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Adult Health 1 - Exam 1 Concepts - Modules 1 and 2 Flashcards Quizlet

Boundary that separates the living cell from its non-living surroundin...
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Biology I for Science Majors (BIOL 1406 )

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Adult Health 1 - Exam 1 Concepts - Modules 1 and

2

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Terms in this set (211)

A nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see?

A. Hospitalized children with acute and chronic illnesses

B. Hospitalized adults with acute and chronic illnesses

C. Older adults in a nursing home

D. Working adults in a corporate setting

B. The scope of medical-surgical nursing, sometimes called adult health nursing, is to promote health and prevent illness or injury in clients from 18 to 100 years of age or older. The most common practice setting is the acute care hospital.

Which principal nursing actions best support a focus on client safety? Select all that apply.

A. Client restraints

B. Handwashing

C. Preoperative checklists

D. Respect for others

E. Five rights of drug administration

B. C. E. Although restraints may help clients who are confused to keep from hurting themselves, they are potentially risky and are used infrequently because of the harm they can cause.

A nurse is working in the intensive care unit. When does the nurse call the Rapid Response Team (RRT)?

A. An 87-year-old client awakens mildly confused, then reorients quickly.

B. A newly admitted client requests pain medication.

C. A postoperative client's dressing has mild bloody drainage.

D. A postoperative client's blood pressure suddenly drops.

D. The RRT should be called whenever a client has a slow or sudden deterioration in clinical condition.

Which role of the medical- surgical nurse is demonstrated by writing a care plan for the client who is newly admitted to the hospital?

A. Advocate

B. Caregiver

C. Communicator

D. Educator

B. In the caregiver role, medical-surgical nurses assess clients, analyze collected information to determine their needs, develop nursing diagnoses and collaborative problems, plan care and carry out the plan with the health care team, and evaluate the care given.

A nurse supports the client and family in deciding on a "Do Not Resuscitate" order. Which ethical principle that guides nursing clinical decision making is demonstrated in this situation?

A. Beneficence

B. Justice

C. Legality

D. Self-determination

D. Self-determination refers to the idea that clients are autonomous individuals capable of making informed decisions about their care. When the client is not capable of self-determination, the nurse is ethically obligated to protect the client as an advocate in the professional scope of practice.

A 78-year-old Mexican American client is admitted to the hospital for hypertension. His wife passed away 6 months ago, and his only child still lives in Mexico. Which intervention does the nurse use in dealing with this client following his admission?

A. Assess the client for his use of folk medicine.

B. Call the client's child and explain why his father needs him.

C. Present all information on hypertension to the client in one teaching session.

D. Provide a pamphlet on hypertension for initial education.

A. Assessing the client's use of folk medicine will help determine his care.

A nursing student is following a medical-surgical nurse and identifies a way to improve a procedure used for client care. What does the student nurse do next?

A. Asks the nurse about the rationale for doing the procedure that way

B. Corrects the medical- surgical nurse about the way the procedure should be done

C. Goes to the charge nurse with the idea

D. Places a note in the suggestion box

A. Although all nurses are responsible for quality improvement, it is important to assess before implementing. Asking why something is done a certain way is a good form of assessment.

Which nursing action demonstrates use of the principle of justice?

A. A 32-year-old client is prevented from falling during the initial postoperative period following her hysterectomy.

B. A 67-year-old client with dementia is shown the same respect as his 47-year-old roommate with prostate cancer.

C. An 82-year-old client is provided access to the hospital Patient Advocate for processing of a complaint.

D. The parents of a 13-year-old are included in discussions about the course of their teen's treatment and care.

B. The principle of justice refers to equality—all clients should be treated equally and fairly as is demonstrated by the respect shown to the client with dementia. A similar example is seen in the text.

A nurse is asked to collaborate with others to implement an interdisciplinary (ID) plan of care for a client. Which health care team members are essential for the client's daily care regimen? Select all that apply.

A. Anesthesiologist

B. Case Manager

C. Health Care Provider

D. Occupational therapist

B. C. The others are not needed on a daily basis.

When developing a standardized plan of care for clients with a diagnosis of pneumonia, how does the nurse find the best information about providing optimal nursing care?

A. Access a website that reports on randomized controlled studies on nursing care for clients with pneumonia.

B. Research the most recent articles in nursing magazines that discuss care for clients with pneumonia.

C. Review the chart to determine what physician prescriptions are frequently written for clients with pneumonia.

D. Survey experienced RNs about which nursing actions are effective when caring for clients with pneumonia.

A. The best evidence-based nursing practice will be developed by using information from randomized controlled studies testing the impact of various nursing interventions on outcomes for clients with pneumonia. This type of data collection is the most scientifically based approach listed here.

Which of these hospital staff members will the nurse manager assign to coordinate the discharge of a client who will need community-based rehabilitation services after a traumatic injury?

A. The nurse who is responsible for the client's case management

B. The physical therapist who developed the client's exercise program

C. The physician who is assigned as the client's medical resident

D. The unit-based RN who has cared for the client during the hospital stay

A. The case manager role includes coordination of acute care and post-discharge community services for the client.

Which action should the nurse take first when preparing to do discharge teaching for a 73- year-old client who is being discharged after prostate surgery?

A. Ask what the client knows about self-care after prostate surgery.

B. Have family members available during the teaching.

C. Obtain written information about post-discharge care.

D. Plan to teach early in the morning after the client has eaten.

A. When planning education, the nurse's initial action should be to assess whether the client is receptive to teaching and to identify the client's current knowledge level.

A previously stable postoperative client on the medical-surgical unit now has a blood pressure of 88/40 and a heart rate of 124. After placing the client in Trendelenburg position, which of these actions should the nurse take next?

A. Activate the Rapid Response Team.

B. Call for a Code Blue.

C. Determine the cause of the changes.

D. Recheck the vital signs in 5 minutes.

A. Because Rapid Response Teams (RRTs) have been demonstrated to reduce the number of cardiac or respiratory arrests, the nurse's first action should be to call the RRT.

A nurse is using the concepts from SHARE (targeted solutions to ensure successful communication among care providers) to improve communication in a hospital setting. Which action indicates an understanding of these principles?

A. Allowing various informed sources to contribute information

B. Developing a standardized checklist form

C. Encouraging the use of individualized methods of data transfer

D. Minimizing input from the interdisciplinary team ("pit crew")

B. The development and use of checklists allows for a more thorough inclusion of data, and in a more organized manner.

A nurse educator is instructing newly hired registered nurses about patient-centered care. Which competency categories are included in this content? Select all that apply.

A. Attitudes

B. Environments

C. Judgments

D. Knowledge

E. Skills

F. Values

A. D. E. The others are not included in the client- centered care competencies.

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Adult Health 1 - Exam 1 Concepts - Modules 1 and 2 Flashcards Quizlet

Course: Biology I for Science Majors (BIOL 1406 )

228 Documents
Students shared 228 documents in this course

University: Lone Star College System

Was this document helpful?
Adult Health 1 - Exam 1 Concepts - Modules 1 and
2
Leave the first rating
Terms in this set (211)
A nurse has recently been
assigned to a medical-surgical
clinical rotation. According to
the scope of medical-surgical
nursing, what type of client
assignments does the nurse
expect to see?
A. Hospitalized children with
acute and chronic illnesses
B. Hospitalized adults with
acute and chronic illnesses
C. Older adults in a nursing
home
D. Working adults in a
corporate setting
B. The scope of medical-surgical nursing, sometimes
called adult health nursing, is to promote health and
prevent illness or injury in clients from 18 to 100
years of age or older. The most common practice
setting is the acute care hospital.
Adult Health 1 - Exam 1 Concepts - Modules 1 and 2

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