Nursing Care Strategies: Managing Post-Surgery and Health

School

Florida State College at Jacksonville**We aren't endorsed by this school

Course

NUR 1020C

Subject

Nursing

Date

Dec 10, 2024

Pages

Uploaded by ProfRedPandaPerson1331

Studocu is not sponsored or endorsed by any college or university1020c finalNursing Concepts: Health and Wellness Across the Lifespan I (Florida State College atJacksonville)Studocu is not sponsored or endorsed by any college or university1020c finalNursing Concepts: Health and Wellness Across the Lifespan I (Florida State College atJacksonville)Downloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958

1.The nurse is caring for a patient who has gone undergone abdominal surgery. The patient2.stated prior to surgery" I don't think i will be able to handle this i get colostomy. I won't know how to manage it. There is no " next to kin" listed in the patient record. Which is correct ways to addressing nursing diagnosis frst?Pain 3.Which assessment made by the nurse should addressed frst?Shortness of breath4.A student nurse is preparing to auscultate a patient lung. what action by the student leads the instructor to intervene?Students uses the stethoscope bell to listen to bowel sounds.5.The nurse is caring for a patience with swallowing concerns and decreased levels of consciousness. The nurse know to put the patients in what position for oral care?Side lying( spine)6.The nurses is assessing a patients with mobility dysfunction and wants to gain insightinto the patients functionals ability . What questions would be for the most appropriate?Do you use a cane, walker, or wheelchair to ambulate7.Patient fully alert and fully oriented. What is Glasgow coma scale?158.Strategies to include in a community program for senior citizens related to dealing with cold winner temperature would includedShopping at an indoor mall9.A nurse is explaining to a student nurse a bout perfusion. The nurse knows the student understands the concept of perfusion when the student states " perfusion""Is monitored by vital sign and capillary refll"10.A nurse is caring for a patient who has orthopnea. What action by the nurse is most appropriate?Keep the head of the bed elevated11.The nurse faculty member is observing a student taking a patient’s carotid pulse. What action by the student requires intervention by the faculty member?Compared pulse in both carotid arteries at the same time12.A nurse observed a student taking a adult patients tympanic temperature. what action by the student requires the nurse to intervene?Student pulls the pinna of the patient ear down and back13.A defnition of health policy included which of the following element?Public policy made to a support health related goals14.The economics of health care included?Equal distribution of health care15.A student asks the instructor about health acre economics. The instructor knows that the student understands when the student states which of the following?Downloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958

Resource will be needed to serve health care issues16.The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient?Do you perform testicular self-examinations17.When the nurse is evaluating the reliability of a patient's responses, which of these statements would be correct? The patient:Provided consistent information and therefore is reliable.18.A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse's best response?Can you point to where it hurts?19.The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for theparents before the interview begins?"While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires?"20.Which primary prevention nursing intervention would be implemented by the community nurse to decrease the risk of community members contracting sexually transmitted infections (STIs)?Educate about the importance of safe sex practices21.A nurse manager is educating the nursing staf on the importance of security with theimplementation of the electronic health record (EHR) system. Which points does the manager emphasize? Select all that apply.Do not share passwords with anyone22.A new nurse is conducting a patient interview. What behaviors observed by the experienced nurse require education on this process?Typing intently on a keyboard when asking questions. e. Providing non-verbal cues to negative thoughts.23.A hospitalized patient complains of bilateral leg pain and asks the nurse to massage her legs. One calf is noticeably larger than the other and is warm and slightly reddened. What action by the nurse is best?Educate the patient on why a massage would be contraindicated.24.The nurse is assessing a patient whose chart indicates a Grade 3 heart murmur. Whataction is best in order to hear the murmur?Auscultate the patient's chest with a stethoscope.25.A nurse has assessed a patient's capillary refll, which was 5 seconds. What action by the nurse is most appropriate?Assess the patient for signs of hypoxia.26.A nurse is caring for an unconscious patient. What objective assessments does the nurse use to help evaluate pain in this patient? (Select all that apply.)Agitation b. Restlessness d. Vital signsThe nurse is caring for a woman who had a right-sided mastectomy 2 years ago. What action by the nurse is most appropriate?Place a sign above the bed: "No blood pressures on the right arm."Downloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958

27.A patient returned from a procedure and has vital sign measurements ordered every hour. The patient's blood pressure has dropped from 132/82 mm Hg an hour ago to 90/66 mm Hg. What action by the nurse is most appropriate?Plan to take the vital signs more often.28.A nurse notes a patient has abnormal vital signs. What action by the nurse is best?Compare with prior readings.29.How should the nurse correct an error in charting?draw a single line through the error, and then write "error" above or after the entry30.APIE, APIE, SOAP, and SOAPIE are:examples of problem-oriented charting.31.The nurse is caring for patients on unit that uses electronic health records (EHRs). In order to protect personal health information, the nurse should:Do not share her password with anyone.Do not leave the patient medical recordDo not log in with someone else username32.Accurate documentation by the nurse is necessary since proper documentation:is needed for proper reimbursement.33.A mother of a young child kicks a trashcan in anger and says to the nurse, "You just don't understand! Why can't the doctor fnd out what is wrong with my child?" This behavior is most likely an example of:Displacement34.During a shift report, a staf member briefy describes the history of a patient admitted with chronic gastrointestinal bleeding. In which SBAR topical area would thisinformation be presented?Background35.The nurse is admitting a patient with a foul smelling leg wound. Which behavior by the nurse indicates an understanding of appropriate body language?Gentle touching of the patient's shoulder36.The nurse administers a medication to the patient and then realizes that the medication had been discontinued. The error is immediately reported to the physician. The nurse is complying with the standards of professional performance known as:Ethics.37.The nursing instructor is researching the fve profciencies regarded as essential for students and professionals. Which organization, if explored by the instructor, would be found to have added safety as a sixth competency?QSEN38.A group of students are discussing the impact of non-nursing theories in clinical practice. The students would be correct if they chose which theory to prioritize patient care?Maslow's Hierarchy of Need39.Which of the following components are included in health policy at the state level?Scope of nursing practiceDownloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958

40.The US health care system is diferent from that of other countries in which way?The US health care system is not entirely government funded41.Which of the following statements is true about health care in the US?The US spends more money on health care than any other nation.42.Two nurses are discussing health care in the past and the present. The two nurses know which of the following to be true about health care in the presentHealth care in the present is controlled by third party payers.43.A student nurse is discussing Medicare coverage with the clinical instructor. The instructor knows the student understands Medicare when the student makes this which statement(s)? (Select all that apply.Medicare is funded by the federal government.Medicare is for persons 65 years old and older.Medicare is for patients who are disabled and/or have end-stage renal disease.44.A nurse is interviewing at an agency owned by a national religious organization that serves homeless and uninsured patients. A large poster display shows a proposed addition that would add 16 beds to the facility that will be funded from profts of the previous 3 years of operation. The nurse recognizes that the agency is most likely what type of agency?Not-for-proft45.A nurse is reported for taking prescribed patient medications for their personal use. Who has direct authority over deciding if the nurse may keep their professional license to continue practicing as a nurse?The State Board of Nursing who issued the license46.The annual report for a hospital shows that external environment factors are afectingthe amount of new staf hired. What is a likely factor contributing to this outcome?A national recession that has been occurring for 3 years47.A nurse manager recognizes that systems theory identifes that there is a social component within an organization that afects the overall functioning of the system. What indicator would demonstrate to the nurse manager that the social needs of an organization are being met?Most employees from the organization attend an annual holiday celebration.48.A hospital organization is working to improve a feeling of being valued and respected among all staf members. Which action by administration would reinforce the feeling of being valued?Seek staf input when planning a remodeling project of patient rooms.49.A quality improvement committee is reviewing discharge surveys. Results show that patients and their families have difculty fnding departments and areas of the hospital. What action by the committee would best address this concern for the organization?Form a multidisciplinary committee to identify options to help travel through the hospital.50.A hospital is experiencing a drop in patient admissions, resulting in the implementation of a hiring freeze. What is a potential critical consequence of this internal organizational decision?Downloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958

A decrease in the availability of future nurses to hire51.The nurse is counseling a woman who is caring for her 83-year-old father. The father has had mental changes and is becoming more confused. The father lives with the daughter in her home. The nurse knows the daughter understands the father's care needs when she states which of the following?I can send dad to the adult daycare; that way I can work and care for him at night."52.Many middle-aged adults are called the "sandwich" generation because they are caring for their children and their aging parents. The aging parents need care due tomultiple chronic illnesses.53.Student nurses are being questioned by the nursing instructor about the health care coordination system. The instructor knows the students understand health care delivery when they state, "Health careneeds are best met with a collaborative efort."54.The nurse is discussing care coordination with a patient. The patient asks the nurse to explain care coordination. The nurse's best response would be, "Care coordinationallows health care services to work together in the community."55.Two nurses are discussing health care quality. They agree on the statement that health care quality requirescollaboration of multiple health care agencies.56.A student nurse is talking with his instructor. The student asks how quality of care is evaluated. The best response by the instructor is "Quality of care is evaluatedon the basis of process and outcomes57.The focus for The Joint Commission (TJC) is _____ and _____ in the delivery of health care.Safety; quality58.A student nurse and clinical instructor are discussing quality in health care. The instructor knows the student understands when the student says, "Quality isseen and unseen in health care59.A sentinel event refers to an event thatSignals the need for immediate investigation and response.60.Aspects of safety culture that contribute to a culture of safety in a health care organization includeCommunication61.Which patient scenario describes the best example of professional collaboration?The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy.62.Which statement correctly describes the nurses' role in collaboration?Collaboration may occur in health-related research.63.The nurse and physician are explaining the home care that will be needed by a patient after discharge. The patient's spouse states angrily that it will not be possible to provide the care recommended. What is the best response by the nurse? "What concerns do you have about the prescribed care?"Downloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958

64.Critical Thinking: A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response by the nurse would be an example of interpersonal therapeutic communication?Can you give me an example of what you mean by a 'bad nightmare'?"65.The nurse is seeking clarifcation of a statement that was made by a patient. What is the best way for the nurse to seek clarifcation"Am I correct in understanding that..."66.A patient does not make eye contact with the nurse and is folding his arms at his chest. Which aspect of communication has the nurse assessed?nonverbal communication67.The nurse in a newly opened community health clinic is developing a program for theindividuals considered at greatest risk for poor health outcomes. The group is considered thevulnerable populations68.Interrelated concepts to professional nursing a nurse manager would consider when addressing concerns about the quality of health promotion includeEvidence69.A patient sufered a brain injury from a motor vehicle accident and has no brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their son. The nurse respects this decision in keeping with the principle ofAutonomy70.male patient sufered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, "Do you think when he moves his hands he is responding to my voice?" The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, "He can hear you, and it appears he did respond to your voice." The nurse is violating which principle of ethics?Veracity71.A nurse on the unit makes a error in the calculation of the dose of medication for a critically ill patient. The patient sufered no ill consequences from the administration. The nurse decides not to report the error or fle an incident report. The nurse is violating which principle of ethics?Fidelity80.An unconscious patient is treated in the emergency department for head trauma. Thepatient is unconscious and on life support for 2 weeks prior to making a full recovery. The initial actions of the medical team are based on which ethical principle?Deontology81.The scope of professional nursing practice is determined by the rules promulgated bywhich organization?State's board of nursing82.The nurse requests that a mother give permission for a hearing test in a newborn infant. The mother questions the importance of such a test. The nurse correctly responds with which of the following statements?Downloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958

"Imitation of sounds is the frst step in language development, and it is important to identify alterations early."83.Mr. Smith is complaining of decreased appetite. He states he just fnished taking his antibiotics for an episode of pneumonia. The nurse's best response would be which ofthe following?You should see an improvement in the next week or so. Call if this continues.84.The patient who had a hip replacement yesterday has a visual acuity of 20/200 after correction. To provide recreational activities during the rehabilitation phase, the nurseshouldSuggest use of talking books.85.The nurse is examining the eyes of a newborn infant. If the nurse notes the absence of the red refex, she wouldNotify the physician86.A nursing student is preparing study notes from a recent lecture in nursing history. The student would credit Florence Nightingale for which defnition of nursing?The imbalance between the patient and the environment decreases the capacity for health87.During a staf meeting, the nurse manager announces that the hospital will be seeking Magnet status. In order to explain the requirements for this award, the nurse manager will contact the:(ANCC)88.The nurse is preparing to discharge a patient admitted with fever of unknown origin. The patient states, "I never got past the ffth grade in school. Don't read much. Neversaw much sense in it. But I do OK. I can read most stuf. But my doctor explains things good, and doesn't think that my sickness is serious." The nurse should:Expect that the patient may return to the hospital if the discharge process is poorly done.89.The nurse administers a medication to the patient and then realizes that the medication had been discontinued. The error is immediately reported to the physician. The nurse is complying with the standards of professional performance known as:Ethics90.The nurse is caring for an adult patient with a recent below-the-knee amputation. During shift report, the nurse reports that the patient has urinated in the bed multipletimes since the surgery. Which defense mechanism best describes this behavior?Regression100.A female patient is admitted to the emergency department after being raped by a neighbor. The patient refuses to discuss the circumstances surrounding the event with the sexual assault nurse examiner. This patient is most likely using the defense mechanism of:Suppression101.The nurse is caring for a patient with chronic lung disease. The patient demands a cigarette after eating breakfast. The nurse responds, "If that was me, I wouldn't be asking for a cigarette. That is what has made you so sick in the frst place." This nontherapeutic communication response is an example of:Downloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958

giving advice.102.The nurse is admitting a patient with a foul smelling leg wound. Which behavior by the nurse indicates an understanding of appropriate body language?Gentle touching of the patient's shoulder103.The nurse is caring for a patient who is unable to take oral medications because of persistent nausea and vomiting. The nurse decides to call the primary care physician and ask for a diferent medication administration route. This demonstrates the act of:Advocacy104.To develop critical thinking, the nurse needs to develop a critical-thinking character that includesDeveloping honesty and confdence105.The term nursing process was frst used in 1955. In 1973, the American Nurses Association identifed fve specifc steps of the process. The essential step that was added in 1991 is:outcome identifcation106.The charge nurse is discussing a patient's care plan during a team meeting. The team determines that the patient has not met the goal of "ambulating to the nurse's station twice a day" and decides to revise the plan. Which of the following characteristics of the nursing process most represents this decision?Outcome orientation107.A nurse is conducting a health interview on a newly admitted patient. To establish a trusting relationship with the patient, the nurse:sits close and leans in slightly toward the patient.108.The nurse is using a stethoscope to assess a patient's cardiac status. This assessment technique is known as:Auscultation109.The nurse is performing a physical exam on a patient diagnosed with liver failure resulting from chronic alcoholism. The nurse notes that the abdomen is swollen and decides to assess for abdominal skin tenderness and temperature. Which of the following techniques would the nurse use to collect this data?a.Palpation110.A group of patients in a community center attend a nursing-led information session on the risks of contracting tuberculosis. After the presentation several patients ask the nurse for additional web-based resources regarding the lung disease. Which type of nursing diagnosis would the nurse choose for the community care plan?health promotion111.A patient is receiving an experimental drug for leukemia. The nurse is worried that the drug may cause a reduction in platelets leading to intestinal tract bleeding. Which type of nursing diagnosis should the nurse use to address this concern?Risk112.After the nurse completes a patient's initial assessment and develops a plan of care:continual reassessment of the patient is required.Downloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958

113.Repositioning a patient, providing hygiene, and active listening are examples of:independent nursing interventionsAccurate documentation by the nurse is necessary since proper documentation:is needed for proper reimbursement.114.The nurse is educating parents about frearm safety. Which of the following statements indicates a need for further education?It is okay to store frearms with ammunition loaded."115.The patient has a nursing diagnosis of risk for falls. Which goal is most important?Patient will have no injuries during hospital stay116.Many health care facilities use the fre emergency response defned by the acronym:a.Race117.The nurse is caring for a confused, combative patient. Which action would be considered last by the nurse to control behavior of the client?A. Apply restraints.118.Which statement by the nurse correctly identifes the UAP role in patient restraint use?The UAP can assist with applying and monitoring of a physical restraint.119.The nurse is explaining the National Patient Safety Goals (NPSG) to the student nurse. Which of the following answers indicates that the student has a good understanding of these goals? (Select all that apply.)The NPGS's focus on improving staf communicationc.The NPGS's focus on using medications safelyd.The NPGS's focus on identifying patients correctly120.A nurse is planning primary prevention activities. Which activity would the nurse include in this plan?Safer sex education for teens121.A nurse wants to volunteer for a community group providing secondary prevention. What activity would the nurse attend?a.Blood pressure screening at the mall122.A nurse is orienting to a new job in a home health care agency and is told that most of her patients need tertiary prevention. What activity does the nurse plan to include in the daily routine?Antibiotic administration123.The nurse is caring for a patient recently diagnosed with cancer that is being asked toparticipate in a new chemotherapy trial. How would the nurse respond if working under the ethical principle of utilitarianism?You should do this because many could beneft from it."124.The student nurse is assessing a patient's pulses. What action by the student requires the nurse to intervene?Assessing the doralis pedis pulse by palpating behind the patient's kneeDownloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958

125.Dependent nursing interventions include:administer antipyretic medications asappropriate.126.Nursing interventions that originate from the physician or primary careDependent127.Which statement contributes to the understanding that nursing is considered a profession? (Select allNursing requires specialized training.Nursing has a specialized body of knowledge.Nurses make independent decisions within their scope of practice.128.The direction of blood fow through the heart is best described by which of these?Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left ventricle129.A nurse is discharging a patient and is planning on what material to give the patient to take home. What action by the nurse is best?Assess the patient's ability to read and understand.Downloaded by Cassidy Clay (clayc2019@gmail.com)lOMoARcPSD|14077958