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Terms in this set (450)
What statement by a newly "Information about a client can be disclosed to family members
licensed nurse indicates a need at any time."
for further instruction regarding
HIPAA?
What does HIPAA establish Health information in verbal, electronic, or written form.
regulations for?
What is an example of A client's address.
personally identifiable
information under HIPAA?
Is HIPAA a federal or state law? HIPAA is a federal law.
What findings should a nurse Excessive thrombosis and bleeding.
expect in a client with
disseminated intravascular
coagulation (DIC)?
What should the nurse expect A platelet count below the expected reference range due to
regarding platelet production in increased platelet consumption.
a client with DIC?
What changes in sodium and No changes in sodium and fluid retention.
fluid retention should a nurse
expect in a client with DIC?
What should the nurse expect Clotting factors below the expected reference range due to
regarding clotting factors in a excessive clot formation.
client with DIC?
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What should the nurse expect PT above the expected reference range.
regarding prothrombin time (PT)
in a client with acute DIC?
What should the nurse expect aPTT increased, indicating prolonged coagulation times.
regarding activated partial
thromboplastin time (aPTT) in a
client with acute DIC?
What is necessary for informed Disclosure of the treatment is provided, Client understands the
consent to be valid? (Select all surgical procedure, Voluntary consent is given.
that apply)
Is a client's ability to pay for a No, it is not related to informed consent.
surgical procedure necessary
for informed consent?
Is it necessary for a client to No, it is not necessary.
personally read the consent
form for it to be valid?
What is the purpose of informed Informed consent protects the client, the provider, the institution,
consent in healthcare? and the employees.
What is required for a client to The client should give voluntary consent for the procedure
give informed consent? without influence.
What ergonomic principle Tighten the abdominal muscles when lifting objects to provide
should be emphasized when balance and support to the back.
lifting objects?
What is the maximum weight a No more than 15.88 kg (35 lb) should be lifted without assistance.
nurse should advise lifting
without assistance?
What ergonomic strategy helps Flex knees and hips periodically when standing.
relieve strain on the lower back
when standing for long periods?
What should be avoided when Maintaining straight knees; bending at the knees is
picking items up from the floor? recommended to maintain center of gravity.
How can a nurse increase Enlarge the distance between the front foot and the back foot to
balance when pulling or pushing increase the base of support.
an object?
Which medication requires Diazepam, due to its sedative and hypnotic effects that can
placing a client on fall cause dizziness and drowsiness.
precautions?
What are common adverse Nausea, vomiting, diarrhea, and epigastric pain.
effects of Penicillin G?
What is Misoprostol used for Misoprostol is an anti-ulcer medication; common adverse effects
and what are its common include abdominal pain and diarrhea.
adverse effects?
Why should a nurse not It requires use of the nursing process, which is not within the
delegate reinforcing teaching range of function for an AP.
about using crutches to an
assistive personnel (AP)?
What task can a nurse delegate Measuring a client's intake and output for the shift, as it has
to an assistive personnel (AP)? minimal risk and does not require nursing judgment.
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What should a nurse emphasize It increases the risk of musculoskeletal injury.
about lifting more than 35 lb?
What is the rationale for flexing It helps relieve strain on the lower back and prevents back
knees and hips periodically injuries.
when standing?
What is the correct way to lift an Bend at the knees to maintain the center of gravity and use
object off the floor? stronger thigh muscles.
What common adverse effects Dizziness and drowsiness.
are associated with Diazepam?
What should be done to prevent Widen the stance to increase balance and limit the risk of injury.
musculoskeletal injury when
pulling a client?
What is the role of abdominal They provide balance and support to the back when tightened.
muscles during lifting?
What is the significance of It ensures that the client is making an informed decision without
voluntary consent in healthcare? coercion.
What is the role of the nurse in This task requires use of the nursing process and should not be
updating a client's plan of care? delegated to an AP.
What is the primary focus of To prevent injuries and promote safety during patient handling
ergonomic principles in nursing? and care.
Why is it important to have a To ensure patient safety and implement appropriate precautions,
clear understanding of such as fall precautions.
medication side effects?
What is the rationale for This task has minimal risk and does not require nursing judgment,
delegating the measurement making it suitable for an AP.
and recording of a client's intake
and output?
What type of information should Specific information such as the name, dose, route, and time of
a nurse include in a change-of- medications administered, as well as new treatments and
shift report? prescriptions.
Why should routine activities like Including routine activities is not an effective use of time during
showers and family visits not be report.
included in the change-of-shift
report?
What should a nurse do if a The nurse should notify the provider that the client has questions.
client has questions about a
surgical procedure during
informed consent discussions?
What should a nurse inform a The nurse should inform the client that they can withdraw
client regarding the withdrawal consent at any time, even after signing the informed consent
of consent? form.
What is the nurse's responsibility The nurse should not explain risks and benefits; this is the
regarding the explanation of responsibility of the provider performing the surgery.
risks and benefits of surgery?
In a mass casualty event, which A client with severe respiratory stridor and a deviated trachea, as
client should the nurse attend to they are at risk for airway compromise.
first?
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