Question Details

[solution] » FADAVISMIDTERM .spacer { line-height:.7em; } .title {

Brief item decscription

Step-by-step solution file


Item details:

FADAVISMIDTERM .spacer { line-height:.7em; } .title {
More:FADAVISMIDTERM <h3><font color='#FF0000'>Javascript not enabled</font></h3> Name: ID:
Email:

FADAVISMIDTERM


Multiple Choice
Identify the choice that best completes the statement or answers the question.
A B C D

1.

Which of the following is an example of an illness prevention activity? Select all that apply.
a)Encouraging the use of a food diary
b)Joining a cancer support group
c)Administering immunization for HPV
d)Teaching a diabetic patient about his diet
A B C D

2.

Which of the following nursing activities represent direct care? Choose all that apply.
a)Bathing a patient
b)Administering a medication
c)Documenting an assessment
d)Making work assignments for the shift
A B C D

3.

Which of the following examples includes both objective and subjective data?
a)The client?s blood pressure is 132/68 and her heart rate is 88.
b)The client?s cholesterol is elevated, and he states he likes fried food.
c)The client states she has trouble sleeping and that she drinks coffee in the evening.
d)The client states he gets frequent headaches and that he takes aspirin for the pain.
A B C D

4.

Who is the primary decision maker when caring for healthy adult clients?
a)Physician
b)Family
c)Client
d)Nurse
A B C D

5.

Which comment made by a woman in her early fifties would be a cue indicating the need for further assessment for a problem?
a)?My skin is so dry I need to use lotion every day after I bathe.?
b)?I have episodes when I feel really hot even when others are not.?
c)?It?s getting harder to lift those big bags of dog food.?
d)?I have to write myself notes because I?m getting so forgetful.?
A B C D

6.

The nurse has instructed a group of parents on common adolescent behavior. Which comment by the parent would indicate the most urgent need for further discussion?
a)?I guess my daughter won?t be asking my opinion very much.?
b)?I?m really going to watch my daughter?s eating habits.?
c)?We are really going to have to think about rules we want to enforce after he gets his driver?s license.?
d)?We don?t keep alcohol in the house, so that?s at least one thing we don?t need to worry about.?
A B C D

7.

Which family would most likely be helpful in encouraging the client to experience a high level of wellness? A family who:
a)Controls feelings in order to avoid conflict.
b)Teaches negotiation skills and independence.
c)Encourages risk-taking and adventure.
d)Views themselves as helpless victims.
A B C D

8.

An adult patient is diagnosed with lung cancer, and surgery to remove the right lung is recommended. The patient is uncertain about whether he should consent to the surgery because of the risks involved. Which nursing diagnosis is most appropriate for this patient?
a)Decisional Conflict
b)Death Anxiety
c)Powerlessness
d)Ineffective Denial
A B C D

9.

A 65-year-old patient is admitted to the hospital with heart failure. The patient?s best friend accompanies her on admission. They have been sharing a home since they each were widowed 3 years ago. Both women have grown children who live out of state. Using the family nursing approach, how can the nurse best intervene?
a)Involve the friend and children in the patient?s care, discharge planning, and home care.
b)Encourage the friend to wait until discharge to provide care for the patient at home.
c)Explain to the friend that for confidentiality reasons she cannot be involved in the patient?s care.
d)Encourage liberal visiting hours by the friend and the patient?s children.
A B C D

10.

Which family member is most likely to be disabled?
a)60-year-old African American male
b)65-year-old Asian male
c)70-year-old Caucasian female
d)75-year-old Native American female
A B C D

11.

A female patient tells the charge nurse that she does not want a male nurse caring for her. Which intervention by the charge nurse is best?
a)Explain that hospital policy does not allow nursing assignments based on the gender of the nurse.
b)Explore with the patient her beliefs and determine which might have caused her to make this statement.
c)Assure the patient that each nurse is capable of providing professional nursing care, regardless of their gender.
d)Comply with the patient?s request and assign a female nurse to care for the patient.
A B C D

12.

A patient?s wife tells the nurse that she wants to be with her husband when he dies. The patient?s respirations are irregular, and he is congested. The wife tells the nurse that she would like to go home to shower but that she is afraid her husband might die before she returns. Which response by the nurse is best?
a)?Certainly, go ahead; your husband will most likely hold on until you return.?
b)?Your husband could live for days or a few hours; you should do whatever you are comfortable with.?
c)?You need to take care of yourself; go home and shower, and I?ll stay at his bedside while you are gone.?
d)?Don?t worry. Your husband is in good hands; I?ll look out for him.?
A B C D

13.

The surgeon enters a computerized order for a patient in the postoperative period after a unilateral thoracotomy for lung cancer. The order states: OOB in AM. Which action indicates that the nurse is following the surgeon?s order? The nurse:
a)Performs oral care
b)Assists the patient out of bed
c)Assists the patient with bathing
d)Changes the patient?s operative dressings
A B C D

14.

The nurse assesses the following changes in a client?s vital signs. Which client situation should be reported to the primary care provider?
a)Decreased blood pressure (BP) after standing up
b)Decreased temperature after a period of diaphoresis
c)Increased heart rate after walking down the hall
d)Increased respiratory rate when the heart rate increases
A B C D

15.

A client who has been hospitalized for an infection states, ?The nursing assistant told me my vital signs are all within normal limits; that means I?m cured.? The nurse?s best response would be:
a)?Your vital signs confirm that your infection is resolved; how do you feel??
b)?I?ll let your health care provider know so you can be discharged.?
c)?Your vital signs are stable, but there are other things to assess.?
d)?We still need to keep monitoring your temperature for a while.?
A B C D

16.

The nurse provides client education regarding hypertension prevention and management. Which of these statements indicates that the client understands the instructions?
a)?I don?t have to worry if my blood pressure is high once in a while.?
b)?I guess I will have to make sure I don?t drink too much water.?
c)?I can lose some weight to help lower my blood pressure.?
d)?I will need to reduce the amount milk and other dairy products I use.?
A B C D

17.

A young adult with an episode of acute asthma comes to the Emergency Department with signs of respiratory distress. When the nurse performs the admission assessment, she notes that patient is disoriented to time and place. Which nursing diagnosis is probably most suitable for this patient?
a)Chronic Confusion
b)Acute Confusion
c)Impaired Verbal Communication
d)Readiness for Enhanced Communication
A B C D

18.

A patient newly diagnosed with breast cancer tells the nurse, ?I?m worried I won?t survive to see my children grow up.? Which response by the nurse best conveys concern and active listening?
a)?There have been many advances in breast cancer treatment; hope for the best.?
b)?Breast cancer is a serious disease; I can understand why you?re worried.?
c)?You?re strong and have youth on your side to fight the breast cancer.?
d)?I?d be worried too; I?ve seen a lot of patients die from breast cancer.?
A B C D

19.

The nurse asks the patient to spread his fingers and then bring them together again. Which of the following is the nurse testing when asking to bring his fingers together?
a)Abduction
b)Adduction
c)Flexion
d)Extension
A B C D

20.

Which assessment question helps assess immediate memory?
a)?How did you get to the hospital today??
b)?Can you repeat the numbers 2, 7, 9 for me??
c)?Do you recall the three items I mentioned earlier??
d)?What was your birth date including the year??
A B C D

21.

A patient becomes infected with oral candidiasis (thrush) while receiving intravenous antibiotics to treat a systemic infection. Which type of infection has the patient developed?
a)Endogenous nosocomial
b)Exogenous nosocomial
c)Latent
d)Primary
A B C D

22.

What type of immunity is provided by intravenous (IV) administration of immunoglobulin G?
a)Cell-mediated
b)Passive
c)Humoral
d)Active
A B C D

23.

How should the nurse dispose of the breakfast tray of a patient who requires airborne isolation?
a)Place the tray in a specially marked trash can inside the patient?s room.
b)Place the tray in a special isolation bag held by a second healthcare worker at the patient?s door.
c)Return the tray with a note to dietary services so it can be cleaned and reused for the next meal.
d)Carry the tray to an isolation trash receptacle located in the dirty utility room and dispose of it there.
A B C D

24.

A 78-year-old patient is being seen in the emergency department. The nurse observes his gait and balance appear to be slightly unsteady. What assessment should the nurse perform next?
a)Perform the Get Up and Go Test.
b)Ask the patient if he has fallen in the past year.
c)Refer the patient for a comprehensive fall evaluation.
d)Administer the Timed Up and Go Test.
A B C D

25.

A patient with a history of falling continually attempts to get out of bed unassisted despite frequent reminders to call for help first. Which action should the nurse take first?
a)Apply a cloth vest restraint.
b)Encourage a family member to stay with the patient.
c)Administer lorazepam (an antianxiety medication).
d)Keep the patient?s bed side rails up.
A B C D

26.

Prior to discharge, a patient with diabetes needs to learn how to check a finger-stick blood sugar before taking insulin. Which action will best help the patient remember proper technique?
a)Encouraging the patient to check the blood sugar each time the nurse gives insulin
b)Providing feedback after the patient takes his blood sugar for the first time
c)Verbally instructing the patient about how to obtain a finger-stick blood sugar
d)Offering a brochure that describes the technique for checking a blood sugar
A B C D

27.

Before entering the room of a patient who is angry and yelling, the nurse removes her stethoscope from around her neck. The best rationale for doing so is that the stethoscope:
a)Could be used by the patient to hurt her.
b)Might cause the patient not to trust her.
c)Would distract her from focusing on the patient.
d)Will function as another stressor for the patient.
A B C D

28.

A 52-year-old man has a triceps skinfold thickness of 18 mm, and his weight exceeds the ideal body weight for his height by 23%. Which nursing diagnosis should the nurse identify for this patient?
a)Imbalanced Nutrition: More Than Body Requirements
b)Risk for Imbalanced Nutrition: More Than Body Requirements
c)Imbalanced Nutrition: Less Than Body Requirements
d)Readiness for Enhanced Nutrition
A B C D

29.

Based on the stage of physical development at which toilet training becomes physically possible, for which age would a goal of ?Achieves toilet training by the end of this month? be most appropriate?
a)18 months
b)2 1/2 years
c)3 1/2 years
d)4 years
A B C D

30.

The nurse must irrigate the ear of a 4-year-old child. How should the nurse pull the pinna to straighten the child?s ear canal?
a)Up and back
b)Straight back
c)Down and back
d)Straight upward
A B C D

31.

A patient with Raynaud?s disease receives no symptomatic relief with diltiazem (Cardizem). Which surgical intervention might be a treatment option for this patient to help provide symptomatic relief?
a)Cordotomy
b)Rhizotomy
c)Neurectomy
d)Sympathectomy
A B C D

32.

The nurse is helping the patient to perform leg exercises after surgery to prevent thrombophlebitis. Which type of muscle is the patient using for these exercises?
a)Skeletal
b)Smooth
c)Cardiac
d)Slow-twitch fibers
A B C D

33.

An older patient with newly diagnosed osteoporosis asks the nurse to explain her health problem. Which of the following is the correct description of osteoporosis?
a)Loss of bone density that increases the risk of fracture
b)Degenerative joint disease that produces pain and decreased function
c)Chronic inflammatory joint disease that must be treated with steroids
d)Serious infection in the bone that must be treated with antibiotics
A B C D

34.

What would be the most appropriate goal for a frail, elderly patient with a nursing diagnosis of Risk for Injury after hip surgery?
a)Remain free from injury or falls throughout hospital stay.
b)Increase activity tolerance by discharge from hospital.
c)Demonstrate effective breathing when ambulating.
d)Increase mobility by discharge from hospital.
A B C D

35.

A patient fractured her right ulna 8 weeks ago and has just had her cast removed. The orthopedic surgeon prescribes isometric exercises for the right arm. Which of the following exercises comply with the surgeon?s orders?
a)Place a foam ball in the right hand and squeeze; hold the squeeze position for 6 to 8 seconds, and repeat 5 to 10 times.
b)Grasping the right wrist with the left hand, move the right arm up, down, and side to side; hold each position for 6 to 8 seconds, and repeat 5 to 10 times.
c)Grasping the right wrist with the left hand, pull the right arm across the body;hold this position for 6 to 8 seconds, and repeat 5 to 10 times.
d)Press the right hand against a wall; hold this position for 6 to 8 seconds, and repeat 5 to 10 times.
A B C D

36.

You are caring for 35-year-old man who tells you that he feels distress about being a male, and ever since he was a young child has thought of himself as a female. He describes the isolation he feels and concern about fitting in socially and at work because of these recurrent thoughts. How would you respond to your patient?
a)Provide information about support groups and other community resources for transsexual people.
b)Reassure him that he is normal, saying there are more people than we know who feel this way.
c)Share with him that you personally have had thoughts like this but have coped with these thoughts.
d)Suggest your patient seeks mental health care for medication to help him deal with his anxiety.
A B C D

37.

A client developed a stage IV pressure ulcer to his sacrum 6 weeks ago, and now the ulcer appears to be a shallow crater involving only partial skin loss. What would the nurse now classify the pressure ulcer as?
a)Stage I pressure ulcer, healing
b)Stage II pressure ulcer, healing
c)Stage III pressure ulcer, healing
d)Stage IV pressure ulcer, healing
A B C D

38.

A patient had abdominal surgery. The incision has been closed by primary intention, and the staples are intact. To provide more support to the incision site and decrease the risk of dehiscence, it would be appropriate to apply which of the following?
a)Steri-Strips
b)Abdominal binder
c)T-binder
d)Paper tape
A B C D

39.

A patient has an area of nonblanchable erythema on his coccyx. The nurse has determined this to be a stage I pressure ulcer. What would be the most important treatment for this patient?
a)Transparent film dressing
b)Sheet hydrogel
c)Frequent turn schedule
d)Enzymatic débridement
A B C D

40.

The nurse is providing care to a pregnant woman in preterm labor. The patient is 32 weeks pregnant. Initially, the patient states, ?I?ve gained 30 pounds. That should be enough for the baby. Everything will be OK if I deliver now.? After teaching the patient about fetal development, the nurse will know her teaching is effective if the patient makes which of the following statements?
a)?The baby?s lungs are well developed now, but he will be at increased risk for sudden infant death syndrome if I deliver early.?
b)?We should try to stop this labor now because the baby will be born with sleep apnea if I deliver this early.?
c)?If I deliver this early my baby is at risk for respiratory distress syndrome, a condition that can be life threatening.?
d)?Thanks for reassuring me; I was pretty sure there isn?t much risk to the baby this far along in my pregnancy.?
A B C D

41.

The nurse is caring for a patient who is experiencing dyspnea. Which of the following positions would be most effective if incorporated into the patient?s care?
a)Supine
b)Head of bed elevated 80°
c)Head of bed elevated 30°
d)Lying on left side
A B C D

42.

The nurse administers an antitussive/expectorant cough preparation to a patient with bronchitis. Which of the following responses indicates to the nurse that the medication is effective?
a)The amount of sputum the patient expectorates decreases with each dose administered.
b)Cough is completely suppressed, and she is able to sleep through the night.
c)Dry, unproductive cough is reduced, but her voluntary coughing is more productive.
d)Involuntary coughing produces large amounts of thick yellow sputum.
A B C D

43.

A patient has been vomiting for 2 days and has not been able to eat or drink anything during this time. She has not urinated for 12 hours. Physical examination reveals the following: T = 99.6°F (37.6°C) orally; P = 110 weak and thready; BP = 80/52. Her skin and mucous membranes are dry, and there is decreased skin turgor. The patient states that she feels very weak. The following are her laboratory results:
Sodium 138 mEq/l
Potassium 3.7 mEq/l
Calcium 9.2 mg/dl
Magnesium 1.8 mg/dl
Chloride 99 mEq/l
BUN29 mg/dl
Which of the following is an appropriate nursing diagnosis for this patient?
a)Impaired Gas Exchange related to ineffective breathing
b)Excess Fluid Volume related to limited fluid output
c)Deficient Fluid Volume related to abnormal fluid loss
d)Electrolyte Imbalance related to decreased oral intake
A B C D

44.

A patient is scheduled for abdominal surgery tomorrow. While gathering preoperative data, the nurse learns that the patient takes the following medications daily: an anticoagulant, a multivitamin, and vitamin E 1,500 IU. The patient reports that he stopped taking the anticoagulant 4 days ago as instructed by the surgeon. He has continued to take the multivitamin and vitamin E. Based on the information given, the nurse telephones the surgeon because she:
a)Needs an order to restart the anticoagulant.
b)Iis concerned about continued use of the multivitamin.
c)Is concerned about the vitamin E dosage.
d)Thinks the surgery should be delayed until further notice.
A B C D

45.

A patient is admitted for hip surgery. The patient usually takes the following medications daily: an anticoagulant, a multivitamin, and vitamin E 1,500 IU. He stopped taking his anticoagulant 4 days ago as instructed by his surgeon, but has continued to take the multivitamin and vitamin E. An important collaborative problem or nursing diagnosis for this patient is which of the following?
a)Potential complication: anemia
b)Risk for infection related to inadequate anticoagulant dosage
c)Risk for noncompliance related to inability to follow instructions
d)Potential complication: increased bleeding
A B C D

46.

Identify the type of surgery a terminally ill patient will undergo if the purpose is removal of tissue to relieve pain.
a)Procurement
b)Ablative
c)Palliative
d)Diagnostic
A B C D

47.

The surgical unit is experiencing difficulty recruiting new RNs, although the hospital has an excellent reputation in the community and has no difficulty recruiting nurses for other units. A task force has been formed, consisting of one nurse from each shift on the unit, the unit manager, and the hospital nurse recruiter. The group has gathered data and identified the problem. What is the next step in this process?
a)Generate possible solutions.
b)Evaluate whether the problem has been resolved.
c)Implement the solution changes.
d)Evaluate suggested solutions.
A B C D

48.

A nurse observes a nursing assistant (NAP) fail to wash her hands before and after placing a patient on a bedpan. When giving negative feedback to the NAP, the nurse should:
a)Be certain to offer constructive criticism about the task and do so in private.
b)Ask the unit manager to be present to document responses of both parties.
c)Call a meeting of all NAPs and stress hand washing to the entire group.
d)Keep a record of the NAP?s actions and save them for her annual formal review.
A B C D

49.

A patient is receiving healthcare focused on his illness and counteracting his symptoms. What type of healthcare is he receiving?
a)Holistic
b)Integrative
c)Complementary
d)Allopathic
A B C D

50.

A 56-year-old woman provides care to her 91-year-old widowed father. She says she is frequently fatigued and that she no longer socializes with her friends. ?I?m so busy taking care of my dad. It?s really hard work because he is bedridden. Sometimes it breaks my heart when I have to feed and bathe him. He always seemed so strong when I was a child.? The most appropriate nursing diagnosis for this woman is:
a)Caregiver Role Strain.
b)Impaired Home Maintenance.
c)Interrupted Family Processes.
d)Risk for Caregiver Role Strain.

Multiple Response
Identify one or more choices that best complete the statement or answer the question.

1.

A patient has been admitted to the nursing unit with a diagnosis of chronic renal failure. She will be dialyzed for the first time the following morning. Which of the following are appropriate nursing interventions for the patient? Choose all that apply.
a)Encourage oral fluid intake of 2,500 ml per day.
b)Place the patient on strict I&O.
c)Weigh the patient before and after dialysis.
d)Maintain a fluid restriction of 1,000 ml as prescribed.

2.

Which of the following interventions has a public health focus? Choose all that apply.
a)Controlling the blood sugar of a diabetic client with cardiovascular disease
b)Assisting with the launch of an after-school program in a high-crime neighborhood
c)Providing an influenza vaccination program for seniors and persons with chronic illness
d)Offering counseling to the family of a child with severe cognitive deficits

3.

Indicate which of the following factors influence the need for greater educational requirements and specializations for registered nurses in Canada. Choose all that apply.
a)Changing technology
b)Client acuity
c)Clearly defined scope of practice
d)Increased responsibility and accountability



Learner Summary Transcript

 







About this question:
STATUS
Answered
QUALITY
Approved
ANSWER RATING

This question was answered on: Feb 21, 2020

PRICE: $24

Solution~00065737998.zip (18.37 KB)

Buy this answer for only: $24

This attachment is locked

We have a ready expert answer for this paper which you can use for in-depth understanding, research editing or paraphrasing. You can buy it or order for a fresh, original and plagiarism-free copy (Deadline assured. Flexible pricing. TurnItIn Report provided)

Pay using PayPal (No PayPal account Required) or your credit card. All your purchases are securely protected by PayPal.
SiteLock

Need a similar solution fast, written anew from scratch? Place your own custom order

We have top-notch tutors who can help you with your essay at a reasonable cost and then you can simply use that essay as a template to build your own arguments. This we believe is a better way of understanding a problem and makes use of the efficiency of time of the student. New solution orders are original solutions and precise to your writing instruction requirements. Place a New Order using the button below.

Order Now