight out enteral nutrition in NG tube. Put steps in order - ANSWER-1. high fowler's 2. verify with aspirating 5 ml gastric contents 3. test pH 4. check for gastric residual volume 5. flush with 30 ml water nurse caring for 47 year old female, urinary incontinence. Why action? - ANSWERobtain a specimen from client for culture (rule out UTI) a nurse is talking with a client who has major depressive disorder "nobody cares if I'm around" - ANSWER-"it feels as though you are hopeless" a charge nurse is teaching a group of newly licensed nurses how to prevent errors during admin of blood transfusions. which should include? - ANSWER-use a new blood admin tubing set for each blood bag infused C. diff infection and is incontinent of stool. which action do you take - ANSWER-wear a gown a nurse is providing discharge teaching about nutrition manage who has COPD. Which instruction - ANSWER-have a high calorie protein drink after meals b/c anorexia is a manifestation of COPD nurse has pt. who has dysphagia. which action facilitates safe swallowing - ANSWERdelay meal time if he is tired toddler home injury prevention. snacks - ANSWER-watermelon but remove seeds invasive procedure. why actions to ensure in scope of practice - ANSWER-check the state's nurse practice act before performing leg wound. age related in older adults that impaired wound healing - ANSWER-elastin fibers separate and thicken long-term care facility small fire. move client and then what? - ANSWER-pull alarm isolation precautions. which actions when removing tied surgical mask - ANSWERremove mask by holding ties and moving it away from face electronic data about behavior indicators of pain in infant. which online source should be used to research infant care issue - ANSWER-cumulative index to nursing and allied health lit a nurse is preparing to administer three medications to a client who has an NG tube: a levothyroxine tablet, an ibuprofen gel cap, and a delayed release omeprazole capsule. which actions - ANSWER-crush the levo tablet into a powder and dissolve in 30 mL of warm water indwelling urinary Cath. prevent UTI - ANSWER-secure to leg 2 yr old toddler who is post op. which scale to assess pain - ANSWER-FLACC scale. 2 months to 7 years client w cancer and planning discharge with hospice. which indicates spiritual distress - ANSWER-I wish God didn't let cancer happen breast cancer. nausea and vomiting. which to include? - ANSWER-administer ondansetron long-term care facility in acute care. joint commission national patient safety goals regarding medication admin. which action - ANSWER-compare list of client's medications with the ones he will take in long term care