Luckyexams

A nurse is teaching a client who is starting an excerisce program to calculate his target heart rate. The nurse should include the following instructions A. Challenge himself to exceed the target range for brief periods B. Find the target heart rate by subtracting his age from 200 C. sustain the target range for at least 20 mins - ANSWERC. sustain the target range for at least 20 mins What is the upper range target heart rate for an 48-year old patient? - ANSWER146 A nurse is prese...

The patient takes anticoagulants. Which instruction is most important for the nurse to include on the patient's care plan? - ANSWERUse an electric razor shaving The nurse is caring for a patient admitted with a closed head injury. Which action by the nurse is appropriate when providing hygiene for this patient? - ANSWERProvide care and small intervals A patient has sustained a spinal cord injury and is no longer able to get in and out of the bathtub without assistance. Which nursing diagn...

Define the term RACE and when it is used. - ANSWERR - Rescue A - Alert C - Confine E - Extinguish/Evacuate Used to set priorities in case of a fire The liver is responsible for which pharmacokinetics? - ANSWERMetabolism The kidneys, liver, bowel, and lungs are responsible for which pharmacokinetics? - ANSWERExcretion What are the seven rights of medication administration? - ANSWERRight medication Right dose Right patient Right route Right time

T/F. Opioids can increase bowel elimination. - ANSWERFALSE. Opioids can contribute to CONSTIPATION. 2. A client who has an indwelling catheter reports a need t urinate which of the following actions should the nurse take? a. Check to see whether the catherter is patent b. Reassure the client that it is not possible for her to urinate c. Recatheterize the bladder with a larger-gauge catheter. d. Collect a urine specimen for analysis - ANSWER What are the two types of elimination? - AN...

Review equipment related accidents in the acute care setting - ANSWERIV, BP cuffs, and beds, NGT insertion Review fires and electrical hazards in facilities - ANSWERFire RACE: Rescue patients Activate alarm Confine fire Extinguish PASS: Pull the pin Aim the nozzle at the base of the flame Squeeze the handles together Sweep from side to side at the base of the flames Electrical Monitor all cords and outlets Review the interventions for patients identified as fall risk - ANSWE...

A newly licensed nurse is educating a client on the benefits of proper hygiene. Which of the following does the nurse include in the education? - ANSWERImproves skin integrity, Fosters activity and movement, Psychological well being An experienced nurse is speaking with a client regarding normal changes of skin integrity. Which of these options is the correct course for normal aging skin? - ANSWERSkin becomes more fragile and thin The term for a nurse administering a bed bath cleansing the...

Florence Nightingale - ANSWERAlthough her model did not have a specific name, the basic underpinnings revolve around how a person is influenced by the environment. Nursing was a "calling" to help the patient in a reparative process by directly working with the patient or indirectly by affecting the environment to facilitate health and recovery from illness. Hildegard Peplau - ANSWERInterpersonal Relations Model—describes the four phases of the dynamic relationship between nurse and patien...

ABC's - ANSWERairway, breathing, circulation WHAT TYPES OF THINGS CAN A NURSE DO WITHOUT A DOCTORS ORDER? - ANSWER-TURNING A PATIENT -PROVIDNG COMFORT -GROOMING/BATHING -PATIENT EDUCATION -PREVENTING FALLS -ICEPACKS/HEAT PADS What can a nurse do if he/she is asked to do something out of their scope? - ANSWERnurses should refuse to practice beyond their legal scope of practice and use the formal chain of command to verbalize concerns related to these assignments 3 levels of preven...

Roles of a nurse - ANSWERdirect care provider communicator client/family educator client advocate counselor change agent leader manager case manager research consumer Important qualities of a nurse - ANSWERCritical thinking Caring and compassion detail oriented organizational skills Speaking skills

A new client on the medical-surgical unit has not bathed in several days although she is fully capable of engaging in personal hygiene practices and ADLs. Upon investigation, the nurse learns she is homeless and typically utilizes the services of the homeless shelter once a week for her bathing and other hygiene needs. What is an appropriate nursing diagnosis for this client? - ANSWERSelf-Care Deficit A new client on the medical-surgical unit has not bathed in several days although she is ful...