Brigette

The nurse caring for a patient who had an epidural block for a vaginal repair should be alert for: a. a flushing of the face and torso. b. numbness of the perineum. c. complaint of thirst. d. a sudden drop in blood pressure. ANS: D Epidural anesthesia may cause a sudden drop in blood pressure or respiratory difficulty as the anesthetic agent moves up in the spinal cord. Elevating the patient’s torso may prevent respiratory paralysis. DIF: Cognitive Level: Comprehension REF: 37 OBJ: 9...

A client comes to a treatment session with a look of devastation on his face. Upon discussion, the client reveals that his elderly parent has just experienced a CVA. The OTA has not experienced caring for a loved one after a CVA and responds, “I might feel the same way if I were in your position.” By taking the time to talk with the client, what is the OTA demonstrating? A. Sorrow B. Pity C. Sympathy D. Empathy ANS: D OBJ: 2.1

Which type of clinical decision making is most reliable? A. Analytical I B. Augenblink C. Experiential D. Intuitive ANS: A Croskerry (2009) describes two major types of clinical diagnostic decision making: intuitive and analytical. Intuitive decision making (similar to Augenblink decision making) is based on the experience and intuition of the clinician and is less reliable and paired with fairly common errors. In contrast, analytical decision making is based on careful consideration an...

2. Development of retail patient care clinics 3. Increased access to Medicaid recipients 4. Inclusion of patients from suburban areas 5. Emphasis on serving uninsured immigrants Answer: 6. Which consideration led to designation of the nurse practitioner (NP) rather than the clinical nurse specialist (CNS) as the advanced practice nurse (APN) who would deliver care related to psychiatric or mental health services? 1. Level of educational preparation 2. Eligibility for prescriptive author...

Which factor contributed to expansion of the role of the clinical nurse specialist (CNS) during the 1960s? 1. Increased numbers of practicing physicians 2. Tightening of female role definitions 3. Return of nurses from military conflict 4. Lack of medical specialization Answer: 7. Differentiation between the role of the clinical nurse specialist (CNS) and the nurse practitioner (NP) is primarily based on which premise? 1. Designation as an advanced practice nurse 2. Diagnosis of patien...

- The nurse observes a female client with schizophrenia watching the news on TV. She begins to laugh softly and says, "Yes, my love, I'll do it." When the nurse questions the client about her comment she states, "The news commentator is my lover and he speaks to me each evening. Only I can understand what he says." What is the best response for the nurse to make? A) What do you believe the news commentator said to you? B) Let's watch news on a different television channel. C) Does t...

A 44-year-old woman has been treated for 4 weeks with diazepam for the initial management of generalized anxiety disorder. Paroxetine was prescribed for maintenance treatment and is now taking effect. How should the termination of benzodiazepine treatment be managed? taper diazepam over several weeks A 26-year-old woman presents with generalized anxiety that leaves her unable to go about her daily activities. Which of the following strategies is the most promising to quickly control these...

The role of cytokines in cell reproduction is that they: a. Provide growth factor for tissue growth and development. b. Block progress of cell reproduction through the cell cycle. c. Restrain cell growth and development. d. Provide nutrients for cell growth and development. ANS: A Growth factors, also called cytokines, are peptides that transmit signals within and among cells. They have a major role in the regulation of tissue growth and development (see Table 1-6). The remaining options...

When discussing dosage calculation for pediatric patients with a clinical pharmacist, the nurse notes that which type of dosage calculation is used most commonly in pediatric calculations? a. West nomogram b. Clark rule c. Height-to-weight ratio d. Milligram per kilogram of body weight formulaANS: D The milligram per kilogram formula, based on body weight, is the most common method of calculating doses for pediatric patients. The other options are available methods but are not the most c...

A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be: A. October 8 B. October 15 C. October 22 D. October 29 Correct Answer: C Section: (none) Explanation Explanation/Reference: Explanation: (A) Incorrect application of Nägele's rule: correctly subtracted 3 months but subtracted 7 days rather than added. (B) Incorrect application of Nägele's rule: correctly subtracted 3 months but did not add 7 days. (C) ...

Which of the following describes anatomy? a. Using devices to investigate parameters such as heart rate and blood pressure b. Investigating human structure via dissections and other methods c. Studying the unusual manner in which an organism responds to painful stimuli d. Examining the physiology of life ANS: B DIF: Memorization REF: p. 3 TOP: Anatomy and Physiology 2. Systemic anatomy is a term that refers to: a. physiological investigation at a microscopic level. b. anatomical investi...

1) Solids have a __________ shape and are not appreciably __________. A) definite, compressible B) definite, incompressible C) indefinite, compressible D) indefinite, incompressible E) sharp, convertible Answer: A Diff: 1 Page Ref: Sec. 1.2 2) __________ is the chemical symbol for elemental sodium. A) S B) W C) So D) Na E) Sn Answer: D Diff: 1 Page Ref: Sec. 1.2 3) If matter is uniform throughout, cannot be separated into other substances by physical processes, but can be decomp...

A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies providing patient-centered care? A) Having a client complete a self-reported functional status indicator and then reviewing it with the client B) Explaining to a client the benefits of computer-assisted robotic surgical techniques, which the hospital recently implemented C) Recording a client's signs and symptoms in an electronic health record D) Performing continuous glucose monitoring of ...

Florence Nightingale’s views about trained nurses were most influenced by her a. experiences in wartime. b. ideas about sanitation. c. relationships with physicians. d. view of education. ANS: A Nightingale’s experiences in wartime demonstrated to her that trained nurses were valuable in decreasing morbidity and mortality among soldiers. Nightingale had revolutionary ideas about hospital sanitation, but these are not credited with her advocacy of using trained nurses. Early trained ...

The benefits of using an insulin pump include all of the following except: "a. By continuously providing insulin they eliminate the need for injections of insulin b. They simplify management of blood sugar and often improve A1C c. They enable exercise without compensatory carbohydrate consumption d. They help with weight loss D: Using an insulin pump has many advantages, including fewer dramatic swings in blood glucose levels, increased flexibility about diet, and improved accuracy of ins...

1. When asked by new parents what the life expectancy is for their African American newborn, the nurse replies that, “2010 statistics indicate that your son: a. will have a life expectancy of approximately 65 years.” b. can realistically expect to live into his late 80s.” c. has a good chance of celebrating his 75th birthday.” d. is likely to live into his late 90s.” ANS: C In 2010, men in the United States at age 60 can expect to live another 22 years. The life expectancy of A...

The term is used to describe the competitive, win-lose situations such as haggling over price that happens at yard sale, flea market, or used car lot. 3. Negotiating parties always negotiate by . 4. There are times when you should negotiate. 5. Successful negotiation involves the management of _ (e.g., the price or the terms of agreement) and also the resolution of . 6. Independent parties are able to meet their own without the help and assistance of others.7. The mix of convergent and co...

Which of the following statements about a company's realized strategy is true? A. A company's realized strategy is mostly hidden to outside view and is deliberately kept under wraps by top-level managers. B. A company's realized strategy is typically planned well in advance and usually deviates little from the planned set of actions. C. A company's realized strategy generally changes very little over time unless a newly appointed CEO decides to take the company in a new direction with ...

What might a sociologist say about people's selection of marriage partners? People marry because they fall in love. When it comes to romance, it’s all a matter of personal taste. Typically, a person marries someone of similar social position. When it comes to love, opposites attract. Answer: c Page Reference: 5 Skill: Applied The idea that the social world guides our actions and life choices just as the seasons influence activities and choice of clothing describes the basis of what ...

Which of the following best describes community-based nursing? a. A practice in which care is provided for individuals and families b. Providing care with a focus on the group’s needs c. Giving care with a focus on the aggregate’s needs d. A value system in which all clients receive optimal care ANS: A By definition, community-based nursing is a setting-specific practice in which care is provided for ―sick‖ individuals and families where they live, work, and attend school. The em...