Final Exam: PRN1725/ PRN 1725 (NEW 2024/ 2025 Update) Client-Centered Care IV, Exams of Nursing

Download Final Exam: PRN1725/ PRN 1725 (NEW 2024/ 2025 Update) Client-Centered Care IV and more Exams Nursing in PDF only on Docsity! Final Exam: PRN1725/ PRN 1725 (NEW 2024/ 2025 Update) Client-Centered Care IV| Review with Questions and Verified Answers| 100% Correct| A Grade– Rasmussen QUESTION which quality and safety education for nurses competency focuses on the client as the source of control and full partner in providing compassionate and coordinated care based on respect for client's preference, value, and needs? Answer: client centered care QUESTION the beginning of the post-op period is when: Answer: when surgery is complete and transfered t opacu QUESTION which of these are signs of fluid volume deficit Answer: •increasing restlessness QUESTION typical duration for acute pain Answer: 6 months QUESTION best time to apply antiembolism stockings Answer: before rising in the morning QUESTION which of the following documentation entries is most correct? Answer: •the client reports sharp pain in their lower abdomen when standing QUESTION best indicator that peristalsis is returning Answer: flatus QUESTION which of these food choices are best when promoting a healthy immune system Answer: •eggs and beans QUESTION what early sign of sepsis, that when recognized and treated, have a good recovery rate? Answer: •reduced urinary output rom ankle-pumps QUESTION expected drainage type from wounds Answer: serous QUESTION qsen recognizes that the use of the national patient safety goals (npsgs) places an additional focus on safety. How are the npsgs determined and adjusted each year Answer: panels of experts review the previous years sentinel events to determine updated goals QUESTION math: ordered to give 0.4mg. Available is: 10mg/20ml. Round to the nearest 100th Answer: •o: 0.4mg •a: 10mg/20ml= 10/20=0.5mg/ml •o/a= 0.4/0.5= 0.8 QUESTION eviscerated bowel interventions sata Answer: •notify surgeon •cover incision with sterile dressing soaked in sterile water •vital signs •instruct client to remain still Document findings QUESTION serious adverse effect of morphine Answer: respiratory depression QUESTION what is the most appropriate time to offer pain medication to a client Answer: when they ask for it QUESTION medical term for bloody drainage Answer: sanguinous QUESTION measures to prevent thrombophlebitis (dvt) sata Answer: •early ambulation at least 3x/day •administer blood thinners like lovenox (enoxaparin) •leg exercises (like ankle pumps) •scds/ted hose QUESTION what vitamin best promotes wound healing Answer: vitamin c QUESTION what action helps you assess wound drainage over time Answer: circling drainage on dressin QUESTION clients using an incentive spirometer should inhale ______ through the mouthpiece while keeping the ball ____ Answer: deeply Afloat QUESTION how often should scd's be 0n the patient Answer: anytime they are in bed QUESTION can immunocompromised patients have artificial nails? Answer: no QUESTION pale red watery drainage= QUESTION which of these iv therapies has the greatest increase in oxygen-carrying capacity for the pt? Answer: •packed red blood cells QUESTION client has sepsis, and you receive the following orders: antibiotics, blood cultures, complete blood count (cbc), and a chem 7. Which do you implement first? Answer: blood cultures QUESTION client recovering from surgery and has the following vitals: hr 120 bpm, bp 70/52 with cool and clammy skin.what do? Answer: call provider QUESTION antibiotics should be taken for how long (in general)? Answer: till they are completed QUESTION antiembolism stockings should be removed how often? Answer: every shift at least 20minutes QUESTION vital signs are as follows: bp- 130/70, hr- 90, rr- 22 and labored, oxygen saturation on room air- 82%. What do? Answer: admin o2 QUESTION math: order 0.25g, avail: 100mg. How many tablets will you give? Answer: o: 0.25g= 250mg A: 100mg O/a: 250/100= 2.5 QUESTION patients should not ____ prior to surgery. If they report they did, then notify surgical team Answer: eat QUESTION a client describes their pain level as a 5 on a 0-10 scale. What other questions would the nurse ask the client? Sata Answer: onset Location Duration Characteristics Aggravating Relieving Timing Severity Oldcarts QUESTION you enter your pt's room at a ltc facility and find your pt is diaphoretic, minimally responsive, with a weak thready pulse. What do? Answer: call ems QUESTION math: the nurse has received a prescription to add 30 meq of potassium chloride to a 1,000-ml bottle of iv fluid. The nurse has a 40-ml, multiple-dose vial of potassium chloride. The label reads 2 meq/ ml. How many milliliters should the nurse add to the iv fluid? (record answer as a whole number Answer: •o: 30 meq •a: 2 meq/ml •o/a: 30/2= 15 QUESTION what type of medication will be used to treat septic shock? Answer: antibiotic QUESTION peripheral catheter Always administered through a central catheter. QUESTION description of pain is a ______ assessment Answer: subjective QUESTION 24 hr urine ouput of 300ml is ______ and requires Answer: abnormal Intervention QUESTION which of the following interventions will improve pulmonary function and decrease the risk of pneumonia? Sata Answer: •cough and deep breathing exercises •use of an incentive spirometer device 10 times every 1-2 hours while awake. •early ambulation QUESTION giving a client a back rub is using what pain control method? Answer: distraction / non-pharm QUESTION thick yellow drainage is called Answer: purulent QUESTION are time outs part of the preop checklist? Answer: no / timeouts are part of the intra-operative period QUESTION if a pt is effectively using an incentive spirometer, they will be able to ______ easier Answer: breath QUESTION math: order 0.2mg/kg, avail 20mg/ml. Wt: 90lbs round to nearest tenth Answer: •o: 0.2mg/kg x 40.909= 8.18mg •a: 20mg/ml •wt: 90lbs/2.2= 40.909kg •o/a= 8.18/20= 0.409= 0.4 QUESTION which of the following actions are regulated by the state boards of nursing? Sata Answer: •nurse licensure •disciplinary actions •scope of practice for nursing QUESTION *methods to encourage return of peristalsis in a post-surgical pt. Sata Answer: •administer iv fluids •encourage ambulation •maintain npo status • •monitor intake & output QUESTION a client is ordered to receive a blood transfusion, but they have a fever. Can the patient still receive the blood? Answer: no QUESTION safest positioning for post-surgical pt who is still lethargic and minimally responsive? Answer: semi fowler QUESTION transfusion reaction...do what first? Answer: palpate bladder for distention QUESTION pt asks about the risk of surgical procedure 1 hr beforehand. What do you do? Answer: call provider/surgeon to speak with pt QUESTION redness at picc line (catheter site), check: Answer: vitals QUESTION pain is ______ to the pt Answer: subjective QUESTION an infection developed while in the hospital is called: Answer: healthcare associate infection QUESTION chest pain, first action Answer: evaluate pain/assess pt QUESTION patients on tpn need bs checks because the tpn can cause the pt's bg to _____ Answer: increase QUESTION laryngectomy priority Answer: patent airway QUESTION which of these is most concerning a few hours after a knee replacement surgery Answer: •cap refill of 7 seconds in toes QUESTION pt diagnosed with sepsis...which finding is most concerning Answer: •increased lethargy QUESTION initial vitals vs reassessment vitals, what do? Answer: document as normal and continue to monitor QUESTION pain management should be ______ to the patient Answer: individualized QUESTION client's need to understand their operation and what the doctor tells them before signing. If they do not: Answer: contact provider