Complete the RN Comprehensive Online Practice 2013A

Complete the RN Comprehensive Online Practice 2013A receiving mannitol (Osmitrol). The nurse should monitor for which of the following therapeutic effects? MedSurg • Decreased wheezing • Increased diuresis - Mannitol acts as an osmotic diuretic for the treatment of a hemolutic transfusion reaction, dilates renal vasculature, and is an antioxidant • Resolution of rash • Prevention of infections 2. An infection control nurse is determining whether infection rates have decreased following a policy revision within the facility. Which of the following types of audits is the nurse performing? Leadership • Process – examines how nursing care is provided • prospective – provides a prediction about performance in the future based on a new intervention • Structure – includes the evaluation of the availability of resources, such as staffing ratios • Outcome audit examines data to determine the results from a specific nursing intervention 3. A nurse on a rehabilitation unit has completed her assessment of a client who was admitted yesterday evening after experiencing a right hemispheric CVA 10 days ago. At 8000 the nurse is preparing to provide client care. Based on the information provided in the chart below, which of the following is an appropriate action by the nurse? • Speak slowly to the client and use head gestures when giving directions • Withhold the clients monitoring medications until a swallowing study can be conducted • Recheck the clients blood glucose immediately prior to the administration of glyburide • Notify the provider of the clients left-side weakness 4. A nurse administers the wrong medication to a client. The nurse recognizes the error and completes an incident report. Which of the following should be documented in the client’s medical record? • Completion of the incident report • Time the medication was given – when a medication error occurs, the nurse should document the facts related to the occurrence. • Reason for the medication error • Notification of the pharmacist 5. A nurse manager is preparing a staff education program on confidentiality. Which of the following actions should the nurse take first? • Determine the staff’s current knowledge of confidentiality requirements • Implement a general staff meeting to reinforce the rules of confidentiality guidelines • Display information about confidentiality in the nurses station • Meet with individual staff members to discuss confidentiality policie 6. A nurse is administering cyclophosphamide (Cytoxan) to a toddler who has neuroblastoma. Which of the following is an appropriate nursing intervention when administering this medication? Pediatrics • Give the dose late in the day • Monitor the toddler’s blood glucose levels • Maintain hydration with liberal fluid intake the toddler should consume 1-1 ½ times the recommended daily fluid requirement to maintain hydration and prevent hemorrhagic cystitis • Administer viscous lidocaine 7. A nurse is teaching a group of women about ovarian cancer. The nurse should instruct the group that the mortality rate for ovarian cancer is high because of which of the following? • Adherence to papanicolaou (pap) test recommendations is low • Ovarian tumors are inoperable • Chemotherapy is contraindicated for ovarian cancer • Clinical manifestations are