Pratmo

1. A nurse is assessing a client who had a recent stroke. Which of the following findings should indicate to the nurse the need for referral to an occupational therapist? a. Facial drooping b. Receptive aphasia c. Unilateral neglect d. Memory loss 2. A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of the following is an appropriate task for the AP? a. Show a new mother how to change the newborn’s diaper b. Inspect the skin of a newbo...

1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in the wound care procedure. Which of the following findings indicate wound healing. a. Erythema on the skin surrounding a client's wound b. Deep red color on the center of the clients wound c. Inflammation noted on the tissue edges of a client's wound d. Increase in serosanguineous exudate from the clients wound (damaged capillaries) Rationale: Leadership 7.0 pg 329: - Stages of Wound Hea...

A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informed consent before inserting an indwelling urinary catheter. Which of the following responses should the nurse make? "Procedures prescribed by the provider do not require consent." "This is a procedure that does not require written informed consent." • "You are right. I will discuss this issue with the charge nurse." "Would you mind s...

1. The order is to give 60 mg of Garamycin (gentamicin) IM every 8hr. The vial is labeled 80 mg/ 2 mL. How many mL will you give? ? mL = 2mL/80 mg X 60 mg/(1) = 12/8 = 1.5 mL 2. The patient is to receive 65 Units of a drug. The vial is labeled 50 Units per 2 mL. How many mL will you give? ? mL = 2 mL/50 units X 65 units/(1) = 130/50 = 2.6 mL 3. The patient is to receive 0.6 g of a drug. How many mg will you give? ? mg = 1000 mg/1 g X 0.6 g/(1) = 600/1 = 600 mg 4. The patient ...

A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? Place the newborn 45 cm (18 in) from the light source 2 an assistive personnel tells the nurse that several client measurements were obtained with morning vital signs. Which of the following clients should the nurse plan to assess? Head injury HR 60 5 A community health nurse recognizes that the teen pregnancy rate in the community ha...

1. The nurse cares for a client diagnosed with superficial partial thickness burn. The nurse should assign the client to a room with which client? A. A client diagnosed with Cushing’s Syndrome. B. A client Diagnosed with cellulitis of the left leg. C. A Client diagnosed with acute peritonsillar abscess. D. A client diagnosed with acute pelvic inflammatory disease. Answer: A 2. The nurse observes client care on a geriatric unit. The nurse should intervene in which situation? a. A studen...

1. A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community-based and community-oriented nursing, the nurse should include which of the following as examples of community-based nursing? (Select all that apply.) A. A home health nurse performing wound care for a client who is immobile B. An occupational health nurse providing classes on body mechanics at a local industrial plant C. A school nurse teac...

A school nurse is educating a group of high school student about recommended dietary guidelines. Which of the following statements by a student indicates an understanding of the teaching? A.) "I can consume up to 25% of my daily calories from saturate fatty acids. B.) "I should consume less than 300mg / day of dietary cholesterol. C.) "I can increase my daily consumption of foods that contain refined grains." D.) "I should consume 800mg / day of dietary calcium." High levels of choleste...

The nurse is assessing a new mother's efforts to bond with her newly born infant. Identify three (3) factors that can impact effective bonding between mother and infant? 1) Mother’s physical and emotional condition 2) Baby's physical condition 3) Family being prepared for the baby The client enters the obstetrical clinic for birth control information on using a diaphragm. What five (5) instructions would be provided by the nurse to explain use of the diaphragm? 1) A client should be...

1- A 58-year-old patient has an annual exam. A fecal occult blood test was used to screen for colon cancer. Three were ordered on separate days. The first test was positive; the last two were negative. How should the nurse practitioner proceed? Rescreen in one year. Perform a fourth exam. Refer him for a colonoscopy. Correct Examine him for hemorrhoids. Explanation: A fecal occult blood test is performed multiple times on different days because tumors don’t consistently excrete blood. ...