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- 5. Effective communication is essential for ensuring patient safety Question options: A) True B) False1. When reading a medical record, you notice the following documentation: Patient states, "f have had Tow back pain and burning sensation every time that I urinate in the past days and is worsening, and now I am having fever and chills." This is an example of: a. Past history b. A Review of systems c. A functional assessment d. A reason for seeking care / chief complaint ANSWER: RATIONALE: 2. Which of the following actions is most appropriate to verify the reliability of the information provided by the patient during the interview? a. Provide the patient with a printed history to complete and then compare the data provided b. Rephrase the same questions later in the interview Review the patient's previous medical records. d. Call the nearest relative to verify the data provided. с. ANSWER: RATIONALE: 3. During an interview for health history, the student nurse asks, "Mrs Cassandra O'Connor, what do you do when you experience chest pain?" the student nurse is seeking which of the…2. A 2-year-old child is receiving temporary total parenteral nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? A. Use aseptic technique during dressing changes. B. Maintain central line catheter integrity. C. Monitor serum glucose levels. D. Check results of liver function tests.
- 1. There are at least three AMD discussions between Justin's parents (or mother) and his physician. Describe each experience (location or situation, conversation) then identify the concerns his parents had and those the physician had with each discussion. 2. After viewing the discussions of AMDS with Justin's mother, identify (and provide an example) of at least three challenges of presenting AMDs to family members. 3. Identify the life sustaining treatments Tim's mother and Alex's parents implemented for their children. How did these parents consider their children's self- determination rights in their decisions regarding care? 4.Along with AMDs, what are other concerns a family must contend with when dealing with a family member with a terminal illness?7. What techniques encourage patient disclosures while minimizing the risk for distorting the patient's ideas or missing significant details? (Mark all that apply.) a. Asking a series of questions, one at a time b. Using reflection c. Asking only open-ended questions d. Encouraging with repetition e. Offering multiple choices for answers ANSWER: RATIONALE: 8. A student nurse is conducting her first patient interview. The student suddenly draws a blank on what to ask the patient next. What is a useful interview technique for the student to use at this point? a. Transition b. Summarization c. Reassurance d. Termination ANSWER: RATIONALE: 9. During one of your clinicals you encounter a patient who becomes silent during the nursing interview. What would be appropriate for you to do? (Mark all that apply.) Appear attentive b. Reassure the patient Change the subject you are asking about d. Ask your question again Watch the patient closely for nonverbal cues a. с. е. ANSWER: RATIONALE: 10.…A nurse is monitoring a patient who is receiving an IVinfusion of normal saline. The patient is apprehensive andpresents with a pounding headache, rapid pulse rate, chills,and dyspnea. What would be the nurse’s priority interventionrelated to these symptoms?a. Discontinue the infusion immediately, monitor vitalsigns, and report findings to primary care providerimmediately.b. Slow the rate of infusion, notify the primary care providerimmediately and monitor vital signs.c. Pinch off the catheter or secure the system to prevent entryof air, place the patient in the Trendelenburg position, andcall for assistance.d. Discontinue the infusion immediately, apply warm, moistcompresses to the site, and restart the IV at another site.
- 3. Tom is ready to be discharged from the medical-surgical unit after 5 days of hospitalization. Which client statement indicates to the nurse that Tom understands the discharge teaching about cellular injury? A. "I do not have to see my doctor unless I have problems." B. "I can stop taking my antibiotics once I am feeling better." C. "If I have redness, drainage, or fever, I should call my healthcare provider." D. "I can return to my normal activities as soon as I go home.1. The nurse is conducting a health teaching to a patient during administration of a drug. Which of the following statements accurately describe an adverse drug effect? (Select all that apply.) a. An anaphylactic reaction is a life-threatening immediate reaction to a drug that results in respiratory distress, sudden severe bronchospasm, and cardiovascular collapse. b. A drug allergy is always manifested immediately after the patient receives the medication c. A cumulative effect occurs when the body becomes accustomed to a particular drug over a period of time. An idiosyncratic effect is any abnormal or peculiar response to a drug that may manifest itself by over response. under response, or a response different from the expected outcome. d. Drug tolerance occurs when the body cannot metabolize one dose of a drug before another dose is administered.11) 1 11 I The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include? Normal A. Breastfeed frequently. B. Inspect the infants' ears daily. C. Avoid smoke exposure. D. Position prone after feeding. No S 12) A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare provider prescribes diazepam 0.3 1/mly
- 1. What is one of the most common types of fatal medication errors? a. Giving the medication at the wrong time b. Omitting a medication dosage c. Giving an insufficient amount of medication3. The nurse is caring for a client diagnosed with acquired immunodeficiency syndrome (AIDS). Which sign/symptom indicates the presence of an opportunistic respiratory infection?A. Nausea and vomitingB. An arterial blood gas pH of 7.40C. A respiratory rate of 20 breaths per minuteD. Fever and exertional dyspnea4. In teaching a patient with SLE about the disorder, the nurse knows that the pathophysiology of SLE includesA. an autoimmune T-cell reaction that results in destruction of the deep dermal skin layer.B. circulating immune complexes formed from IgG autoantibodies reacting with IgG. C. the production of a variety of autoantibodies directed against components of the cell nucleus. D. immunologic dysfunction leading to chronic inflammation in the cartilage and muscles. 5. Validating / verifying data is an activity in the assessment. What are the techniques appropriate to verify questionable information? 1. Double-check information that is inconsistent with patient cues.2. Double…1. The nurse in the vascular critical care unit is working with an LPN who was pulled to the unit as a result of high census. Which task is most appropriate for the nurse to assign to the LPN? a. Assess the client who will be transferred to the medical unit in the morning. b. Administer a unit of blood to the client who is 1 day postoperative. c. Hang the bag of heparin for a client diagnosed with a pulmonary embolus. d. Assist the HCP with the insertion of a client's Swan-Ganz line.