ACE LEARNERS

The nurse is caring for a client with breathing difficulty and is unable to auscultate any breath sounds on one side. Which action should be implemented first by the nurse? - ANSWER The priority care for clients with breathing difficulties who present with absent breath sounds is a needle thoracostomy. This procedure involves removing the fluid or abnormal air from the pleural space. Intubation is done for the client in severe respiratory distress. Supplemental oxygen should be given to th...

Bella, a telesales agent is enrolling a customer on an inbound call and using the Enrollment script. Which of the following can she do? - ANSWER She must not skip or add to the enrollment script. She must use it verbatim Which of the following types of preparation is important as part of a sales agent's regimen? - ANSWER Mental Preparation, Material Preparation (a&b) What is a key Consultative Selling skill that is a stepping stone to building trust and establishing a long-ter...

Which of the following is the goal of Cigna Medicare Advantage Incentives? - ANSWER Improving our customers' overall health What is the Cigna Healthy Today card? - ANSWER One flex card solution for Cigna Medicare customers' to access multiple supplemental benefits Which of the following statement(s) is accurate about Cigna Medicare plans? - ANSWER Both A. and C. Which of the following does Cigna seek to ensure in order to improve the health, well-being, and peace of mind o...

Which of our products offer choice, flexibility, open-access network, out of network/travel access and no referrals? - ANSWER Our PPO plans Which of the following is true about Cigna Medicare PPO plans? - ANSWER PCP selection is not required, but strongly encouraged Which of the following does Cigna Healthcare seek to improve of those we serve? - ANSWER Both A and B Which of the following customer profiles would best fit any of our PPO plans? - ANSWER Clara, who values...

A morbidly obese client is scheduled for gastric bypass surgery. The client completes the required preoperative nutritional counseling and signs the operative permit. To promote effective discharge planning, which intervention is most important for the nurse to implement? - CORRECT ANSWER Discuss small, low fat, low sugar meal preparation techniques. A client who was splashed with a chemical has both eyes covered with bandages. When assisting the client with eating, which intervention sho...

A nursing instructor is conducting lecture and is reviewing the functions of the female reproductive system. She asks Mark to describe the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH). Mark accurately responds by stating that: A.FSH and LH are released from the anterior pituitary gland. B.FSH and LH are secreted by the corpus luteum of the ovary C.FSH and LH are secreted by the adrenal glands D.FSH and LH stimulate the formation of milk during pregnancy. - ANSWER...

A nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Which of the following instructions would be included on the list? A. Wear a supportive bra B. Rest during the acute phase C. Maintain a fluid intake of at least 3000 ml D Continue to breast-feed if the breasts are not too sore. E. Take the prescribed antibiotics until the soreness subsides. F. Avoid decompression of the breasts by breast-feeding or breast pump. - ANSWER A, ...

What will the nurse identify as symptoms of hypovolemic shock in a patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Temperature of 97.6°F (36.4°C) 2. Restlessness 3. Decrease in blood pressure of 20 mm Hg when the patient sits up 4. Capillary refill time greater than 3 seconds 5. Sinus bradycardia of 55 beats per minute - ANSWER Correct Answer: 2,3,4 Rationale 1: Fever will increase oxygen...

The nurse is administering a dose of digoxin (Lanoxin) to a patient with heart failure (HF). The nurse would become concerned with the possibility of digitalis toxicity if the patient reported which symptom(s)? A. Muscle aches B. Constipation C. Pounding headache D. Anorexia and nausea - ANSWER D. Anorexia and nausea Anorexia, nausea, vomiting, blurred or yellow vision, and cardiac dysrhythmias are all signs of digitalis toxicity. The nurse would become concerned and notify the heal...

Assessment of a 16-year-old nulligravid client who visits the clinic and asks for information on contraceptives reveals a menstrual cycle of 28 days. The nurse formulates a nursing diagnosis of Deficient Knowledge related to ovulation and fertility management. Which of the following would be important to include in the teaching plan for the client? A) The ovum survives for 96 hours after ovulation, making conception possible during this time. B) The basal body temperature falls at le...

The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour? 1. Urine output of 20ml/hour 2. Temperature of 37.6 C 3. Blood pressure of 114/70 4. Serous drainage on the surgical dressing - ANSWER 1. Urine output should be maintained at a minimum of 30mL/hour for an adult. An output of less than that for each of 2 consecutive hours should be reporte...

The nurse is one of several people who witness a vehicle hit a pedestrian at a fairly low speed on a small street. The individual is dazed and tries to get up, and the leg appears fractured. The nurse should plan to perform which action? - ANSWER Stay with the person and encourage the person to remain still. The nurse witnesses a client sustain a fall and suspects that the client's leg may be fractured. Which action is the priority? - ANSWER Immobilize the leg before moving the clien...

The nurse is reviewing the record of a client with a dx of cirrhosis and notes that there is documentation of the presence of asterixis. How should the nurse assess for its presence? Dorsiflex the foot Measure abdominal girth Ask pt to extend the arms Instruct pt to lean forward - ANSWER Ask the pt to extend the arms Asterixis is irregular flapping movements of the fingers and wrists when the hands and arms are outstretched, with the palms down, wrists bent up, and fingers spread. I...

Which statement is true regarding falls in the elderly? A. Most falls occur in the garage. B. Hip fractures resulting from falls are a leading cause of placement in long-term care facilities. C. Fall risk decreases with addition of medications. D. Sedatives reduce the risk of falls. - ANSWER B. Hip fractures resulting from falls are a leading cause of placement in long-term care facilities. Appropriate nursing care for a patient with urinary incontinence is to: A. insert an i...

CHAMBERLAIN NR599 NURSING INFORMATICS VALUE PACK (CONTAINS STUDY GUIDE, MIDTERM AND FINAL EXAM) Download to score A+

Chapter 1. Assessment and Clinical Decision-Making: OverviewMultiple Choice Identify the choice that best completes the statement or answers the question. 1. Which type of clinical decision-making is most reliable? 1. Intuitive 2. Analytical 3. Experiential 4. Augenblick 2. Which of the following is false? To obtain adequate history, health-careproviders must be: 1. Methodical and systematic 2. Attentive to the patient’s verbal and nonverbal language 1. Able to accurately interpre...

Smart documentation forms - ANSWER forms that are tailored based on patient data to emphasize data elements pertinent to the patient's conditions and healthcare needs. Order sets, care plans and protocols - ANSWER Structured approaches to encourage correct and efficient ordering, promote evidence-based best practices, and provide different management recommendations for different patient situations. Parameter guideline - ANSWER algorithms to promote correct entry of order...

general principles of nursing informatics - ANSWER essential skills related to informatics deemed appropriate nursing informatics - ANSWER integrates nursing science with multiple information and analytical sciences to identify define manage and communicate data information knowledge and wisdom and nursing practice nomenclature - ANSWER naming system classification system - ANSWER assistant that captures categories that are used for cost or clinical documentation inte...

Ethical Decision Making - ANSWER -Process that requires striking a balance between science and morality -Making informed choices about ethical dilemmas based on a set of standards differentiating right from wrong. Ethical Decision Making Process - ANSWER 1. Identify the ethical dilemma 2. Discover alternative actions 3. Decide who might be affected 4. List the probable effects of the alternatives 5. Select the best alternative Rational justification - ANSWER developed...

knowledge - ANSWER The awareness and understanding of a set of information and the ways that information can be made useful to support a specific task or reach a decision. widsom - ANSWER knowledge applied in a practical way or translated into actions: the use of knowledge and experience to heighten common sense and insight so as to exercise sound judgement in practical matters. Sometimes thought of as the highest form of common sense. Wisdom is the ability to apply valuable an...