COMP - Galen College of Nursing: Essential Study Guide for Composition and Writing Skills

COMP - Galen College of Nursing: Essential Study Guide for Composition and Writing Skills COMP - Galen College of Nursing: Essential Study Guide for Composition and Writing Skills a K level of 4.0 and has kayexalate prescribed - The nurse is reviewing medical prescription for the newly admitted clients. It would be a PRIORITY for the nurse to flow up with the physician if a client with Obtain a client consent prior to receiving Ativan - The nurse should intervene if the nurse suspects a staff member 17 years old, has DM type 1, unemployed, and recent A1C is 13% - The community health nurse is caring for the following clients. It would be a priority for the nurse to initiate a multidisciplinary conference for the client who is had surgery two hours ago, appendectomy - The Nurse from the postpartum unit has been temporarily assigned to a med surg floor. It would be most appropriate to assign the nurse to the client who 18 months old and needs support to ambulate - The nurse in a well baby clinic has assigned several children today. It would be appropriate to suggest follow up for the child who is Clients closest family member - The nurse is caring for a mechanically ventilated client who was declared brain dead. An Advance Directive is not documented in the medical record. It would be most appropriate to obtain consent for organ donation from the been admitted with Guillian Barre syndrome and has begun plasmapheresis therapy - The nurse has received report on 4 clients, who should the nurse assess first one - on - one client observation for safety - It would be appropriate to assign which of these task to the CNA discussing a client's DX with visiting family member - The nurse should intervene is a staff member Putting a client in a geriatric chair with the lap tray in front of the client in the day room to watch TV... Example of false imprisonment - The nurse is preparing a staff presentation on legal and ethical issues in nursing. The nurse would be correct to include which of the following examples. Is HIV + reporting nausea and vomiting - The nurse from the pediatric unit has been temp assigned to the ED. It would be most appropriate to assign the nurse to the client who Is observed flexing and extending the legs two hours post cardiac cath - Four clients recently returned to the unit following invasive diagnostic testing. The nurse should immediately intervene if one of the clients: Has a history of partial seizures and is sitting in the bed picking at the clothing and smacking lips - The nurse is made aware for the following situations. The nurse should first check the client who "I can feed my child oatmeal and eggs for breakfast." - The nurse in a community health clinic is talking with the parent of a child with celiac disease. Which statement would require follow up by the nurse The LPN dons clean gloves on the dominant hand before trach suctioning - The charge nurse is observing a LPN preforming patient care. Follow up would be required if "I will place my newborn infant in a rear facing car seat in the middle of the rear seat." - The nurse at a health promotion fair has taught a group of parents about car seat safety. Which of the following statement, if made by the parents, would indicate a correct understanding of the information given? Contact precaution - The nurse is caring for a client with VRE. The nurse should place the client on WBC 2500 mm3 - The nurse should initiate protective precaution for a client who has "I will miss not being able to work in my garden." - The nurse has provided health teaching for a group of clients who recently DX with HIV. Which statement made by the clients will require further teaching Who has soot on face and the nares and is coughing - The nurse in the ED is caring for clients admitted following a rescue from the burning bus. You would first see the client Cleansing the wound from the outer surface to the inner surface for the client how wound is infected with MRSA - A nurse is observing a new hire nurse provide care for assigned clients. The nurse should intervene if the new hire nurse is observed NSAID - The nurse is caring for a client who has been DX with RA. The nurse should anticipate the PT to be prescribed smile socially - The nurse is assessing a 2 month old. The nurse should anticipate the infant should Pureed chicken at 7 months - The nurse is teaching a class on infant nutrition. The nurse should instruct the parents to introduce A board game - The nurse is caring for a 7 year old with thrombocytopenia and is on protective precaution. Which would b a appropriate toy for the nurse to provide 2 year old, 100.8 temp, BP 68/44 - The following pediatric unit has been informed the following clients are being admitted. The nurse should first plan to assess the client who is Encourage the parents to provide the infant rest periods during feedings - The nurse is providing DC instructions to the parents of a patient with a cleft lip. The nurse should instruct the clients too Tell the mother that the statement is appropriate for his stage of development. - The nurse is assessing a 3 year old during a well baby visit. During the visit the boy states to his mother, "Mommy, I love you. I am going to marry you." The nurse should Tachycardia, increased respiration rate, delayed growth and development - What are some expected findings when caring for a client with a cyanotic heart defect play in a group of 2-3 with one being the leader - The nurse is teaching a group of parents about the expected growth and development of 3 year old children. The nurse should include that a 3 year old should Placing a AKA patient 24 hours post op in prone position Assisting a client who had a colon resection 36 hours ago to ambulate - The Nurse and the nurse assistant are caring for a group of clients. Which of the following client care activity should the nurse assign to the nursing assistant CBC - The nurse is caring for a client with AIDS who started Zidovidine ATZ. It would be important to assess Inspection, auscultation, palpation, percussion - The nurse is preforming a ABD assessment. Put in order the correct sequence of assessment Had an ABD hysterectomy yesterday and is reporting calf pain - The nurse has become aware of the following client situations. The nurse should first assess the client who ADMIN in ABD, do not massage, protamine sulfate is antidote - Nursing considerations when admin heparin The family of a client of the Hindu faith may request that the client body be bathed after the clients death - The nurse has attended a staff development conference on cultural consideration for clients receiving hospice care. Which of the following statement id made by the nurse would require follow up Tuna fish on saltine crackers (sodium) - The nurse is caring for a client with bipolar disorder who has lithium prescribe. The nurse should suggest that the client have which of the following snacks "I will avoid avocados, grapefruit and cantaloupe." - The nurse has provided discharge instructions for a client who has been prescribed digoxin. It would require follow up by the nurse if the client says. Apricots - The nurse is caring for a client who has bumetanide (Bumex) prescribed. The nurse should suggest that the client include which of the following foods in the diet occurs in Jewish men 30-50 years Prednisone may be prescribed for exacerbations Flagyl, Cipro, and commonly prescribed during acute exacerbations - Teaching instructions for a client with ulcerative colitis Installs 30cc of NS into the feeding tube while auscultating the stomach for bowel sounds - The nurse is precepting a new hire nurse who is caring for a client receiving a continuous NG feeding. The nurse should intervene if giving OJ to a client who has a clear liquid diet - The nurse is observing a staff member caring for clients. It would require immediate intervention if the nurse observes Other children who are sick - The nurse is preparing a class for parents of children DX with sickle cell. The nurse should instruct the parents that children should avoid roll from ABD to back - The nurse is assessing a 5 month old. what is an expected finding who has cancer of the esophagus and given away his favorite shirt - The home health care nurse is assigned to see four clients who all live within three miles of each other. The nurse should first see the client at the same time as Iron - A student nurse is admin Maalox. The nurse should intervene if the student plans to admin the antacid "I gave my toddler a tablespoon of Ipecac syrup." - he nurse in the ED is assessing a toddler who has swallowed bleach, The toddler is crying. It would be a priority if the patient parents says Increase bronchial secretions kink in tubing acute bronchospasms tubing is disconnected - Reason for high pressure alarm on a ventilator Document as normal finding - The nurse is caring for a client who has a new colostomy. The colostomy stoma is red moist and raised. The nurse should "Clients with MS often receive immunoglobulin G (IVIG)." - The nurse is attending a staff development conference on medical treatment for various neurologic disorders. Which of the following statement would require follow up "Assistive listening devices are required for these clients." - The nurse has attended a staff development conference on Meniere's disease. Which of the following statements, if made by the nurse would require a follow up Close angel glaucoma - The nurse is admitting a client to the ED who is reporting progressive visual impairment and loss of peripheral vision. These symptoms are consistent with the medical DX of wheezing during expiration - The nurse is caring for a client who has left ventricular failure. Which of the following should the nurse recognize as being consistent with the DX The EEG will require the client to be NPO for 12 hours before the test - The nurse has attended a staff development conference on preparing clients for neurological diagnosis test. Which of the following statements, if made by the nurse would require a follow up Who had transsphenoidal hypophysectomy twelve hours ago is drinking fluids through a straw - The nurse has become aware of the following client situations. It would be a priority for the nurse to intervene if a client spinach and rhubarb - The nurse is caring for a client who has oxalate kidney stones. The nurse should teach the client to avoid K of 6.8 - A client with ESRD is schedule for hemodialysis in one hour, the nurse should notify physician is the client has fasting blood glucose - The nurse is caring for a 49 year old female client who have frequent vaginal yeast infections. The client is 35% over idea body weight. The client has had several DX blood test prescribed. It would be a priority for the nurse to review the result for an elevated 17-35 - The nurse at a health clinic is screening male clients to testicular cancer. It would be priority for the nurse to teach self exams for what age group Ego integrity VS despair - The nurse is caring for a 72 year old client who was recently DX with breast cancer. The client is expressing feelings of depression and is asking the nurse, "Why me." According to Erikson, which developmental stage is the client experiencing Torsemide (demedex) - The nurse is caring for several clients who have been prescribed diuretics. The nurse should teach about increasing the consumption of citrus fruit and bananas to the client taking " I crush my verapamil (calan sr) to make it easier to swallow - The nurse in a health clinic is reviewing prescriptions medications with several clients. It would be a priority for the nurse to follow up with the client who states Sleep pattern disturbance - The nurse is developing a plan of care for a client DX with fibromyalgia. Which nursing DX should the nurse include 21 years old, pregnant, unemployed, and has active TB - The nurse in the community health setting is assessing the following clients. It would be a priority for the nurse to utilize a multidisciplinary approach for the client who is In the first phase of labor, FHR is consistently beating 132 BPM - The nurse is working in the labor and delivery room has become aware of the following situations. The nurse should first assess the client who is Reports swelling in her right calf - The nurse is caring for a postpartum clients who had vaginal deliveries with in the last eight hours. The nurse should first assess the client who Is scheduled for a myleogram in 4 hours and states "I can not drink and liquids until after the procedure is finished." - The nurse has become aware of the following client situations. It would be priority for the nurse to follow up if a client who When I climb up the stairs I advance my affected leg first, with my crutches." - The nurse is teaching a client about crutch walking. Which of the following statements if made by the client indicates a need for the further teaching Had an ORIF of a fracture femur 12 hours ago has developed a small rash on the cheat and neck. - The nurse on an orthopedic unit has become aware of the following situations. It would be a priority for the nurse to follow up if a client who Aloe vera - The nurse is caring for a client with w soft tissue injury. The client reports using herbal remedy for 3 weeks prior to seeking health care but can not remember what was taken. The nurse recognize that which of the following herbal remedies can be utilized effectively for soft tissue injuries Is being transported to have a MRI test and has an attach pulse oximeter - The nurse has become aware of the following client situations. It would be a priority for the nurse to intervene if a client DM 1 and A1C level of 12% - The nurse is reviewing lab data of the following clients. It would be a priority for the nurse follow up with the primary health care provider if a client with "I cannot breast feed because my nipples are cracked and sore." - The nurse working on a maternity unit has become aware of the following client situation. It would be priority for the nurse to intervene if a client states relieve the nurse of assigned clients - The charge nurse of a med-surg floor notice a nurse walking with an unsteady gait, slurred speech and a faint smell of alcohol on the breath immediately following a lunch break, The charge nurse priority action would be to Call for additional help - The staff member of an out patient clinic have successfully assisted the clients to safety during a fire in the waiting area. What would be the next plan of action Contact the local reporting agency for suspected child abuse - While performing an assessment of a 3 year old client, the nurse notes bruises in various stages of healing on the concealed surfaces of the body. What action should the nurse take next recently ingested cocaine - The nurse in the ED is admitting a client who is hallucinating and reports "insects crawling on skin." The client pulse is 124, RR is 10, the nurse notes muscle twitching in the lower extremities. It would be a priority to determine if the client has Provide the client with finger foods - The nurse is developing a care plan for a client who is the manic phase of bipolar disorder. Which intervention should the nurse include in the plan of care admin meds with meals instruct the client that medication may cause dry mouth medications may cause photosensitivity - The PCP has prescribed Elavil - Amitriptyline 150 mg daily for a client with major depression. Name some nursing considerations Bargaining - A 45 year old client who was recently DX with terminal cancer says to the nurse "If God could only let me live long enough to put my daughter through college, I wouldn't mind dealing with the illness." The nurse caring for this client recognizes this statement as reflecting of what stage of grieving provide the client with pre package foods that the client likes - The nurse on a psychiatric unit is caring for a client with a paranoid schizophrenia who has lost 15 pounds within the past three weeks. The client accuses the staff of trying to poison all of the clients on the unit. Which of the following nursing interventions would be a priority for the nurse to include in the clients plan of care Lanugo type hair on body - The nurse is admitting a 20 year old with anorexia. The nurse should assess the client for Have the clients possessions searched for sharps - The nurse is admitting a client with major depression. It would be a priority for the nurse to The combination of drugs prescribed is necessary to decrease the risk of drug resistance - The nurse is developing a teaching plan for a client with pulmonary TB who has been prescribed Rifampin, Isoniazid INH, pyrazinamide Tebrazid, and ethambutol Myambutol. The nurse should include in the teaching plan that wear a disposable gown and glove when changing clients dressing - The nurse is caring for a client with VRE wound infection. Which of the following actions would be appropriate for the nurse to take absence of femoral pulse - The nurse is assessing a child with coarctation of the aorta, which would be an assessment finding Vitamin B6 supplements are given to help prevent macular degeneration - Then nurse has attended a staff development conference on vitamins and minerals. Which of the following statements if made by the nurse would require follow up The infant sleeps for 6 hours at a time - A nurse is caring for a 2 month old infant being evaluated for congenital hypothyroidism, The nurse should recognize which of the following findings and being consistent finding of congenital hypothyroidism Chlamydia infection are strongly linked with cervical cancer - The nurse has attended a staff development conference on a STD. Which of the following statements, if made would require nurse to follow up Wearing a disposable surgical face mask when entering the room of a client with active pulmonary TB - The infection control nurse is making rounds on a Med - Surg unit. The infection control nurse should intervene if they observe