Study guides, Class notes & Summaries

A nurse is caring for a client who has Type 1 diabetes mellitus and is resistant to learning self-injection of insulin. Which of the following statements should the nurse make? “Tell me what I can do to help you overcome your fear of giving yourself injections.” A charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to a group of newly licensed nurses. Which of the following actions should the charge nurse teach as the first response in CPR? Confirm unresponsiveness. A com...

o Anesthetic Blocks ▪ Pudendal block = decreases pain in perineum and vagina – no help with contraction pain ▪ Epidural block = T10-S5 • Blocks all pain • First sign = warmth or tingling in ball of foot or big toe ▪ Regional blocks often result in forceps or vacuum assisted births because they affect the mother’s ability to push effectively o Tears ▪ 1st degree – Dermis ▪ 2nd degree – mm/fascia ▪ 3rd degree – anal sphincter ▪ 4th degree – rectum o Placen...

VII. Upon examining the mouth of a 3 year-old child, the nurse discovers that the teeth have chalky white-to-yellowish staining with pitting of the enamel. Which of the following conditions would most likely explain these findings? A) Ingestion of tetracycline B) Excessive fluoride intake C) Oral iron therapy D) Poor dental hygiene VIII. The nurse is reassigned to work at the Poison Control Center telephone hotline. In which of these cases of childhood poisoning would the nurse suggest tha...

Rationale: The fundus should be palpated and massaged frequently to prevent hemorrhage (B). The lochia should be assessed to detect for hemorrhage (D) and ice packs and witch hazel can decrease edema and discomfort (E). Bed rest is only recommended for the first 2 hours (A). A full bladder is suspected if the fundus is deviated to the right or left of the umbilicus (C). The nurse prepares to administer amoxicillin clavulanate potassium (Augmentin) to a child weighing 15 kg. The prescription is...

The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving enteral tube feedings. Which task performed by the UAP requires immediate intervention by the nurse? A. Suctions oral secretions from mouth B. Positions head of bed flat when changing sheets C. Takes temperature using the axillary method D. Keeps head of bed elevated at 30 degrees B Rationale: Positioning the head of the bed flat when enteral feedings are in progress puts the client at risk for aspirati...

1. A confused client with carbon monoxide poisoning experiences dizziness when ambulating to the bathroom. The nurse should: A. Put all four side rails up on the bed B. Ask the unlicensed assistive personnel to place restraints on the client’s upper extremities C. Request that the client’s roommate put the call light on when the client is attempting to get out of bed D. Check on the client at regular intervals to ascertain the need to use the bathrooms 2. The nurse should use which t...

1. A home health nurse is preparing for an initial home visit. Which information should be included in the patient’s home care medical record? a. Nursing process form b. Step-by-step skills manual c. A list of possible procedures d. Reports to third-party payers ANS: D Information in the home care medical record includes patient assessment, referral and intake forms, interprofessional plan of care, a list of medications, and reports to third-party payers. An interprofessional plan...

A married couple lives in a single-family house with their new-born son and the husband’s daughter from a previous marriage. On the basis of the information given, what family form best describes this family? a. Married-blended family c. Nuclear family b. Extended family d. Same-sex family ANS: A Married-blended families are formed as the result of divorce and remarriage. Unrelated family members join together to create a new household. Members of an extended family are kin, or...

1. A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assess first? A. A client who has a hip fracture and is in Buck’s traction B. A client who has aspiration pneumonia and a respiratory rate of 28/min C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot D. A client who has a C diff infection and needs a stool specimen collected 2. A nurse is caring for a client who fell and is reporting pain in the le...

1. While caring for an older client, the nurse observes multiple bruises over the client’s legs, arms, back, and gluteal areas. When the client contact, the nurse suspects elder abuse. What action should the nurse indicate? Measure and document size, shape and color of the bruised areas. 2. A client who is homeless is diagnosed with schizophrenia and admitted on an involuntary basis to e mental health hospital 4 days ago. The client stopped taking prescribed antipsychotic drugs approximatel...