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The team leader decides to do a brief round of all the patients after shift report to ensure safety and to help determine acuity and assignments. List the order in which the team leader should briefly check in on these patients. 1. Ms. R (rheumatoid arthritis) 2. Mr. L (kidney stones) 3. Mr. O (motorcycle accident) 4. Mr. H (inguinal hernia repair) 5. Ms. J (endstage multiple myeloma) 6. Mr. A (bacterial pneumonia and HIV +) - ANS 6, 3, 2, 1, 5, 4 Based on the information that th...

a nurse has been asked to administer a drug by IV push. she is uncertain whether or not this task falls within her scope of practice. the nurse knows that which of the following are BEST sources to refer to for info related to her scope of practice in her situation? (SATA) a. hospital and unit policies and procedures b. nurse practice act c. ordering physician d. hospital pharmacist - ANS a, b an RN is in charge of a team on a m/s unit that includes an LPN. the rn understands that...

A nurse is caring for a client who is recovering after a myocardial infarction. When advising the client to exercise gradually and slowly increase the distance walked, which vital sign should the nurse teach the client to monitor determine whether to increase of decrease exercise levels? - ANS Pulse rate *The client who is on a progressive exercise program at home after an MI should be taught to monitor heart rate. The pulse rate is expected to increase with exercise but should not incr...

You are assisting the RN plan for your new patient, a 75-year old male with diabetes. Input from the __________ during the Data Collection (assessment) stage of the nursing process results in a greater probability of Success - ANS Patient You are assisting the RN plan for your new patient, a 75-year old male with diabetes. Input from the patient during the _______ stage of the nursing process results in a greater probability of Success - ANS Data collection, assessment You are ...

A nursing diagnosis is written as disturbed body image related to scar on the left side of the face. What does the phrase " Disturbed Body Image" identify? - The expected outcome of the plan of care - The major defying characteristics of a health problem - The health state of problem of the client - A Client determining a health problem - ANS The health state of problem of the client A client has been admitted to your unit with SOB.The O2 Stat is 90% on 2L via nasal cannula. Wh...

Which postoperative client is manifesting the most serious negative effect of inadequate pain management? 1. Demonstrates continuous use of call bell related to unsatisfied needs and discomfort 2. Develops venous thromboembolism related to immobility caused by pain and discomfort 3. Refuses to participate in physical therapy because of fear of pain caused by exercises 4. Feels depressed about loss of function and hopeless about getting relief from pain - ANS 2. Develops venous...

Which of the following signs would the patient report as left shoulder pain that is indicative of ruptured spleen? - ANS -Kehr's sign A patient who sustained blunt chest injury is admitted to your unit. The patient develops dyspnea and confusion and confusion and has distant heart tones. Two hours post admission the BP has changed from 140/78 to 92/78. The patient now has visible jugular venous distention. The most likely cause is: - ANS -Cardiac tamponade A 33-year-old female...

The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? 1. The client fell out of bed. 2. The client climbed over the side rails. 3. The client was found lying on the floor. 4. The client became re...

Saying or publishing a false statement about someone, when you KNOW it's not true is known as: Invasion of privacy Malice Slander Libel - ANS Malice The nurse evaluates which laboratory values to assess a patient's potential for wound healing? Fluid status Potassium Lipids Nitrogen balance - ANS Nitrogen Balance **Nitrogen balance is important to determining serum protein status. A negative nitrogen balance is present when catabolic states exist. When a p...

A nurse is caring for a client who is receiving mechanical ventilation and is on pressure support ventilation (PSV) mode. Which of the following statements by the newly licensed nurse indicates an understanding of PSV? A. "It keeps the alveoli open and prevents atelectasis." B. "It allows preset pressure delivered during spontaneous ventilation." C."It guarantees minimal minute ventilator." D."It delivers a preset ventilatory rate and tidal volume to the client." - ANS B. "It ...

The pathophysiological mechanism are responsible for ascites related to liver failure? (Select all that apply) a. Bleeding that results from a decreased production of the body's clotting factors b. Fluid shifts from intravascular to interstitial area due to decreased serum protein c. Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen d. Increased circulating aldosterone levels that increase sodium and water retention e. Decreased absorption of fatty ac...

1.The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. The nurse should be prepared for which maternal adverse reactions? Select all that apply: 1. Hypertension 2. Jaundice 3. Dehydration 4. Fluid overload 5. Uterine tetany 6. Bradycardia - ANS 1, 4, 5 2. A client who is 29 weeks pregnant comes to the labor and delivery unit. She states that she's having contractions every 8 minutes. The client is also 3 cm dilated. Which medications can the nurs...

A nurse is providing discharge teaching to a client who is postoperative following a laparoscopic cholecystectomy. Which of the following instructions should the nurse include in the teaching? (SATA) A. Take baths rather than showers B. Resume a diet of choice C. Cleanse the puncture site using mild soap and water D. Remove adhesive strips from the puncture site in 24 hr. E. Report nausea and vomiting to the surgeon - ANS B. Resume a diet of choice C. Cleanse the puncture site usin...

Mitosis - ANS All the cells in human body except those cells that make sperm and eggs divide by Bacteria, Chloroplast, Mitochondria - ANS Which of the following cells and/or structures divide by binary fission? Select ALL answers that apply. A) Bacteria B) Chloroplast C) Protist D) Fungi E) Mitochondria F) Plant cells G0 phase. RBCs do not have a nucleus and do not replicate. - ANS The specialized nerve and muscle cells are found in ___________ stage of cell cycle...

The nurse supervises the transfer of an elderly client with left-sided weakness from the bed to the chair. After assisting the client to a sitting position, which of the following actions should the nurse take NEXT? 1. Place nonskid shoes on the client's feet. 2. Instruct the client that she will be moving toward her left side. 3. Ask the client to pivot on her right foot. 4. Support the left leg with the nurse's knee. - ANS Strategy: Determine the outcome of each answer. 1)...

a client with AIDS asks the nurse why he can't have a pitcher of water at his bedside so he can drink whenever he likes. the nurse should tell the client that? - ANS he shouldn't drink water that has been sitting longer than 15 minutes the mother of a male child with cystic fibrosis tells the nurse that she hopes her sons's children won't have the disease. the nurse is aware that? - ANS most of the males with cystic fibrosis are sterile An infant is hospitalized for treatme...

A newly delivered client has a temperature of 97.2°F (36.2°C). Which action does the nurse take when caring for this newborn? (Select all that apply.) 1. Places the newborn skin-to-skin on the parent's chest. 2. Double wraps the newborn in blankets from the clean linen cart. 3. Places a hat/cap on the newborn's head. 4. Places the dry and diapered newborn under a radiant warmer. 5. Bathes the newborn in warm water while protecting the umbilical stump. - ANS 1. Places the ne...

The nurse notes that a patient is positive for the hepatitis B surface antigen. Which questions should the nurse include in the patient's assessment to help determine the source of the infection? Select all that apply. 1. "Have you been anywhere where the water may have been contaminated?" 2. "Have you eaten any food in areas where the workers may not have had access to hand washing?" 3. "Have you had unprotected sex with anyone who has hepatitis B?" 4. "Have you eaten any r...

Critical Thinking - ANS form of cognition that enables evaulative and deterministic activities; quality of sources, identifying assumptions Creative Thinking - ANS generates new and unidentified connections to broaden perspectives; identifying new sources, developing new scenarios for future outcomes Mind-set - ANS What people perceive, how they perceive it, and how they process information Mind-set influencing factors - ANS past experience education cultural v...

2 Critical Features of Intelligence - ANS 1. Anticipates 2. Informs decisions 3 Types of Intel Support - ANS 1. Military and National Security 2. Civilian Leadershp 3. Analysts 8 Attributes of Intel Excellence - ANS 1. Anticipatory 2. Timely 3. Usable 4. Relevant 5. Accurate 6. Complete 7. Objective 8. Available Phases of the Intel Process - ANS 1. Planning and Direction 2. Collection 3. Processing and Exploitation 4. Analysis and Production 5. Disse...