NUR 195 Final Review | 100% Correct Answers | Verified | Latest 2024 Version, Exams of Nursing

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NUR 195 Final Review | 100% Correct

Answers | Verified | Latest 2024 Version

You are doing a group teach at a community health about cancer prevention and detection. What points would you include in this teaching? (4 SATA) - ✔✔Applying sunscreen to the top of the ears, having moles checked if they are different colors or have color around them, reporting a change in bowl or bladder habits, and reporting a cough that just won't go away. Which activities will the nurse complete by collaborating with the patient? (2 SATA) - ✔✔Planning health promotion activities, planning exercise regimen Which of these tools will you use to determine if a plan of care was successful? (3 SATA) - ✔✔Clinical judgement, nursing process, collaborative care planning. You have a patient with dementia. What information will you share with the UAP when delegating care (3 SATA) - ✔✔Keeping the bed in the lowest position with a floor pad, assist the patient with toileting q2h, placing personal belongings close to the patient. Which information will lead the nurse to administer only 1 tablet for pain management? (3 SATA) - ✔✔Hx of hepatic insufficiency, patient scoring pain 4/10, if the patient has renal failure. Which actions are consistent with safe and effective care for an LPN? (4 SATA) - ✔✔Collecting objective and subjective data, evaluating effective nursing interventions, intervening with interventions when complications arise, and contributing to the modification of a nursing care plan What are things you should consider when delegating to a UAP? (3 SATA) - ✔✔Qualifications of the UAP, individual needs of the patient, acuity of the patient, and the complexity of the task. You have a family member who is dissatisfied with the care being provided to their loved one. What actions would you take? (3 SATA) - ✔✔Explain the correct process for the complaint, Ask the UAP to bathe the resident immediately, Accompanying the family member to the room to assess the situation.

A family member is concerned about their loved one's pain level, but they cannot receive pain medication for a while. What actions will you do? (3 SATA) - ✔✔Stay calm and speak in a soothing tone, conduct a thorough pain assessment, express empathy when speaking to the loved one You overhear a UAP scolding a patient. What action will you take? (2 SATA) - ✔✔Enter the room and ask the UAP to step out into the hall to speak with them, report the incident to a unit manager. Which findings would indicate adequate ventilation? (2 SATA) - ✔✔O2 stat of 98%, nail beds are good with good cap refill What are the 5 rights of delegation? (3 or 4 SATA) - ✔✔Right supervision, Right direction, Right circumstance, and (possibly right client?) Patient is dx with type 1 diabetes and you want to prevent Type I Diabetes complications. Which statement requires further teaching? - ✔✔I need to check my blood sugar AFTER every meal You are about to discharge a patient on Oxygen. What information will you include in their discharge. - ✔✔Securing oxygen cylinders so they do not fall over. Which patient would you prioritize first in this situation? - ✔✔A patient that began new meds and has swelling of their lips. You are explaining hospital physiology that the patient is active in planning their care. Which statement verbalizes understanding of the patient's activeness in planning their care - ✔✔"We can work together to adjust my plan of care as needed." What information would a nursing team emphasize to encourage a more collaborative environment? - ✔✔Highlight that no SINGLE profession can meet all the needs of the patient. Which patient can an RN delegate to an LPN when inserting an IV? - ✔✔A 60 year old scheduled for hip surgery.

Which patient would have the highest priority? - ✔✔A patient with a PICC line and fever of 102 When will the nurse initiate the educational plan for this patient? - ✔✔On admission along with the initial assessment You have a diabetic patient who states "I can't live without chocolate" How will you adapt teaching with this patient? - ✔✔Checking the glucose log and incorporating it when it's at it's lowest. What behavior provides the best indication of a family's ability to care for a child with a chronic illness? - ✔✔The family is willing to learn You have given a breathing treatment and the patient's condition has improved. What type of thinking will help you connect with the patient's response. - ✔✔Reflecting "IN" action You have a patient having an asthma attack. Which action relates to care coordination? - ✔✔Calling a respiratory therapist to initiate oxygen therapy. You have a patient that has shortness of breath, diaphoresis, and they have cyanosis. What action will you take immediately? - ✔✔Putting the patient in high fowlers You were unable to change a wound dressing on your shift. How will the nurse manager respond? - ✔✔"Let's talk about why this happened." Which statement by the UAP requires immediate follow-up? - ✔✔UAP says "I will remove the IV prior to discharge" Which task can you delegate to a UAP? - ✔✔Administering a cleansing and soothing enema. Which action by the UAP requires further teaching? - ✔✔Teaching the patient alternatives to painful exercises

What can you delegate to UAP regarding skin tears? - ✔✔Application of a transparent dressing. Which task can you delegate to a UAP? - ✔✔Transporting a patient to a rehab unit. You have a UAP that documented a pulse ox of 70%. How should you respond? - ✔✔Assess the patient What information should you include when discussing the importance of maintaining professional boundaries? - ✔✔Refrain from social media contact Which observation reflects a positive work environment that encourages team building? - ✔✔The manager sitting in the nurse's lounge and asking if there is anything you would like to talk about. You are having trouble completing all your work by the end of your shift. What would you use as an improvement strategy for this nurse? - ✔✔Prioritization of patient care UAP never completes their daily weights on time. How would the nurse manager respond? - ✔✔If you could please weigh your assigned residents and report back to me by 10 AM. Which scenario is consistent with national patient safety goals? - ✔✔Checking the patient's INR and holding their warfarin due to an INR of 5 Which statement by the LPN demonstrates the need for further teaching? - ✔✔"I will be trained to rotate into a charge nurse position with RN's underneath me." Which type of leadership displays little to no trust and no confidence in employees and therefore makes all the decisions? - ✔✔Autocratic Which scenario is an example of democratic style leadership? - ✔✔RN delegating the staff schedule to a LPN. The LPN have the nursed vote.

Which strategy demonstrates transformational leadership? - ✔✔Develops a vision statement and an action plan to achieve the goal and working with the involved departments to implement the goal. The UAP has repeatedly failed to complete their assigned work. What would you do to ensure the UAP understands the expectations? - ✔✔Direct the UAP to write down the instructions. Patient has been ordered wrist restraints. What actions would you take? - ✔✔Ensure the restraints are secured with a quick-release tie You have an order for cefazeolin 1Gram via IV piggyback. What action would you take? - ✔✔Call the nurse practitioner to clarify the order. (The order is missing information) Who is responsible for establishing nursing standards of practice?PAA) - ✔✔OBN Which healthcare policy was developed to prevent employers from denying health insurance to employees with pre-existing conditions? - ✔✔Health information portability and accountability act of 1996 (HIPAA) What information would be important to including when providing a definition of health policy? - ✔✔Public policy made to support health related goals Patient states they do not understand what HIPAA is. What information would you include? - ✔✔Limits the ability of healthcare providers to sell patient information to outside sources Patient has answered "Yes" to all the cage questions. You suspect the patient is in denial if the patient states what? - ✔✔"I don't have a problem, I can quit anytime!" You have a patient experiencing alcohol withdrawal, what would be the nurse's initial response? - ✔✔Ensure a safe, calm, and comfortable environment.