Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Pn112L
Exam 2 Chapter 4 review
| Term | Definition |
|---|---|
| A nurse assesses a patient's vital signs and finds the patient is febrile. Which intervention represents a dependent intervention? | Administer Tylenol. |
| A nurse is admitting a patient to the medical unit who states that they have pain as their primary problem. Which question should the nurse ask next? | “On a scale of 1 to 10, how would you rate your pain?” |
| A nurse is evaluating the patient's plan of care upon discharge from the hospital. Which type of goal would the nurse expect to be attained if all needs have been addressed? | Short term |
| A nurse is preparing outcomes for a patient admitted with uncontrolled hypertension (HTN). Which statement best represents an expected outcome? | Patient will identify healthy food choices from the menu prior to discharge |
| A nurse is preparing to care for a patient. Which action should be completed before implementing any identified interventions? Select all that apply. | Gather equipment and supplies. Maintain privacy. Explain the procedure Check the health-care provider's (HCP) order. |
| A nurse is preparing to care for several assigned patients. Which action should be taken to ensure that care is provided in a safe manner? Select all that apply. | Perform actions within the scope of practice of the nurse practice act. Check the patient's armband to ensure the correct patient is receiving the intervention. |
| A nurse is preparing to discharge a patient who had a knee replacement to a rehabilitation facility. In reviewing the chart, which short-term goals could the nurse designate as being met? Select all that apply. | Voids without difficulty Able to transfer to chair with minimal assistance Bowel movement pattern has been established |
| A nurse is preparing to instruct a patient on changing an ostomy appliance. What should be addressed prior to beginning this teaching session to ensure optimal learning occurs? | Address lower-level needs. |
| A nurse is providing a.m. care to a patient. Which essential actions should be included to maintain patient safety? Select all that apply. | Document care performed. Dispose of linen. Perform hand hygiene. Verify patient identification |
| A nurse is reviewing information to use as modifiers for NANDA-I lists. Which modifiers should the nurse identify as being appropriate? Select all that apply | Impaired Deficient Disturbed |
| A nurse is reviewing Maslow's hierarchy of needs. Which option represents the highest level of human need? | Self-actualization |
| A nurse is reviewing the patient's plan of care and determines that the patient has not met the goal. Which action should the nurse take first? | Review the plan of care. |
| A nurse is working collaboratively with an RN to take care of a group of patients. Which step of the nursing process requires collaboration? | Assessment and diagnosis |
| A nurse reviews a care plan prepared for a patient. Which are indirect nursing interventions in this plan of care? Select all that apply. | Informing the physician about a patient's pain Documenting a patient's bath |
| A nurse reviews a care plan written for a patient. Which nursing diagnosis should the nurse delete from this plan? | Chronic fatigue syndrome related to poor diet |
| A nursing student is preparing a care plan for an assigned patient. What should the nurse include that is least likely to be placed on an individualized plan of care for the same patient? | Impact of laboratory data on selection of an intervention |
| A nursing student is reviewing the steps of the nursing process. Which options reflect nursing diagnosis? Select all that apply. | Analyzing assessment data to formulate a problem list Identification of patient's needs |
| A patient has a critical pathway to be used for providing care. Which should the nurse keep in mind when following this plan of care? | Care based on the day of hospitalization |
| A patient with diabetes is being treated for an infected foot wound. Which would be an appropriate short-term goal for this patient? | Demonstrates correct technique for self-injection of insulin |
| A student is preparing a concept map prior to caring for a patient during the next clinical day. Which action should the student focus on when using this map? | Follow the nursing process. |
| A student nurse is applying nursing process to develop a plan of care for a medical patient admitted for hypertension control. Which option best represents the planning step? | Weight loss to be achieved |
| A student nurse is preparing to interview a patient who is a new admission to the surgical unit. Which observation if noted by the nursing instructor would warrant immediate intervention? | Asking the same questions |
| An LPN/LVN has documented that the patient reports nausea. Which notation indicates objective data related to this assessment finding? | Vomited 300 cc green emesis |
| The nursing instructor is discussing the concept of critical thinking with a group of nursing students. Which statement indicates that additional teaching is needed? | Students should always follow protocols regardless of patient assessment data. |
Created by:
destiny638
Popular Nursing sets