ADULT BASICS HEALTH FINAL REVIEW TEST BANK

Test bank ADULT BASICS HEALTH FINAL REVIEW Questions and answers A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic abortions, a 1 procedure which contradicts the nurses personal beliefs. . What is the nurses ethical obligation to these patients? The nurse should adhere to professional standards of A) practice and offer service to these patients. The nurse should make the choice to decline this B) position and pursue a different nursing role. The nurse should decline to care for the patients C) considering abortion. The nurse should express alternatives to women D) considering terminating their pregnancy. A terminally ill patient you are caring for is complaining of pain. The physician has ordered a large dose of intravenous opioids by continuous infusion. You know that one of the adverse effects of this medicine is respiratory depression. When you assess your patients respiratory status, you find 2 that the rate has decreased from 16 breaths per minute to . 10 breaths per minute. What action should you take? A) Decrease the rate of IV infusion. Stimulate the patient in order to increase respiratory B) rate. C) Report the decreased respiratory rate to the physician. D) Allow the patient to rest comfortably. 3 An adult patient has requested a do not resuscitate (DNR) . order in light of his recent diagnosis with late stage pancreatic cancer. The patients son and daughter-in-law are strongly opposed to the patients request. What is the primary responsibility of the nurse in this situation? A) Perform a slow code until a decision is made. B) Honor the request of the patient. C) Contact a social worker or mediator to intervene. Temporarily withhold nursing care until the physician D) talks to the family. Ans: B An elderly patient is admitted to your unit with a diagnosis of community-acquired pneumonia. During admission the 4 patient states, I have a living will. What implication of this . should the nurse recognize? This document is always honored, regardless of A) circumstances. This document specifies the patients wishes before B) hospitalization. This document that is binding for the duration of the C) patients life. This document has been drawn up by the patients D) family to determine DNR status. Ans: B A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical principle of 5 nonmaleficence. Which of the following actions would be . considered a contradiction of this principle? A) Discussing a DNR order with a terminally ill patient B) Assisting a semi-independent patient with ADLs C) Refusing to administer pain medication as ordered D) Providing more care for one patient than for another Ans: C You have just taken report for your shift and you are doing your initial assessment of your patients. One of your patients asks you if an error has been made in her medication. You know that an incident report was filed yesterday after a nurse inadvertently missed a scheduled 6 dose of the patients antibiotic. Which of the following . principles would apply if you give an accurate response? A) Veracity B) Confidentiality C) Respect D) Justice Ans: A A nurse has begun creating a patients plan of care shortly after the patients admission. It is important that the wording of the chosen nursing diagnoses falls within the taxonomy of 7 nursing. Which organization is responsible for developing the . taxonomy of a nursing diagnosis? A) American Nurses Association (ANA) B) NANDA C) National League for Nursing (NLN) D) Joint Commission Ans: B Feedback: . 8 In response to a patients complaint of pain, the nurse . administered a PRN dose of hydromorphone (Dilaudid). In what phase of the nursing process will the nurse determine whether this medication has had the desired effect? A) Analysis B) Evaluation C) Assessment D) Data collection Ans: B A medical nurse has obtained a new patients health history and completed the admission assessment. The nurse has followed this by documenting the results and creating a care 9 plan for the patient. Which of the following is the most . important rationale for documenting the patients care? A) It provides continuity of care. B) It creates a teaching log for the family. C) It verifies appropriate staffing levels. D) It keeps the patient fully informed. Ans: A The nurse is caring for a patient who is withdrawing from heavy alcohol use and who is consequently combative and confused, despite the administration of benzodiazepines. The patient has a fractured hip that he suffered in a 10 traumatic accident and is trying to get out of bed. What is . the most appropriate action for the nurse to take? A) Leave the patient and get help. B) Obtain a physicians order to restrain the patient. C) Read the facilitys policy on restraints. D) Order soft restraints from the storeroom. Ans: B A patient admitted with right leg thrombophlebitis is to be discharged from an acute-care facility. Following treatment with a heparin infusion, the nurse notes that the patients 11 leg is pain-free, without redness or edema. Which step of . the nursing process does this reflect?