Med-Surg exam 1 ch 1,2,3,15,16,17
1. The nurse working in a radiation oncology outpatient clinic wants to reduce the
incidence of skin
breakdown in patients who receive beam radiation. Which question should the
nurse use to guide a
literature search on this topic? - ANS - What nursing actions minimize the
occurrence of skin breakdown in patients
receiving beam radiation?
\A family member is concerned that a patient near the end of life is not eating or
drinking and asks
the nurse how the family can help the patient increase oral intake. Which
response by the nurse is
most appropriate? - ANS - As your family member becomes dehydrated from not
eating or drinking, natural
endorphins will be released, which increase comfort near the end of life.
\A group of nurses in a long-term care facility conducted a pilot study about
implementing a team
to turn patients every hour to prevent skin breakdown. The results proved the
intervention to be a
success and skin breakdown rates decreased. What step should the nurses take
next to implement
this process throughout the facility? - ANS - Educate individuals in the facility
about implementing the change agency-wide.
\A licensed practical nurse (LPN) working in a pediatric clinic is interested in
improving patient
outcomes for children with asthma by preventing the need for hospitalization.
Which clinical
question would best guide the nurse's next steps? - ANS - What patient education
materials are available that address prevention of asthma
attacks in pediatric patients?
\A licensed practical nurse/licensed vocational nurse (LPN/LVN) reads a journal
article about
insertions of indwelling urinary catheters. The article provides evidence that
supports that the
balloon should not be inflated before insertion, yet her agency policy states to
test the balloon
, before inserting the catheter. Which action should the nurse take? - ANS -
Conduct a literature search and present the literature to the policy committee.
\A nurse approaches a person in a restaurant who appears to be experiencing
respiratory distress.
Which action should the nurse perform first? - ANS - Collect data about the
person's condition.
\A nurse fails to implement fall precautions for a patient who is at high risk for
falling. An injury
occurs and the patient is severely injured. What liability has been violated? - ANS
- Malpractice
\A nurse is calling a multidisciplinary care conference for a patient with a wide
variety of needs.
Who may be a part of this team? - ANS - Case manager
\A nurse is feeling uncomfortable caring for a patient who has beliefs that are
very different from
the nurse's beliefs. Despite the differences, the nurse feels obligated to care for
the client, in their
professional role. Which ethical theory is the nurse demonstrating? - ANS -
Deontology
\A nurse is performing research on best practices for oral care in unconscious
patients. Which level
of evidence is the strongest? - ANS - Systematic review (level 1)
\A nurse is speaking to a patient about pain. Which statement by the nurse
demonstrates active
listening? - ANS - I hear you saying that your pain makes you feel defeated.
\A nurse manager has a leadership approach that includes active listening, clear
communication,
and support of colleagues. Which style is demonstrated? - ANS - Coaching
\A nurse notes that a patient's blood glucose is low and properly treats the
symptoms. The nurse
continues to monitor for symptoms of low blood glucose throughout the
remainder of the shift.
What is the nurse practicing by this action? - ANS - Vigilance
\A nursing student asks the nurse preceptor why EBP is important. How should
the nurse respond
to the student? - ANS - EBP guides nursing decisions to improve patient
outcomes.
\A patient asks the nurse why he should have a durable power of attorney. How
should the nurse
1. The nurse working in a radiation oncology outpatient clinic wants to reduce the
incidence of skin
breakdown in patients who receive beam radiation. Which question should the
nurse use to guide a
literature search on this topic? - ANS - What nursing actions minimize the
occurrence of skin breakdown in patients
receiving beam radiation?
\A family member is concerned that a patient near the end of life is not eating or
drinking and asks
the nurse how the family can help the patient increase oral intake. Which
response by the nurse is
most appropriate? - ANS - As your family member becomes dehydrated from not
eating or drinking, natural
endorphins will be released, which increase comfort near the end of life.
\A group of nurses in a long-term care facility conducted a pilot study about
implementing a team
to turn patients every hour to prevent skin breakdown. The results proved the
intervention to be a
success and skin breakdown rates decreased. What step should the nurses take
next to implement
this process throughout the facility? - ANS - Educate individuals in the facility
about implementing the change agency-wide.
\A licensed practical nurse (LPN) working in a pediatric clinic is interested in
improving patient
outcomes for children with asthma by preventing the need for hospitalization.
Which clinical
question would best guide the nurse's next steps? - ANS - What patient education
materials are available that address prevention of asthma
attacks in pediatric patients?
\A licensed practical nurse/licensed vocational nurse (LPN/LVN) reads a journal
article about
insertions of indwelling urinary catheters. The article provides evidence that
supports that the
balloon should not be inflated before insertion, yet her agency policy states to
test the balloon
, before inserting the catheter. Which action should the nurse take? - ANS -
Conduct a literature search and present the literature to the policy committee.
\A nurse approaches a person in a restaurant who appears to be experiencing
respiratory distress.
Which action should the nurse perform first? - ANS - Collect data about the
person's condition.
\A nurse fails to implement fall precautions for a patient who is at high risk for
falling. An injury
occurs and the patient is severely injured. What liability has been violated? - ANS
- Malpractice
\A nurse is calling a multidisciplinary care conference for a patient with a wide
variety of needs.
Who may be a part of this team? - ANS - Case manager
\A nurse is feeling uncomfortable caring for a patient who has beliefs that are
very different from
the nurse's beliefs. Despite the differences, the nurse feels obligated to care for
the client, in their
professional role. Which ethical theory is the nurse demonstrating? - ANS -
Deontology
\A nurse is performing research on best practices for oral care in unconscious
patients. Which level
of evidence is the strongest? - ANS - Systematic review (level 1)
\A nurse is speaking to a patient about pain. Which statement by the nurse
demonstrates active
listening? - ANS - I hear you saying that your pain makes you feel defeated.
\A nurse manager has a leadership approach that includes active listening, clear
communication,
and support of colleagues. Which style is demonstrated? - ANS - Coaching
\A nurse notes that a patient's blood glucose is low and properly treats the
symptoms. The nurse
continues to monitor for symptoms of low blood glucose throughout the
remainder of the shift.
What is the nurse practicing by this action? - ANS - Vigilance
\A nursing student asks the nurse preceptor why EBP is important. How should
the nurse respond
to the student? - ANS - EBP guides nursing decisions to improve patient
outcomes.
\A patient asks the nurse why he should have a durable power of attorney. How
should the nurse
