Questions and Answers
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?
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?
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What manifestation reported by a client with tuberculosis would necessitate the discontinuation of ethambutol?
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How should a nurse prepare to administer promethazine (Phenergan) from an ampule?
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Initial HIV symptoms are often similar to the flu.
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What should a nurse say to a client about the transfer to the coronary care unit?
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What indicates effective teaching for suctioning in a client who has undergone a tracheostomy?
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What could result in a violation of security mechanisms regarding electronic health records?
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What finding requires immediate intervention following a bronchoscopy?
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When should a nurse postpone teaching deep breathing exercises to a client scheduled for abdominal surgery?
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What should a nurse do for an older adult client suspected of being abused?
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What should the nurse inform a client with a sulfa allergy regarding Celebrex?
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Which healthcare professional should be involved in the care of a client with a cerebrovascular accident who has difficulty swallowing?
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What can a nurse include in the discussion about acupuncture for osteoarthritis treatment?
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What should the first action be for a nurse discovering a client with dementia received the wrong medication?
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What is an appropriate method of communication for a nurse to use with a client who has aphasia?
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In which position should a client be placed for a vaginal examination?
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When does a transdermal nitroglycerin patch become effective?
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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.
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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.
