Nursing fundamentals Unit 1- Chapter 6 Questions & Answers

Nursing fundamentals Unit 1- Chapter 6 Questions & Answers The nurse is aware that one of a time flexible task to be accomplished would be: B. taking a patient's vital signs once a day Prior to the nurse implementing a nursing procedure for a patient, the nurse should initially: D. mentally review the procedure. At the 7:00 AM handoff report, The nurse receives the report that patient a had A sleepless night related to pain and just fell asleep after increased pain medication administration half an hour ago. Patient B who is scheduled for surgery at 8:30 AM is also sleeping. How old an organize nurse plan the early morning activities? C. Prepare patient B; allow patient A asleep Preparing a patient for a diagnostic test, and telling the patient what to expect during and after the test, is considered: A. An independent nursing action. The nurse explains that a multidisciplinary step-by-step approach to a patient care is: C. referred to as a clinical pathway and is used instead of a nursing care plan. The nurse documents interventions periodically during the shifts in nurses' note primarily to: B. Indicate that the nursing care plan has been implemented The nurse compares actual nursing outcomes to the expected nursing outcomes in order to: D. Determine if progress is made or to determine if revisions are needed. The general rule is that the initial care plan for a patient is: A. Develop by an rn in an acute care setting The nurse is aware that the nursing audit is valuable process used to: B. evaluate whether nursing care for a group of patients meets the standards of care in that facility. The nurse evaluates that the patient has met the outcome of feeding himself independently. The nurse should: C. document the ability to self-feed and mark the nursing diagnosis as resolved. An example of an appropriately worded nursing goal or outcome for the nursing diagnosis of " risk for falls related to weakness" would be: C. Patient will call for assistance when emulating for the next week Nurses design interventions that are appropriate for a patient that are: B. Expected to help the patient meet the goals most quickly. Before performing a catheterization the inexperienced nurse should: D. review the agency's procedure manual for the accepted way of performing the procedure. During morning care in skilled nursing facilities the nurse notices that the patient who is at risk for impaired skin integrity has developed a small open area on his sacrum, two best addresses this situation the student would first: A. Position the patient to lie on his side document it and inform the head nurse A review of a patient's nursing care plan before beginning care allows the nurse to: B. Use critical thinking skills to organize care for the patient The nurse giving a patient back massage is performing an intervention out be considered: B. An independent nursing action The nurse administering a medication to a patient is performing an intervention that is: D. dependent nursing action The nurse caring for a group of patients would show cultural sensitivity to assign an older male nursing assistant to the care of: C. 55-year-old Japanese man with irritable bowel syndrome. In assigning tasks to the nursing assistant the nurse would appropriately select: A. Range of motion exercises to lower limb The nurse is assessing a patient who just returned from a bowel resection one hour ago. The nurse notes addressing over the suture line that is wet with Sero sanguineous drainage. The nurse should initially: C. Reinforce the wet dressing in document