University of Massachusetts Boston

The nurse is providing discharge instructions to a client with heart failure preparing to leave the following day. What type of diet should the nurse request the dietitian to discuss with the client? a) Low-fat diet b) Low-potassium diet c) Low-cholesterol diet d) Low-sodium diet - Answer d) Low-sodium diet - Medical management of both left-sided and right-sided heart failure is directed at reducing the heart's workload and improving cardiac output primarily through dietary modificat...

Which of the following is accurate regarding a hemorrhagic stroke? a) Main presenting symptom is an "exploding headache." b) Functional recovery usually plateaus at 6 months. c) One of the main presenting symptoms is numbness or weakness of the face. d) It is caused by a large-artery thrombosis. - Answer a) Main presenting symptom is an "exploding headache." - One of hemorrhagic stroke's main presenting symptom is an "exploding headache." In ischemic stroke, funct...

Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which information best supports this diagnosis? a. Weak, nonproductive cough effort b. Large amounts of greenish sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of 85% - Answer ANS: A. The weak, nonproductive cough indicates that the patient is unable to clear the airway effectively. The other data would be used to support diagnos...

Acetaminophen - Indication, MOA - Answer Acetaminophen is indicated for the treatment of pain and fever associated with a variety of conditions, including influenza; for the prophylaxis of children receiving diphtheria-pertussis-tetanus immunizations (aspirin may mask Reye syndrome in children); and for the relief of musculoskeletal pain associated with arthritis. Acetaminophen acts directly on the thermoregulatory cells in the hypothalamus to cause sweating and vasodilation; this in turn cau...

The public's right to expect to receive treatment that meets the standards of nursing care is protected by: A. state law. B. federal law. C. reporting law. D. common law. - Answer B. federal law. Which nursing action best complies with the expectations for nursing care defined by the "never events" identified by the 2012 Rules of Participation for Hospitals? A. Requiring all unlicensed nursing personal to attend shift reports B. Providing care when convenie...

professional growth and maintenance of competency. - Answer An RN who attends continuing nursing education and has verified skills, knowledge, and attitudes about perioperative nursing is demonstrating accountability in: Patient-Centered Care - Answer Which QSEN competency recognizes the patient or designee as the source of control and full partner in providing compassionate, coordinated care based on respect for the patient's preferences, values, and needs? outcome statement. - A...

A client is scheduled for blood to be drawn from the radial artery for an arterial blood gas (ABG) determination. The nurse assists with performing Allen's test before drawing the blood to determine the adequacy of which? - Answer Ulnar circulation The nurse is reinforcing teaching to a client about an upcoming colonoscopy procedure. The nurse should include in the instructions that the client will be placed in which position for the procedure? - Answer Left Sims' position The ...

Acculturation - Answer process of social & psychological exchanges with encounters between persons of different cultures, resulting in changes in either group Cultural and linguistic competence - Answer a set of congruent behaviors, attitudes, and policies that come together in a system among professionals that enables work in cross cultural situations cultural care - Answer professional health care that is culturally sensitive, appropriate, and competent culture - Answer th...

Meet the Client - Answer A group of nursing students is conducting blood pressure and cholesterol screenings outside a local home improvement store on Saturday morning for its community service project. An adult client stops by the booth to have their blood pressure and cholesterol checked. They tell the students that they are a construction foreman. Assessment - Answer The client's blood pressure reading is 189/110 mmHg. Their LDL cholesterol reading is 200 mg/dL. They ask the stude...

Meet the Client - Answer Client is a college student who reports that she has been in good health until the last few months, when she started to experience increasing abdominal pain and diarrhea. Client is evaluated for possible ulcerative colitis, an inflammatory bowel disease. The nurse anticipates that client will describe her diarrhea as: a) Bloody. b) Green and frothy. c) Gray with observable fat. d) Clay-colored. - Answer a) Bloody. - Clients with ulcerative colitis may expe...