Nursing Care Quiz: Patient Assessment & Priorities

<p>Ask a nurse from the oncology floor to come to administer the medication. (C)</p> Signup and view all the answers

<p>Preventing infection. (B)</p> Signup and view all the answers

<p>The client will manage joint pain and fatigue to perform activities of daily living. (C)</p> Signup and view all the answers

<p>To keep the catheter free from clot obstruction. (A), To control bleeding in the bladder. (D)</p> Signup and view all the answers

<p>Institute droplet precautions. (D)</p> Signup and view all the answers

<p>To coordinate calls from relatives about the passengers. (C)</p> Signup and view all the answers

<p>Dullness. (B)</p> Signup and view all the answers

<p>Abdomen, with legs pulled up under the body. (D)</p> Signup and view all the answers

<p>Playing a card game with a boy the same age. (B)</p> Signup and view all the answers

<p>The scar will be small. (B), The teen will be back in school in 1 week. (C)</p> Signup and view all the answers

<p>To assess for symptoms of the illness in siblings. (B), To ensure that siblings are not at risk of contagion. (D)</p> Signup and view all the answers

<p>Confirm the client's identity using two client identifiers. (B)</p> Signup and view all the answers

<p>Potential suicidal thoughts/plans of both family members. (C)</p> Signup and view all the answers

<p>Child molesters pick children or teens over whom they have authority. (D)</p> Signup and view all the answers

<p>Assess the intensity of contractions. (B)</p> Signup and view all the answers

<p>Understanding their motivations can reduce incidents of molestation. (A)</p> Signup and view all the answers

<p>The parent's ability to provide financial support. (B)</p> Signup and view all the answers

<p>Assess for signs of dehydration. (B)</p> Signup and view all the answers

<p>Monitor the frequency of contractions. (B)</p> Signup and view all the answers

Continuous bladder irrigation is used after a transurethral resection of the prostate (TURP) to control bleeding and prevent clot formation in the bladder.

A distended bladder percussed will produce a dull sound.

Passengers could experience emotional distress, needs for coordination for family updates, and/or psychological support after a serious accident.

Positioning after surgery to prevent tension on the infant perineum is key. Avoid placing the neonate on the abdomen or with legs pulled up.

Droplet precautions are essential to protect others from this contagious illness.

Engaging, age-appropriate activities such as playing card games with peers will help a child remain occupied while hospitalized and avoid boredom.

Provide honest and realistic information including potential recovery time, scar size, and limitations, avoiding promises that cannot be upheld.

Potential medical complications of a surgical procedure.

A nurse's best response to a delirious, anxious client is to acknowledge their distress and offer reassurance, along with medication to calm anxiety, while investigating the cause.

A pregnant client should avoid contact sports, scuba diving, and hot tubs after exercise.

A nurse assessing a client with a myocardial infarction should recognize various heart rhythms to diagnose an irregular heart beat.

If the nurse isn't trained in chemotherapy, immediately ask for help from another nurse or staff in oncology handling the chemotherapy for the client.

The most important goal following cleft lip repair is managing pain and potential infection.

A suitable outcome for a rheumatoid arthritis client involves managing joint pain and fatigue to maintain daily activities.

Bone healing after an injury typically takes 8 months or longer.

Pain management is a key priority after any surgical procedure, since it impacts healing.

The parent's ability to emotionally support the adolescent through the crisis is the priority.

Sexual predators gain trust and maintain secrecy using manipulation and threats.

Confirm the client's identity using two client identifiers is the first action.

Assess contraction intensity, pain level, and desire for pain management (e.g., epidural).

Client identity verification is critical to ensure proper care.

Abruption (placental separation) is a possible complication of severe pain during labor.

Focus on client safety, especially if ambulating while sick. Confirm client's identity and assess carefully.

Administer pain management interventions (e.g. epidural) as needed and appropriate, and coach the woman in breathing exercises for pain relief