Nurs 208 Exam 1 Textbook Flashcard Review (Personal)

A patient is receiving a multimodal medication regimen as part of the treatment plan for neuropathic phantom limb pain. When the patient reports a bloody bowel movement, which medication prescription requires notification of the provider?

Nonsteroidal antiinflammatory

A pregnant woman has received an epidural analgesic prior to delivery. Assessment for which outcome to the medication will the nurse prioritize?

Respiratory depression

When assessing pain in a child, the nurse needs to be aware of what considerations?

Inadequate or inconsistent relief of pain is widespread

The nurse is assessing the pain of a neonate who is admitted to the NICU with a heart defect. Which pain assessment scale would be the best tool to use with this patient?

CRIES

The nurse applies the gate control theory of pain to provide pain relief to a patient with chronic lower back pain. What nursing intervention will help relieve pain by "closing the gate"?

Applying moist heat to the area at intervals

A postoperative patient asks the nurse about pain management following surgery. What teaching will the nurse provide?

"You will be more comfortable if you take the medication at regular intervals."

A nurse plans to promote a patient's natural pain mediators by using a whirlpool following intensive physical therapy to the legs. What is a potent pain-blocking neuromodulator, released through relaxation techniques?

Endorphins

A nurse is caring for patients who are nonverbal. What are examples of behavioral responses to pain? Select all that apply.

- Cradling a wrist that was injured in a car accident - Moaning and crying from abdominal pain - Pulling away from a nurse trying to give an injection

A nurse enters the patient's room to perform pin-site care for a patient wearing a halo vest to stabilize the cervical spine. What action will the nurse take first?

Reassess the patient

A nurse performs nurse-initiated nursing actions when caring for patients in a skilled nursing facility. Which reflect these types of actions? Select all that apply.

- Checking the skin of bedridden patients for skin breakdown - Ordering a kosher meal for an orthodox Jewish patient - Preparing a patient for surgery according to facility protocol

A nurse is caring for a group of patients. Which actions are appropriate to include in the implementation phase of care? Select all that apply.

- Changing the dressings on a burn victim's arm - Turning a patient in bed every 2 hours to prevent pressure injuries - Determining availability of community resources for a patient with dementia

A school nurse determines that a student who has lost weight is at risk for an eating disorder and would benefit from a nutritional assessment. What action will the nurse take?

Perform a focused nutritional assessment

Nursing students enrolled in a leadership and management course discuss the roles of the nurse manager during post conference. What roles should the students include in the discussion? Select all that apply.

- Developing and overseeing a unit budget for staff and patient care - Hiring, evaluating, and promoting staff growth - Handling escalating situations between caregivers and patients

A nurse erroneously administered two tablets of acetaminophen totaling 650 mg to their patient. When reporting this to the nurse manager, the nurse states, "there are two tablets in a package labeled '325 mg. acetaminophen.' The prescription reads 'administer 325 mg of acetaminophen '; therefore, I administered what was in the package." Based on a philosophy of just culture, what should happen next?

The package labeling should be reviewed with the pharmacy.

The nurses at an acute care hospital participate in a committee focused on achieving Magnet status. Which action do the nurses suggest to help achieve this goal?

Promoting self-governance at the unit level

A nurse manager is planning to update a health care provider's office from paper to electronic health records (EHR) by using the eight-step process for planned change. Place the following actions in the order in which they should be initiated:

1. B. The nurse records the time spent on written records versus EHR. 2. F. The nurse explores possible barriers to changing to EHR. 3. D. The nurse analyzes all options for converting to EHR. 4. C. The nurse attains approval from management for new computers. 5. A. The nurse devises a plan to switch to EHR. 6. E. The nurse installs new computers and provides an in-service for the staff. 7. H. The nurse evaluates the effects of changing to EHR. 8. G. The nurse follows up with the staff to check compliance with the new system.

A chief nursing officer with a transformational leadership style is developing a plan for success to obtain Magnet status. What are the most appropriate strategies for the leader to use? Select all that apply.

- Sharing their vision of excellence in patient care and high-level education - Encouraging nurses to incorporate evidence-based practice through hospital committees and to join nursing organizations

A nursing student is preparing to administer medications and asks the clinical instructor about legal liability in clinical practice. What is the most appropriate response?

"Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse."

A patient died during routine outpatient surgery, and the nurse was accused of having failed to monitor and interpret vital signs. Which fact must be established to prove them guilty of malpractice or negligence?

The nurse had a duty to monitor the patient, and due to the nurse's failure to perform this duty, the patient died.

Nursing students approaching graduation and licensure are required to read the state nurse practice act. Which topics in the law will they identity as guides to professional practice? Select all that apply.

- Actions resulting in discipline - Scope of practice

A nursing professor pulls a student aside to discuss documenting a patient's blood pressure of 202/122 but not reporting this to the primary nurse. When discovered, the patient was transferred to the intensive care unit for treatment and monitoring. How does the faculty best explain to the student that their inaction reflects negligence?

You failed to act as a reasonably prudent nurse would under similar circumstances."

A nurse has finished providing care for a patient in contact isolation for a MRSA infection. Place the steps the nurse should follow to remove PPE in the correct order.

1. Untie gown at the front waist 2. Remove gloves 3. Remove goggles 4. Remove gown 5. Remove mask

A nurse is preparing to admit a patient with urinary sepsis related to vancomycin-resistant enterococci (VRE). While awaiting the patient's arrival, which of these actions will the nurse take?

Ask the AP to get a supply of protective gowns

During morning huddle, a nurse manager and some nurses are identifying patients on the unit who are at risk for hospital-acquired infections (HAIs). Which patients will the nurses identify? Select all that apply.

- White blood cell count of 2,000/mm3 - Indwelling urinary catheter in place - Central venous catheter present - Postoperative colostomy

When performing sterile wound irrigation and dressing change for a postoperative patient, a new graduate nurse creates a sterile field. Which actions require correction by the preceptor? Select all that apply.

- Placing the bottle cap for the irrigating solution off the sterile field with the edges down - Holding the bottle of irrigating solution inside the edge of the sterile field