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Chapter 1: The Growth of Nursing Questions 1. Nurses are often the primary, and frequently the only, defendants named when errors are made that result in injury to the client. This is due to which concept associated with the nursing profession? 1. Autonomy 2. Accountability 3. Precision 4. Specificity Answer: 2. If a nurse uses information from research as the basis for making decisions about providing care, this nurse is engaging in which type of practice? 1. Client-based practi...

1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? Move about every hour Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return. 2. A 26-year-old, gra...

1. A nurse is performing a vaginal exam on a client who is in active labor. The nurse notes the umbilical cord protruding through the cervix. Which of the following actions should the nurse take? Administer oxytocin to the client via intravenous infusion. Apply oxygen at 2 L/min via nasal cannula. Prepare for insertion of an intrauterine pressure catheter. Assist the client into the knee-chest position. 2. A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals....

Contractions become stronger with walking. The contractions that occur during true labor become stronger and more regular with a change in activity, such as walking. Discomfort can be suppressed with a back massage. The discomfort of false labor can be suppressed by using comfort measures, such as a back or foot massage. With true labor, the client discomfort continues regardless of the use of comfort measures. Contractions become irregular with a change in activity. The contractions ...

1- The nurse is conducting health screening for osteoporosis. Which client isat greatest risk of developing this disorder? 1. A 25-year-old woman who runs 2. A 36-year-old man who has asthma 3. A 70-year-old man who consumes excess alcohol 4. A sedentary 65-year-old woman who smokes cigarettes Rationale: Risk factors for osteoporosis include female gender, being postmenopausal, advanced age, a low-calcium diet, excessive alcohol intake, being sedentary,and smoking cigarettes. Long-term ...

1. A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure? 1. Glipizide 2. Metformin 3. Repaglinide 4. Regular insulin 2. A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL/hour for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine ou...

QUESTION 1 To appropriately monitor therapy and client progress, the nurse should be aware that increased myocardial work and O2 demand will occur with which of the following? A. Positive inotropic therapy B. Negative chronotropic therapy C. Increase in balance of myocardial O2 supply and demand D. Afterload reduction therapy Correct Answer: A Section: Questions Set A Explanation Explanation/Reference: Explanation: (A) Inotropic therapy will increase contractility, which will ...

Question 1 The nurse incorporates cultural considerations into the health teaching plan by: • Assessing a person's beliefs. • Using medical terminology • Presenting evidence-based information. • Explaining that universal health practices are the best. Question 2 The communication of health information in a manner which is clear and understandable to the client is known as: • Empowerment • Health literacy • Health disparities • Health education Question 3 Nur...

Nursing III Exam III Chapter 65 The nurse is caring for a client who has sustained multiple injuries from a motor vehicle accident. The nurse realizes that the client will have a release of stress hormones that are useful for all of the following EXCEPT: Preventing ingestion of food The nurse is planning care for a client diagnosed with acute respiratory distress syndrome (ARDS)? Which of the following is not included in the management of this disorder? Promoting urine output The nurse,...

Chapter 1 Obtaining an Initial History MULTIPLE CHOICE 1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which should the nurse do first? a. Introduce him- or herself. b. Make the family comfortable. c. Give assurance of privacy. d. Explain the purpose of the interview. ANS: A The first thing that nurses must do is to introduce themselves to the patient and family. Parents and other adults should be addressed with appropriate titles unless they speci...

• Question 1 Identify the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project. • Focus nursing education on competencies to reduce the number of medical errors • Question 2 The Robert Wood Johnson Philanthropy Foundation has recommended the following: (Select all that apply). • The nurse should practice to the full extent their education and training • Achieve higher levels of education (ASN to BSN to MSN) • Collaborate. Nurs...

1. A client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. The nurse should make which response? 1. "Come to the emergency department." 2. "Apply calamine lotion immediately to the exposed skin areas." 3. "Take a shower immediately, lathering and rinsing several times." 4. "It is not necessary to do anything if you cannot see ...

Chapter 1: Women’s Health Examination and Women’s Health Care Management 1: Elevating the head of the examining table approximately 30 degrees facilitates a: the observation of the patient's responses b: the ability of the patient to comfortably look around to distract her from the examination c: the contraction of the abdominal wall muscle groups, making the examination easier d: comfortable blood pressure measurement e: the physician not being distracted by eye contact with th...

Chapter 1: Women’s Health Examination and Women’s Health Care Management 1: Elevating the head of the examining table approximately 30 degrees facilitates a: the observation of the patient's responses b: the ability of the patient to comfortably look around to distract her from the examination c: the contraction of the abdominal wall muscle groups, making the examination easier d: comfortable blood pressure measurement e: the physician not being distracted by eye contact with th...

MULTIPLE CHOICE 1. The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patients input. The patient states, How is this different from what the doc2r does? Whch response would be most appropriate4 the nurse 2 make? a. The role of the nurse is 2 administer medications and other treatments prescribed by your doc2r. b. The nurses job is 2 help the doc2r by collecting in4mation and communicating any problems that occur. c...

1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? • Review with the client the need to avoid foods that are rich in milk and cream 2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158...

Chapter 1, Introduction to Nursing An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master’s degree is considered to be an expert in her area of practice and works on an oncology unit in a large teaching hospital. Based upon this description, which of the following career roles best describes this nurse’s role, taking into account her 1. qualifications and experience? A) Clinical nurse specialist B) Nurse entrepreneur C) Nurse practi...

1. Anatomic position The body is erect, the feet are slightly apart, the head is held high, and the palms of the hands are facing forward 2. Which of the following is a structure found in the upper respiratory? Pharynx 3. A person who has damage to their ulnar nerve will have decreases sensation in Arm 4. Which bone dose not articulate with any other bone? Hyoid 5. Which of the following statements best describe endocrine glands? They secrete chemicals into the blood 6. Diet is important b...

1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t get better, I’m going to quit.” Which of the following responses by the unit manager is appropriate? a. You should file a written complaint with hospital administration b. Just stick with it a little longer. Things will get better soon c. So, you are upset about all the changes on the unit? d. I think you have a right to be upset. I am tired of the changes, too 2. A charge nurse notice...