The nurse is orienting a new nurse to the unit and reviews source-oriented charting. Which statement by the nurse best describes source-oriented charting? Source-oriented charting: A. Separates the health record according to discipline. B. Organizes documentation around the patient’s problems. C. Highlights the patient’s concerns, problems, and strengths. D. Is designed… Read More »
A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate? … Read More »
Collaborative interventions are therapies that require: A. Physician and nurse interventions. B. Nurse and client interventions. C. Client and Physician intervention. D. Multiple health care professionals. Correct Answer: D. Multiple health care professionals. Collaborative interventions are actions that the nurse carries out in collaboration with other health… Read More »
What is the main advantage of cutaneous stimulation in managing pain? A. Costs less. B. Restricts movement and decreases. C. Gives client control over pain syndrome. D. Allows the family to care for the patient at home. Correct Answer: C. Gives client control over pain syndrome. Cutaneous… Read More »
The nurse is assessing a client with an endotracheal tube and observes that the client can make verbal sounds. What is the most likely cause of this? A. This is a normal finding. B. There is a leak. C. There is an occlusion. D. The endotracheal tube is displaced. … Read More »
The distribution of nurses to areas of “most need” in the time of a nursing shortage is an example of: A. Utilitarianism theory B. Deontological theory C. Justice D. Beneficence Correct Answer: C. Justice Justice is defined as the fairness of the distribution of resources. However, guidelines… Read More »
Which of the following symptoms is the best indicator of imminent death? A. A weak, slow pulse B. Increased muscle tone C. Fixed, dilated pupils D. Slow, shallow respirations Correct Answer: C. Fixed, dilated pupils Fixed, dilated pupils are a sign of imminent death. Death is a part of… Read More »
One aspect of implementation related to drug therapy is: A. Developing a content outline. B. Documenting drugs given. C. Establishing outcome criteria. D. Setting realistic client goals. Correct Answer: B. Documenting drugs given. Although documentation isn’t a step in the nursing process, the nurse is legally required… Read More »
When the nurse completes the patient’s admission nursing database, the patient reports that he does not have any allergies. Which acceptable medical abbreviation can the nurse use to document this finding? A. NA B. NDA C. NKA D. NPO Correct Answer: C. NKA The nurse can use… Read More »
A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. An appropriate nursing diagnosis would be: A. Ineffective airway clearance related to thick, tenacious secretions B. Ineffective airway clearance related to dry, hacking cough C. Ineffective individual coping… Read More »