COCO SOLUTIONS ACADEMIC STORE

The nurse supervisor tells the psychiatric nurse to go to the telemetry unit ("float") as the unit is short staffed and has 2 clients with cardiac arrest. The nurse is not familiar with this client population and does not want to go. What is the best response by the psychiatric nurse? 1. Clarify the skills/knowledge that the nurse is able/unable to perform 2. Read the policy and procedure book for the unit before providing care 3. Refuse to go due to concerns about client safety 4. Tel...

Which neurotransmitter is thought to be most involved with anxiety disorders? A. Epinephrine B. Dopamine C. Serotonin D. Histamine - Answer C. Serotonin A client suddenly begins trembling, having tachycardia, sweating, and experiencing a feeling of impending doom. Which disorder is this client most likely experiencing? A. Panic Attack B. Obsessive Compulsive Disorder C. Generalized Anxiety Disorder D. Agoraphobia - Answer A. Panic Attack A client presents to the clinic fo...

A client diagnosed with invasive cancer of the bladder has brachytherapy scheduled. Which successful therapy outcome would the nurse expect with this client? 1. Decrease in urine output 2. Increase in pulse strength 3. Shrinkage of the tumor when scanned 4. Increase in the quantity of white blood cells (WBCs) - Answer ANS: 3 Shrinkage of the tumor when scanned Rationale: Brachytherapy involves implanting isotope seeds in, or next to, the tumor. The isotope seeds interfer...

Incubation period - Answer the period between exposure to an infection and the appearance of the first symptoms prodromal period - Answer vague, general symptoms; extremely contagious Full stage of illness - Answer presence of specific signs and symptoms Convalescent period - Answer as person begins to respond to the infection, symptoms decline Stages of infection - Answer Incubation period Prodromal period Full stage of illness Convalescent period Innate - Answe...

When providing care for a client who had a nephrectomy secondary to renal cancer, which factor affects the client's ability to perform his or her postoperative deep breathing and coughing requirements? 1. Location of the client's surgical incision 2. Increased anxiety about the prognosis 3. Inflammatory process associated with surgery 4. Pulmonary congestion from preoperative medications - Answer 1. Location of the client's surgical incision Rationale: The location of the ...

Which autoantigens are responsible for the development of Crohn disease? 1. Crypt epithelial cells 2. Thyroid cell surface 3. Basement membranes of the lungs 4. Basement membranes of the glomeruli - Answer 1. Crypt epithelial cells Rationale: Crypt epithelial cells are considered the autoantigens responsible for Crohn disease. Thyroid cell surfaces are autoantigens responsible for Hashimoto thyroiditis. The pulmonary and glomerular basement membranes act as autoantigens respon...

The nurse adds 20 mEq of potassium chloride to the intravenous solution of a client with diabetic ketoacidosis. Which purpose would this medication serve? 1. Treats hyperpnea 2. Prevents flaccid paralysis 3. Prevents hypokalemia 4. Treats cardiac dysrhythmias - Answer ANS: 3 Rationale: Once treatment with insulin for diabetic ketoacidosis is begun, potassium ions reenter the cell, causing hypokalemia; therefore potassium, along with replacement fluids, is needed to prevent...

The nurse assesses the postpartum client to have moderate lochia rubra with clots. Which nursing intervention would be appropriate? - Answer ANSWER: 1. Assess fundus and bladder status. RATIONALE: 1. The amount, consistency, color, and odor of the lochia are monitored on an ongoing basis. Increased bleeding is most often related to uterine atony and responds to fundal massage, expression of any clots, and emptying the bladder. The nurse is providing education to the new family. Which qu...

1 Exam (elaborations) ATI Priority setting frameworks advanced test TC Questions And Complete Answers. 2 Exam (elaborations) Module:Priority Setting Frameworks Revision Exam Questions Answered Correctly. 3 Exam (elaborations) ATI Nurse Logic 2.0 ~ Priority Setting Frameworks (Advanced Test)Questions Fully Answered. 4 Exam (elaborations) ATI Prio

When using the nursing process priority setting frame work, the nurse should always remember to do which of the following first? - Answer Assess the client A nurse is caring for a client who is postoperative and whose airway is patent and respirations are 20 breaths per minute. Which of the following assessments should the nurse conduct in relation to the client's circulatory status? - Answer Blood pressure Urinary output Skin turgor Pulse Which of the following can be used to he...

A nurse is caring for a group of pediatric clients. Which of the following clients requires immediate intervention? A. A client who has cystic fibrosis and has a paroxysmal cough B. A client who is prescribed cromolyn sodium (Crolom) and has a peak expiratory flow rate of 79% C. A client who has celiac disease and abdominal distention D. A client who is prescribed digoxin (Lanoxin) and has had three episodes of vomiting - Answer D. A client who is prescribed digoxin (Lanoxin) and has ha...

A nurse is caring for a client who is experiencing unexpected manifestations with several body systems. Which of the following priority setting frameworks should the nurse use to prioritize client assessment? - Answer ABCDE A nurse is caring for a client who is confused and trying to remove their peripheral IV. Using the least restrictive/least invasive priority setting framework, which of the following actions should the nurse take first? - Answer Cover the IV site with an elastic band...

Question??? - Answer • Which client should I see first? • What is the most important assessment finding? • Which interventions should I provide now and which can be done later? • What is the proper sequence of steps when performing a procedure? • What is the proper sequence of interventions I need to take during an emergency situation? • Which situation poses an immediate risk to client safety? • What tasks are most appropriate for me to delegate? Client Care Focus (Mas...

A nurse is collecting data on four clients. Which of the following is the highest priority finding by the nurse? - Answer Diarrhea A nurse in a rehabilitation facility has received report on four clients. Which of the following should the nurse evaluate first? - Answer A client who had abdominal surgery 10 days ago and reports feeling his incision pop A nurses caring for an older adult client who recently experienced the death of her partner. Which of the following is the priority ne...

A nurse is reinforcing discharge teaching to a new mother regarding sudden infant death syndrome (SIDS). Which of the following is the highest priority to include in the instructions? A) Place the infant in a supine position when sleeping B) place the infant on a firm mattress when sleeping C) avoid covering the infant with loose bedding while sleeping D) avoid leaving stuffed animals in the crib with the sleeping infant - Answer A) Place the infant in a supine position when sleeping ...

A nurse is collecting data on four clients. Which of the following is the highest priority finding by the nurse? - Answer Diarrhea Answering this item requires application of the ABC priority setting framework, which emphasizes the basic core of human functioning - having an open airway, being able to breathe in adequate amounts of oxygen, and circulating oxygen to the body's organs via the blood. An alteration in any of these can indicate a threat to life, and is therefore, the nurse's ...

A nurse is collecting data on four clients. Which of the following is the highest priority finding by the nurse? A) Malaise B) Anorexia C) Headache D) Diarrhea - Answer D) Diarrhea ABC Diarrhea can deplete the body of fluids and cause a decrease in the circulating blood volume. A nurse in a rehabilitation facility has received report on four clients. Which of the following should the nurse evaluate first? A) A client who has peripheral vascular disease and reports numbness in the ...

A patient reports sudden onset of a productive cough, chest pain, and dyspnea. The nurse notes dullness on percussion and crackles on auscultation. Which information does the nurse document as part of the history of present illness? Select all that apply. Dyspnea Chest pain Productive cough Dullness on percussion Crackles on auscultation - Answer Dyspnea Chest pain productive cough A patient presents with dyspnea and chest pain, reporting a fever and persistent c...

What is the foundation of an emergency nurse's skill base? - Answer assessment What is the feature of the Emergency Severity Index (ESI) triage system? - Answer It categorizes patients into five groups. What is the nurse's first step when caring for any patient in an emergency? - Answer Establishing a patent airway. A patient comes into the emergency department (ED) clutching the chest. Which core competency for ED nurses is the first one used in this situation? - Answer a...

What ESI level should be considered for a 2 year-old child who presents with a measured temperature of 103.0 F, who is not current on their vacinations, and has no obvious cause for the fever? - Answer ESI 3 What does the ESI decision process require? - Answer •Requires an experienced ED nurse •Decision points: -A. Does this patient require immediate life-saving intervention? -B. Is this a patient who should wait? -C. How many resources will this patient need? -D. What are the ...