AMBULATORY CARE NURSING EXAMS REVIEWS

AMBULATORY CARE NURSING EXAMS REVIEWS What documents primarily defines the scope of telehealth nursing practice - CORRECT ANSWER-Nurse State Practice Acts In School Age Children with acute vomiting, rehydration therapy might include which of the following - CORRECT ANSWER-half-strength sports drinks and popscicles Which of the following are signs of volume overleoad in a chronic heart failure patient - CORRECT ANSWER-Edema, Dyspenea, Neck vein distension, sudden weight gain Joshua is a 5 year old with siclke cell disease. his mother called to report that Joshua has a fever over 101.5 orally. The nurse should: - CORRECT ANSWER-tell the mother to bring Joshua in right away to be evaluated. The following are elements of Dieteary Approches to Stop hypertension (DASH) - CORRECT ANSWER-Low Cholesterol and toal fat, reducted sweets, high fiber Untreated Hypertension may lead to - CORRECT ANSWER-organ damage in the eyes? Promoting advocacy and positive patient/family relations includes - CORRECT ANSWER-Providing service recovery processes that resolve patient/family complaints or concerns Which of the following scenarios potentially violates the confidentiality of a patient's protected health information - CORRECT ANSWER-Talking to an elderly patient's daughter about the need to bring the patient back for another appointment because tests came back with some abnormalities Activities taht require ambulatory nurses to apply critical thinking include - CORRECT ANSWER-Analyzing information in development of a diagnosis and plan of care Which organization has established criteria for accepted nursing languages and approves languages meeting the criteria - CORRECT ANSWER-American Nurses Association Federal and state laws require public health reporting in which of the following situations - CORRECT ANSWER-Diagnosis of a serious communicable disease Decision support tools, such as prototcols, guidelines or algorithms, generally have the following characteristics - CORRECT ANSWER-They provide standardization and decrease omissions The Ambulatory Care Nursing Conceptual Framework is a diagram that specifies - CORRECT ANSWER-Concepts that form the focus of nursing practice and the relationship among those concepts The purposes of nursing practice standards include - CORRECT ANSWER-Serve as a guide for the structure and processes in the delivery of nursing care Which of the following is true about delegation by a registered nurse - CORRECT ANSWER-The delegating nurse remains ultimately responsible for the service Which of the following would be a semi-critical item and require high level disinfection - CORRECT ANSWER-and endoscope used for upper gastroenterological procedures Primary prevention of Human Immunodeficiency Virus and other sexually transmitted diseases would include the following - CORRECT ANSWER-A) Use of Condoms and avoidance of anonymous partners. B) Vaccination against herpes, hepatitis, and menigococcal infections, C) Prophylactic antibiotics or any oral sex D) Annual Health Screenings Mr. McIntire is a 37 year old patient who has a 25 a pack-year history of smoking. Today he has told his physician that he is ready to quit, and Ryan, the ambulatory care nurse, has been asked to assist Mr. McIntire. Which of the following describes a potential method to assist this patient to quit smoking? - CORRECT ANSWER-A) Explain that relapsing is part of the process B) Advise Mr. McIntire about the harms of smoking, which impact nearly every organ in the body C) Set specific goals and a quit date D) Use motivational interviewing to help him understand his ambivalence about quitting The nurse is educating an adult patient regarding medications for asthma. Which order would be most appropriate for administration? - CORRECT ANSWERTelephone triage may be a responsibility of the ambulatory care nurse. What are the appropriate components of telephone triage? - CORRECT ANSWERWhat are the best question types to ask when gaining information from a patient? - CORRECT ANSWERIn what order would the nurse prioritize the care of the following patients presenting to the clinic at the same time: a parent carrying a smiling infant with a fever, a pale and sweaty male with flank pain for tow days, a carpenter with a nail in his thumb, and a three year old with vomiting? - CORRECT ANSWERMom has described her child's symptoms as a fever for three days and vomiting for the last 24 hours. She states the child has been very sleepy for the last two to three hours. What subtle symptom alerts the nurse that this child needs to be seen as soon as possible. - CORRECT ANSWERThe ambulatory care nurse takes a phone call from the daughter of a 60 year old male stating that he isn't himself today. When questioned further, the nurse discovers that the man has had periods of slurred speech for a few minutes on two occasions in the last 24 hours. What is your recommendation for this caller regarding what should be done for her father? - CORRECT ANSWERA 70 year old female prsents to the ambulatory care clinic complaining of fatigue. You begin your triage assessment and she has a heart rate of 50, a repsiratory rate of 24, and a blood pressure of 70/40. She denies chest pain, but you notice she rubs her elbows and states her arthritis is acting up. What would be your first priority when caring for this patient? - CORRECT ANSWERA mother presents to the ambulatory clinic with a very wheezy three year old in her arms. You notice the child is pale and listless. What is your immediate response? - CORRECT ANSWER-