The hospice nurse is orienting a new unlicensed assistive person (UAP) about the care
of dying clients. Which statement by the UAP indicates an understanding of hospice
care?
A. "To help clients conserve energy, I will perform as much care as possible for my
clients."
B. "I should discourage clients from talking about their lives."
C. "Developing personal relationships with clients is an important part of my role."
D. "Even if the client requests it, I will not withhold health care information from the
hospice team."
Give this one a try later!
D
The UAP should encourage clients to be as independent as possible, for as
long as possible. Clients should be encouraged to discuss their life
because it may help clients accept their death. Establishing and maintaining
a professional relationship (as opposed to a personal relationship) is
important in any health care setting, including hospice. There should be no
secrets. If the UAP has information that may potentially help the hospice
, team provide appropriate client care, then it needs to be shared with the
team.
The client has been hospitalized 48 hours for multiple injuries sustained in a motor
vehicle accident. An elevated blood alcohol level was present at the time of the
accident. Which finding(s) should be a priority in the plan of care?
A. Hallucinations
B. Loss of appetite and nausea
C. Diaphoresis
D. Fine tremors
Give this one a try later!
A
The symptoms of alcohol withdrawal usually begin about 5-10 hours
following the last drink and peak around 24-72 hours. The severity of
symptoms experienced during detoxification varies with each client.
Individuals who have been abusing alcohol for many years are at risk of
developing delirium tremens (DTs). Symptoms of DTs include hallucinations,
extreme confusion, extreme agitation, and tachycardia; DTs is a medical
emergency. Loss of appetite, nausea, diaphoresis and fine tremors are
symptomatic of the earlier stages of withdrawal.
A client is scheduled to receive an oral solution of radioactive iodine (131I). What
information is the priority for the nurse to include when teaching the client about this
treatment?
A. "Your family can use the same bathroom as you are using, without any special
precautions."
B. "Drink plenty of water and empty your bladder often during the initial three days of
therapy."
C. "In the first 48 hours, you should avoid contact with children and pregnant women;
be sure to flush the commode twice after urination or defecation."
,D. "Use disposable utensils for two days; if you feel nauseous within 12 hours of the
first dose, please vomit in the toilet and flush it twice."
Give this one a try later!
C
The client's urine and saliva are radioactive for 24 hours after ingestion, and
vomitus is radioactive for six to eight hours. The client should drink 3 to 4
liters of fluid a day for the initial 48 hours to help remove the (131I) from the
body. To minimize exposure to radiation, nursing staff should plan to give
care in the shortest time possible (less time equals less exposure), working
as far away from the radiation source as possible. Each nurse should also
wear a personal film badge or pocket dosimeter.
A client is newly admitted with acute diarrhea and is wearing an adult incontinence
pad. What action should the nurse take before visitors arrive and enter the client's
room?
A. Ask each visitor to dress in a gown and wear gloves before entering the client's
room
B. Call the health care provider to request an order for a private room
C. Verify that each visitor is wearing a mask if less than 3 feet (0.9 meters) from the
client
D. Remind all visitors to wash their hands before entering, and when exiting, the room
Give this one a try later!
, A
According to the Centers for Disease Control and Prevention, diarrhea in
an incontinent patient requires contact precautions. The nurse can
implement precautions for a known or suspected infection; the nurse must
then obtain an order (usually within 24 hours) from the health care provider
(HCP.) Contact precautions also include standard precautions, such as
placing the client in a private room or cohorting; an order is not required
for this. Washing hands is very important, but not enough to protect against
potential enteric pathogens. Droplet precautions, not contact precautions,
involve wearing a mask when within 3 feet (0.9 meters) of the client.
The nurse is preparing a client with suspected lung cancer for a thoracentesis. The
nurse provides education prior to the procedure. Which statement by the client
indicates further teaching is necessary?
A. "I will have to try to not cough, talk or move around during the procedure.'
B. "I will be sedated for this procedure and will need someone to drive me home."
C. "After the procedure is over, I will have a chest x-ray done to make sure I'm okay."
D. "This procedure can be painful so I will get medicine to help manage the pain."
Give this one a try later!
B
The client will be awake and sitting up for the procedure, not sedated. The
client should be medicated with an analgesic prior to the procedure, to
minimize discomfort during the procedure. The client is instructed to remain
still and not to cough, deep breathe, or move during the procedure. The
client will need to have a chest x-ray following the procedure to ensure a
pneumonthorax has not developed as a result of the procedure.
The nurse manager is preparing for an inservice about efficiency and cost-effective
care. Identify a strategy the nurse manager should include in the presentation that's
aimed at increasing efficiency and reducing costs on the nursing unit.
of dying clients. Which statement by the UAP indicates an understanding of hospice
care?
A. "To help clients conserve energy, I will perform as much care as possible for my
clients."
B. "I should discourage clients from talking about their lives."
C. "Developing personal relationships with clients is an important part of my role."
D. "Even if the client requests it, I will not withhold health care information from the
hospice team."
Give this one a try later!
D
The UAP should encourage clients to be as independent as possible, for as
long as possible. Clients should be encouraged to discuss their life
because it may help clients accept their death. Establishing and maintaining
a professional relationship (as opposed to a personal relationship) is
important in any health care setting, including hospice. There should be no
secrets. If the UAP has information that may potentially help the hospice
, team provide appropriate client care, then it needs to be shared with the
team.
The client has been hospitalized 48 hours for multiple injuries sustained in a motor
vehicle accident. An elevated blood alcohol level was present at the time of the
accident. Which finding(s) should be a priority in the plan of care?
A. Hallucinations
B. Loss of appetite and nausea
C. Diaphoresis
D. Fine tremors
Give this one a try later!
A
The symptoms of alcohol withdrawal usually begin about 5-10 hours
following the last drink and peak around 24-72 hours. The severity of
symptoms experienced during detoxification varies with each client.
Individuals who have been abusing alcohol for many years are at risk of
developing delirium tremens (DTs). Symptoms of DTs include hallucinations,
extreme confusion, extreme agitation, and tachycardia; DTs is a medical
emergency. Loss of appetite, nausea, diaphoresis and fine tremors are
symptomatic of the earlier stages of withdrawal.
A client is scheduled to receive an oral solution of radioactive iodine (131I). What
information is the priority for the nurse to include when teaching the client about this
treatment?
A. "Your family can use the same bathroom as you are using, without any special
precautions."
B. "Drink plenty of water and empty your bladder often during the initial three days of
therapy."
C. "In the first 48 hours, you should avoid contact with children and pregnant women;
be sure to flush the commode twice after urination or defecation."
,D. "Use disposable utensils for two days; if you feel nauseous within 12 hours of the
first dose, please vomit in the toilet and flush it twice."
Give this one a try later!
C
The client's urine and saliva are radioactive for 24 hours after ingestion, and
vomitus is radioactive for six to eight hours. The client should drink 3 to 4
liters of fluid a day for the initial 48 hours to help remove the (131I) from the
body. To minimize exposure to radiation, nursing staff should plan to give
care in the shortest time possible (less time equals less exposure), working
as far away from the radiation source as possible. Each nurse should also
wear a personal film badge or pocket dosimeter.
A client is newly admitted with acute diarrhea and is wearing an adult incontinence
pad. What action should the nurse take before visitors arrive and enter the client's
room?
A. Ask each visitor to dress in a gown and wear gloves before entering the client's
room
B. Call the health care provider to request an order for a private room
C. Verify that each visitor is wearing a mask if less than 3 feet (0.9 meters) from the
client
D. Remind all visitors to wash their hands before entering, and when exiting, the room
Give this one a try later!
, A
According to the Centers for Disease Control and Prevention, diarrhea in
an incontinent patient requires contact precautions. The nurse can
implement precautions for a known or suspected infection; the nurse must
then obtain an order (usually within 24 hours) from the health care provider
(HCP.) Contact precautions also include standard precautions, such as
placing the client in a private room or cohorting; an order is not required
for this. Washing hands is very important, but not enough to protect against
potential enteric pathogens. Droplet precautions, not contact precautions,
involve wearing a mask when within 3 feet (0.9 meters) of the client.
The nurse is preparing a client with suspected lung cancer for a thoracentesis. The
nurse provides education prior to the procedure. Which statement by the client
indicates further teaching is necessary?
A. "I will have to try to not cough, talk or move around during the procedure.'
B. "I will be sedated for this procedure and will need someone to drive me home."
C. "After the procedure is over, I will have a chest x-ray done to make sure I'm okay."
D. "This procedure can be painful so I will get medicine to help manage the pain."
Give this one a try later!
B
The client will be awake and sitting up for the procedure, not sedated. The
client should be medicated with an analgesic prior to the procedure, to
minimize discomfort during the procedure. The client is instructed to remain
still and not to cough, deep breathe, or move during the procedure. The
client will need to have a chest x-ray following the procedure to ensure a
pneumonthorax has not developed as a result of the procedure.
The nurse manager is preparing for an inservice about efficiency and cost-effective
care. Identify a strategy the nurse manager should include in the presentation that's
aimed at increasing efficiency and reducing costs on the nursing unit.
