Exam 4 Almost done

The team at PRH has decided to implement a new discharge class for all patients newly diagnosed with diabetes. After starting the program, several patient's wind up having complications relating to not recieving their insulin on time and it is determine that the reason was because the discharge class was during the 10:00am med pass and their insulin was delayed. The nurse manager would be demonstrating transformational leadership style by doing which of the following?

A hospital is instituting a new safety measure at thel, the nurses will now being using a fingerprint scanner to enter the dispensing machine that contains narcotics. The machines have been sent to replace 5 machines on med-surg floors out of the hospitals total of 70 dispensing machines. Which stage of Lewin's theory of change is taking place?

Incentives provided by CMS & HCAHPS would be directly effected by all of the following except?

Select from the following, those two items most involved in safeguarding the public from nurses.

A traveling nurse arrives in Texas to begin her work at a community health clinic. She is told that they have a needle exchange facility on the hospital campus where nurses teach patient's harm reduction strategies to safely inject heroin. After deciding that she would be competent to complete the task, the best resource to find out if this is task is within the nursing scope of practice is?

The charge nurse notes that Kim left her patient on the commode for 35 minutes while going to obtain a suppository. The pt. was then given the suppository and got back in bed but had significant pain for the rest of the day. What is the best way for the charge nurse to communicate his feedback?

The best approach to problem solving to use for conflict negotiation is?

A nurse you work with has been refusing to have a meaningful conversation with you, she also will not cosign any of your medications when you have asked. Today in handoff she said "Just write your handoff down and hand it to me, it will probably be easier to understand without you saying like every other word." This is an example of?

A nurse educator is going to be providing teaching on the root cause analysis. She is assessing nurses for knowledge regarding the theory, which nurse requires further teaching?

All of the following are clinical criteria for diagnosing Substance abuse in the DSM 5 except?

A nurse is assessing the A in the CAGE tool when asking which question?

A patient who has made the statement "That is it, I don't want to drink anymore. I have lost my family, my life, my home. I am ready to not be a god damn drunk anymore, I need to be sober by Christmas." is in what stage of change?

What are the 5 As

A pt. was brought to the ER by family, they say that the pt's last drink was at midnight. When should the nurse expect withdrawal symptoms to begin?

The inpatient psych nurse has been assigned a patient who is a longterm alcohol abuser with severe cirrhosis. The patient is on day 1 of detox and has a bp of 165/101, HR: 96, LFTs are elevated but all other vital signs are WNL. Which intervention should the nurse perform ?

All of the following are assessed on the CINA based on observation except

Out of the patial agonist/antagonist's used for opiod addiction which medication has the least potential for OD?

Risk factors for aggressive behaviors include all of the following except?

A client is very angry because staff can not locate an item that has been locked up when he was admitted. The best response by the nurse is?

An instructor asks the class to yell out answers for characteristics of victims of intimate partner violence. The teacher selects which of the following to write on the board as correct answers?

Sheila tells the community nurse that her boyfriend has been abusive and she is afraid of him, but she doesn’t want to leave. The client asks the nurse for assistance. Which nursing interventions are appropriate in this situation? Select all that apply.

A 19 year old male patient arrives on the unit he is in college and is catholic. He has a diagnosis of MDD and has no previous attempts of suicide in his history. He lives with his parents and has a diagnosis of cystic fibrosis. He has positive SI with a plan to hang himself with a belt, pt stated "just like Robin Williams, my favorite actor" How many risk factors for suicide does this patient exhibit?

A pt. who is being discharged the next day from the unit starts giving away a lot of his clothing and books to the other patients, he appears much happier than he has the last couple days. When asked about his plans for when he returns home by another pt. you hear him respond "dont worry about me George im going to a better place." What is the best response by the nurse?

The most dangerous complication of bed rest is?

The mother of a pediatric patient with a congenital hip dysplasia shows that she needs further teaching when she states?

Pts at risk for osteoporosis include all but who?

You would diagnose the condition that teriparatide (forteo) treats by all of the following except?

Gout diets exclude all of the following except?

A pt. who has been chronically immobile would be at risk which complication related to mineral imbalance?

The hospitalist continues Mrs. M.'s risedronate (Actonel) from her home medications. He writes the order : 5mg with water at least 30 min before dinner daily. You know the incorrect part of this order to be?

A client was infected with TB 10 years ago but never developed the disease. He’ began cancer treatment over 9 weeks ago. Which signs and symptoms would be indicative of active infection? Select all that apply (4)

You are providing teaching to a patient who had a 19mm PPD skin test and positive chest xray. He is being admitted to the hospital to obtain sputum cultures and start antibiotics immediately after. You know the patient needs further teaching when he says?

A pt. is on the med-surg floor after an esophagectomy and hemigastrectomy. This morning he was ambulating well in the halls, required only his scheduled pain medication and received a visitor. When you assess the patient after your lunch break he is exhibiting a heart rate of 135, respiratory rate of 40 with shallow depth and is complaining of chest pain and difficulty breathing. What is the very first thing the nurse should do being concerned that this patient has a tension pneumothorax?

When admitting a patient the nurse will assess the patient for all of the following risk factors for pulmonary embolism except?

When communicating in an SBAR to a resident about a pt with a positive D-Dimer. What should the nurse recommend?

All of the following are true about COPD except?

Appropriate nursing interventions for a pediatric pt with Cystic fibrosis to optimize the clearance of secretions includes?

A pt with COPD admitted for exacerbation has become short of breath at rest. Baseline blood gas show ph: 7.34 paco2: 60 HCo3: 49.3 02: 79 What update in patient data would the nurse need to address first?

The nurse is monitoring a client who is receiving IV theophylline (aminophylline) for control of an acute episode of his chronic respiratory condition. What nursing observations would cause the nurse the most concern?

On the first postoperative day after a right lower lobe (RLL) lobectomy, the client deep-breathes and coughs but has difficulty raising mucus. What nursing observation would indicate the client is not adequately clearing secretions?

What source of data provides the nurse with the most accurate assessment of the pulmonary status of a client being treated with a water-sealed chest drainage system?

A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous heparin injections. What is the purpose of this medication?

The nursing instructor realizes that the teaching was effective about the differences between osteoarthritis and gouty arthritis when the student states?

Thiamine, which is often ordered with folate would be ordered to prevent/ treat what condition in a chronic alcohol abuser?

A patient on which drug must avoid substances such as hand sanitizer, nail polish remover, mouthwash, cold medicine as well as warfarin, metronidazole and cephalosporins while on the medication and for 2 weeks after d/c