Quiz Fall 6. Nursing - Medical Surgical Health Assessment Critical Care

Free

The nurse manager is reviewing SOAP entries in the medical record for a novice nurse. Which entry indicates that the nurse needs further instruction concerning documentation?

2

Free

A client tells the nurse they are concerned that their diabetes will become a serious illness. Which model of health should the nurse recognize the client's statement is most aligned with?

3

Free

The nurse is concerned that a client is having a problem with self-concept. Which statement should the nurse recognize support client's concern?

4

Free

The nurse is assessing a client for potential warning signs of an impending suicide attempt. Which statement should the nurse be concerned with?

5

Free

The nurse must remove soiled equipment from a client's isolation room. Place the steps in correct order of how the nurse will remove the equipment. A) Place equipment in an isolation bag. B) Wash equipment with an antimicrobial agent.C) Perform hand hygiene and don gloves. D) Remove the isolation bag.

C, B, A, D

A) The process to remove soiled equipment from a client's isolation room is as follows: Perform hand hygiene and don gloves; wash equipment with an antimicrobial agent; place the equipment in an isolation bag; remove the isolation bag.
B) The process to remove soiled equipment from a client's isolation room is as follows: Perform hand hygiene and don gloves; wash equipment with an antimicrobial agent; place the equipment in an isolation bag; remove the isolation bag.
C) The process to remove soiled equipment from a client's isolation room is as follows: Perform hand hygiene and don gloves; wash equipment with an antimicrobial agent; place the equipment in an isolation bag; remove the isolation bag.
D) The process to remove soiled equipment from a client's isolation room is as follows: Perform hand hygiene and don gloves; wash equipment with an antimicrobial agent; place the equipment in an isolation bag; remove the isolation bag.

6

The nurse delegates oral care of an unconscious client on supplemental oxygen to the UAP. Which action by the UAP requires the nurse to intervene?

7

Which is the appropriate way to hold the ear when inspecting the tympanic membrane of a 2-year-old client?

8

The nurse is preparing a community education program to address obesity. Which subpopulation should the nurse focus upon?

9

A client tells the nurse they are worried that they have cancer. Which response should the nurse provide the client that demonstrates reflection?

10

The nurse is caring for a client receiving enteral nutrition through a syringe. Midway through the feeding, the client complains of gas pains. Which is the nurse's best action at this time?

11

A nurse attempts to obtain a urine sample from a client's ileal conduit. After correct sterile catheterization, no urine output is noted. How should the nurse respond?

12

A young adult male client of Arab descent is admitted to the medical-surgical unit for a ruptured appendix. The client's parents are at the bedside for most of the day. The nurse who is providing care notes that the client denies pain while on day shift but request medication every four hours during the night. Which explanation for this client behavior is the most probable?

13

The nurse is preparing to obtain a mini heritage assessment on a client. Which question should the nurse include?

14

The nurse is caring for a client who had abdominal surgery three days ago. The client is able to drink fluids but is reluctant to eat anything for fear of nausea and vomiting. The nurse encourages the client to try and eat to prevent which postoperative complication?

15

Which is the best response by the nurse when explaining to the client as to why the stethoscope is warmed up before placing it on the abdomen?

16

The educator has observed the nurse taking the blood pressure with the client's arm above the level of the heart. Which assessment finding does the educator anticipate?

17

The nurse observes that an adolescent client is wearing dirty clothes. Which initial risk factor should the nurse further assess the client for?

18

The nurse recognizes that there needs to be a change in practice on the unit to improve the client outcomes. Which is the quickest method the nurse should consider to change current practice?

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Quiz Fall 6. Nursing - Medical Surgical Health Assessment Critical Care

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