To provide optimum care, a nursing intervention should be based on: 1. An appropriate nursing diagnosis 2. Subjective and objective client data 3. Sound clinical judgment and knowledge 4. Identified physical and psychosocial needs of the client ANSWER ANS: 3 The assessment data direct the nurse in the formulation of a client-specific care plan […]
The pharmacist provides collaboration to the acute care nursing staff in the form of: (Select all that apply.) 1. Accurate dispersal of prescribed medications 2. Information regarding medication side effects 3. Appropriate labeling of prescribed medications 4. Clarification regarding proper medication dosage 5. Education of clients regarding the therapeutic value of drugs 6. Answering questions […]
The nurse is conducting an interview with the client and wants to clarify information that the client has shared. Which response by the nurse is an example of the clarifying technique of com-munication? 1. “I understand how you must feel.” 2. “This medication is used to lower your blood pressure.” 3. “You appear anxious. You’re […]
A client reports pain as being a 2 on a scale from 0 to 10. Which pain medications should the nurse consider for the client at this time? 1. Acetaminophen (Tylenol) 2. Ibuprofen (Motrin) 3. Naproxen (Naprosyn) 4. Hydrocodone (Vicodin) 5. Methadone (Dolophine) ANSWER Correct Answer: 1, 2, 3 Rationale 1: Reporting pain as […]
The nurse prepares to administer a prn pain medication by IM injection. The client refuses the in-jection stating that “I don’t like shots.” The best reaction by the nurse is to: 1. Contact the physician for pain medication to be given by a different route 2. Instruct the client that he or she needs to […]
The client presents her hand when the nurse makes this statement: “I need to start an IV so you can get your antibiotics.” This is an example of which of the following? 1. Informed consent 2. Express consent 3. Implied consent 4. Compliance ANSWER Correct Answer: 3 Rationale 1: Informed consent is an agreement […]
A UAP has applied a condom catheter to a client. The nurse should document what information about this procedure? 1. Number of ml of fluid used to inflate the balloon 2. Location of the drainage bag 3. Name of the UAP who applied the device 4. Time and date that the condom catheter was applied […]
In anticipation of a nursing shortage, the nursing management in a facility are investigating a nursing care delivery model that involves staff members working under the direction of a regis-tered nurse leader. This model is called: 1. Team nursing 2. Primary nursing 3. Functional nursing 4. Total patient care nursing ANSWER ANS: 1 In […]
The nurse, trying to promote positive health habits regarding stress management is aware of the external influences on young and middle adult clients. With this knowledge, the nurse recognizes that an effective strategy for this age-group is: 1. Teaching clients to abstain from all alcohol consumption 2. Demonstrating how to take an accurate blood pressure […]
When assessing members of a vulnerable population, the community health nurse should realize that the primary need is to: 1. Provide culturally competent assessment. 2. Organize in your mind exactly what you need to ask. 3. Create a comfortable, nonthreatening environment. 4. Be alert for indications of mental and physical abuse. ANSWER ANS: 3 […]
