1. A nurse is preparing to initiate a bladder-retraining program for a client who has incontinence. Which of the following actions should the nurse take?
... [Show More] (Select all that apply.)
A. Restrict the client's intake of fluids during the daytime.
B. Have the client record urination times.
C. Gradually increase the urination intervals.
D. Remind the client to hold urine until the next scheduled urination time.
E. Provide a sterile container for urine.
2. A nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a client who has recurrent UTIs. Which of the following factors should the nurse include? (Select all that apply.)
A. Frequent sexual intercourse
B. Lowering of testosterone levels
C. Wiping from front to back to clean the perineum
D. Location of the urethra closer to the anus
E. Frequent catheterization
3. A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? (Select all that apply.)
A. Limit total daily fluid intake.
B. Decrease or avoid caffeine.
C. Take calcium supplements.
D. Avoid drinking alcohol.
E. Use the Credé maneuver
4. A nurse is teaching a group of newly licensed nurses on complementary and alternative therapies they can incorporate into their practice without the need for specialized licensing or certification. Which of the following should the nurse encourage them to use? (Select all that apply.)
A. Guided imagery
B. Massage therapy
C. Meditation
D. Music therapy
E. Therapeutic touch
5. A nurse is reviewing complementary and alternative therapies with a group of newly licensed nurses. Which of the following interventions are mind-body therapies? (Select all that apply.)
A. Art therapy
B. Acupressure
C. Yoga
D. Therapeutic touch
E. Biofeedback
6. A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? (Select all that apply.)
A. Place a belt restraint on the client when they are sitting on the bedside commode.
B. Keep the bed in its lowest position with all side rails up.
C. Make sure that the client's call light is within reach.
D. Provide the client with nonskid footwear.
E. Complete a fall-risk assessment.
7. A nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurse's priority?
A. Extinguish the fire.
B. Activate the fire alarm.
C. Move clients who are nearby.
D. Close all open doors on the unit.
8. A nurse is caring for a client who has a history of falls. Which of the following actions is the nurse's priority?
A. Complete a fall-risk assessment.
B. Educate the client and family about fall risks.
C. Eliminate safety hazards from the client's environment.
D. Make sure the client uses assistive aids in their possession.
A. Complete a fall-risk assessment
9. A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take?
A. Open the windows in the client's room to allow smoke to escape.
B. Obtain a class C fire extinguisher to extinguish the fire.
C. Remove all electrical equipment from the client's room.
D. Place wet towels along the base of the door to the client's room.
D. Place wet towels along the base of the door to the client's room
10. Fire response follows the RACE sequence, what does each letter stand for?
-R- Rescue and remove all patients in immediate danger.
-A- Activate the alarm.
-C- Confine the fire by closing doors and windows and turning off oxygen and electrical equipment; ventilate patients who are on life support with a bag-valve mask
-E- Extinguish the fire using an appropriate extinguisher
11. To use a fire extinguisher, use the PASS sequence, what does each letter stand for?
P - pull the pin
A - aim at the base of the fire S - squeeze the handle
S - sweep the extinguisher from side to side covering the area of the fire
12. Name some nursing interventions of PREVENTING FALLS
1. complete a fall-risk assessment at admission & regular intervals
2. ensure patient has and knows how to use the call light
3. use fall-risk alerts (color-coded wristbands)
4. provide regular toileting and orientation of clients who have cognitive impairment
5. provide adequate lighting
6. place clients at risk for falls near a nurses station
7. provide hourly rounding
8. make sure personal items are within reach
9. keep bed low, lock the breaks
10. side rails up (for unconscious patients, sedated, etc.)
11. non-skid footwear
12. use gait belts and other assistive equipment when moving patients
13. keep floor clean (no clutter, cords, scatter rugs, etc.)
14. electronic safety monitors (chair or bed sensors)
13. What is a nurse's concern with patients using their call lights?
That nurses respond in a timely manner...otherwise the patient may become impatient and attempt to move themselves
14. What must be completed before performing first aid? primary survey
15. Name the nursing interventions for BLEEDING
- apply pressure to wound site (home)
- DO NOT remove impaling objects, stabilize the object (home)
- IV volume replacement with blood or volume replacement (hospital)
16. The acronym RICE is used to manage sprains, what do the letters stand for?
R - refrain from weight bearing (also known as "rest") I - apply ice to decrease inflammation
C - apply a compression dressing to minimalize swelling E - elevate the affected limb
17. Name the nursing interventions for BURNS
- remove the agent
- smooth any flames present
- cover the client and maintain NPO status
- elevate the extremities
- Stop, Drop, and Roll (home)
- call 911 (home)
- perform H to T assessment (hospital)
- administer fluids and tetanus toxoid (hospital)
18. A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The client who has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea
A. Hypotension
19. Name the nursing interventions of INFANT SUFFOCATION
- place infants on back to rest
- never leave alone in bathtub
- do not place anything in the crib; remove mobiles when baby can sit up
- keep latex balloons away
- toilet lids down, bathroom doors closed
- make sure slats on crib are a safe distance
20. Name the nursing interventions of INFANT BURNS
- test the temperature of formula and bath water
- place pots on back burner and turn handle away from the front of the stove
- supervise the use of faucets
- cover electrical outlets
- apply sunblock SPF 30 or higher
21. Name the nursing interventions of INFANT MOTOR VEHICLE INJURY
- rear-facing car seat
- car seat with 5-point harness
- forward facing seat after the age of 2 or when they meet the height/weight requirements
22. Name the nursing interventions of PRESCHOOLERS/SCHOOL AGE CHILDREN AND FIREARMS
- keep firearms unloaded, locked up, and out of reach
- teach to never touch a gun or stay at a friend's house where a gun is accessible
- store bullets in a different location from guns
23. Name the nursing interventions of PRESCHOOLERS/SCHOOL AGE CHILDREN AND POISON
- teach child about the hazards of alcohol, cigarettes, and prescription, non-prescription, and illicit drugs
- keep potentially dangerous substances out of reach
- have the poison control hotline available
24. Name the nursing interventions of PRESCHOOLERS/SCHOOL AGE CHILDREN AND MOTOR VEHICLE INJURY
- use booster seats for children under 4'9" tall and weigh less than 40 lb
- use seatbelt properly after booster seat
- teach child safety rules of the road
25. If a patient asks for "last rights" what religion is that associated with?
Catholicism [Show Less]