Examsrevision

Chapter 31: Medication Administration Chapter 32: Complementary, Alternative, and Integrative Therapies Chapter 33: Self-Concept Chapter 34: Sexuality Chapter 35: Spiritual Health Chapter 36: Loss and Grief Chapter 37: Stress and Coping Chapter 38: Activity and Exercise Chapter 39: Immobility Chapter 40: Hygiene

Chapter 1: Nursing Today Chapter 2: Health Care Delivery System Chapter 3: Community-Based Nursing Practice Chapter 4: Theoretical Foundations of Nursing Practice Chapter 5: Evidence-Based Practice Chapter 6: Health and Wellness Chapter 7: Caring in Nursing Practice Chapter 8: Caring for Patients with Chronic Illness Chapter 9: Cultural Competence Chapter 10: Family Dynamics

Chapter 41: Oxygenation Chapter 42: Fluid, Electrolyte, and Acid-Base Balance Chapter 43: Sleep Chapter 44: Pain Management Chapter 45: Nutrition Chapter 46: Urinary Elimination Chapter 47: Bowel Elimination Chapter 48: Skin Integrity and Wound Care Chapter 49: Sensory Alterations Chapter 50: Perioperative Nursing Care

Chapter 21: Managing Patient Care Chapter 22: Ethics and Values Chapter 23: Legal Implications in Nursing Practice Chapter 24: Communication Chapter 25: Patient Education Chapter 26: Informatics and Documentation Chapter 27: Patient Safety and Quality Chapter 28: Infection Prevention and Control Chapter 29: Vital Signs Chapter 30: Health Assessment and Physical Examination

Chapter 46: Urinary Elimination Chapter 47: Bowel Elimination Chapter 48: Skin Integrity and Wound Care Chapter 49: Sensory Alterations Chapter 50: Perioperative Nursing Care

MULTIPLE CHOICE 1. The nurse is creating a plan of care for a patient diagnosed with glaucoma. Which nursing diagnosis will the nurse include in the care plan to address a safety complication of the sensory deficit? a. Body image disturbance b. Impaired socialization c. Risk for falls d. Fear ANS: C A visual disturbance poses great risk for injury due to falling from impaired depth perception and inability to see obstacles. Body image disturbance, social isolation, and fear are all ...

MULTIPLE CHOICE 1. A nurse is caring for a patient who just underwent an intravenous pyelography that revealed a renal calculus obstructing the left ureter. What is the nurse’s first priority in caring for this patient? a. Turn the patient on the right side to alleviate pressure on the left kidney. b. Encourage the patient to increase fluid intake to flush the obstruction. c. Monitor the patient for fever, rash, and difficulty breathing. d. Administer narcotic medications to the patient...

MULTIPLE CHOICE 1. The nurse is caring for a patient who has a wound drain with a collection device. The nurse notices that the collection device has a sudden decrease in drainage. Which action will the nurse take initially? a. Call the health care provider; a blockage is present in the tubing. b. Chart the results on the intake and output flow sheet. c. Do nothing, as long as the evacuator is compressed. d. Remove the drain; a drain is no longer needed. ANS: A Because a drainage sy...

Chapter 41: Oxygenation Chapter 42: Fluid, Electrolyte, Acid-Base Balance Chapter 43: Sleep Chapter 44: Pain Management Chapter 45: Nutrition

MULTIPLE CHOICE 1. A nurse is preparing a patient for a magnetic resonance imaging (MRI) scan. Which nursing action is most important? a. Ensuring that the patient does not eat or drink 2 hours before the examination b. Administering a colon cleansing product 6 hours before the examination c. Obtaining an order for a pain medication before the test is performed d. Removing all of the patient’s metallic jewelry ANS: D No jewelry or metal products should be in the same room as an MR...

MULTIPLE CHOICE 1. The patient has just been diagnosed with narcolepsy. The nurse teaches the patient about management of the condition. Which information from the patient will cause the nurse to intervene? a. Takes antidepressant medications. b. Naps shorter than 20 minutes. c. Sleeps in hot, stuffy room. d. Chews gum regularly. ANS: C The nurse will intervene about sitting in a hot, stuffy room as this will make the narcolepsy worse so this needs to be corrected. Patients with nar...

MULTIPLE CHOICE 1. The patient has been diagnosed with Helicobacter pylori. The nurse should encourage which action initially? a. Avoidance of wheat and oats b. Milkshakes as a nutritious snack c. Completion of antibiotic therapy d. Nonsteroidal anti-inflammatory drugs ANS: C Helicobacter pylori, a bacterium that causes up to 85% of peptic ulcers, is confirmed by laboratory tests or a biopsy during endoscopy. Antibiotics treat and control the bacterial infection. Avoidance of wheat ...

Chapter 36: Loss and Grief Chapter 37: Stress and Coping Chapter 38: Activity and Exercise Chapter 39: Immobility Chapter 40: Hygiene

MULTIPLE CHOICE 1. The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes. Which finding best indicates the effectiveness of guided imagery? a. The patient’s facial expressions are stoic during the procedure. b. The patient rates pain during the dressing change as a 6 on a scale of 0 to 10. c. The patient’s need for analgesic medication decreases during the dressin...

MULTIPLE CHOICE 1. The nurse is teaching the patient about flossing and oral hygiene. Which instruction will the nurse include in the teaching session? a. Using waxed floss prevents bleeding b. Flossing removes plaque and tartar from the teeth c. Performing flossing at least 3 times a day is beneficial d. Applying toothpaste to the teeth before flossing is harmful ANS: B Dental flossing removes plaque and tartar between teeth. To prevent bleeding, the patient should use unwaxed flos...

MULTIPLE CHOICE 1. The health care provider asks the nurse to monitor the fluid volume status of a heart failure patient and a patient at risk for clinical dehydration. Which is the most effective nursing intervention for monitoring both of these patients? a. Assess the patients for edema in extremities. b. Ask the patients to record their intake and output. c. Weigh the patients every morning before breakfast. d. Measure the patients’ blood pressures every 4 hours. ANS: C An effe...

MULTIPLE CHOICE 1. A nurse is preparing a patient for nasotracheal suctioning. In which order will the nurse perform the steps, beginning with the first step? 1. Insert catheter. 2. Apply suction and remove. 3. Have patient deep breathe. 4. Encourage patient to cough. 5. Attach catheter to suction system. 6. Rinse catheter and connecting tubing. a. 1, 2, 3, 4, 5, 6 b. 4, 5, 1, 2, 3, 6 c. 5, 3, 1, 2, 4, 6 d. 3, 1, 2, 5, 4, 6 ANS: C The steps for nasotracheal suctioning are as f...

MULTIPLE CHOICE 1. The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse? a. “There is no need for an additional person at the appointment.” b. “Your family can come and wait with you in the waiting room.” c. “We recommend including family members at this appointment.” d. “It is required that you have a family member at this appointment.” ANS: C...

Chapter 31: Medication Administration Chapter 32: Complementary, Alternative, and Integrative Therapies Chapter 33: Self-Concept Chapter 34: Sexuality Chapter 35: Spiritual Health

MULTIPLE CHOICE 1. A female teen diagnosed with celiac disease continues to eat food she knows will make her ill several hours after ingestion. While planning care, the nurse considers maturational and tertiary-level interventions. Which intervention will the nurse add to the care plan? a. Teach the teen about the food pyramid. b. Administer antidiarrheal medications with meals. c. Gently admonish the teen and her parents regarding the consistently poor diet choices. d. Assist the teen in...