Exam 3: Fundamentals and Issues of Nursing

The nurse manager meets with the staff nurses and announces that management has developed a new policy and procedure that is significantly different from old practices. Which of the following statements, if made by the nurse manager, would reflect the manager's use of legitimate power?

A community health nurse is providing an educational session on childhood poisoning at a local school. The topic of the discussion is preventive measures to avoid accidental poisoning. The nurse includes instructions that if an accidental poisoning occurs to immediately:

The nurse is providing instructions to a client regarding the use of ice packs to treat an eye injury. The nurse instructs the client to:

The graduate nurse is interviewed by the manager of a unit that has three vacancies and is told that the manager's leadership style is one of letting the staff nurses make the decisions about the unit's operations. When the interviewee meets with the day nursing staff, the graduate nurse hears examples of unit issues indicating that the manager's approach is laissez-faire. Which of the following questions should the graduate nurse ask to confirm her suspicions?

Treatment for a client with bleeding esophageal varices has been unsuccessful and the physician decides to insert a Sengstaken-Blakemore tube. The nurse brings which of the following items to the bedside so that it is available at all times?

The nurse caring for a client who has a pneumothorax notes continuous bubbling in the water seal chamber of the client's closed-chest drainage system. The nurse determines that which of the following is occurring?

The physician's prescription reads cyanocobalamin (vitamin B₁₂), 150 mcg by the intramuscular route. The medication label reads cyanocobalamin (vitamin B₁₂), 100 mcg/mL. The nurse prepares to administer how many mL to the client? (Enter the answer in the space provided.)

The physician prescribes 500 mL of 0.9% normal saline to run over 6 hours. The drop factor is 10 drops/1 mL. The nurse adjusts the flow rate to run at how many drops per minute? (Enter the answer in the space provided.)

The client is admitted to the surgical unit postoperatively with a wound drain (Jackson-Pratt) in place. Which of the following correctly describes the primary purpose of a Jackson-Pratt?

A client is scheduled for insertion of a peripherally inserted central catheter (PICC) and the nurse explains the advantages of this catheter. The nurse determines that the client needs additional information about the catheter if the client makes which statement?

The nurse assigned to four clients reviews client data at the beginning of the shift. Which information is assessed as the highest priority?

The nurse is teaching cardiopulmonary resuscitation (CPR) to a group of lay persons. Which of the following behaviors by one of the participants would indicate the need for further review?

The male client complains of pain as the nurse is inflating the balloon following insertion of a Foley catheter. The nurse takes which of the following actions immediately?

The unit manager is reviewing documentation describing a client's progress in terms of a critical path (Care Map) for postoperative colon resection recovery. The manager notes that, although the documentation is complete, the client has made minimal progress in the areas of mobility and paincontrol for the prior 48 hours. The manager's first activity after making the observation of deviation from the path is to contact the client's:

Of the following list of responsibilities for disaster preparedness in the United States, identify those that are functions of the American Red Cross (ARC) as opposed to the Federal Emergency Management Agency (FEMA). Select all that apply.

The nurse is planning the menu for a Chinese-American client with the hospital dietitian. On collaboration with the dietitian, the meal plan is designed to include which of the following foods generally included in the diet of this cultural group?

The client with pancreatitis is being weaned from parenteral nutrition (PN). The client asks the nurse why the PN cannot just be stopped. The nurse includes in a response to the client that which of the following complications could occur with sudden termination of PN formula?

The client has just returned from the cardiac catheterization laboratory. The left-sided femoral vessel was used as the access site. The nurse should position the client:

A hospitalized client tells the registered nurse (RN) that a living will is being prepared and that the lawyer will be bringing the will to the hospital today for witness signatures. The client asks the RN for assistance in obtaining a witness to the will. The most appropriate response to the client is which of the following?

The nurse is assisting in developing a postoperative plan of care for a 40-year-old male Filipino- American client scheduled for an appendectomy. The nurse includes which of the following in the plan of care?