1. A charge nurse is providing teaching to a newly licensed nurse about removing sutures from a clients laceration. Which of the following statements by
... [Show More] the newly licensed nurse indicates and understanding of the teaching?
A. I will use a staple remover and remove each suture
B. bandage scissors are used to cut the sutures
C. Tweezers are necessary only for removal of retention
D. I will clip each suture close to the skin and pull it through the other side
- D clipping close to the skin and pulling the suture from the other side does not disrupt the wound healing process
(bandage scissors or ineffective, special suture scissors with a short curved tip are used to removes sutures )
2. A nurse is reinforcing teaching with a client who postoperative about the importance of turning, coughing, and breathing deeply. Which of the following statements should the nurse identify as an indication that the client understands that instructions?
A. if I do this often I won't experience muscle wasting
B. If I do this often I won't get pneumonia
C. If do this often I won't have a fast heartbreak
D. If I do this often I won't have a fast heartbeat - b
3. A nurse is caring for an older adult client with dementia who gets up frequently to pace during meals and eats sparingly. Which following actions should the nurse take?
A. Provide finger food for the client
B. Offer food at fewer times each day to promote hunger
C. Administer a benzodiazepine medication to the client before meals
D. Assist the client in sitting still during meals using soft restraints - A
4. A nurse is reinforcing teaching about ways to improve nutritional intake with a client who has chronic obstructive pulmonary disease and has been losing weight. Which of the following statements by the client indicates and understanding of the teaching?
A. I will choose hot foods to decrease my sense of fullness when eating
B. I should add grated cheese to sauces and vegetables
C. I will eat my largest meal of the day in the evening
D. I should consume a diet high in carbohydrates
- B- which will increase pts protein and calcium and increase calories help regain weight and stamina
for COPD should have a high protein diet and limit carbohydrates because it breaks down carbon dioxide and increases dyspnea
5. A nurse manager developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy?
a. collaborating with providers to perform obesity screenings during routine office visits
b. ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity
c. providing specialized intraoperative training regarding surgical treatments for obesity
d. educating acute care nurses on postoperative complications related to obesity
- a need to give primary health care, often delivered in offices or screenings
6. A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as a responsibility of state licensing boards?
a. monitoring EBP for clients who have specific diagnosis
b. ensuring that health care providers comply with regulations
c. setting quality standards for accreditation of healthcare facilities if
d. determining if medication is safe for administration to clients
- b
its not d because thats the u.s food and drugs responsibility
7. A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not the client's best interest, so she prepares to administer a PRN sedative medication the client has not requested along with his usual medication. Which of the following types of tort is the nurse about to commit?
A. assault
b. false imprisonment
c. negligence
d. breach of confidentiality
- b because your restraining them
8. A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements made by the clients should indicate to the nurse an understanding of advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife"
B. "I know they won't go ahead with the surgery unless I prepare these forms"
C. "I plan to write that I don"t want them to keep me on a breathing machine"
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital"
- C its not A that's a health proxy
9. A nurse is preparing information for change of shift report. Which of the following information should the nurse include in report?
A. Input and output of shift
B. blood pressure from previous day
C. bone scan scheduled for today
D. Medication routine from the medication administration record - c
10. A nurse is discussing the HIPAA privacy rule with nurses during new employee orientation. Which of the following information should the nurse include. select all that apply
a. a single electronic records password is provided for nurses on the same unit
b. family members should provide a code prior to receiving client health information
c. communication of client information can occur at the nurses station
d. a client can request a copy of her medical record
e. a nurse may photocopy a clients medical record for transfer to another [Show Less]