Which activity in the care of a 48-year-old female patient with a new colostomy could
the nurse delegate to unlicensed assistive personnel (UAP)?
a. Document the appearance of the stoma.
b. Place a pouching system over the ostomy.
c. Drain and measure the output from the ostomy.
d. Check the skin around the stoma for breakdown.
Give this one a try later!
, C
Draining and measuring the output from the ostomy is included in UAP
education and scope of practice. The other actions should be implemented
by LPNs or RNs.
Postural drainage with percussion and vibration is ordered twice daily for a patient
with chronic bronchitis. Which intervention should the nurse include in the plan of
care?
a. Schedule the procedure 1 hour after the patient eats.
b. Maintain the patient in the lateral position for 20 minutes.
c. Perform percussion before assisting the patient to the drainage position.
d. Give the ordered albuterol (Proventil) before the patient receives the therapy.
Give this one a try later!
D
Bronchodilators are administered before chest physiotherapy.
Postural drainage, percussion, and vibration should be done 1 hour before
or 3 hours after meals. Patients remain in each postural drainage position
for 5 minutes. Percussion is done while the patient is in the postural
drainage position.
A 68-year-old woman with acute myelogenous leukemia (AML) asks the nurse
whether the planned chemotherapy will be worth undergoing. Which response by the
nurse is appropriate?
a. If you do not want to have chemotherapy, other treatment options include stem cell
transplantation.
b. The side effects of chemotherapy are difficult, but AML frequently goes into
remission with chemotherapy.
,c. The decision about treatment is one that you and the doctor need to make rather
than asking what I would do.
d. You dont need to make a decision about treatment right now because leukemias in
adults tend to progress quite slowly.
Give this one a try later!
B
This response uses therapeutic communication by addressing the patients
question and giving accurate information.
The other responses either give inaccurate information or fail to address
the patients question, which will discourage the patient from asking the
nurse for information.
.
The nurse is caring for an Asian patient who is being admitted to the hospital. Which
action would be most appropriate for the nurse to take when interviewing this
patient?
a. Avoid eye contact with the patient.
b. Observe the patients use of eye contact.
c. Look directly at the patient when interacting.
d. Ask a family member about the patients cultural beliefs.
Give this one a try later!
, B
Observation of the patients use of eye contact will be most useful in
determining the best way to communicate effectively with the patient.
Looking directly at the patient or avoiding eye contact may be appropriate,
depending on the patients individual cultural beliefs. The nurse should
assess the patient, rather than asking family members about the patients
beliefs.
Which instruction should the nurse include in an exercise teaching plan for a patient
with chronic obstructive pulmonary disease (COPD)?
a. Stop exercising if you start to feel short of breath.
b. Use the bronchodilator before you start to exercise.
c. Breathe in and out through the mouth while you exercise.
d. Upper body exercise should be avoided to prevent dyspnea.
Give this one a try later!
B
Use of a bronchodilator before exercise improves airflow for some patients
and is recommended.
Shortness of breath is normal with exercise and not a reason to stop.
Patients should be taught to breathe in through the nose and out through
the mouth (using a pursed lip technique). Upper-body exercise can improve
the mechanics of breathing in patients with COPD.
In a severely anemic patient, the nurse would expect to find
a. dyspnea and tachycardia.
b. cyanosis and pulmonary edema.
the nurse delegate to unlicensed assistive personnel (UAP)?
a. Document the appearance of the stoma.
b. Place a pouching system over the ostomy.
c. Drain and measure the output from the ostomy.
d. Check the skin around the stoma for breakdown.
Give this one a try later!
, C
Draining and measuring the output from the ostomy is included in UAP
education and scope of practice. The other actions should be implemented
by LPNs or RNs.
Postural drainage with percussion and vibration is ordered twice daily for a patient
with chronic bronchitis. Which intervention should the nurse include in the plan of
care?
a. Schedule the procedure 1 hour after the patient eats.
b. Maintain the patient in the lateral position for 20 minutes.
c. Perform percussion before assisting the patient to the drainage position.
d. Give the ordered albuterol (Proventil) before the patient receives the therapy.
Give this one a try later!
D
Bronchodilators are administered before chest physiotherapy.
Postural drainage, percussion, and vibration should be done 1 hour before
or 3 hours after meals. Patients remain in each postural drainage position
for 5 minutes. Percussion is done while the patient is in the postural
drainage position.
A 68-year-old woman with acute myelogenous leukemia (AML) asks the nurse
whether the planned chemotherapy will be worth undergoing. Which response by the
nurse is appropriate?
a. If you do not want to have chemotherapy, other treatment options include stem cell
transplantation.
b. The side effects of chemotherapy are difficult, but AML frequently goes into
remission with chemotherapy.
,c. The decision about treatment is one that you and the doctor need to make rather
than asking what I would do.
d. You dont need to make a decision about treatment right now because leukemias in
adults tend to progress quite slowly.
Give this one a try later!
B
This response uses therapeutic communication by addressing the patients
question and giving accurate information.
The other responses either give inaccurate information or fail to address
the patients question, which will discourage the patient from asking the
nurse for information.
.
The nurse is caring for an Asian patient who is being admitted to the hospital. Which
action would be most appropriate for the nurse to take when interviewing this
patient?
a. Avoid eye contact with the patient.
b. Observe the patients use of eye contact.
c. Look directly at the patient when interacting.
d. Ask a family member about the patients cultural beliefs.
Give this one a try later!
, B
Observation of the patients use of eye contact will be most useful in
determining the best way to communicate effectively with the patient.
Looking directly at the patient or avoiding eye contact may be appropriate,
depending on the patients individual cultural beliefs. The nurse should
assess the patient, rather than asking family members about the patients
beliefs.
Which instruction should the nurse include in an exercise teaching plan for a patient
with chronic obstructive pulmonary disease (COPD)?
a. Stop exercising if you start to feel short of breath.
b. Use the bronchodilator before you start to exercise.
c. Breathe in and out through the mouth while you exercise.
d. Upper body exercise should be avoided to prevent dyspnea.
Give this one a try later!
B
Use of a bronchodilator before exercise improves airflow for some patients
and is recommended.
Shortness of breath is normal with exercise and not a reason to stop.
Patients should be taught to breathe in through the nose and out through
the mouth (using a pursed lip technique). Upper-body exercise can improve
the mechanics of breathing in patients with COPD.
In a severely anemic patient, the nurse would expect to find
a. dyspnea and tachycardia.
b. cyanosis and pulmonary edema.
