Nurse logic Knowledge and clinical judgment beginn
Institution
Nurse Logic Knowledge And Clinical Judgment Beginn
Nurse logic Knowledge and clinical judgment beginner
1
Nurse logic Knowledge and clinical judgment beginner
1. A nurse is precepting a newly licensed nurse while he is charting. Use of which of the following abbreviations
indicates a need for further teaching?
a. mcg
b. q.d.
c. mL
d. PO
An...
nurse logic knowledge and clinical judgment beginner
1 nurse logic knowledge and clinical judgment beginner 1 a nurse is precepting a newly licensed nurse while he is charting use of which of the fo
Written for
Nurse logic Knowledge and clinical judgment beginn
All documents for this subject (1)
Seller
Follow
TestGen
Reviews received
Content preview
1
Nurse logic Knowledge and clinical judgment beginner
1. A nurse is precepting a newly licensed nurse while he is charting. Use of which of the following abbreviations
indicates a need for further teaching?
a. mcg
b. q.d.
c. mL
d. PO
Answer is B-q.d. is the incorrect term. To indicate daily, you should use the word "daily" when charting. Q.d. used to be
confused for qid, which means 4x a day.
2. A nurse is caring for a client who is diagnosed with anemia. Which of the following skin color variations is caused by
a reduced amount of oxyhemoglobin?
a. Cyanosis
b. Jaundice
c. Erythema
d. Pallor
Answer is D-Pallor
-Oxyhemoglobin is the combined state of oxygen that is to be delivered to peripheral tissues with the hemoglobin
molecule that will carry it. In clients who have anemia, the RBCs are reduced, by function or in number, to the point that
peripheral tissues are not receiving adequate oxygen because of a decreased amount of circulating oxyhemoglobin. The
reduced oxygen supply to the tissues causes changes to the client's skin color. Pallor is caused by a reduced amount of
oxyhemoglobin. Pallor is a decrease in the coloring of the peripheral tissues that is caused by an overall reduction in the
blood flow or by a decrease in the number of RBCs that contain oxyhemoglobin, which reduces the visibility of
oxyhemoglobin.
Pallor
Paleness of the skin - Decrease in the coloring of the peripheral tissues. Is caused by an overall reduction in the blood
flow or by a decrease in the number of RBCs that contain oxyhemoglobin, which reduces the visibility of oxyhemoglobin.
Oxyhemoglobin
the combined state of oxygen that is to be delivered to peripheral tissues with the hemoglobin molecule that will carry it.
3. A nurse is collecting data on a recently admitted client. Which of the following techniques should the nurse use to
measure tissue perfusion?
a. Determining the client's respiratory rate
b. Measuring the client's chest diameter
c. Obtaining the client's level of oxygen saturation
d. Checking the client's depth of respirations
Answer is C-Obtaining the client's level of oxygen saturation
-Obtaining the client's level of oxygen saturation is an appropriate technique of measuring perfusion.
This item requires foundational thinking because you only need to identify which of the following options describes a
technique for measuring tissue perfusion.
Perfusion is the delivery or pumping of arterial blood through tissues or an organ.
Oxygen saturation measures the percent of hemoglobin bound with oxygen that is being perfused through the arteries
and into the tissues.
Foundational Thinking
Ability to recall and comprehend information and concepts
Perfusion
delivery or pumping of arterial blood through tissues or an organ.
Oxygen saturation
Measures the percent of hemoglobin bound with oxygen that is being perfused through the arteries and into the tissues.
4. A nurse is caring for a client who is prescribed IV fluids. While inserting the IV catheter, blood is spilled on the floor.
Which of the following solutions should the nurse use to clean the spill?
a. Isopropyl alcohol
b. Chlorhexidine gluconate (Hibiclens)
c. Chlorine (bleach)
d. Iodophor
Answer is C-Chlorine
Chlorine is a disinfectant that is effective against bacteria, tuberculosis, spores, fungi, and viruses, and is specifically
recommended for cleaning blood spills. Antiseptics prevent or stop the growth of certain pathogens, and disinfectants
destroy certain pathogens. Antiseptics are most often used on the skin, while disinfectants are more concentrated
solutions that can be toxic to the skin and are typically used on inanimate objects. Chlorine should be used to clean the
spill.
This study source was downloaded by 100000829818949 from CourseHero.com on 05-01-2022 06:34:29 GMT -05:00
5. A nurse is collecting nutritional data on an older adult client. Which of the following findings is suggestive of a
healthy nutritional status?
a. Spongy gums that are receding
b. Fissures at eyelid corners
c. Easily plucked hair
d. reddish-colored tongue
Answer is D-Reddish-colored tongue
Deep reddish-colored tongue is suggestive of a healthy nutritional status. The tongue should be a healthy pink to a
deep, reddish color with surface papillae present, without swelling or lesions.
6. A nurse is assisting with the preparation of an education program regarding advance directives for newly hired staff.
Which of the following information should be included about living wills?
a. Living wills require a written prescription from the provider to be legal.
b. Living wills allow the client to designate a health care proxy.
c. Living wills ensure hospitals provide emergency care regardless of health coverage.
d. Living wills detail treatment wishes of the client in the event of terminal illness.
Answer is D-Living wills detail treatment wishes of the client in the event of terminal illness.
Advance directives include both living wills and durable powers of attorney for health care. The living will details
treatment wishes of the client in the event of terminal illness or persistent vegetative state. This information is accurate
and should be included in the teaching about living wills.
Advance directives
Include both living wills and durable powers of attorney for health care.
Living Wills
Details treatment wishes of the client in the event of terminal illness or persistent vegetative state. This information is
accurate and should be included in the teaching about living wills.
7. A nurse is caring for a male client who has been prescribed an indwelling urinary catheter. In which of the following
positions should the client be placed for insertion of the catheter?
a. Dorsal recumbent
b. Orthopneic
c. Side-lying
d. Supine
Answer is D-Supine
Indwelling urinary catheters are indicated in numerous situations, such as relief of bladder distension, strict
measurement of urinary output, need for bladder irrigations, and surgery. A prescription from the provider is required for
urethral catheterization. When preparing to implement this procedure, it is important to ensure client privacy by draping
nonessential body parts and positioning the client for optimal visualization while still maintaining comfort. A male client
should be positioned in the supine position for insertion of an indwelling urinary catheter. This position allows for optimal
visualization, which reduces trauma and increases success of insertion.
8. A nurse is caring for a client who has been prescribed an indwelling urinary catheter. When preparing to insert the
catheter, the nurse should first open the sterile package in which of the following directions?
a. To the left
b. To the right
c. Away from the body
d. Toward the body
Answer is C-Away from the body
Sterile packages are resistant to pathogens and are used for specific techniques or procedures to prevent contamination.
During such procedures, any sterile item that comes into contact with an unsterile object is considered contaminated. To
prevent contamination of the sterile field, nurses follow certain steps when opening sterile packages and creating a
sterile field. Opening the sterile package away from the body first allows a nurse to open the remaining flaps without
reaching over the sterile field, which could result in contamination. This is the appropriate direction to open the sterile
package.
9. A nurse is providing discharge education to the parents of a preschooler who is prescribed acetaminophen (Tylenol)
300 mg every 4 hr as needed. The acetaminophen liquid suspension that has been prescribed provides 120 mg/5 mL.
How many teaspoons should the nurse teach the parents to administer per dose?
Answer is 2.5 teaspoons
1tsp = 5 mL
10. A nurse is assisting with preparation of a teaching program about healthy nutrition for a group of clients who are
tactile learners. Which of the following activities should be included as a learning strategy in the program?
a. Watch a video discussing healthy meal preparation.
b. Prepare a healthy meal to serve at the end of class.
c. Read pamphlets about preparing a healthy meal.
d. Discuss healthy meal preparation as a class.
Answer is B-Prepare a healthy meal to serve at the end of class.
This study source was downloaded by 100000829818949 from CourseHero.com on 05-01-2022 06:34:29 GMT -05:00
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TestGen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
