question

A new shift is starting, and the LPN is given a list of assigned patients. Of the following patients, whom should the LPN see first

answer

A pt with pneumonia who is short of breath and anxious

question

A LPN assisted an RN in revising the care plan for a patient who was not eating well. The RN added the intervention of sitting with the patient during meals. The LPN finds that the patient is still not eating today, even after staying with the patient for breakfast and lunch. What should the LVN do next

answer

Provide data to RN to assist in evaluation of the plan

question

A patient who has hypertension that is not well controlled with medication has been prescribed a new medication. The patient reports fatigue and lightheadedness after taking the first dose. The physician says not to worry about it and to continue giving the medication. The nurse is still concerned, however, and does some independent research on the drug on the Internet. This is an example of what type of critical thinking skill

answer

Intellectual perseverence

question

For a patient who has all of the following nursing diagnoses, which should be given highest priority

answer

Ineffective airway clearance

question

The LPN assists the RN in many phases of the nursing process. Which phase can the LPN carry out independently, once it has been delegated by the RN

answer

Implementation

question

The nurse is caring for a patient with a newly fractured femur who reports a pain level of 8/10. The nurse checks the medication record and finds that the analgesic medication is not due for another 50 minutes. Which of these actions would be appropriate for the nurse to take next

answer

Notify the RN or physician

question

During a class discussion, one nursing student states belief in the practice of restraining patients. Another student has presented information regarding the unrestrained environment. Both students understand each other's points of view. This is an example of what component of critical thinking

answer

Intellectual courage

question

The nurse is caring for a patient with a painful back injury that occurred 6 months ago. Which nursing diagnosis—using the Problem-Etiology-Symptoms (PES) system—is best

answer

Chronic pain related to muscle spasms as evidenced by patient pain rating of 8 and difficulty walking

question

The nurse planning patient care uses the systematic organizing framework of the nursing process. Which of these responses gives the nursing process steps in order

answer

Assessment, nursing dx, planning, implementation, evaluation

question

An LPN wants to find other studies on infection rates as they relate to specific hand-washing products. Which of the following should ben searched for related nursing articles?

answer

CINAHL cumulative index to nursing and allied health lit

question

An LPN working on the pediatric floor is interested in improving patient outcomes for children with asthma. Which of the following clinical questions would best guide the nurse's next steps?

answer

What patient education materials are available to address effective management of asthma in pediatric patients?

question

A nurse who recently joined the policy and procedure committee is reviewing a proposal for changing the type of needleless systems currently used to administer intravenous medications in the hospital. Which of the following would most effectively support the proposed change

answer

The proposal outlines a planned pilot study

question

A nurse who works on a medical-surgical unit reads an article about a research study regarding nursing care in the intensive care unit (ICU) and decreased nosocomial infections. Which action should the nurse take in exploring this research topic

answer

Do a journal search and look for similar studies related to non-ICU pts

question

The nurse is working with a new group of student nurses who ask why evidence-based nursing is such a hot topic. Which of the following responses by the nurse is best

answer

Evidence-based practives guides nursing decisions to optimize effective care.

question

Which of the following acronyms can be used to identify the steps of the evidence-based practice (EBP) process

answer

ASKME

question

A 32-year-old Guatemalan mother brings her 10-day-old infant to a clinic for a well-baby checkup. To promote healing, she has a coin taped to the infant's umbilicus. How should the nurse respond?

answer

Teach the mother how to clean the coin daily and reapply it

question

A 34-year-old Mexican patient admits to seeing a curandero for asthma. The curandero prescribes a special tea four times a day to open the airways. How should the nurse respond to this situation

answer

Ask the patient to bring in the tea package, and have the pharmacist check the ingredients

question

A 35-year-old woman accompanies a neighbor to the clinic for a monthly diabetes checkup. It is 35 miles to the closest health clinic, and the patient does not own an automobile. On this occasion, the clinic intake nurse discovers that the woman has never had a Papanicolaou test because of lack of time and transportation. She is agreeable to the examination. Which of the following actions should the clinic nurse take

answer

Encourage the gynecological clinic to perform the test today

question

A 72-year-old Arabian American patient has just been diagnosed with cancer of the colon. The family does not want the patient to be told about the diagnosis. Which action by the nurse is best initially

answer

Respect the familys wishes

question

An immigrant Chinese nurse begins working on a medical unit. The new nurse's preceptor is explaining the unit routines, including the medication administration system. When the preceptor asks if the nurse understands, the answer is always: "Yes, I understand." What is the best way to tell if the nurse really understands?

answer

Have the nurse demonstrate the procedures

question

A northern European patient had an abdominal aneurysm repaired 24 hours ago. Although the patient denies pain, vital signs show an elevated pulse and blood pressure, and the patient refuses to move in bed. Which of the following actions by the nurse would best ensure comfort and timely discharge?

answer

Explain that the pain med will help prevent complications

question

An unidentified comatose patient is brought to the emergency department by the paramedics. Tied to the right wrist is an emblem that looks as if it might be a religious talisman. Which of the following nursing actions is best

answer

Tape it in place

question

A white female nurse is discussing a patient from another culture at the nurse's station. She says, "Why does he have to see his own health practitioner? Doctors are good enough for the rest of us." What characteristic is she exhibiting?

answer

Ethnocentrism

question

A patient is receiving acupuncture therapy in addition to analgesics for chronic pain. Which type of therapy does this represent

answer

Complementary therapy

question

A patient is using guided imagery to avoid analgesics during her labor and delivery. Which type of therapy is this

answer

Alternative therapy

question

A patient scheduled for spinal surgery the following day lists ginkgo and ginger on a home medication assessment. What is the most important response from the LPN

answer

Have you told yoru surgeon that you take these herbs

question

A patient wants to try acupressure techniques in addition to conventional treatment for headaches and asks, "What is so good about Western medicine anyway?" Which response by the nurse is best?

answer

Western med is based on research, which means treatments are more liekly to have consistent results

question

The nurse is caring for a patient with advanced cancer who has decided to discontinue chemotherapy treatment and try an alternative therapy that has not been proved effective. The nurse, whose mother recently died of the same type of cancer, strongly disagrees with the patient's choice. The patient asks the nurse's opinion about the therapy. Which response is best

answer

Im sorry but I don't feel prepared to answer your question I would prefer you ask your physician that question

question

Which definition best describes the goal of chiropractic medicine

answer

To remove interference with nerve function so the body can heal itself

question

Which term is used to describe traditional medicine in the United States

answer

Allopathy

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