1. By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should
... [Show More] the nurse take, according to the nursing process?
A. Reassess the client to determine the reasons for inadequate pain relief.
B. Wait to see whether the pain lessens during the next 24 hr.
C. Change the plan of care to provide different pain relief interventions.
D. Teach the client about the plan of care for managing the pain.
A
2. A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked the client's MAR and noted the last dose of pain medication was 6 hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the medication and checked with the client 40 min later, when the client reported improvement. The newly licensed nurse left out which of the following steps of the nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation
3. A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (Select all that apply)
A. Respiratory rate is 22/min with even, unlabored respirations.
B. The client's partner states, "They said they hurt after walking about 10 minutes."
C. The client's pain rating is 3 on a scale of 0 to 10.
D The client's skin is pink, warm, and dry.
E. The assistive personnel reports that the client walked with a limp.
A,D,E
4. A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include? (Select all that apply.)
A. Writing a prescription for morphine sulfate as needed for pain
B. Inserting a nasogastric (NG) tube to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Repositioning a client every 2 hr to reduce pressure injury risk
C,D,E
5. A nurse is discussing the nursing process with a newly licensed nurse. Which of the following statements by the newly licensed nurse should the nurse identify as appropriate for the planning step of the nursing process?
A. "I will determine the most important client problems that we should address."
B. "I will review the past medical history on the client's record to get more information."
C. "I will carry out the new prescriptions from the provider."
D. "I will ask the client if their nausea has resolved."
A
1. A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food." The nurse tells the client, "I will call the surgeon and ask for a change in diet." The surgeon hears the nurse's report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking?
А. Basic
B. Commitment
C. Complex
D. Integrity
A
2. A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the client's medical record, discovers that the client is allergic to the antibiotic, and calls the provider to request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse demonstrate?
A. Fairness
B. Responsibility
C. Risk-taking
D. Creativity
B
3. A newly licensed nurse is considering strategies to improve critical thinking. Which of the following actions should the nurse take? (Select all that apply.)
A. Find a mentor.
B. Use a journal to write about the outcomes of clinical judgments.
C. Review articles about evidence-based practice.
D. Limit consultations with other professionals involved in a client's care.
E. Make quick decisions when unsure about a client's needs.
A,B,C
4. A nurse is caring for a client who has a new prescription for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he reviews the medication information?
A. Knowledge
B. Experience
C. Intuition
D. Competence
A
5. Anurse uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking attitudes did the nurse demonstrate?
A. Confidence
B. Perseverance
C. Integrity
D. Discipline
D [Show Less]