Medsurg Unit 1 Ch 1-7 Questions And
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A nurse is discussing restorative health care with a newly licensed nurse. Which
examples should the nurse include in the teaching ? - ANSWER✔✔Home health
care, rehabilitation facilities, skilled nursing facilities.
A nurse is explaining the various types of healthcare coverage clients might have
to a group of nursing students. Which health care financing mechanisms are
federally funded? - ANSWER✔✔Medicare and Medicaid
A nurse manager is developing strategies to care for the increasing number of
clients who have obesity. What action should the nurse include as a primary health
strategy? - ANSWER✔✔Collaborating with providers to perform obesity
screenings during routine visits.
A nurse is discussing the purpose of regulatory agencies during a staff meeting.
What task should the nurse identify as the responsibility of state licensing boards? -
ANSWER✔✔Ensuring that health care providers comply with regulations.
A nurse is explaining the various levels of health care services to a group of newly
licensed nurses. What examples of care or care settings should the nurse classify as
tertiary care ? - ANSWER✔✔Intensive care unit, oncology treatment center, burn
center.
A nurse is caring for a group of clients on a med-surg unit. What client care needs
should the nurse make a referral for a social worker? - ANSWER✔✔A client who
has terminal ca requests hospice care at home, a client asks about community
resources available for older adults, a client requests an electric wc for use after dc.
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is
to use adaptive devices. The nurse caring for the client should initiate a referral
w/what member of the interprofessional care team? - ANSWER✔✔Occupational
therapist
A client who is postoperative following knee arthroplasty is concerned about the
adverse effects of the medication he is receiving for pain management. What
,members of the interprofessional care team can assist the client in understanding
the medications effects? - ANSWER✔✔Provider, pharmacist, and registered
nurse.
A client who has had a cva has persistent problems with dysphasia. The nurse
caring for the client should initiate a referral to what member of the
interprofessional care team? - ANSWER✔✔Speech language pathologist
A nurse is acquainting a group
of newly licensed nurses with the
roles of the various members of the
health care team they will encounter
on a medical-surgical unit. When
she gives examples of the types
of tasks CNAs may perform, what client activities should she include? -
ANSWER✔✔Bathing, ambulating, toileting, and measure vital signs.
QSEN: Safety - ANSWER✔✔Minimization of risk factors that could cause injury
or harm while promoting quality care and maintaining a secure environment for
clients, self, and others.
QSEN: Patient Centered Care - ANSWER✔✔Provision of caring and
compassionate, culturally sensitive care that addresses clients physiological,
psychological, sociological, spiritual, and cultural needs, preferences, and values.
QSEN: Evidence-Based Practice - ANSWER✔✔Use of current knowledge from
research and other credible sources, on which to base clinical judgement and client
care.
QSEN: Informatics - ANSWER✔✔the use of information technology as a
communication and information-gathering tool that supports clinical decision-
making and scientifically based nursing practice
QSEN: Quality Improvement - ANSWER✔✔Care-related and organizational
processes that involve the development and implementation of a plan to improve
health care services and better meet clients needs.
, QSEN- Teamwork and Collaboration - ANSWER✔✔Delivery of client care in
partnership with multidisciplinary members of the health care team to achieve
continuity of care and positive client outcomes.
A nurse observed an assistive personnel reprimanding a client for not using the
urinal properly. The ap tells him she will put a diaper on him if he does not use the
urinal more carefully next time. Which tort is the ap committing? -
ANSWER✔✔Assault
A nurse is caring for a competent adult client who tells the nurse that he is thinking
about leaving the hospital ama. The nurse believes that this isn't in the clients best
interest, so she preps a prn sedative the client has not requested along with his
usual medication. Which tort is this nurse about to commit? - ANSWER✔✔False
imprisonment
A nurse in a surgeon's office is providing preoperative teaching for a client who is
scheduled for surgery the following week. The client tells the nurse that he will
prepare his advance directives before he goes to the hospital. Which statement
made by the client should indicate to the nurse an understanding of advance
directives? - ANSWER✔✔I plan to write that I don't want them to keep me on a
breathing machine.
A nurse is caring for a client who is about to undergo an elective procedure. The
nurse should take which actions regarding informed consents ? -
ANSWER✔✔Make sure the surgeon obtained the clients consent and witness the
clients signature on the consent form.
A nurse has noticed several occasions in the past week when another nurse on the
unit seemed drowsy & unable to focus on the issue at hand. Today, she found the
nurse asleep in a chair in the break room when she was not on break. What action
should the nurse take? - ANSWER✔✔Report the observations to the nurse
manager on the unit.
A nurse is preparing information for change of shift report. What should the nurse
include in the report? - ANSWER✔✔Bone scan scheduled for today. Significant
obj info about clients health problems, proceed in logical sequence, include no
gossip or opinion, relate recent changes in meds, treatments, procedures , and the
dc plan.
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