exam-1-capstone.
1. An angry client visits the primary healthcare provider’s office and
requests a copy of their medical records. The client is angry after being
placed on hold several times for over 10 minutes when requesting an
appointment. What should the nurse tell this client?
You answered this question Incorrectly
1. All client appointment calls are transferred to the scheduling clerk.
2. The client will have to speak to the primary healthcare provider.
3. A copy of the record may be obtained within 24 hours of the request.
4. Medical records must stay within the facility unless requested by another primary
healthcare provider.
•
•
3. Correct: The client has the right to the personal medical record. Generally, a
period
of time is required to get the record copied. The client may be charged
for the copy. This assures the client that the request will receive
attention.
1. Incorrect: This response dismisses the client's feelings and may only anger
the client further. The response does not address the reason for the client's
anger. The statement may be true; however, the client does have the right
to request and receive a copy of the medical record.
2. Incorrect: The primary healthcare provider does not have to be
contacted, as there should be policies in place to grant the request for a
copy of the medical record. Also, telling the client to speak to the
healthcare provider would not address the reason for the client's anger.
This would dismiss the client's feelings.
4. Incorrect: The client has a right to the medical record. Records may also
be requested by other providers with consent of the client. The client's
feelings should be addressed and the client should be informed that the
medical record will be provided as requested.
Question:
A nurse is planning to provide information regarding suicide to a high school
assembly. What information should the nurse include?
You answered this question Incorrectly
1. Do not keep secrets for the suicidal person.
2. Express concern for a person expressing thoughts of suicide.
3. Teens often don't mean what they say, so only take suicide seriously if grades are
dropping as well.
, exam-1-capstone.
4. Inform group of suicide intervention sources.
5. Do not leave a suicidal person alone.
•
•
1., 2., 4. & 5. Correct: If a person reveals that suicide is being considered, this
should
never be kept secret. Help should be sought for the person immediately. It
is also important to be direct and non-secretive with suicidal clients. It is
appropriate to express concern for their thoughts. The use of empathy,
warmth and concern indicates to the client that their feelings are being
understood and viewed as real, which helps to build trust with the client.
Resources for assistance are important to include in all health teaching
programs. The teens need to know what resources are readily available if
someone is considering suicide. The client contemplating suicide should not
be left alone. This is for the client's safety until further assistance can be
obtained
3. Incorrect: Most clients who commit suicide have told at least one person
that they were contemplating suicide before thy actually committed the
act. Therefore, suicidal comments should be considered important risk
factors that require evaluation, and all comments should be taken
seriously. Anyone expressing suicidal feelings needs immediate attention.
Question:
The nurse should question which prescription for a client diagnosed with
acute heart failure?
You answered this question Correctly
1. 2 gram of sodium (Na) diet.
2. Digoxin 0.25 mg IV q 4 hours times 3 doses.
3. Furosemide 40 mg IVP stat.
4. Start IV with NS at 125 mL/hr.
•
•
4. Correct: The client is in fluid overload and does not need the normal saline
(NS) at
125 mL/hr. NS is an isotonic solution. It goes in the vascular space and
stays there without shifting out to the cells. This could cause additional
overload in the vascular space as well as cause the BP to increase. The
other prescriptions are acceptable.
1. Incorrect: This is an appropriate measure Na restricted diet will help to
lower the serum Na and decrease H2O retention. This does not need
questioning.
2. Incorrect: Digoxin is a digitalis glycoside. It slows conduction and
,exam-1-capstone.
strengthens the force of contraction of the heart. Therefore, this
medication that increases cardiac contractility and reduces the heart rate
does not need questioning.
, exam-1-capstone.
3. Incorrect: Furosemide is a diuretic. It enhances renal excretion of Na and
H2O
and reduces systemic and pulmonary congestion. This medication
prescription does not need questioning.
Question:
The nurse is preparing to administer nadolol to a hospitalized client. Which
client data would indicate to the nurse that the medication should be held
and the primary healthcare provider notified?
You answered this question Incorrectly
1. Blood pressure 102/68
2. Glucose 118
3. UOP 440 mL over previous 8 hour shift.
4. Heart rate 56/min
•
•
4. Correct: This is a beta blocker. It slows the heart rate. If a client’s heart rate
is less
than 60 beats per minute, notify the primary healthcare provider and ask if
the client should receive this medication. Administering a beta blocker to a
client who has a heart rate less than 60 could possibly cause the client to
develop symptomatic bradycardia and hypotension.
1. Incorrect: If the client’s BP drops below 90/60, this beta blocker should
be held and the primary healthcare provider notified. The BP in this option
is high enough to administer the medication, but the BP in clients on beta
blockers should be monitored and the client should be taught about signs
and symptoms of hypotension.
2. Incorrect: This is a normal glucose level. If the client is a diabetic, beta
blockers can mask the signs of hypoglycemia. There diabetics on beta
blockers should monitor their blood sugar carefully.
3. Incorrect: Urinary output is adequate. Beta blockers do not alter renal
function. However, if pulse and BP are reduced too much, renal perfusion
could ultimately be affected.
Question:
Which signs and symptoms would the nurse expect to see in a client who has
taken prednisone for two months?
You answered this question Correctly
1. An angry client visits the primary healthcare provider’s office and
requests a copy of their medical records. The client is angry after being
placed on hold several times for over 10 minutes when requesting an
appointment. What should the nurse tell this client?
You answered this question Incorrectly
1. All client appointment calls are transferred to the scheduling clerk.
2. The client will have to speak to the primary healthcare provider.
3. A copy of the record may be obtained within 24 hours of the request.
4. Medical records must stay within the facility unless requested by another primary
healthcare provider.
•
•
3. Correct: The client has the right to the personal medical record. Generally, a
period
of time is required to get the record copied. The client may be charged
for the copy. This assures the client that the request will receive
attention.
1. Incorrect: This response dismisses the client's feelings and may only anger
the client further. The response does not address the reason for the client's
anger. The statement may be true; however, the client does have the right
to request and receive a copy of the medical record.
2. Incorrect: The primary healthcare provider does not have to be
contacted, as there should be policies in place to grant the request for a
copy of the medical record. Also, telling the client to speak to the
healthcare provider would not address the reason for the client's anger.
This would dismiss the client's feelings.
4. Incorrect: The client has a right to the medical record. Records may also
be requested by other providers with consent of the client. The client's
feelings should be addressed and the client should be informed that the
medical record will be provided as requested.
Question:
A nurse is planning to provide information regarding suicide to a high school
assembly. What information should the nurse include?
You answered this question Incorrectly
1. Do not keep secrets for the suicidal person.
2. Express concern for a person expressing thoughts of suicide.
3. Teens often don't mean what they say, so only take suicide seriously if grades are
dropping as well.
, exam-1-capstone.
4. Inform group of suicide intervention sources.
5. Do not leave a suicidal person alone.
•
•
1., 2., 4. & 5. Correct: If a person reveals that suicide is being considered, this
should
never be kept secret. Help should be sought for the person immediately. It
is also important to be direct and non-secretive with suicidal clients. It is
appropriate to express concern for their thoughts. The use of empathy,
warmth and concern indicates to the client that their feelings are being
understood and viewed as real, which helps to build trust with the client.
Resources for assistance are important to include in all health teaching
programs. The teens need to know what resources are readily available if
someone is considering suicide. The client contemplating suicide should not
be left alone. This is for the client's safety until further assistance can be
obtained
3. Incorrect: Most clients who commit suicide have told at least one person
that they were contemplating suicide before thy actually committed the
act. Therefore, suicidal comments should be considered important risk
factors that require evaluation, and all comments should be taken
seriously. Anyone expressing suicidal feelings needs immediate attention.
Question:
The nurse should question which prescription for a client diagnosed with
acute heart failure?
You answered this question Correctly
1. 2 gram of sodium (Na) diet.
2. Digoxin 0.25 mg IV q 4 hours times 3 doses.
3. Furosemide 40 mg IVP stat.
4. Start IV with NS at 125 mL/hr.
•
•
4. Correct: The client is in fluid overload and does not need the normal saline
(NS) at
125 mL/hr. NS is an isotonic solution. It goes in the vascular space and
stays there without shifting out to the cells. This could cause additional
overload in the vascular space as well as cause the BP to increase. The
other prescriptions are acceptable.
1. Incorrect: This is an appropriate measure Na restricted diet will help to
lower the serum Na and decrease H2O retention. This does not need
questioning.
2. Incorrect: Digoxin is a digitalis glycoside. It slows conduction and
,exam-1-capstone.
strengthens the force of contraction of the heart. Therefore, this
medication that increases cardiac contractility and reduces the heart rate
does not need questioning.
, exam-1-capstone.
3. Incorrect: Furosemide is a diuretic. It enhances renal excretion of Na and
H2O
and reduces systemic and pulmonary congestion. This medication
prescription does not need questioning.
Question:
The nurse is preparing to administer nadolol to a hospitalized client. Which
client data would indicate to the nurse that the medication should be held
and the primary healthcare provider notified?
You answered this question Incorrectly
1. Blood pressure 102/68
2. Glucose 118
3. UOP 440 mL over previous 8 hour shift.
4. Heart rate 56/min
•
•
4. Correct: This is a beta blocker. It slows the heart rate. If a client’s heart rate
is less
than 60 beats per minute, notify the primary healthcare provider and ask if
the client should receive this medication. Administering a beta blocker to a
client who has a heart rate less than 60 could possibly cause the client to
develop symptomatic bradycardia and hypotension.
1. Incorrect: If the client’s BP drops below 90/60, this beta blocker should
be held and the primary healthcare provider notified. The BP in this option
is high enough to administer the medication, but the BP in clients on beta
blockers should be monitored and the client should be taught about signs
and symptoms of hypotension.
2. Incorrect: This is a normal glucose level. If the client is a diabetic, beta
blockers can mask the signs of hypoglycemia. There diabetics on beta
blockers should monitor their blood sugar carefully.
3. Incorrect: Urinary output is adequate. Beta blockers do not alter renal
function. However, if pulse and BP are reduced too much, renal perfusion
could ultimately be affected.
Question:
Which signs and symptoms would the nurse expect to see in a client who has
taken prednisone for two months?
You answered this question Correctly
