Download NURS 100 Josephine Morrow Diagnosis: Venous stasis ulcer Feedback Log; Score 100% and more Exams Nursing in PDF only on Docsity!
NURS 100 Josephine Morrow Diagnosis: Venous stasis ulcer
Feedback Log; Score 100%
Which health-care setting would the registered nurse (RN) recommend for a client who needs further inpatient therapy after sustaining a stroke?
Nursing home
Rehabilitation center
Assisted living center
Ambulatory care center
- rehab center A nurse visits a high school to give a presentation on HIV prevention. In what role is this nurse acting?
Direct care provider
Communicator
Client advocate
Leader
- Communicator Which nurse would fall into Benner's stage of being an expert nurse?
A nurse who reviews laboratory results and notices a client has an elevated potassium level
A nurse who assesses a client and believes that something is not right and notifies the health- care provider
A nurse who manages the care of four complex clients, but becomes upset when making an incorrect clinical decision
A nurse who asks for a multidisciplinary client care conference to coordinate services and determine needs due to an ability to see the big picture of the client's needs
A nurse who assesses a client and believes that something is not right and notifies the health- care provider Which nursing degrees are research-focused? Select all that apply.
Doctor of Nursing Practice (DNP)
Doctor of Nursing Science (DSN/DNSc)
Doctor of Philosophy (PhD)
Doctor of Public Health (DPH)
Evidence-based practice
Information technology integration
Quality improvement In which capacity would a clinical nurse specialist best serve a health-care facility?
Providing direct client care
Diagnosing and treating diseases
Conducting preoperative client screening
Educating clients and families on disease management Educating clients and families on disease management
. Which are primary purposes of nursing care? Select all that apply.
Health promotion
Illness prevention
End-of-life care
Family planning
Medication planning Rationales
Health promotion
Illness prevention
End-of-life care Which statement best describes how Florence Nightingale's theory benefits nursing today?
Hand hygiene greatly decreases nosocomial infections.
Nurses assist clients in being independent in managing diseases.
Therapeutic communication is utilized in mental health nursing.
Diversity and culturally competent nursing care is incorporated into client care. Hand hygiene greatly decreases nosocomial infections. Which are common responsibilities of the state boards of nursing? Select all that apply.
Describing a level of competency for nursing care
Providing approval for nursing education programs
Medicaid
A specialty program
A charitable organization
Health maintenance organization (HMO) plan 2 Which health-care setting would the registered nurse (RN) recommend for a client who needs further inpatient therapy after sustaining a stroke?
Nursing home
Rehabilitation center
Assisted living center
Ambulatory care center
- rehab center A nurse visits a high school to give a presentation on HIV prevention. In what role is this nurse acting?
Direct care provider
Communicator
Client advocate
Leader
- Communicator Which nurse would fall into Benner's stage of being an expert nurse?
A nurse who reviews laboratory results and notices a client has an elevated potassium level
A nurse who assesses a client and believes that something is not right and notifies the health- care provider
A nurse who manages the care of four complex clients, but becomes upset when making an incorrect clinical decision
A nurse who asks for a multidisciplinary client care conference to coordinate services and determine needs due to an ability to see the big picture of the client's needs
A nurse who assesses a client and believes that something is not right and notifies the health- care provider Which nursing degrees are research-focused? Select all that apply.
Doctor of Nursing Practice (DNP)
Doctor of Nursing Science (DSN/DNSc)
Quality improvement
Interprofessional teams
Evidence-based practice
Information technology integration
Quality improvement In which capacity would a clinical nurse specialist best serve a health-care facility?
Providing direct client care
Diagnosing and treating diseases
Conducting preoperative client screening
Educating clients and families on disease management Educating clients and families on disease management
. Which are primary purposes of nursing care? Select all that apply.
Health promotion
Illness prevention
End-of-life care
Family planning
Medication planning Rationales
Health promotion
Illness prevention
End-of-life care Which statement best describes how Florence Nightingale's theory benefits nursing today?
Hand hygiene greatly decreases nosocomial infections.
Nurses assist clients in being independent in managing diseases.
Therapeutic communication is utilized in mental health nursing.
Diversity and culturally competent nursing care is incorporated into client care. Hand hygiene greatly decreases nosocomial infections. Which are common responsibilities of the state boards of nursing? Select all that apply.
An impoverished 55-year-old client has accrued a large hospital charge after emergency surgery and is unable to pay the bill. What insurance can the nurse recommend to the client to help with the cost? Select all that apply.
Medicare
Medicaid
A specialty program
A charitable organization
Health maintenance organization (HMO) plan 2 A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions? "I will place a bath seat in my shower to use when I bathe." A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take? Check that the client lifts the walker and then places it down in front of her. A nurse is preparing to assist a client who can partially bear weight and is cooperative with transfer from the bed to a chair. Which of the following actions should the nurse take to maintain safety during the transfer? Use a powered standing-assist lift.
A nurse is assessing a client's ability to ambulate with crutches using a three-point gait: Which of the following actions should the nurse identify as a risk to the client's safety? The client places partial weight on the affected leg. A nurse is caring for a client who has emphysema and has difficulty with mobility. The client receives home health care and spends most of his day in a reclining chair. Which of the following physiological responses to prolonged immobility should the nurse expect? Increased calcium excretion A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first? Turn the client's head to the side. A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching? "Move objects away from the client." A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility? A reddened area over the sacrum An older adult client presents to the clinic and states, "I just can't climb up the stairs like I used to." Which of the following responses is appropriate for the nurse to make? "As we get older, we lose some muscle force which means you might not have the power to climb stairs like you used to." A nurse is preparing to transfer a client who has left-sided weakness from a sitting position in bed to a chair. Which of the following actions should the nurse take? Lock the wheels on the client's bed.
RR ranges adults infants newborns adult: 12- 20 infant: 25- 60 newborn: 30- 60 Equipment for Temp
- electronic
- paper
- strips what type of thermometer is commonly used in operating room? strips Equipment for BP
- steth + sphy
- electronic Equipment for HR
- watch with second hand
- electronic Equipment for RR
- watch with second hand
- electronic Numeric Pain scale 0 - 10
High blood pressure (hypertension) stage 1 systolic 130-139 or diastolic 80- 89 When to assess vital signs (7)
- on admission
- if LOC
- change in client condition
- before and after surgery
- before and after activity that may increase risk such as ambulation
- before giving meds that affect resp or cardio
- per policy on facility What are factors that affect the frequency of assessment?
- clients medical diagnosis
- co-morbidities
- types of treatment they receieved
- client level of acuity Factors affecting body temperature (5)
- circadian rhythm
- age
- gender
- stress
- environment What the types of fevers?
- intermittent
- remittent
- sustained or continuous
- relapsing or recurrent intermittent fever
ex: fan blowing air onto a person hyperthermia range 40°C (104°F) hypothermia range 95 or below 35 S/S of hyperthermia
- flushed hot skin
- increased HR
- Increased RR
- loss of appetite
- Malaise / weakness
- Seizures normal temperature oral 96.6-99. normal temperature rectal 97.4-100. normal temperature axillary 95.6-98. normal temperature tympanic 98.2-100. normal temperature temporal
What is a pulse? the dilation of arteries that occurs with the beating of the heart This corresponds to the bounding of the blood flow through various points in the circulatory system pulse A pulse meausres the heart rate and rhythm Pulse is regulated by ANS - through the SA Pulse and parasympathetic stimulation decreases HR Pulse rate = number of contractions over a peripheral artery in 1 minute areas to palpate a pulse
- carotid
- brachial
- radial
- femoral
- tibial
- popliteal
- pedal
