RN 2.0 Caregiving – Custom Adaptive

question

What is the maximum recommended length for enema tube insertion in an adolescent? Record your answer using a whole number. _____ cm
answer

10 cm
question

Which theory describes the phenomenon of grief or caring?
answer

Prescriptive theories
question

One hour after a birth a nurse palpates a client’s fundus to determine whether involution is taking place. The fundus is firm, in the midline, and two fingerbreadths below the umbilicus. What should the nurse do next?
answer

Continue periodic assessments and record the findings.
question

An unemancipated pediatric client is to undergo a medical procedure. Who is the appropriate authority to provide consent?
answer

Either one of the child’s parents
question

When should a medical examiner decide whether a postmortem examination should be conducted?
answer

When a client dies within 24 hours of admission to the hospital
question

Which nurse participates in the development of nursing policies and procedures?
answer

Nurse educator
question

A nurse in the pediatric clinic is assessing an 8-year-old child who has had asthma since infancy. What clinical finding requires immediate intervention?
answer

Audible wheezing
question

What are the important points to be considered when imparting practical knowledge to nursing students about preventing complications in the hospital?
answer

Nursing students should never be assigned any tasks they are unprepared for. Nursing students can work as nursing assistants or nurse’s aides when not attending classes. Nursing students should notify the nursing supervisor in case they are delegated tasks they are not prepared for.
question

Which caring process is defined as “facilitating the other’s passage through life transitions and unfamiliar events” according to Swanson’s theory of caring?
answer

Enabling
question

A nurse is helping a client to maintain and regain health, manage his or her disease and symptoms, and attain a maximal level of function and independence through the healing process. What role is the nurse playing?
answer

Caregiver
question

A client with end-stage renal disease needs a kidney transplant. Which statements regarding the National Organ Transplant Act are true? Select all that apply
answer

The National Organ Transplant Act of 1984 prohibits the purchase or sale of organs. The act provides civil and criminal immunity to the hospital and the healthcare provider. The act protects the donor’s estate from liability for injuries or damage that results from the use of the gift.
question

Which difficulties faced by an adolescent diagnosed with a chronic illness are attributed to normal development? Select all that apply.
answer

Rebelliousness, lack of cooperation, risk taking, & hostility toward authority.
question

What is a stressor
answer

A stressor is any stimuli that can produce tension and cause instability within the system.
question

7 domains of nursing interventions
answer

Physiological: basic, physiological: complex, behavioral, safety, family, health system, and community
question

Uniform anatomical gift act
answer

Gives individuals who have reached 18 years of age the right to make an organ donation.
question

the priority nursing intervention for a young infant who has an intravenous (IV) line in place after undergoing abdominal surgery?
answer

Maintaining patency of the intravenous catheter and tubing.
question

During the postpartum period a client tells the nurse that she was very uncomfortable during her pregnancy because of large and painful varicose veins. In light of this information, what should the nurse’s assessment include?
answer

assessing for signs of thrombophlebitis
question

A 4-year-old boy with Reye syndrome is beginning to show signs of recovery. The intracranial pressure has receded, the vital signs are stable, the fever has subsided, and urine output is within the acceptable range for the child’s weight and fluid intake. What should the nurse tell the parents about their son’s recovery?
answer

The recovery is progressing as we had hoped.
question

Which nursing is not likely to cause legal issues?
answer

Refraining from leaving the client during a staff shortage
question

A 9-year-old child with chronic kidney disease is undergoing peritoneal dialysis. For which associated complication should the nurse monitor the child?
answer

Cloudy return dialysate

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