A work group is to be formed to determine a care map for a new surgical intervention
that is being conducted at the hospital. Which group is likely to be most effective in
developing the new care map?
a. Nurse-manager group.
b. Multidisciplinary group.
c. Single-discipline group.
d. Surgical staff group.
Give this one a try later!
B
(In a multidisciplinary work group, a number of individuals from a variety of
disciplines are involved in developing the care map, but each works
independently to implement the care plan. Single-discipline work groups,
such as nurse manager group or surgical group, are likely to focus on the
aspects of the care map related only to their specific discipline.)
,A young adult female arrives at the emergency department with a black right eye and
is bleeding from the left side of her head. She reports that her boyfriend has been
abusing her physically. The nurse performs a history and physical examination. How
should the nurse document these findings?
a. Client alleges that her boyfriend beat her up. Client is bleeding from the left side of
the face.
b. Client reports her boyfriend hit her in the eye and on the head. Bruises and
lacerations present on face.
c. Client presents with a right black eye and a cut on the left side of her head that is
bleeding. Reports abusive boyfriend responsible for injuries. Needs referral to a safe
place to stay.
d. Young adult female presents with periorbital ecchymosis on right side, 3 cm
laceration on left parietal area, approximately 1 cm deep with tissue bridging. States
her boyfriend is abusive.
Give this one a try later!
D
(Proper documentation of abuse as reported by the victim is crucial, and
the nurse should document specific and objective data that gives an
accurate depiction of the events without documentation of judgmental
inferences. All the other choices lack specificity and important details
related to the event.)
Prior to transferring a client to a chair using a mechanical lift, what is the most
important client characteristic the nurse should assess?
a. Ability to grasp objects.
b. Ability to bear weight.
c. Upper body muscle strength.
d. Tolerance of exertion.
Give this one a try later!
, D
(Awareness of the client's ability to tolerate exertion allows the nurse to
plan how to prepare the client for the use of the lift. The other assessments
are not needed when using a lift.)
Lasix 20 mg PO is prescribed for a client at 0600. The medication is available in a
scored tablet of 40 mg. Before breaking the tablet, what action should the nurse
take?
a. Apply non-sterile gloves.
b. Perform hand hygiene.
c. Consult with the pharmacist.
d. Chart "half tablet administered."
Give this one a try later!
B
(Before breaking a scored tablet, the nurse should perform hand hygiene
to ensure medical asepsis. Putting on gloves or consulting a pharmacist are
both unnecessary. The nurse should administer the medication before
charting.)
A low potassium diet is prescribed for a client. What foods should the nurse teach this
client to avoid?
a. Dried prunes.
b. Cottage cheese.
c. Mashed potatoes.
d. Mustard greens.
Give this one a try later!
, A
(A serving of dried prunes contains more than 300 mg of potassium, and
should be avoided. The richest dietary sources of potassium are
unprocessed foods (especially fruits), many vegetables, and some dairy
products, so the client should avoid these food groups. Servings of foods
containing less than 150 mg of potassium, such as cottage chees, mashed
potatoes and mustard greens, are good choices for a low potassium diet.)
The nurse is preparing to administer a prescribed dose of acetylcysteine (Mucomyst)
600 mg PO. The 10 ml vial is labeled "Mucomyst 20% solution (20 grams/100 ml)."
What volume of medication in milliliters should the nurse administer? (Enter numeric
value only.)
Give this one a try later!
3
20 grams is equivalent to 20,000 mg.
20,000 mg/100 ml = 200 mg/1 ml.
Using Desired/Have X Volume:
600 mg/200 mg X 1 ml = 3 ml.
or
(Ordered over dispensed)
600mg/20000mg =0.03mg
0.03mg x 100ml= 3ml
The nurse is preparing to administer atropine, an anticholinergic, to a client who is
scheduled for a cholecystectomy. The client asks the nurse to explain the reason for
the prescribed medication. What response is best for the nurse to provide?
a. Provide a more rapid induction of anesthesia.
that is being conducted at the hospital. Which group is likely to be most effective in
developing the new care map?
a. Nurse-manager group.
b. Multidisciplinary group.
c. Single-discipline group.
d. Surgical staff group.
Give this one a try later!
B
(In a multidisciplinary work group, a number of individuals from a variety of
disciplines are involved in developing the care map, but each works
independently to implement the care plan. Single-discipline work groups,
such as nurse manager group or surgical group, are likely to focus on the
aspects of the care map related only to their specific discipline.)
,A young adult female arrives at the emergency department with a black right eye and
is bleeding from the left side of her head. She reports that her boyfriend has been
abusing her physically. The nurse performs a history and physical examination. How
should the nurse document these findings?
a. Client alleges that her boyfriend beat her up. Client is bleeding from the left side of
the face.
b. Client reports her boyfriend hit her in the eye and on the head. Bruises and
lacerations present on face.
c. Client presents with a right black eye and a cut on the left side of her head that is
bleeding. Reports abusive boyfriend responsible for injuries. Needs referral to a safe
place to stay.
d. Young adult female presents with periorbital ecchymosis on right side, 3 cm
laceration on left parietal area, approximately 1 cm deep with tissue bridging. States
her boyfriend is abusive.
Give this one a try later!
D
(Proper documentation of abuse as reported by the victim is crucial, and
the nurse should document specific and objective data that gives an
accurate depiction of the events without documentation of judgmental
inferences. All the other choices lack specificity and important details
related to the event.)
Prior to transferring a client to a chair using a mechanical lift, what is the most
important client characteristic the nurse should assess?
a. Ability to grasp objects.
b. Ability to bear weight.
c. Upper body muscle strength.
d. Tolerance of exertion.
Give this one a try later!
, D
(Awareness of the client's ability to tolerate exertion allows the nurse to
plan how to prepare the client for the use of the lift. The other assessments
are not needed when using a lift.)
Lasix 20 mg PO is prescribed for a client at 0600. The medication is available in a
scored tablet of 40 mg. Before breaking the tablet, what action should the nurse
take?
a. Apply non-sterile gloves.
b. Perform hand hygiene.
c. Consult with the pharmacist.
d. Chart "half tablet administered."
Give this one a try later!
B
(Before breaking a scored tablet, the nurse should perform hand hygiene
to ensure medical asepsis. Putting on gloves or consulting a pharmacist are
both unnecessary. The nurse should administer the medication before
charting.)
A low potassium diet is prescribed for a client. What foods should the nurse teach this
client to avoid?
a. Dried prunes.
b. Cottage cheese.
c. Mashed potatoes.
d. Mustard greens.
Give this one a try later!
, A
(A serving of dried prunes contains more than 300 mg of potassium, and
should be avoided. The richest dietary sources of potassium are
unprocessed foods (especially fruits), many vegetables, and some dairy
products, so the client should avoid these food groups. Servings of foods
containing less than 150 mg of potassium, such as cottage chees, mashed
potatoes and mustard greens, are good choices for a low potassium diet.)
The nurse is preparing to administer a prescribed dose of acetylcysteine (Mucomyst)
600 mg PO. The 10 ml vial is labeled "Mucomyst 20% solution (20 grams/100 ml)."
What volume of medication in milliliters should the nurse administer? (Enter numeric
value only.)
Give this one a try later!
3
20 grams is equivalent to 20,000 mg.
20,000 mg/100 ml = 200 mg/1 ml.
Using Desired/Have X Volume:
600 mg/200 mg X 1 ml = 3 ml.
or
(Ordered over dispensed)
600mg/20000mg =0.03mg
0.03mg x 100ml= 3ml
The nurse is preparing to administer atropine, an anticholinergic, to a client who is
scheduled for a cholecystectomy. The client asks the nurse to explain the reason for
the prescribed medication. What response is best for the nurse to provide?
a. Provide a more rapid induction of anesthesia.
