Capstone b
A rate nurse at a protracted-time period care facility ensures that the workload is sent equally
amongst workforce while making assignments. Wh
following ethical standards is the nurse upholding?
Justice
veracity
Autonomy
Fidelity - ANS-justice
A fee nurse is staring at a newly certified nurse administer an enteral feeding to a consumer
who has an established gastrostomy tube. Which of the following movements by way of the
newly licensed nurse suggests that the price nurse need to intrude?
The nurse administers 15 mL of water before administering the feeding.
The nurse provides meals coloring to the tube feeding.
The nurse assessments the quantity of the aspirate
.
The nurse assessments the pH of the aspirate. - ANS-The nurse adds meals coloring to the
tube feeding.
A newly-certified nurse tells another nurse that their password has expired and asks for help
with inputting records into a client's electronic clinical report. Which of the subsequent
statements need to the nurse make?
You may not be capable of input any data till you reset your password."
You can use my password on another terminal, however simply this one time.
If you would like to present me the statistics, I can enter it for you."
The rate nurse can go online for you and watch you input the information. - ANS-You might not
be able to input any data till you reset your password."
A nurse at an extended-term care facility is caring for a patron who has AIDS. The consumer by
accident spills the contents in their urinal at the floor. After cleaning up the spill with cleaning
soap and water, the nurse should practice an answer of water and which of the following
disinfectants to the floor?
,Chlorhexidine
Bleach
Hydrogen peroxide
Isopropyl alcohol - ANS-Bleach
A nurse at a pediatric clinic is checking the important signs and symptoms of a 2-week-antique
infant. Which of the following findings is outside of the anticipated reference range?
Apical heart price 124/min
Axillary temperature 36.6° C (97.9° F)
BP sixty four/42 mm Hg
Respiratory charge sixty eight/min - ANS-BP sixty four/42 mm Hg
A nurse in a company's workplace is reinforcing coaching with a consumer approximately acting
testicular self-exam. Which of the subsequent instructions ought to the nurse encompass?
"Palpate both testicles firmly together with your fingertips.
Apply a fab compress to the scrotum prior to examination.
Perform the self-examination each 3 months.
Examine your testicles after a heat shower." - ANS-Examine your testicles after a heat shower."
A nurse is administering the inactivated influenza vaccine to a group of clients at a fitness
sanatorium. The nurse should apprehend that which of the subsequent situations is a
contraindication for this vaccine?
Allergy to gelatin
immunosuppression
Moderate illness with fever
Pregnancy - ANS-Moderate illness with fever
A nurse is supporting with the admission of a client to an acute-care unit following a suicide try.
Which of the subsequent movements need to the nurse take first?
Assign the client to a semi-private room.
, Attend an interdisciplinary crew assembly.
Document the client's temper and have an effect on.
Search the consumer's personal belongings. - ANS-Search the client's non-public assets.
A nurse is helping with the admission of a consumer who's scheduled for surgery. Which of the
subsequent moves need to the nurse take?
Explain to the patron that signing the facility's consent form approach they cannot refuse care.
Confirm with the consumer's circle of relatives that the consent shape has been signed.
Delay the admission even as the purchaser fills out the facility's boost directives form.
Determine if the purchaser has prepared their advance directives. - ANS-Confirm with the
client's circle of relatives that the consent shape has been signed
A nurse is supporting with the care of a client who's in exertions with ruptured membranes and
has herpes simplex virus with active lesioi
the subsequent moves should the nurse take?
Administer ampicillin IV to the client.
Initiate an oxytocin Infusion for the dient.
Begin an amnioinfusion for the client.
Prepare the patron for a cesarean delivery. - ANS-Prepare the customer for a cesarean start.
A nurse is supporting with the care of a consumer who's receiving 1 unit of packed RBs. The
client is coughing and reports a headache and difficulty
respiratory. The purchaser's essential signs and symptoms suggest tachycardia and high blood
pressure. The nurse need to pick out that the consumer is experiencing which of the following
forms of transfusion reactions?
Mild allergic
Febrile nonnemolytic
Sepsis
Circulatory overload - ANS-Sepsis
A nurse is caring for a purchaser at a follow-up go to who has been taking lithium remedy for
bipolar sickness. Which of the subsequent findings need to
illustrate to the nurse that the patron is experiencing lithium toxicity?
A rate nurse at a protracted-time period care facility ensures that the workload is sent equally
amongst workforce while making assignments. Wh
following ethical standards is the nurse upholding?
Justice
veracity
Autonomy
Fidelity - ANS-justice
A fee nurse is staring at a newly certified nurse administer an enteral feeding to a consumer
who has an established gastrostomy tube. Which of the following movements by way of the
newly licensed nurse suggests that the price nurse need to intrude?
The nurse administers 15 mL of water before administering the feeding.
The nurse provides meals coloring to the tube feeding.
The nurse assessments the quantity of the aspirate
.
The nurse assessments the pH of the aspirate. - ANS-The nurse adds meals coloring to the
tube feeding.
A newly-certified nurse tells another nurse that their password has expired and asks for help
with inputting records into a client's electronic clinical report. Which of the subsequent
statements need to the nurse make?
You may not be capable of input any data till you reset your password."
You can use my password on another terminal, however simply this one time.
If you would like to present me the statistics, I can enter it for you."
The rate nurse can go online for you and watch you input the information. - ANS-You might not
be able to input any data till you reset your password."
A nurse at an extended-term care facility is caring for a patron who has AIDS. The consumer by
accident spills the contents in their urinal at the floor. After cleaning up the spill with cleaning
soap and water, the nurse should practice an answer of water and which of the following
disinfectants to the floor?
,Chlorhexidine
Bleach
Hydrogen peroxide
Isopropyl alcohol - ANS-Bleach
A nurse at a pediatric clinic is checking the important signs and symptoms of a 2-week-antique
infant. Which of the following findings is outside of the anticipated reference range?
Apical heart price 124/min
Axillary temperature 36.6° C (97.9° F)
BP sixty four/42 mm Hg
Respiratory charge sixty eight/min - ANS-BP sixty four/42 mm Hg
A nurse in a company's workplace is reinforcing coaching with a consumer approximately acting
testicular self-exam. Which of the subsequent instructions ought to the nurse encompass?
"Palpate both testicles firmly together with your fingertips.
Apply a fab compress to the scrotum prior to examination.
Perform the self-examination each 3 months.
Examine your testicles after a heat shower." - ANS-Examine your testicles after a heat shower."
A nurse is administering the inactivated influenza vaccine to a group of clients at a fitness
sanatorium. The nurse should apprehend that which of the subsequent situations is a
contraindication for this vaccine?
Allergy to gelatin
immunosuppression
Moderate illness with fever
Pregnancy - ANS-Moderate illness with fever
A nurse is supporting with the admission of a client to an acute-care unit following a suicide try.
Which of the subsequent movements need to the nurse take first?
Assign the client to a semi-private room.
, Attend an interdisciplinary crew assembly.
Document the client's temper and have an effect on.
Search the consumer's personal belongings. - ANS-Search the client's non-public assets.
A nurse is helping with the admission of a consumer who's scheduled for surgery. Which of the
subsequent moves need to the nurse take?
Explain to the patron that signing the facility's consent form approach they cannot refuse care.
Confirm with the consumer's circle of relatives that the consent shape has been signed.
Delay the admission even as the purchaser fills out the facility's boost directives form.
Determine if the purchaser has prepared their advance directives. - ANS-Confirm with the
client's circle of relatives that the consent shape has been signed
A nurse is supporting with the care of a client who's in exertions with ruptured membranes and
has herpes simplex virus with active lesioi
the subsequent moves should the nurse take?
Administer ampicillin IV to the client.
Initiate an oxytocin Infusion for the dient.
Begin an amnioinfusion for the client.
Prepare the patron for a cesarean delivery. - ANS-Prepare the customer for a cesarean start.
A nurse is supporting with the care of a consumer who's receiving 1 unit of packed RBs. The
client is coughing and reports a headache and difficulty
respiratory. The purchaser's essential signs and symptoms suggest tachycardia and high blood
pressure. The nurse need to pick out that the consumer is experiencing which of the following
forms of transfusion reactions?
Mild allergic
Febrile nonnemolytic
Sepsis
Circulatory overload - ANS-Sepsis
A nurse is caring for a purchaser at a follow-up go to who has been taking lithium remedy for
bipolar sickness. Which of the subsequent findings need to
illustrate to the nurse that the patron is experiencing lithium toxicity?
