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Care Management Unit 1 Test
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Questions in this quiz (15)
1By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process?
- AReassess the client to determine the reasons for inadequate pain relief.
- BWait to see whether the pain lessens during the next 24 hours.
- CChange the plan of care to provide different pain relief interventions.
- DTeach the client about the plan of care for managing his pain.
2Select all that apply... a charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurses identify as objective data?
- ARespiratory rate is 22/min with even, unlabored respirations.
- BThe client's parter states, "he said he hurts after walking about 10 minutes."
- CPain rating is a 3 on the scale of 0-10
- DSkin is pink, warm, and dry
- EThe assistive personnel reports the client walked with a limp.
3A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "The client said his leg pain was back, so I checked his medical record, and he last recieved his pain medication 6 hours ago. The prescription reads every 4 hours PRN for pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it. I later checked with the client and he said the pain was going away." the charge nurse should inform the newly licensed nurse that she left out which pat of the follwing steps of the nursing process?
- AAssessment
- BPlanning
- CIntervention
- DEvaluation
4Select all that apply... A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include?
- AWriting a prescription for morphine PRN
- BInserting a NG tube to relieve gastric distention
- CShowing a client how to use progressive muscle relaxation
- DPerforming a daily bath after the evening meal.
- ERepositioning a client every 2 ours to reduce risk of pressure ulcer.
5A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nurse process?
- A"I will determine the most important client problems that we should address."
- B"I will review the past medical history on the client's record to get more information."
- C"I will go carry out the new prescriptions from the provider."
- D"I will ask the client if his nausea has resolved."
6A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? (select all that apply)
- APlace a belt restraint on the client when he is sitting on the bedside commode.
- BKeep the bed in its lowest position with all side rails up.
- Cmake sure that the clients call light is within reach
- Dprovide the client with non-skid footwear
- Ecomplete a fall-risk assessment
7A nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. Which of the following statements by a nurse requires further instruction?
- AI will place the client on his side
- BI will go to the nurses' station for assistance
- CI will administer his medications
- DI will prepare to insert an airway
8A nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurse's priority
- AExtinguish the fire
- BActivate the fire alarm
- CMove clients who are nearby
- Dclose all open doors on the unit
9A nurse is caring for a client who has a history of falls. Which of the following actions is the nurse's priority?
- AComplete a fall-risk assessment.
- BEducate the client and family about fall risks
- CEliminate safety hazards from the client's environment
- DMake sure the client uses assistive aids in his possession
10A charge nurse is assigning rooms for the clients to be admitted to the unit. To prevent falls, which of the following clients should the nurse assign to the room closest to the nurses' station?
- AA middle adult who is postoperative following a laparoscopic cholecystectomy
- BA middle adult who requires telemetry for a possible myocardial infarction
- Ca young adult who is postoperative following an open reduction internal fixation of the ankle
- Dan older adult who is postoperative following a below-the-knee amputation
11A nurse is providing discharge instructions to a client who has a prescription for oxygen use at home. Which of the following information should the nurse include about home oxygen safety? (select all that apply)
- AFamily members who smoke must be at least 10 feet from the client when oxygen is in use
- BNail polish should not be used near a client who is receiving oxygen
- CA "no smoking" sign should be placed on the front door.
- DCotton bedding and clothing should be replaced with items made from wool
- Ea fire extinguisher should be readily available in the home.
12A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following?
- AHypotension
- BBradychardia
- CClammy Skin
- DBradypnea
13A nurse educator is conducting a parenting class for new parents of infants. Which of the following statments made by a participant indicates understanding of the instructions?
- AI will set my water eater at 130* F.
- BOnce my baby can sit up, he should be safe in the bathtub
- CI will place my baby on his stomach to sleep
- DOnce my infant starts to push up, I will remove the mobile from over the crib.
14A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include in her counseling?
- ACarbon monoxide has a distinct odor
- BWater heaters should be inspected every 5 years
- Cthe lungs are damaged from carbon monoxide inhalation
- Dcarbon monoxide binds with hemoglobin in the body
15A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include in her counseling.
- AMost food poisoning is caused by a virus
- Bimmunocompromised individuals are at risk for complications from food poisoning
- Cclients who are at high risk should eat or drink only pasteurized dairy products
- Dhealthy individuals usually recover from the illness in a few weeks
- Ehandling raw and fresh food separately can prevent food poisoning.
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- Quiz on Care Management Unit 1 Test, created by katie sims on 14/09/2017.
- Author
- katie sims
- Language
- English
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