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Which state was the first to enact a nurse practice act?? - ANSWERNorth Carolina What is the purpose of an NPA - ANSWERto protect the public Which statement about the regulation of nursing practice is correct?? - ANSWEReach state has the authority to enact a law governing nursing practice What is the best resource for information about an NPA? - ANSWERState board of nursing (BON) BON members are? - ANSWERnurses and sometimes members of the public Some newly licensed RNs are discus...

The nurse is admitting a client who is newly diagnosed with a frontal lobe brain tumor. Which statement made by a spouse may provide important information about this diagnosis and should be communicated to the health care provider? "It seems our sex life is nonexistent over the past six months." "His breathing rate is usually below 12." "I find the mood swings and the change from being a calm person to being angry all the time hard to deal with." "In the morning and evening he...

The nurse is providing discharge teaching for a client with a long leg cast. During instructions, the nurse should recommend which of these exercises for the affected extremity? A. Aerobic B. Range of motion C. Isometric D. Isotonic - ANSWERC A nurse should instruct the client on isometric exercises for the muscles of the casted extremity. This means the client should be instructed to alternately contract and relax muscles without moving the affected part. The client should also be instru...

A client is admitted with a diagnosis of myocardial infarction (MI) and reports having chest pain. The nurse provides care based on the knowledge that pain associated with an MI is related to which of the following findings? A. Insufficient oxygenation of the cardiac muscle B. Fluid volume excess C. Arrhythmia D. An electrolyte imbalance - ANSWERA Due to ischemia of the heart muscle, the client will experience pain. This happens because destroyed myocardial tissue can block or interfere w...

A client is being prepped for a surgical procedure and the nurse is reviewing the informed consent with the client. The client asks, "Is there any other way to take care of this without have surgery?" The nurse has a duty to first: A. Reassure the client that the surgery is the best treatment option B. Tell the client if they don't want they surgery, they don't have to have it C. Notify the surgeon that the client has additional question about alternatives to surgery D. Call the surgeo...

The nurse is coordinating care for a postpartum client and her newborn with the unlicensed assistive personnel (UAP). The mother is human immunodeficiency virus (HIV) positive. The nurse would recognize the need to educate the UAP, who is observed doing which of the following actions? A. Assist the mother who is attempting to breastfeed her baby B. Place the infant on his or her back in the bassinet C. Wear gloves while changing the newborn's soiled diaper D. Assist the mother to walk to ...

Today's prothrombin time for a client receiving warfarin is 20 seconds. The normal range listed by the lab is 10 to 14 seconds. What is an appropriate nursing action? - ANSWERRecognize that this is a therapeutic level. For the client on warfarin therapy, this prothrombin level is within the therapeutic range. Therapeutic levels for warfarin are usually one and a half to two times the normal level. The nurse on a telemetry unit is assessing orthostatic vital signs on a client with cardiomy...

Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9 kg true or false - ANSWERTrue During any patient transferring task, if any caregiver is required to lift a patient who weighs more than 35 lbs/15.9 kg, then the patient should be considered fully dependent, and assistive devices should be used for transfer If a draining wound tests positive for MRSA, the patient is placed on contact precautions True or False - ANSWERTrue Patients with abscess or dr...

A client with a spinal cord injury at the T-2 level reports having a "pounding" headache. Further assessment by the nurse reveals excessive sweating, rash, piloerection, facial flushing, congested nasal passages and a heart rate of 50 bpm. What is the priority action? - ANSWERCheck the client for bladder distention or kinking of the urinary catheter. The client is exhibiting manifestations of autonomic dysreflexia, also called hyperreflexia, seen with a spinal cord injury (SCI), typically a...

It is the start of the shift and the nurse has just finished listening to a report on four clients. Which client should the nurse assess first? A. A client with a diagnosis of an acute traumatic brain injury who has a blood pressure of 88/58 B. A client with a diagnosis of a concussion and who doesn't remember the motor vehicle accident C. A client diagnosed with viral meningitis and has signs of meningeal irritation D. A client diagnosed with generalized seizures who complains of a heada...

A nurse is teaching a mother who will breast-feed for the first time. Which of these approaches is a priority? Give the mother privacy for the initial feeding Assist the mother to position the newborn at the breast Give the mother several illustrated pamphlets Show the mother films on the physiology of lactation - ANSWERAssist the mother to position the newborn at the breast All of the approaches should be helpful in teaching. However, the priority is to place the infant to...

The nurse is planning car for a 2 yo child. Which issue will produce the most stress at this age? 1) fear of pain 2) bodily injury 3) loss of control 4) separation anxiety - ANSWER4) separation anxiety -peaks in toddler years Which lab results indicate partially compensated metabolic acidosis? 1) Cl of 100 mEq/L 2) pH of 7.48 3) PaCO2 of 30 mmHg 4) HCO3 of 28 mEqL - ANSWER4) PaCO2 of 30 -the lungs are compensating for the low pH levels by breathing off CO2 and reducing acidity Wo...

The nurse is reviewing the laboratory results for several clients. Which of the laboratory result indicates a client with partly compensated metabolic acidosis? Chloride 100 mEq/L (100 mmol/L) Sodium 130 mEq/L (130 mmol/L) Hemoglobin 15 g/dL (150 g//L) PaCO2 30 mm Hg - ANSWERPaCO2 30 mm Hg The client is admitted to an ambulatory surgery center and undergoes a right inguinal orchiectomy. Which option is the priority before the client can be discharged to home? Able to ambulat...

Which individual is at greatest risk for the development of hypertension? A. 40 year-old Caucasian nurse B. 60 year-old Asian-American shop owner C. 45 year-old African-American attorney D. 55 year-old Hispanic teacher - ANSWERC The incidence of hypertension is greater among African-Americans than other groups in the United States. The incidence among the Hispanic population is rising. A woman, who delivered five days ago and who had been diagnosed with pregnancy induced hypertension (...

A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently leaves the work area untidy and does not restock supplies. What is the best initial response by the charge nurse? 1Write down potential solutions to the problems today by shift's end 2Add this concern to the agenda of the next unit meeting 3Assure the staff nurse that the complaint will be investigated 4Explore for further identification about the nature of the problem - ANSWER4 Explore for further id...

An 18 month-old weighing 22 pounds is admitted to the pediatric unit with a diagnosis of dehydration. A replacement bolus of normal saline at 20 mL/kg is ordered to be administered intravenously over 40 minutes. In mL/hour, what will be the setting for the IV delivery system? - ANSWER300 Using ratio proportion:First, convert 22 pounds to kilograms (22/2.2) = 10 kg20 mL/kg = 20 x 10 kg = 200 mL200 mL/40 minutes = x mL/60 minutes (in an hour)200 x 60 = 12000/40 = 300 mL/hrUsing dimensional analy...

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Who is the current president of alpha phi alpha? - ANSWEREverett B. Ward (35th general president) 3 areas of focus - ANSWERSpecial Initiatives National programs, Alpha Foundation List Alpha Phi Alpha special initiatives - ANSWER1.Big Brothers Big sisters of America 2.Boys Scouts of America 3.Leadership Development Institute 4.College Life to Corporate Life Initiative 5.Peace Corps 6. World Policy Council Big Brothers Big Sisters - ANSWERassist each other in reaching their goals of...

Sphinxman Prayer - ANSWEROh, Father, may we, as oncoming alpha men, make full development so that we may uphold the high standards of Alpha Phi Alpha- Manly deeds, scholarship, and love for all mankind - throughout eternity. Amen. Sphinxman Credo - ANSWERAs a Sphinxman, I will uphold high scholastic standards, high moral character, brotherly love, personal progress, loyalty, and the respect of womanhood to the best of my ability Second chapter chartered - ANSWERBeta chapter, Howard Uni., W...