Exam (elaborations)
NURS 420 Final Exam | Questions & Complete Solutions
- Course
- Institution
NURS 420 Final Exam | Questions & Complete Solutions
[Show more]
Seller
Follow
Content preview
NURS 420 Final Exam | Questions &Complete Solutions
the nurse assesses a patient with a skull fracture to have a glasgow coma scale score of 3. additional
vital signs assessed by the nurse include blood pressure 100/70 mmHg, heart rate 55 beats/min,
respiratory rate 10 breaths/min, oxygen saturation (SpO2) 94% on oxygen at 3L per nasal cannula. what
is the priority nursing action:
a. monitor the patients airway patency
b. elevate the head of the patients bed
c. increase supplemental oxygen therapy
d. support bony prominences with padding - ✔✔a. monitor the patients airway patency
comparing the patient's current (home) medications with those ordered during hospitalization
and communicating a complete list of medications to the next provider when the patient is
transferred within an organization or to another setting are strategies to:
a.improve accuracy of patient identification
b.prevent errors related to look-alike and sound-alike medications
c.reconcile medications across the continuum of care
d.reduce harms associated with administration of anticoagulants. - ✔✔c.reconcile medications
across the continuum of care
which of the following assists the critical care nurse in ensuring that care is appropriate and based on
research?
a.Clinical practice guidelines
b.Computerized physician order entry
c.Consulting with advanced practice nurses
d.Implementing Joint Commission National Patient Safety Goals - ✔✔a. clinical practice guidelines
Which of the following is a National Patient Safety Goal? (Select all that apply.)
,a.Accurately identify patients.
b.Eliminate use of patient restraints.
c.Reconcile medications across the continuum of care.
d.Reduce risks of healthcare-acquired infection. - ✔✔a.Accurately identify patients.
c.Reconcile medications across the continuum of care.
d.Reduce risks of healthcare-acquired infection.
A nurse who plans care based on the patient's gender, ethnicity, spirituality, and lifestyle is said to:
a.be a moral advocate
b.facilitate learning
c.respond to diversity
d.use clinical judgment. - ✔✔c.respond to diversity
The vision of the American Association of Critical-Care Nurses is a healthcare system driven by:
a.a healthy work environment.
b.care from a multiprofessional team under the direction of a critical care physician.
c.the needs of critically ill patients and families.
d.respectful, healing, and humane environments. - ✔✔c. the needs of critically ill patients and
families.
Blood gas levels of pH:7.5 PaCO2: 25 HCO3: 25 - - ✔✔uncompensated respiratory alkosisis
The family members of a critically ill patient brings a copy of the patient living will to the hospital which
identifies the patient's wishes regarding health care. You discuss contents of the living will with the
patient's physician. This is an example of implementation of which of the AACN Standard of
Professional Performance:
a. Acquires and maintains current knowledge of practice
b. Acts ethically on the behalf of the patient and family
c. Considers factors related to safe patient care
, d. Uses clinical inquiry and integrates research findings in practice - ✔✔b. Acts ethically on the behalf
of the patient and family
Many critically ill patients experience anxiety. The nurse can reduce anxiety with which approach?
a. Ask family members to limit their visitation to 2-hour periods in morning, afternoon, and evening
b. Explain the unit routine
c. Explain procedures before and while you are doing them
d. Suction Mr. J.'s endotracheal tube immediately when he starts to cough - ✔✔c. Explain
procedures before and while you are doing them
The nurse is caring for a patient who has been declared brain dead. The patient is considered a
potential organ donor. To proceed with donation, the nurse understands that:
a. A signed donor card mandates that organs be retrieved in the event of brain death
b. After brain death has been determined, perfusion and oxygenation of organs is maintained
until organs can be removed in the operating room
c. The healthcare proxy does not need to give consent for the retrieval of organs
d. Once a patient has been established as brain dead, life support is withdrawn and organs are retrieved
- ✔✔b. After brain death has been determined, perfusion and oxygenation of organs is maintained
until organs can be removed in the operating room
In evaluating a patients nutrition, the nurse would monitor which blood test as the most sensitive
indicator of protein
a. Albumin
b. BUN
c. Prealbumin
d. triglycerides - ✔✔c. Prealbumin
In addition to residual stomach volume, what other evidence suggest feeding intolerance
a. Abdominal distention
b. Absence of tympany on percussion
c. Active bowel sounds
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
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 KenAli. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79202 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now