Med Surg 1 - Exam 1
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A nurse leader is discussing possible continuing education opportunities with other staff members. Which of the following actions should the nurse leader recommend to maintain clinical competence?
Attending a professional conference
3 multiple choice options
A nurse is caring for a client in an acute care setting who states, "The nurses here have been awful to me." Which of the following statements by the nurse demonstrates professional communication with the client?
"Tell me what happened to make you feel that way."
3 multiple choice options
A nurse is teaching a class to new staff members about the importance of a positive work environment. Which of the following could be used as an example of professional comportment?
Collaboration among staff to complete tasks
3 multiple choice options
A nurse is taking a class on leadership in the nursing profession. Which of the following should the nurse identify as a quality of an effective nurse leader?
Ability to empathize
3 multiple choice options
A nurse is planning care for a client with complex medical needs. Which of the following would be an example of interprofessional collaboration?
Consulting with a physical therapist about care decisions
3 multiple choice options
A nurse is discussing burnout with their nursing team. Which of the following should be included as an effective strategy to prevent nurse burnout?
Practicing self care
3 multiple choice options
A nurse overhears another nurse being harassed by a staff member. Which of the following actions by the nurse is an appropriate way to handle this situation?
Report the incident to a manager
3 multiple choice options
A nurse is discussing the importance of a healthy work environment with a newly graduated nurse. Which of the following statements by the experienced nurse should help maintain a healthy work environment?
"Report any workplace injuries to the manager."
3 multiple choice options
A nurse is discussing the nursing shortage with another staff member. Which of the following should the nurse identify as the cause of the current nursing shortage?
Nurses are retiring faster than new nurses are being hired
3 multiple choice options
A nurse treating an older adult client who has diabetes mellitus notices that the client walks with a limp, which has not been noted on their medical record. Which of the following actions should the nurse take to help the client?
Alert the other members of the interdisciplinary team
3 multiple choice options
A nurse is discussing the impact the impact of social determinants of health and their impact on the spread of communicable diseases and infections. Which of the following factors should the nurse identify as a social determinant that increases the risk of infection among individuals who are living at a lower income?
Occupation and work conditions
3 multiple choice options
A nurse works at a medical facility that serves an immigrant community in a low-income area. The clients have disproportionately high rates of obesity and heart disease. The area also has limited access to fresh produce in most neighborhood supermarkets. According to the World Health Organization, which of the following steps should the nurse take in addressing the social determinants of health for clients.
Provide a list of local farmers' markets to clients
3 multiple choice options
A nurse at a community hospital is providing education for a client as part of the approach to care. At which of the following points of care should the nurse begin educating the client about their health issue and treatment?
at admission
3 multiple choice options
A nurse is providing care for beginning a pharmaceutical regimen as part of their postoperative treatment. Which of the following statements given by the nurse would support co-creation of care?
Tell me how you hope the medication will help you complete your recovery
3 multiple choice options
Following surgery to repair a tear in a client's shoulder, the client is prescribed physical therapy. During physical therapy, the client has an exacerbation of their chronic back pain which is treated by another provider. Which of the following interventions would be a priority to ensure the client receives holistic care?
The nurse should facilitate contact between the client's surgical team, physical therapist, and primary care physician
3 multiple choice options
Which of the following actions by a nurse facilitates a care partner's active role as a member of the collaboration team for a client receiving palliative care as part of the chemotherapy process?
The nurse should educate the care partner on the protocols for administering the clients pain medication
3 multiple choice options
The busy emergency department at a hospital has experienced a sharp increase in negative outcomes among clients with heart conditions in the past month. Which of the following actions should the nursing staff take to improve clinet outcomes?
Increase delegation between nurses at different levels
3 multiple choice options
An urgent care facility has experienced a decline in client outcomes over the past 6 months. The staff has identified that the roles and responsibilities of team members are not always apparent, which can prevent the coordination of client care. Which of the following would help the medical facility address this issue?
Adopting a process improvement method
3 multiple choice options
A nurse wants to use evidence-based practice to provide safe and effective wound care for a client with a rare clotting disorder. Which of the following is the first step the nurse should take?
Posing a question
3 multiple choice options
A nurse is using a new wound-closure technique that is supposed to increase the rate of healing and decrease scarring. The nurse documents the appearance of the client's wound set intervals and compares the notes to the documentation of a past client with a similar wound that was treated using an established technique. Which of the following steps of evidence-based practice is the nurse performing when they compare the techniques?
Assessing the result
3 multiple choice options
Which of the following should the nurse include in an educational session about wellness, as the key aspect of achieving wellness?
Active pursuit of wellness
3 multiple choice options
A nurse is collecting information from a client at a local clinic. The nurse should recognize which of the following social determinants of health may affect this client's outcomes?
If the client is exposed to toxins or violence in their environment their health may be impacted
3 multiple choice options
A nurse is using Healthy People 2030 as a guideline for planning a community activity to promote client health and well-being. Which of the following statements should the nurse include as the main goal of Healthy People 2030 project?
Identify and implement plans to improve health
3 multiple choice options
A nurse is managing a community vaccine clinic, and a client asks why so many vaccines are currently recommended by the CDC. Which of the following is the best response for the nurse to use?
Vaccines are recommended because they can prevent people from getting many serious diseases
3 multiple choice options
A nurse assisting a community group in establishing a disease prevention policy. Which of the following should the nurse recognize is an example of effective public healthy policy?
Establishing smoke-free restaurants
3 multiple choice options
A nurse is teaching a group of older adult clients at the senior center about chronic illnesses. Which of the following acronyms should the nurse teach to the clients to help them remember common manifestations of a stroke?
FAST
3 multiple choice options
A nurse is caring for a group of four clients. Which of the following clients would the nurse conclude is most at risk for developing Alzheimer's disease?
An 87-year old client
3 multiple choice options
A nurse is providing education to a community group about social determinants of health. The nurse should teach the group that social determinants of health account for approximately what percentage of health outcomes?
30%
3 multiple choice options
A client is seeking treatment for a respiratory infection at a local clinic. During the visit, the client verbalizes concern about the cost of medication and the inability to pay for it.
Your health care provider may be able to give you free samples
3 multiple choice options
A nurse is assisting with community needs analyses of four counties regarding physical access to quality health care. The nurse should focus on interventions for which of the following groups?
CLients who live 40 miles from the city
3 multiple choice options
A nurse is teaching a client regarding the difference between brain death and clinical death. Which client statement indicated accurate understanding?
Clinical death can be restored by CPR
3 multiple choice options
The nurse is teaching a client about the stages of dying. Which statement by the client indicates that learning has occured?
It could take 1 to 14 days to go through all the stages of dying
3 multiple choice options
The nurse is educating the client's family about the changes occurring during the early stage of the dying process. The family member tells the nurse, "My parent is really confused at times.". Which of the following is the nurse's best response?
This is a normal cognitive change that is occurring
3 multiple choice options
A nurse is caring for a client who has a full code status. The client has experienced cardiac arrest and has activity on the electroencephalogram. Which of the following nursing interventions should the nurse perform?
The nurse should begin full cardiopulmonary resuscitation CPR immediately
3 multiple choice options
How do you prevent nurse burnout?
Self care
Steps to take when assessing the social determinants of health?
How to adopt a process improvement method.
How do you maintain a healthy work environment?
Interprofessional collaboration
Brain death
Clinical death
Short term relief for caregivers
Respite care
Explain advanced directives
When a family requests a change in care, what is the nurse's first step?
Contact the provider, ask to hear more
First step in organ donation
Why are sodium levels high when dehydrated?
Water follows salt
Normal potassium
3.5-5
Normal sodium
134-145
Normal calcium
9-10.5
Normal magnesium
1.3 to 2.1
Normal glucose
74-106
Symptoms of magnesium toxicity
diarrhea, N/V, lethargy, muscle weakness, respiratory depression, decreased urine output
Foods to avoid with hyperkalemia
bananas and apricots
Risk factors for hypocalcemia
vitamin D deficiency, parathyroid disorder
Metabolic acidosis
Respiratory alkalosis
Respiratory acidosis
Metabolic Alkalosis
What is the priority in perioperative care?
SBAR
Situation- what has been done
Background- previous surgeries, treatments, and medications
Assessment- vital signs, lung and bowel sounds, etc
Recommendation- what is needed
Safety when giving meds postoperative
medication regimen, continued meds, new meds
Postoperative ambulation
walk to prevent blood clots (thrombosis)
Most common postoperative complication
infection, thrombosis
Terms for antibiotics with surgery
1 hour prior to surgery and stopped 24 hours after surgery
Weight to kg
1 kg= 2.2 lbs
mL to teaspoons
5ml= 1 tsp
Normal pH
7.35 to 7.45
Normal PaCO2
35 to 45
Normal HCO3
22 to 26