Dr. ASSESSMENTS

Pain Management: What elements are included in a pain assessment? In order to evaluate pain thoroughly my nursing skills would include the PQRST method. P (Provocation/Palliation)- What were you doing when the pain started? What caused it? What seems to trigger the pain? What relieves it? Q (Quality)-what does the pain feel like? Is it sharp, dull, tingling? R (Region)-Is the pain felt all over or in one specific area? Does the pain travel around? S (Severe)- on a pain scale from 0-10 with 0...

A nurse is contributing to a presentation about non pharmacological interventions used to promote sleep. Which of the following information should the nurse recommend including in the presentation? A. Non pharmacological interventions should only be practiced in the clients home setting. B. Massage is a non pharmacological intervention that should be used to promote sleep for clients who are taking anticoagulants. C. Non-pharmacological interventions used to help promote sleep include acupu...

A nurse is preparing to administer epinephrine 10 mcg/min by continuous IV infusion. Available is epinephrine 1 mg in 250 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr? Round to the nearest whole number. 150 A nurse is preparing to administer potassium chloride 40 mEq to infuse over 4 hr to a client. Available is potassium chloride 40 mEq in 100 mL dextrose 5 % in 0.45 % sodium chloride (Ds 0.45 % NaCl). The nurse should set the infusion pump to ...

A nurse is caring for a toddler at a well-child visit when the mother calls to the nurse, "Help! My baby is choking on his food." Which of the following findings indicates the toddler has an airway obstruction? Inability of the toddle to cry or speak. Bc no sounds passing through vocal cords use heimliech maneuver A nurse is planning care for a client who has a prescription for collection of a sputum specimen for culture and sensitivity. Which of the following actions should the nurse ta...

A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. Which of the following information should the nurse include in the teaching? Have family members wear a gown and gloves when cisiting A nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. Which of the following pieces of information is the priority for the nurse to provide? Breath sounds A nurse is preparing to delegate client care tasks to ...

A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication? Relief of gastrointestinal pain A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include? Eat four small meals each day A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn. The nu...

A covered entity does not have to disclose PHI to the Office for Civil Rights if they come to investigate a complaint. That is not allowed by HIPAA law. False A signed receipt of the facility's Notice of Privacy Practices (NOPP) is mandated by the Privacy Rule in order for a patient to receive services from a health care provider. False Another name for the Title II portion of HIPAA law is Administrative Simplification Typical Business Associate individuals are: Biometric device repair...

A nurse passing by a computer at the nurses' station notes that patient info. is correctly being displayed. Which of the following actions should the nurse take? Locate the nurse responsible for the info. & have that person log off. A parent calls a pediatrician's office to make an appt. for her school-age child. The nurse should instruct the parent to call the previous pediatrician's office & request that? A form authorizing release of copies of the records be sent to her to sign & retu...

A patient feels his privacy has been violated and wants to file a formal complaint. Through which of the following agencies should the nurse instruct the patient to file the complaint? Answer: Office of Civil Rights (OCR) Rationale: The OCR has been given authority to investigate complaints by patients and other individuals related to the Privacy Rule. 2) A nurse passing by a computer at the nurses station notes that patient information is currently being displayed. Which of the following...

A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should assess the client for which of the following manifestations of dislocation of the hip prosthesis? Shortening of the right leg ----- The nurse should monitor the client for shortening of the affected leg as an indication of dislocation of the prosthesis. Other findings include increased hip pain, inability to mov...

A nurse is caring for a client who is at risk for developing atelectasis. Which of the following actions should the nurse take? Remind the client to use incentive spirometer A nurse is preparing a poster presentation about the musculoskeletal system. The nurse should include that which of the following is responsible for body posture? Muscles A nurse is teaching a client who has an unsteady gait about how to use a walker. Which of the following instructions should the nurse include? The ...

A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first? A. Expulsion of a blood-tinged mucous plug B. Continuous contraction lasting 2 min C. Pressure on the perineum causing the client to bear down D. Expulsion of clear fluid from the vagina B. Continuous contraction lasting 2 min i: A uterus contracting for more than 90 seconds is a sign of tetany and could...

Oxygen therapy is prescribed for a patient who is brought to an emergency department in the early stages of hypoxia. When assessing the patient, the nurse should expect to find which of the following clinical indicators? A. Elevated blood pressure B. Decreased respiratory rate C. Cyanosis D. Peripheral edema A A patient admitted with community-acquired pneumonia has been receiving oxygen therapy for several days. Which of the following assessment findings indicates an adverse effect of ...

A nurse is preparing to administer lactated Ringer's 2 L to infuse over 16 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? 21 gtt / min A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 1 L IV to infuse over 5 hr. The nurse should set the IV pump to deliver how many mL/hr? 200 mL/hr A nurse is preparing to administer ceftriaxone 2 g by intermittent bolus every 24 hr. Available is ceftriaxo...

While performing a complete bed bath for a patient, the nurse should raise the room temperature A nurse is caring for a patient who is on long-term bedrest and requires frequent linen changes due to excessive diaphoresis. Which of the following is the priority rationale for frequent linen changes? Moisture from excessive diaphoresis can cause skin breakdown. A nurse is caring for an unconscious patient. Which of the following statements by the nurse indicates an understanding of providing ...

Scenario Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation when voiding. Question Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation when voiding. Which of the following clinical findings should Darla anticipate? (Select all that apply.) Selected Option Fever Dysuria Urinary frequency Rationale Dysuria is a discomfort or difficulty with urination and is a clinical finding associated with a urinary tract infection. Vaginal disc...

Nurse Susan is reviewing the isolation prescription for Matthew who has gastroenteritis. Which of the following types of isolation precautions should Susan implement? a. Standard b. Airborne c. Droplet d. Contact D Nurse Susan Completes the admission assessment of Matthew who has gastroenteritis and dehydration. Which of the following is the priority action based on the assessment? a. Initiate IV access b. Apply diaper rash cream c. Administer an antiemetic d. Administer an antipyr...

All the best from Dr. A Dr. Assessments Page 1 of 5 A nurse is developing a teaching plan for a client about preventing acute asthma attacks. Which of the following points should the nurse plan to discuss first? a. how to eliminate environmental triggers that precipitate attacks b. the client's perception of the disease process and what might have triggered past attacks c. the client's med regimen d. manifestations of respiratory infections b. the client's perception of the disease pr...

A charge nurse is teaching a new nurse how to initiate IV access on a client. Which of the following actions by the new nurse indicates an understanding of the teaching? Washes hands with soap and water before the procedure A nurse has completed care procedures for a client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove first? Gloves A clinical nurse educator is preparing an educational program about transmissi...

A nurse passing by a computer at the nurses' station notes that patient info. is correctly being displayed. Which of the following actions should the nurse take? a) Close out the pt.'s electronic chart. b) Locate the nurse responsible for the info. & have that person log off. c) Allow the computer to log off automatically after a period of time. d) Ask the unit clerk to restrict access to the computer until the nurse returns. B) Locate the nurse responsible for the info. & have that pers...