NUR 166 FINAL EXAM 2025

NUR 166 FINAL EXAM 2025 A client is being transferred from the hospital to a long term care facility. What will happen to the clients medical record? - -The chart remains in the hospital records. Nurses who are employed in home care have a variety of responsibilities. Which of the following is one of those? - -Collaborate with other care providers. A client is experiencing stools with excess fat in them, what is this? - -Steatorrhea Stool that contains visible blood is? - -Frank stool The greatest challenge in effective discharge planning is - -communication Aging in Place : - -Clients move to an independent living apartment or home, then have access to increasing health care services as needed, provided within th health care community where they live. The patient is being transferred from the ER to another institute for treatment. Which of the following cannot be delegated to a nursing assistant personal? - Assessing the patients respirating status before transport. Goal of nurses who provide home health care? - -Helping clients achieve max independence and health. Once a patient's discharge has been completed, which activity may be delegated to UAP? - -Gathering of the patients personal care items. Facilitating transition between settings - -Continuity of care An older adult woman has total care of her husband who suffers from debilitative rheumatoid arthritis. The couple voices concern over the pain and stress associated with the condition. What type of care might the nurse suggest to help? - Palliative care Which of the following is a trend to watch in healthcare delivery? - -current nursing shortage Which of the following clients is the most appropriate candidate for receiving outpatient care? - -A client whose complaints of irregular bowel movements have necessitated a colonoscopy. Which 2 components of nursing care are identified by home health care nurses NUR 166 NUR 166 as most important when caring for clients in the home? - -Physical assessment and infection control .A nurse has been hired to work as an occupational health nurse. In this position as a registered nurse, what will this nurse provide? - -Education and safety programs in industrial settings. Which best describes hospitals today? - -Focus on acute care needs Whom would a patient with dysphagia (Difficulty swallowing) see? - -Speech therapist What is the result of increasing health care costs on hospital admissions? - -The length of hospital stay has decreased. During admission, the nurse notes that the pt speaks another language and my have difficulty understanding English. What should the nurse do to facilitate communication - -Request and wait for an interpreter Pt admitted to ICU after having been in MVA. Intubated in ED and needs 2 units of packed RBC. Conscious but is indicating that he is in pain by guarding his abd. To admit this pt, the nurse will first focus on - -Examining the pt and treating the pain What would you tell a client who asks what outpatient surgery means? - -"You will have surgery and go home that same day." Nonverbal communication incorporates messages conveyed by - -touch Health insurance for client 68 yrs old - -Medicare Hospice nurses provide care in a variety of settings including clients homes, long term care facilities and hospice residence. After the client dies, what happens next? - -The hospice nurse continues to care for the clients family up to one year. A client who requires treatment for breast cancer is referred to an oncologist. She is receiving chemo at a hospital and interacts with many other health providers in the course of treatment. The confusion that might arise concerning her treatment and care is a problem known as: - -Fragmentation of care Regardless of the type of ambulatory care facility, what need is common to all clients who are given care? - -Education What is one way a nurse can help shape health care reform? - -Support legislation to improve care. A nurse is client are discussing managed care. The nurse explains that the NUR 166 NUR 166 managed care model was designed for which reason? - -Controlling costs while maintaining quality of care What technique should the nurse use to implement infection control in the home - Practice hand hygiene when beginning and ending the home visit Discharge pt with left hip replacement. Requires walker and high rise toilet. Which home health service does the pt need - -Home medical services Pt transferred form ED to another institution. Which cannot be delegated to nursing assistive personnel - -Assessing respiratory status before transport What role will the nurse place in transferring a client to a LTC - -Provide verbal report to nurse at LTC on client, hospital care, and the clients current condition A series of classes on the dangers of smoking are being prepared for children between 8-10. Which professional would be the one to most likely develop the classes? - -School nurse Nurse who assists clients to deal holistically with their health care needs at the end of their lives work primarily in which health care delivery system - -Hospice Nurse is admitting the pt to the medical unit. The pt indicates that he has had several surgeries in the past and has been a diabetic for 15 years. Allergic to morphine. What does the info prompt the nurse to do next - -Provide pt with allergy armband and document his allergies The wristband is an important safety component during the pts stay bc it is one of 2 identifiers required by which group - -Joint commission Which of the following clients is the most appropriate candidate for receiving OP care - A client whose complaints of irregular BM have necessitated a colonoscopy A pt tells the nurse I want to die. Which response is most appropriate - -Tell me more about how you are feeling The nurse is about to go over the pts preop teaching per protocol. Pt sitting in bed wringing hands which are sweaty. Pt states Im scared something will go wrong. How to respond - -Redirect focus to dealing with pts anxiety What happens to the pt chart when being transferred from hospital to LTC - -The chart remains at the hospital What population do hospice nurses provide with care - -dying persons and their loved ones NUR 166 NUR 166 The nurse recognizes that the goals established for a pts DC are more likely to be accomplished when - -The pt assists in developing the goals Which health care provider should conduct a holistic assessment for all pts admitted to the hospital - -Registered nurse Which 2 components of nursing care are identified by home health care nurses as most important when caring for clients in the home - -Physical assessment and infection control A nurse preparing for a clients DC after surgery is teaching the clients wife to change the dressing. How can the nurse be certain the wife knows the procedure? - -Have the wife demonstrate the procedure Hospice nurses provide care in a variety of settings, including homes, LTC, and hospice residences. After the client dies, what happens - -The hospice nurse continues to care for the family for up to 1 year A client refuses to take a medication for depression . which action should the nurse take next - -Explain the desired effect of the medication A nurse is admitting a client to a geriatric medicine unit. Which nursing action would the nurse perform to reduce the pts fall risk - -Orient the client to the room and environment upon admission A nurse is preparing to administer eardrops to an adult. Which action should be taken by the nurse - -Warm the medication to room temp using warm water What group has a mission to ensure that the nation is well prepared for reacting to an act of terrorism - -CDC The exchange of info among the pt , the caregivers and those responsible for care while the pt is in a care setting and after the pt returns home is key to a successful: - -Discharge planning . A document that provides a patients instruction in terms of future medical care of that designates another person to make medical decisions if the individual loses ability - -Advance directive The nurse recognizes that the goals established for a clients discharge are more likely to be accomplished when - -the client assists in developing the goals . The Joint Commission Agency has mandated which national safety practice to protect clients admitted to a healthcare facility? - -Use of a wristband for identification of the patient NUR 166 NUR 166 Demonstrate assessing - -The nurse asking if the client is having pain. A nurse is caring for a client admitted to the intensive care unit with a sstroke assess the clients vital signs, pupils, and orientation every few minutes. The nurse is performing what type of assessment? - -Focused A client presents to the ER after an attack and rape. She is scared that her attacker will present to the er; what is the nursing diagnosis associated with this? - -Post-trauma syndrome related to being attacked What is the purpose of client record? - -Communication The nurse has formulated the nursing diagnosis: Acute Confusion related to low serum sodium levels as evidence by sodium 125 for a client. What part of the nursing diagnosis is "low serum sodium levels'? - -Etiology The client demonstrates stair climbing using a quad cane. What type of outcome is this an example of? - -psychomotor outcome Of the following info collected during a patient assessment, which is subjective? - Nausea, abdominal pain An unconscious pt is brought to the ER. Which assessment should be implemented first? - -The pt airway should be assessed The nurse is performing an assessment of a client who has a small wound on the knee, collecting cues about the clients health status. Which symptom would the nurse identify as a subjective cue? - -Sharp pain in the knee Example of objective charting: - -The patients skin is ashen and respiratory rate is 32 and labored" . A student has reviewed a clients chart before beginning assigned care. Which action violates client confidentiality? - -Writing the clients name on the care plan How would you chart what a client says for subjective charting? - -Use the clients own words placed in quotation marks . A client who has to undergo a parathyroidectomy is worried that he may have to wear a scarf around the neck after surgery. What nursing diagnoses should the nurse document in the care plan? - -Disturbed body image related to incision scar. The nurse has entered a clients room to find the client diaphoretic and shivering, inferring fever. How should the nurse best follow up on this cue? - -Measure the clients oral temp NUR 166 NUR 166 A healthcare organization is considering focus charting. Which categories are commonly documented using this approach? - -data, action, response .After assessment of a client in an ambulatory clinic, the nurse records the data on the computer. The nurse recognizes which client info as objective? - -Auscultation of the lungs The nurse should utilize ISBARR communication during which clinical setting? - -When transferring a pt from the ER to acute care uni What does narrative charting do? - -Tells client story The clients wife hands over the previous medical files and points out that the client had suddenly fallen unconscious after trying to get out of bed. Which is the primary source of info? - -The clients wife A student takes an adult clients pulse and counts 20 beats/min. knowing this is not the normal range for an adult pulse, what should the student do next? - -Ask the instructor or a staff nurse to take the pulse. The nurse observes the client as he walks into the room. What info will this provide the nurse? - -Info regarding gait A nurse is administering medications and forgets to document it, what is said about this? - -In the eyes of the law, if it was not documented it was not done The patient is ready to go home from the hospital. What does the nurse provide to the patient and his family before he leaves? - -Discharge summary A nurse is the ER is completing an emergency assessment for a teenager just admitted from a car crash. Which is objective? - -Unable to palpate femoral pulse in left leg. What is an example of subjective data/cue - -Nausea What is the primary purpose of an incident report? - -Means of identifying risks Which part of the clients record is commonly used to document specific client variables such as vitals? - -Flow sheet What is an example of a nursing diagnosis? - -ineffective airway clearance related to thick mucus A nurse documenting client information using PIE charting. Which info would the nurse expect to document? - -Intervention carried out NUR 166 NUR 166 A nursing diagnosis is written as disturbed self-esteem related to presence of large scar over left side of face. What does the phrase "disturbed self esteem" identify? - -The health state or problem of client What technique would be most appropriate for the nurse to use when communication with the health care provider? - -ISBAR After assessing a client, the nurse formulates several nursing diagnoses/ which would the nurse identify as an actual nursing diagnosis? - -Impaired urinary elimination Of the following data, what type would be collected during a physical assessment? - -Color, moisture and temperature of the skin A hospital utilizes the SOAP method of charting. Within this model, which of the nurses statements would appear at the beginning of charting entry? - -"Client is reporting that her abdominal pain is rated at 8/10." As part of an attempt to implement a restraint free environment, the nurse - -covers or camouflages tubes and drains. Where are Infant IM injections? - -Vastua lateralis The nurse knows that a health care facility should determine its disaster preparedness plan for delivering care in the event of an emergency or disaster? - -In advance of a possible emergency or disaster A client refuses to take a medication. Which action should the nurse take? - -Expla