APN Advanced Practice Nurse Study guides, Class notes & Summaries

Step 1: selecting and defining the problem - >>This step involves selecting and defining an area of research that provides an opportunity to advance nursing knowledge. Through a review of related literature, the researcher determines a rationale for conducting the study. Step 2: Selecting a research design - >>Step that requires planning the methods of research by choosing subject selection, testing, and measurement to ensure that all procedures are clearly defined. Step 3: C...

The nurse is implementing validation therapy with an elderly male client to assist him in resolving old conflicts and making peace with himself. Which is one of the techniques used? Select one: a. Sympathy b. Empathy c. Helping the client write a paragraph about his life d. Contacting old acquaintances for their interpretation of the client's life - >>B The most common severe cognitive impairment in the United States is Alzheimer's dementia. What percentage of the population o...

A nurse is caring for a client who is scheduled for a lumbar puncture. The nurse should teach the client that which of the following is a post-procedure complication? Headache A nurse is caring for a client who is postoperative following a wedge resection of a lung and has a chest tube with a water seal chest tube drainage system. The client reports a burning pain in his chest. Which of the following actions by the nurse is appropriate? Assist the client to a side-lying position A nurse ...

1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept? a. Assesses for cultural influences affecting health care b. Ensures that all the clients basic needs are met c. Tells the client & family about all upcoming tests d. Thoroughly orients the client & family to the room ANS: A - Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, respect, compassion, client educa...

1. What are goals and education for childbirth? o Stages of labor, helping pt prepare (prenatal care, birth classes) o Point of classesisto inform and help make decisions, natural childbirth, c-section, relaxation o Childbirth education goal: to reduce anxiety while providing physiologic- and psychosocial-based education along with labor-coping techniques, including relaxation tools, such as muscle relaxation and breathing exercises. o Types of classes: programsfor preparation, body-conditi...

1. A nurse is caring for a client who has a new prescription for alosetron. What are the expected therapeutic effects of this medication? Alosetron MoA/Use: selective blockade of serotonin receptors, which innervate the viscera and result in increased firmness in stool and decrease in urgency/frequency of defecation. This med is approved only for female clients who have severe IBS-D that has lasted more than 6 months and has been resistant to conventional management. 2. An oncology cli...

A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept? a. Assesses for cultural influences affecting health care b. Ensures that all the clients basic needs are met c. Tells the client & family about all upcoming tests d. Thoroughly orients the client & family to the room ANS: A - Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, respect, compassion, client educatio...

Considering the plan of care for a hospitalized patient, the nurse recognizes which of the following measures as being the most effective way to reduce the risk of a lawsuit? - CORRECT ANSWER-Selecting the least restrictive treatment environment for the patient A patient, who has been disruptive on the unit, was placed in locked seclusion without trying other least restrictive nursing intervention first to control their behaviors. The nurse recognizes this nursing action as? - CORRECT ANSW...

A 45 year old patient is found supine on the floor of the Triage area. Healthcare providers note pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of action should be implemented next? A. Initiate an IV and administer naloxone B. Supplemental oxygen and suction C. Obtain a blood glucose level D. Begin bag-mask ventilation - CORRECT ANSWER- B. Patients with a history of chronic bronchitis that present with shortness of breath are likely to have which c...

TESTED AND CONFIRMED A+ ANSWERS 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms Increases extra pyramidal symptoms (EPS) Causes prolactinemia Reduces positive symptoms 3. Phencyclidine (PCP...