FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING

MULTIPLE CHOICE 1. Following a colonoscopy with polyp removal, the wife of the patient is distressed that there is slight bleeding from her husband’s rectum. The nurse’s most helpful response would be: a. “This small amount of bleeding is expected after the removal of polyps.” b. “I will notify the primary care provider about this hemorrhage.” c. “I will watch your husband very carefully to assess any further hemorrhage.” d. “Don’t worry. This small amount of blood hap...

MULTIPLE CHOICE 1. A patient in the skilled nursing facility has left-sided paralysis from a stroke several years before, as well as generalized weakness. The nurse should ensure that which of the following devices is in place to prevent flexion contractures? a. A trochanter roll to keep her legs from turning outward b. A rolled washcloth in the palm of her left hand or a hand splint c. A protective vest to keep her sitting upright in the chair d. A trapeze to permit her to change her pos...

MULTIPLE CHOICE 1. An 84-year-old patient is hospitalized for an infected stasis ulcer on his ankle. The nurse is aware that this patient is at risk for a hospital-acquired infection (HAI) because the: a. patient already has a blood-borne infection. b. patient’s defenses are already engaged with the initial infection. c. ulcer will make this patient bedfast. d. stasis ulcers predispose the older adult to pneumonia and urinary infections. ANS: B Older adults have an impaired immun...

MULTIPLE CHOICE 1. The nurse instructing a patient in the home use of disinfectant would include the information that the disinfectant can be used to: a. decrease organisms on the patient’s body but take care not to use it around the patient’s eyes or in the mouth. b. sterilize instruments with a bacteriostatic disinfectant. c. thoroughly clean and rinse all soap off the equipment before disinfecting it. d. first remove all organic matter prior to disinfecting. ANS: C Disinfecta...

MULTIPLE CHOICE 1. When caring for a patient with acute radiation sickness (ARS) after an accident at an atomic power plant, the nurse should: a. wear a paper gown and boots, gloves, and a mask. b. stay in the room and talk to the patient to alleviate anxiety. c. decrease the amount of time spent in the room. d. wear a chemical mask with a filtered respirator. ANS: A For prolonged periods in caring for a patient with ARS, the nurse should use the barrier protection of gown, boots, ...

MULTIPLE CHOICE 1. Providing oral care to a patient who has dentures includes: a. asking the patient to place his teeth directly in a covered, labeled container for overnight storage. b. removing, cleaning, and storing the dentures in a labeled container at bedtime. c. cleaning the dentures in hot water after each meal to remove debris and bacteria. d. using a toothbrush and toothpaste to clean the dentures in the patient’s mouth. ANS: B Dentures should be removed and cleaned befo...

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CHAPTER 15: LOSS, GRIEF, AND END-OF-LIFE CARE Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are: a. harsh and rattling. b. wheezing and labored. c. shallow followed by periods of apnea. d. long periods of apnea followed by a hiccoughing breath. ANS: C Cheyne-Stokes respirations become more and more shallow followed by periods of apnea, and...

CHAPTER 14: CULTURAL AND SPIRITUAL ASPECTS OF PATIENT CARE Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. The nurse understands that when an Asian patient refers to yin, the patient is referring to a balancing force that is represented by: a. light. b. a masculine force. c. cold and feminine elements. d. harmony. ANS: C Yin is the balancing force to yang that is represented by elements that are dark, cold, and feminine. DIF: C...

CHAPTER 13: PROMOTING HEALTHY ADAPTATION TO AGING Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. An 84-year-old patient who is hospitalized for pneumonia says to the nurse, “I don’t know why I’ve lived so long. All my friends are gone, my children and grandchildren are all independent and successful—nobody needs me anymore.” An appropriate response by the nurse is: a. “You have a lot to live for. Your children and grandchildre...