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NURS 310.00 VCE- 3 Questions and answers

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NURS 310.00 VCE- 3 Questions and answersVCE- 3. 1) A nurse is preparing to start her shift on a medical-surgical unit. Which of the following factors concerning the change-of-shift report (hand-off report) will be most important for the nurse to consider? 2) Indicate whether the following statement is true or false. Physiologic diagnoses have a higher priority than psychologic diagnoses. 3) Indicate whether the following statement is true or false. The Kardex provides a filing system for recording the physician's orders. 4) When providing care to the patient, it is important for the nurse to be able to exercise , which allow the practitioner to shift attention to differing concerns during a period of care. 5) The statement that outlines the desired change in the patient's condition or behavior is termed the 6) You are assigned to provide care to a patient who has recently had abdominal surgery. When you are updating the nursing care plan, which of the following patient outcomes would be appropriate to include? Select all that apply. 7.A review of the care planned for a patient during a given shift reveals the interventions listed below. Which of these interventions is classified as an independent nursing intervention? Select all that apply. 8) List the seven domains that may be used to classify nursing interventions. 9) The nurse is assisting a newly graduated nurse in completing a care plan. Which of the nursing interventions planned by the graduate and listed below indicate the need for further instruction? Select all that apply. 10) A(n) is a preprinted form with orders for routine therapies, monitoring guidelines, and/or diagnostic procedures for specific patients with identified clinical problems. 11) A patient has become disabled as a result of an automobile accident. The case manager has documented concerns about the patient's ability to perform instrumental activities of daily living. Based on your knowledge, what activities are included in this listing? 1. What is Patricia Newman's chief complaint at the time of admission? 2. According to Patricia Newman's past medical history, she has a history of several medical disorders. Listed below are her primary medical diagnoses. Prioritize these disorders in order of importance for this hospital admission. ****** I did not really know how to do these so I selected what I thought was best for all the questions like this********* 3. During the nursing admission, Patricia Newman described her health as "not very good." This is an example of: 4) Based on your knowledge of Patricia Newman's condition and review of the Initial Observations, which of the following tasks should the nurse perform first after entering the room? 5.Based on the video, what has been identified as the priority intervention by the nurse? 6) Based on the video, what concern does Patricia Newman have? Is this concern shared by the nurse? 7.Critique the nurse-patient interaction in the video. What strengths does the nurse display in her interaction with Patricia Newman? 8) What action should the nurse take after receiving report? 9) .During the physical assessment, you are able to review Patricia Newman's cardiovascular and respiratory status. What other sources of data might you use to support your findings? 10) After gathering data from the physical assessment to further define potential problem areas, the following issues are identified. Prioritize the potential problems in order of importance. 11) Data clusters are sets of signs or symptoms that are grouped together logically. Match each sign or symptom with its appropriate data cluster category. 12) As you identify clusters of data, you begin to recognize patterns or trends. Data often contain defining characteristics, or criteria, for nursing diagnoses. Listed below are three nursing diagnoses with defining characteristics. Which of the diagnoses would likely apply to Patricia Newman? Select all that apply. 13) Consultation is a strategy to seek the of a specialist, provider, or educator to address problems in patient management or implementation of treatments. 14) Consultation with other health care providers increases the nurse’s about a patient's problem. 15) The plan of care often requires input from a variety of disciplines. Consider Patricia Newman's needs. Which members of the healthcare team could provide useful input into the plan of care? 16) A series of interventions are indicated to assist Patricia Newman in managing her impaired gas exchange problems. Match each intervention with its correct type. (Hint: Refer to your textbook if you need help identifying types of interventions.) 17) A nurse caring for Patricia Newman performs the following activities. Which of these activities are examples of indirect care measures? Select all that apply. 18) For each of the expected outcomes listed below, write an evaluation measure.

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VCE- 3 Questions and answers

1) A nurse is preparing to start her shift on a medical-surgical unit. Which of the following
factors concerning the change-of-shift report (hand-off report) will be most important for the
nurse to consider?

- Next anticipated dressing change

2) Indicate whether the following statement is true or false. Physiologic diagnoses have a
higher priority than psychologic diagnoses.

- True

3) Indicate whether the following statement is true or false. The Kardex provides a filing system
for recording the physician's orders.
- False

4) When providing care to the patient, it is important for the nurse to be able to exercise
, which allow the practitioner to shift attention to differing concerns during a period

of care. = Collaborative Interventions


5) The statement that outlines the desired change in the patient's condition or behavior
is termed the - Goal



6) You are assigned to provide care to a patient who has recently had abdominal
surgery. When you are updating the nursing care plan, which of the following patient
outcomes would be appropriate to include? Select all that apply.

 The patient will demonstrate an increased level of comfort.

 The patient will initiate turning and deep breathing within 2 hours.
The patient will report lessened pain using the pain scale within 3 hours.



7.A review of the care planned for a patient during a given shift reveals the interventions
listed below. Which of these interventions is classified as an independent nursing
intervention? Select all that apply.
--Inserting an indwelling Foley catheter.
--Recording intake and output.

8) List the seven domains that may be used to classify nursing interventions.

The 7 domains are: Physiological: Basic, Physiological: Complex, Behavioral, Safety, Family, Health
System, and Community.

9) The nurse is assisting a newly graduated nurse in completing a care plan. Which of the nursing
interventions planned by the graduate and listed below indicate the need for further
instruction? Select all that apply.

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