Podcast
Questions and Answers
Which screening should the nurse recommend for a 35-year-old female client?
Which screening should the nurse recommend for a 35-year-old female client?
What ethical principle is demonstrated when a nurse makes a referral to hospice for a client who has decided to stop cancer treatment?
What ethical principle is demonstrated when a nurse makes a referral to hospice for a client who has decided to stop cancer treatment?
Including in client notes that an incident report was completed after a medication error is acceptable documentation.
Including in client notes that an incident report was completed after a medication error is acceptable documentation.
False
Which finding in a client with vomiting and possible dehydration requires immediate intervention?
Which finding in a client with vomiting and possible dehydration requires immediate intervention?
Signup and view all the answers
What manifestation reported by a client with tuberculosis would necessitate the discontinuation of ethambutol?
What manifestation reported by a client with tuberculosis would necessitate the discontinuation of ethambutol?
Signup and view all the answers
How should a nurse prepare to administer promethazine (Phenergan) from an ampule?
How should a nurse prepare to administer promethazine (Phenergan) from an ampule?
Signup and view all the answers
Initial HIV symptoms are often similar to the flu.
Initial HIV symptoms are often similar to the flu.
Signup and view all the answers
What should a nurse say to a client about the transfer to the coronary care unit?
What should a nurse say to a client about the transfer to the coronary care unit?
Signup and view all the answers
What indicates effective teaching for suctioning in a client who has undergone a tracheostomy?
What indicates effective teaching for suctioning in a client who has undergone a tracheostomy?
Signup and view all the answers
What could result in a violation of security mechanisms regarding electronic health records?
What could result in a violation of security mechanisms regarding electronic health records?
Signup and view all the answers
What finding requires immediate intervention following a bronchoscopy?
What finding requires immediate intervention following a bronchoscopy?
Signup and view all the answers
When should a nurse postpone teaching deep breathing exercises to a client scheduled for abdominal surgery?
When should a nurse postpone teaching deep breathing exercises to a client scheduled for abdominal surgery?
Signup and view all the answers
What should a nurse do for an older adult client suspected of being abused?
What should a nurse do for an older adult client suspected of being abused?
Signup and view all the answers
What should the nurse inform a client with a sulfa allergy regarding Celebrex?
What should the nurse inform a client with a sulfa allergy regarding Celebrex?
Signup and view all the answers
Which healthcare professional should be involved in the care of a client with a cerebrovascular accident who has difficulty swallowing?
Which healthcare professional should be involved in the care of a client with a cerebrovascular accident who has difficulty swallowing?
Signup and view all the answers
What can a nurse include in the discussion about acupuncture for osteoarthritis treatment?
What can a nurse include in the discussion about acupuncture for osteoarthritis treatment?
Signup and view all the answers
What should the first action be for a nurse discovering a client with dementia received the wrong medication?
What should the first action be for a nurse discovering a client with dementia received the wrong medication?
Signup and view all the answers
What is an appropriate method of communication for a nurse to use with a client who has aphasia?
What is an appropriate method of communication for a nurse to use with a client who has aphasia?
Signup and view all the answers
In which position should a client be placed for a vaginal examination?
In which position should a client be placed for a vaginal examination?
Signup and view all the answers
When does a transdermal nitroglycerin patch become effective?
When does a transdermal nitroglycerin patch become effective?
Signup and view all the answers
Study Notes
Client Screenings
- Recommend dermatologist evaluation every three years for skin cancer detection for women aged 35 and older.
Ethical Principles
- Autonomy is demonstrated when a client chooses to stop cancer treatment and requests hospice referral.
Documentation Standards
- Newly licensed nurses must avoid including incident reports regarding medication errors in client notes.
Patient Safety
- Immediate intervention is necessary for a potassium level of 2.5 mEq/L indicating potential life-threatening hypokalemia.
Tuberculosis Treatment
- Loss of color discrimination is a significant indicator for discontinuing ethambutol in patients on TB treatment.
Medication Administration
- When drawing medication from an ampule, ensure it is set on a flat surface to prevent spills and ensure proper dosage.
HIV Awareness
- Initial symptoms of HIV often mirror those of the flu, which can lead to misidentification of the illness.
Patient Communication
- Acknowledge patient concerns in a supportive manner during transfers to specialized units, especially when family cannot visit.
Post-Surgery Care
- Patients demonstrating independent suctioning post-tracheostomy indicate effective teaching and understanding of their care.
Electronic Health Records Security
- Staff access to electronic health records throughout a facility could lead to confidentiality violations; ensure strict access protocols.
Post-Bronchoscopy Care
- Difficulty breathing post-bronchoscopy is a critical finding that requires immediate medical attention.
Pain Management and Learning
- Teaching deep breathing and coughing exercises should be postponed if the client reports significant pain (8/10).
Abuse Concerns
- Prioritize the protection of older clients suspected of abuse, ensuring their safety from further harm.
Medication Allergies
- Celecoxib is contraindicated for clients allergic to sulfonamides; inform clients accurately about medication risks.
Interdisciplinary Collaboration
- Speech pathologists should be involved in care for clients with swallowing difficulties following a cerebrovascular accident.
Alternative Therapies
- Acupuncture is recognized for reducing pain and improving function in osteoarthritis management.
Medication Errors
- In case of medication misadministration to a dementia patient, the first action should be to assess the client's condition.
Communication with Aphasic Clients
- Use non-verbal methods, such as eye blinks, for effective communication with clients who have aphasia.
Positioning for Vaginal Examination
- Position clients in the lithotomy position during vaginal examinations for optimal access and comfort.
Transdermal Medication Effectiveness
- Teach clients that transdermal nitroglycerin patches typically become effective within one hour of application.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz features flashcards on nursing concepts related to client care and screening recommendations. It includes scenarios involving cancer care and referrals, designed to evaluate nursing knowledge and decision-making skills. Perfect for nursing students preparing for exams or clinical practice.
