Uworld PN,Hurst part 2,NCSBN PN

Uworld PN,Hurst part 2,NCSBN PN Leave the first rating Students also studied Terms in this set (1750) Science MedicineNursing Save STAT 330 - Chapter 9 33 terms dylmann15Preview NCLEX 127 terms ssutherland11Preview Vocab Quiz 1 15 terms kaylabayazitoglu Preview u.s stat 50 terms niki Following a surgical procedure, a pneumatic compression device is applied to the adult client. The client reports that the device is hot and the client is sweating and itching. Which of the following steps should the nurse take? (Select all that apply.) Check for appropriate fit Confirm pressure setting of 45 mm Hg Explain that the health care provider ordered the device and it cannot be removed Collaborate with health care provider for anti-embolism stockings to be worn under the sleeves of the device Inform the client that removing the device will likely result in the formation of deep vein thrombosis Check for appropriate fit Correct!Confirm pressure setting of 45 mm Hg Correct!Collaborate with health care provider for anti-embolism stockings to be worn under the sleeves of the device Correct!In any situation in which a client has discomfort associated with a medical device, the nurse should ensure it is applied correctly and functioning safely. The usual safe and effective pressure range is 35 to 55 mm Hg. Explanations to the clients should support their informed decision-making capabilities and should not be phrased to intimidate or remove client autonomy. Applying anti-embolism stockings under the disposable sleeves of the device may help with the sweating and itching.

The client is admitted with a diagnosis of ulcerative colitis.Which laboratory values should the nurse be sure to check? (Select all that apply.) Hematocrit and hemoglobin Blood urea nitrogen (BUN) T3 and T4 count Erythrocyte sedimentation rate (ESR) White blood cell count (WBC) Albumin Hematocrit and hemoglobin Correct Response Erythrocyte sedimentation rate (ESR) Correct!White blood cell count (WBC) Correct Response Albumin Correct!Submit Decreased hematocrit and hemoglobin may reveal the client has anemia as a result of the bloody diarrhea characteristic of this inflammatory bowel disease A low protein albumin level would indicate that the client is experiencing a nutritional deficit due to malabsorption. Increased numbers of white blood cells and an elevated erythrocyte sedimentation rate (ESR) indicate active inflammation. Blood urea nitrogen is related to kidney function and T3 and T4 are related to thyroid function; these lab values do not provide information related to the diagnosis.The client is diagnosed with post-traumatic stress disorder (PTSD). What are the some of the more common treatment options for PTSD? (Select all that apply.) Opioid analgesics Selective serotonin reuptake inhibitors (SSRIs) Eye movement desensitization and reprocessing (EMDR) Cognitive behavioral therapies Opioid analgesics Selective serotonin reuptake inhibitors (SSRIs) Correct!Eye movement desensitization and reprocessing (EMDR) Correct Response Cognitive behavioral therapies Correct Response The only two FDA approved medications for the treatment of PTSD are the SSRIs sertraline (Zoloft) and paroxetine (Paxil). There are other medications that are helpful for specific PTSD symptoms, but narcotics should not be used since they don't relieve psychogenic pain and there's a risk of dependence. Most people who experience PTSD undergo some type of psychotherapy, most commonly cognitive-behavioral therapy and/or group psychotherapy, EMDR and hypnotherapy.The nurse is assessing the client during a home health

visit and the client states: "I had physical therapy

yesterday. I thought it was supposed to help but my back hurts so much after each visit." The nurse's responsibilities include which of the following actions? (Select all that apply.) Tell the client to take the prescribed pain medication Report the client's findings to the nursing supervisor for further assessment Report the client's findings to the physical therapist Gather more information about the location, duration and intensity of the pain Offer to help the client make an appointment with the physician about the back pain Report the client's findings to the nursing supervisor for further assessment Correct Response Report the client's findings to the physical therapist Correct Response Gather more information about the location, duration and intensity of the pain Correct!The needs of the client can be best addressed by further assessment of the client (collecting more information about the findings of pain) and then communicating the client's needs to the interdisciplinary team members. Before any medication is given or any appointments are made, more information about the pain is needed.

A severely injured client is moved into an examination area of the emergency department. The family member who accompanied the client to the ED is screaming at the nurse, saying that someone better start doing something right away. What is the best response by the nurse?"I need you to go to the waiting area. You can come back when you're more in control." "I'm going to give you a few minutes alone so you can calm down." "I can't think when you are yelling at me. Talk to me in a normal voice." "I know you are upset. But please control yourself and sit down. Otherwise I will have to call security." "I know you are upset. But please control yourself and sit down. Otherwise I will have to call security." Correct!Most violent behavior is preceded by warning signs, such as yelling or swearing.The challenge for nurses is to apply interventions that de-escalate a person's response to stressful or traumatic events. The keys to effective limit setting are using commands to express the desired behavior and providing logical and enforceable consequences for noncompliance. Nurses should acknowledge the agitated person's feelings and be empathetic, reminding him or her that they are there to help.Which nursing practice best reduces the chance of communication errors that might otherwise lead to negative client outcomes?Use standardized forms for client handoffs Speak using a professional tone on the telephone Maintain respectful working relationships with all staff Document nursing care at the end of the shift Use standardized forms for client handoffs Correct Response Standardized forms improve information for communication between caregivers.Most problems/poor outcomes involve some element of poor communication.The options of keeping good working relationships and using a professional tone of voice on the phone is good practice but not as useful for minimizing the chance of errors. Documenting at the end of the shift is incorrect practice and may lead to poor communication, as critical findings may be forgotten and not recorded.The nurse is using the SBAR technique to communicate with the health care provider. Which of the following phrases would be associated with "B-Background"?"Vital signs are..." "I would like you to..." "The client's treatments are..." "I'm not sure what the problem is, but the client's condition is deteriorating." "The client's treatments are..." Correct Response The correct option gives the health care provider background information about the client, including age, primary diagnosis, treatments, etc. Stating that the client's condition is deteriorating is the situation (S). Stating, "I would like you to..." is the request or recommendation (R). Vital signs are part of the assessment (A).Using SBAR is an effective technique used to improve communication with other members of the health care team. This, in turn, helps to foster a culture of safety.A 90 year-old is readmitted to the hospital, less than 2 weeks after being discharged, for the same health concern. What factors contribute to hospital readmissions among older adults? (Select all that apply.) Poor communication among providers Client health status Excellent primary care Family preferences Reconciliation of medications Poor communication among providers Correct!Client health status Correct!Family preferences Correct!Avoidable hospitalization, especially among older adults living in skilled nursing facilities, usually results from multiple system failures. The reasons most often cited include inadequate primary care (including inadequate discharge planning and lack of reconciliation of medications), poor care coordination, poor skilled nursing facility quality of care, poor communication among providers and even family preferences. Not all illnesses can be anticipated and clients with more complex health issues are readmitted more often, regardless of quality or coordination of care.

Two members of the interdisciplinary team are arguing about the plan of care for a client. Which action could any one of the members of the team use as a de- escalation strategy?Interrupt, apologize for interruption, and change the subject Adjourn the meeting and reschedule when everyone has calmed down Tell the violators they must calm down and be reasonable Bring the communication focus back to the client Bring the communication focus back to the client Correct Response Bringing the subject of the communication back to the client refocuses attention on the client's care, instead of the manner of communication. It is the most effective strategy because it is an example of collaboration. The other options are non-productive and may even make matters worse.Incorrect AnticholinergicsAtropine GI - Slows motility, spasm Eyes - Dilates pupils DO NOT GIVE TO GLAUCOME PTS Heart - Increase HR Resp - bronchodilator (Atrovent), and dry secretions Anticholinergis side effectspupillary dialtion dry mouth urinary retention constipation atony contraindicated in closed /narrowangle glaucoma,bowel ileus,and urinary retention.Medications given to mom after placenta is out PIT in bag of LR Methergine if she is still bleeding profusely so she doesn't hemmorhage Any mother who were inducted with PIT are at risk for hemmorhage medications given for open fracturesCefazolin(ancef) Cylobenzaprine(flexeril) Tetanus or diphteria toxoid Ketorolac(Toradol) Opioids Enoxeparin (Lovenox)anticoagulant antocoagulantsCoumadin (warfarin) Prescribed in treatment and prevention of thomboembolic disorders.Enoxeparin,aspirin,heparinvalidate prescription before administer terazosinalpha adregernic blocker/it relaxes smooth muscles including peripheral vasculature can relieve urinary retention bening prostatic hyperplesia in BPH place at risk for falls take at bed time change positios slow can cause ejaculatory dysfunction