Test
Nursing Process
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Preguntas del test (11)
1How does the nurse primarily use the nursing process in the care of patients?
- ATo promote the management of patient care in collaboration with other health care providers
- BAs a tool to organize the nurse’s thinking and clinical decision making about the patient’s health care need
- ATo promote the management of patient care in collaboration with other health care providers
2An emaciated older adult patient is admitted to the critical care unit. The nurse plans a schedule of turning the patient every two hours to prevent skin breakdown. This is considered to be what type of nursing action?
- AIndependent
- BCollaborative
3A patient with a stroke is paralyzed on the left side of the body and is not responsive enough to turn or move independently in bed. A pressure ulcer has developed on the patient’s left hip. What is the most appropriate nursing diagnosis?
- AImpaired physical mobility related to paralysis
- BImpaired skin integrity related to altered circulation and pressure
4A patient with an infection has a nursing diagnosis of fluid volume deficit related to excessive diaphoresis. What is an appropriate patient outcome?
- ABalanced intake and output are achieved.
- BSkin remains cool and dry throughout hospitalization
5During the preoperative assessment of a patient scheduled for a cholecystectomy at an outpatient centre, the patient tells the nurse that she uses St. John’s wort to keep her spirits up. Why should the nurse notify the anaesthesiologist about this use of St. John’s wort?
- AIt may prolong the effects of anaesthetics.
- BIt may increase the risk of bleeding.
6According to the Canadian Anesthesiologists’ Society, what is the minimum preoperative fasting time period for intake of clear fluids?
- A2 hours
- B3 hours
7A patient with diabetes that is well controlled with insulin injections has been on nothing by mouth (NPO) status since midnight before having a mastectomy. The nurse notes that there are no preoperative orders regarding the patient’s daily insulin dose. What is the most appropriate nursing action?
- ACall the physician to clarify whether insulin should be given and at what dosage.
- BWithhold any insulin dose because none is ordered and the patient is on NPO status.
8Which of the following should be the nurse’s preoperative consideration when the patient states that she takes a garlic pill every day?
- AGarlic may increase bleeding.
- BGarlic may inhibit platelet activity.
9The nurse identifies the nursing diagnosis of deficient fluid volume for a patient with prolonged vomiting. Which of the following nursing assessments is most helpful in determining the source of the vomiting?
- AAsk the times when the vomiting occurs.
- BDetermine the amount and character of the vomitus.
10When a patient with persistent nausea and severe vomiting is admitted to the hospital for control of the symptoms, what is the first order that the nurse should act on?
- AInfuse normal saline at 250 mL/hour.
- Binsert ng tube
11While a patient with severe acquired thrombocytopenia is receiving platelet transfusions, the nurse recognizes that a platelet transfusion reaction may be present when the patient experiences which of the following signs?
- ASudden onset of chills and fever
- BFlushing, itching, and urticaria
Información
- Descripción
- Test sobre Nursing Process, creado por asissons el 15/04/2015.
- Autor
- asissons
- Idioma
- English
- Visitas
- 10
- Valoración
- Aún sin valoraciones Valora este test