NCLEX Mastery Nursing Fundamentals ScienceMedicineNursing SZeidler12 Save Pharmacology NCLEX Questions 49 terms notnursingPreview
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75 terms rubyyrubyyPreview ATI - Human Growth and Developm...15 terms jaysasmithPreview Exam C 103 term sum A community health nurse is conducting health teaching on preventing food borne illnesses among high risk individuals. The nurse emphasizes the importance of proper food handling, food buying, and eating. Which of the following should be included?Never buy unpasteurized milk Do not eat raw ground beef Clean the wheel of the can opener after every use A nurse is reviewing a physician order for a medication that she does not recognize. After the nurse looks up the medication in a drug reference with no success, which should she do next?Contact the pharmacist- a pharmacist is the most reliable source of information about medications After the physician explains the risks and benefits of a surgery, the patient signs the consent form. A few hours later, the patient asks the nurse about the risks and asks if there is an alternative to surgery. Which action should the nurse take?Notify the physician.A nonprofit healthcare organization has had a large increase in revenue over the past year without an increase in expenses. What action can be anticipated?The revenue is distributed across every department for patient service improvement.**Non profits do not have stockholders, do not make a profit, and do not distribute revenue as bonuses
A postop patient is in the post-anesthesia care unit (PACU) after undergoing an appendectomy. The nurse assessed the patient's vitals with a temp of 94.5 degrees F. What should the nurse do?Apply a forced warm air blanket Continue to monitor vital signs **Heat loss commonly occurs during surgery The nurse is caring for a patient with an IV infiltration from normal saline. The nurse first stops the infusion. What additional action demonstrates an appropriate response?Apply a warm compress Remove the IV line Document the finding Elevate the limb A nurse on a med surge floor is preparing to discharge a patient. The patient still has an IV access that needs to be removed. While preparing the discharge instructions, the nurse should delegate this task to which of the following personnel?The LPN The nurse is preparing to administer potassium chloride, 20 mEq in 100 ml solution over 2 hours. The IV tubing has a drip rate of 15 gtt/ml. What is the drip rate?13 gtt/minute 100mL/120 minutes x 15 gtt/ml = 12.5 **half drip is impossible, round up A home health nurse makes weekly visits to an 87 year old client who lives with her son. When home alone, the client is talkative and friendly, but when the son is home the client is observed to be withdrawn and appears anxious. The client has bruises which she states is from "bumping into things" and a weight loss of 10 lbs in the past month. With these objective findings, the nurse is required to do which of the following?Report suspected abuse to Adult Protective Services so an investigation into the client's welfare can be preformed Ask the client if she has any concerns about her living situation, maintaining an objective, non-accusatory role Which of the following MUST be done by an RN and not a nursing assistant?Suctioning Patient teaching Ambulation post-op day 1 Admitting a patient from the post anesthesia care unit
A nurse is administering a vesicant chemotherapy agent. Which of the following actions is MOST important to protect the patient from extravasation?Check for blood return in the IV line before starting infusion A patient in a long term care facility has been increasingly disruptive and difficult to manage, crying loudly about wanting to leave and running in the halls at times. He is not aggressive but is loud and rude to staff Since dinner is about to be served, one of the nurses on the unit suggests giving him a dose of Temazepram PRN that is ordered for sleep to calm him down so they can manage the milieu easier. Which of the following would be the appropriate nursing action?Ask the physician to discuss a new PRN order with the patient- the patient may benefit from a PRN medication, but it is unethical to give a PRN drug for sleep to an agitated patient in the afternoon for staffs convenience A patient is receiving isotonic fluids IV at a rate of 150 ml/hour. Which of the following would indicate a need for more IV fluids?Dry mucous membranes Decreased skin turgor Amber urine A female patient is diagnosed with an acute myocardial infarction. The patient is a young mother with two children and works full time as a secretary. When planning care for this patient, which of the following nursing diagnoses would the nurse identify as the priority diagnosis?Ineffective tissue perfusion- if this is not resolved, death may result from cardiac damage of complication of the MI A physician not involved in the patient's care asks to see the results of his hemoglobin A1C test. Which of the following reflects how the nurse should respond?I can't give you that information- HIPAA A patient with a potassium level of 2.9 mEq/L is prescribed potassium chloride, 40 mEq IV. The patient only has a peripheral IV. The nurse should administer this medication Over 4 hours A nurse is preparing for the discharge of a patient with type 1 diabetes with a history of pulmonary embolism. The physician writes an order for heparin to be continued at home. "5000 u heparin sodium by subcutaneous injection twice daily for 1 week" which of the following should the nurse do next?Contact the physician- "u" should not be used, write out "units" Terms (17) Hide definitions