Nu 216 Final Exam 1 Notes Questions And Correct Answers |Graded A

NU 216 Final Exam 1 Notes QUESTIONS AND CORRECT ANSWERS |GRADED A A staff nurse expresses frustration that a Native American patient always has several family members at the bedside. Which action by the charge nurse is most appropriate? - Ch.2 - ANSWER- Ask about the nurse's personal beliefs about family support during hospitalization. Rationale: The first step in providing culturally competent care is to understand one's own beliefs and values related to health and health care. Asking the nurse about personal beliefs will help achieve this step. Reminding the nurse that this cultural practice is important to the family and patient will not decrease the nurse's frustration. The nurse working in a clinic in a primarily African American community notes a higher incidence of uncontrolled hypertension in the patients. To correct this health disparity, which action should the nurse take first? Ch. 2 - ANSWER- Assess the perceptions of community members about the care at the clinic. Rationale: Before other actions are taken, additional assessment data are needed to determine the reason for the disparity. The nurse is caring for a Native American patient who has traditional beliefs about health and illness. Which action by nurse is most appropriate? Ch. 2 - ANSWER- Ask the patient whether it is important that cultural healers are contacted. Rationale: Because the patient has traditional health care beliefs, it is appropriate for the nurse to ask whether the patient would like a visit by a shaman or other cultural healer The nurse is caring for a patient who speaks a different language. If an interpreter is not available, which action by the nurse is most appropriate? Ch. 2 - ANSWER- Use simple gestures to demonstrate meaning while talking to the patient. Rationale: The use of gestures will enable some information to be communicated to the patient. While admitting a patient to the medical unit, the nurse determines that the patient has a hearing impairment. How should the nurse use this information to plan teaching and learning strategies? Ch. 4 - ANSWER- Written materials should be provided with verbal instructions. Rationale: The information that the patient has a hearing impairment indicates that the nurse should use written and verbal materials in teaching along with other strategies. A patient is extremely anxious about having a biopsy on a femoral lymph node. Which relaxation technique would be the best choice for the nurse to facilitate during the procedure? Ch. 6 - ANSWER- Relaxation breathing Rationale: Relaxation breathing is an easy relaxation technique to teach and use A patient with a deep partial thickness burn has been receiving hydromorphone through patient-controlled analgesia (PCA) for 1 week. The nurse caring for the patient during the previous shift reports that the patient wakes up frequently during the night complaining of pain. What action by the nurse is appropriate? Ch. 8 - ANSWERConsult with the health care provider about using a different treatment protocol to control the patient's pain The nurse is caring for a patient who had abdominal surgery yesterday and is receiving morphine through patient-controlled analgesia (PCA). What action by the nurse is a priority? Ch.8 - ANSWER- Checking the respiratory rate The health care provider orders a patient-controlled analgesia (PCA) machine to provide pain relief for a patient with acute surgical pain who has never received opioids before. Which nursing actions regarding opioid administration are appropriate at this time (select all that apply)? Ch. 8 - ANSWER- Monitor for therapeutic and adverse effects of opioid administration. Teach the patient about how analgesics improve postoperative activity levels. Which patient should the nurse refer for hospice care? Ch. 9 - ANSWER- A 40-yr-old patient with AIDS-related dementia who needs palliative care and pain management The nurse is caring for a patient with lung cancer in a home hospice program. Which action by the nurse is appropriate? Ch. 9 - ANSWER- Encourage the patient to discuss past life events and their meanings A hospice nurse who has become close to a terminally ill patient is present in the home when the patient dies and feels saddened and tearful as the family members begin to cry. Which action should the nurse take at this time? Ch. 9 - ANSWER- Cry along with the patient's family members. To decrease the risk for future hearing loss, which action should the nurse implement with college students at the on-campus health clinic? Ch. 21 - ANSWER- Discuss exposure to amplified music. A patient with presbycusis is fitted with binaural hearing aids. Which information will the nurse include when teaching the patient how to use the hearing aids? Ch. 20 - ANSWER- Experiment with volume and hearing in a quiet environment Rationale: Initially the patient should use the hearing aids in a quiet environment such as the home, experimenting with increasing and decreasing the volume as needed. A 20-yr-old female patient who is being seen in the family medicine clinic for an annual physical examination reports being sexually active. The nurse will plan to teach the patient about - ANSWER- testing for Chlamydia infection Rationale: Testing for Chlamydia is recommended by the Centers for Disease Control and Prevention for all sexually active women younger than age 25 years. Which action should the nurse take when providing patient teaching to a 76-yr-old patient with mild presbycusis? Ch. 20 - ANSWER- Ask for permission to turn off the television before teaching Rationale: Normal changes with aging make it more difficult for older patients to filter out unwanted sounds, so a quiet environment should be used for teaching. Loss of sensitivity for high-pitched tones is lost with presbycusis. During the preoperative assessment of a patient scheduled for a right cataract extraction and intraocular lens implantation, it is important for the nurse to assess Ch. 21 - ANSWER- the visual acuity of the patient's left eye The nurse evaluates that wearing bifocals improved the patient's myopia and presbyopia by assessing for - ANSWER- both near and distant vision. Rationale: The lenses are prescribed to correct the patient's near and distant vision. The charge nurse observes a newly hired nurse performing all the following