Excelsior College NUR 104 EXAM 1 Questions and Answers

Excelsior College NUR 104 EXAM 1 Questions and Answers A patient states “I would like to be able to decrease my risk for heart disease. I started eating better but there is more I can do.” What would be an appropriate NANDA-I nursing diagnosis for the RN to apply in this situation? Ineffective role performance Risk-prone health behavior Deficient knowledge Readiness for enhanced health maintenance submitted A team of RNs is researching the occurrence of pressure ulcers throughout the hospital. How does the use of standardized language in electronic health record (EHR) assist with the research? Compliance with privacy is ensured. submitted Data retrieval is efficient. Documentation is easy to understand. Other disciplines clearly understand language. Which technologic strategy is used when an organization needs to investigate changes that have been made in the electronic health record? Password changes submitted Order entry review Audit trails Omission errors summaries When developing the plan of patient care, which nursing order can delegated to the unlicensed assistive personnel (UAP)? Observe skin over bony prominences every 4 hours. Review trends in vital signs every shift. Turn and position every 2 hours; avoid supine positon. submitted Make sure all home care supplies are packed for discharge to home. When developing the patient plan of care, the RN can assign patient care to which member of the health care team? Social worker. Physical Therapist. Registered nurse. Unlicensed assistive personal. submitted The RN demonstrates skill in implementing coordinated nursing care when making which statements to a UAP? Select all that apply. “After you give Ms. Huang her bath today, please report to me what her skin looks like.” “Mr. Lopez’s buttocks were red yesterday. Within the next 30 minutes, turn him and report any redness or open areas to me.” “At the end of the shift, I want you to measure the urine output for Mr. Harding in room 34.” “Take the vital signs now for Mr. Wayne in room 22, Mrs. Payne in room 3, and report them to me. I gave them each blood pressure medications an hour ago.” “Give Ms. Garcia in room 63 a bed bath today and make sure you listen carefully to anything she says. She has been very sad due to the recent death of her sister.” The Licensed Practical Nurse (LPN) is called home for a family emergency and did not finish documenting the wound care given to the patient. The LPN provided the RN a report of interventions performed. Which statement below is correctly documented by the RN for the LPN? “The LPN stated a dry sterile dressing was placed on the patient’s left, lateral foot at 2 PM.” “A dry dressing was applied to the patient’s left lateral foot.” “The LPN placed a dry sterile dressing on the patient’s left lateral foot before leaving.” submitted “The LPN placed a dry sterile dressing on the patient’s lateral left foot.”