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NUR |/ 214 |/Unit |/ 1 |/Exam: |/Role |/Transition,
|/Professional |/Behaviors, |/Assessment,
|/Safety, |/Clinical |/decision |/making,
|/Perfusion |/– |/QUESTIONS |/WITH
|/ANSWERS
Effective |/followers |/have |/which |/of |/the |/following |/characteristics: |/(Select |/all |/that |/apply) |/- |/CORRECT |/ANSWERS |/✔✔Motivated Active |/participants |/in |/making |/change Critical |/thinkers Match |/the |/following |/definitions |/with |/the |/appropriate |/principles |/of |/management: Question Right |/to |/direct |/others |/or |/permission |/to |/make |/decisions: |/- |/CORRECT |/ANSWERS |/✔✔Authority Match |/the |/following |/definitions |/with |/the |/appropriate |/principles |/of |/management. Question
Willingness |/to |/assume |/responsibility |/for |/one's |/actions |/and |/accept |/the |/consequences |/of |/that |/action: |/- |/CORRECT |/ANSWERS |/✔✔Accountability Match |/the |/following |/definitions |/with |/the |/appropriate |/principles |/of |/management. Question Obligation |/to |/meet |/objectives |/and |/perform |/tasks: |/- |/CORRECT |/ANSWERS |/✔✔Responsibility Match |/the |/following |/definitions |/with |/the |/appropriate |/principles |/of |/management. Question A |/distinct |/process |/consisting |/of |/planning, |/organizing, |/actuating |/and |/controlling |/performance |/to |/to |/direct |/actions |/towards |/a |/common |/goal: |/- |/CORRECT |/ANSWERS |/✔✔Management A |/nurse |/manager |/hears |/a |/new |/nurse |/complain |/about |/the |/policy |/on |/time-off |/during |/the |/holidays. |/When |/discussing |/the |/issue |/with |/the |/nurse, |/which |/of |/the |/following |/statements |/by |/the |/nurse |/manager |/is |/appropriate? |/- |/CORRECT |/ANSWERS |/✔✔"I |/hear |/your |/complaint |/about |/the |/holiday-time |/off |/policy; |/I |/would |/like |/to |/discuss |/your |/concerns"
Bureaucratic |/- |/CORRECT |/ANSWERS |/✔✔Relies |/on |/the |/organization's |/rules, |/policies, |/and |/procedures |/to |/direct |/the |/group's |/work |/efforts. Classical |/Leadership |/Theories: |/ Situational |/- |/CORRECT |/ANSWERS |/✔✔Adapts |/his |/or |/her |/leadership |/style |/to |/the |/situation. Contemporary |/Leadership |/Theories: |/ Charismatic |/- |/CORRECT |/ANSWERS |/✔✔Is |/rare; |/Characterized |/by |/the |/ability |/to |/cultivate |/an |/emotional |/relationship |/with |/group |/members. Contemporary |/Leadership |/Theories: |/ Transactional |/- |/CORRECT |/ANSWERS |/✔✔Has |/a |/relationship |/with |/group |/members |/based |/on |/an |/exchange |/for |/some |/resource |/valued |/by |/the |/members. Contemporary |/Leadership |/Theories: |/ Transformational |/- |/CORRECT |/ANSWERS |/✔✔Fosters |/creativity, |/risk |/taking, |/commitment, |/and |/collaboration |/by |/empowering |/the |/group |/to |/share |/in |/the |/organization's |/vision. Contemporary |/Leadership |/Theories: |/ Shared |/- |/CORRECT |/ANSWERS |/✔✔Centered |/around |/the |/idea |/that |/a |/professional |/workforce |/is |/made |/up |/of |/many |/leaders.
Contemporary |/Leadership |/Theories: Servant |/- |/CORRECT |/ANSWERS |/✔✔Rooted |/in |/the |/belief |/that |/the |/most |/effective |/leaders |/are |/this |/who |/are |/motivated |/primarily |/by |/a |/desire |/to |/serve, |/rather |/than |/a |/desire |/to |/lead. A |/nurse |/manager |/on |/the |/oncology |/unit |/is |/helping |/plan |/the |/staff |/schedule |/and |/reviewing |/the |/supply |/budget. |/The |/nurse |/is |/engaging |/in |/which |/principle |/of |/management: |/- |/CORRECT |/ANSWERS |/✔✔"Insert |/the |/earpieces |/at |/a |/downward |/angle |/toward |/your |/nose." A |/nurse |/is |/preparing |/to |/conduct |/a |/Rombert |/test |/on |/a |/client. |/The |/nurse |/should |/explain |/to |/the |/client |/that |/the |/Rombert |/test |/is |/used |/to |/assess |/which |/of |/the |/following |/characteristics? |/- |/CORRECT |/ANSWERS |/✔✔Balance A |/nurse |/is |/performing |/a |/cardiovascular |/assessment |/on |/a |/client. |/Which |/of |/the |/following |/findings |/should |/the |/nurse |/expect? |/- |/CORRECT |/ANSWERS |/✔✔A |/brief |/thump |/felt |/near |/the |/fourth |/of |/fifth |/intercostal |/space |/near |/the |/left |/midclavicular |/line A |/nurse |/is |/performing |/a |/respiratory |/assessment |/on |/a |/client. |/The |/nurse |/auscultates |/a |/wet, |/popping |/sound |/upon |/inspiration |/of |/the |/client's |/breathing. |/The |/nurse |/should |/identify |/this |/observation |/as |/which |/of |/the |/following |/findings? |/- |/CORRECT |/ANSWERS |/✔✔Crackles
A |/nurse |/is |/performing |/a |/physical |/examination |/of |/the |/spine |/for |/an |/older |/adult |/client. |/The |/nurse |/should |/identify |/that |/which |/of |/the |/following |/findings |/is |/common |/with |/aging? |/- |/CORRECT |/ANSWERS |/✔✔Kyphosis |/("Hunchback") A |/nurse |/is |/performing |/an |/abdominal |/assessment |/on |/a |/client. |/Over |/which |/of |/the |/following |/areas |/of |/the |/client's |/abdomen |/should |/the |/nurse |/attempt |/to |/auscultate |/active |/bowel |/sounds |/first? |/- |/CORRECT |/ANSWERS |/✔✔Right |/lower |/quadrant When |/teaching |/parents |/of |/a |/ 9 |/month |/old |/about |/home |/safety |/which |/of |/the |/following |/should |/the |/nurse |/include |/in |/the |/teaching? |/(Select |/all |/that |/apply) |/- |/CORRECT |/ANSWERS |/✔✔-Do |/not |/allow |/siblings |/to |/share |/their |/food |/with |/the |/baby -Lock |/away |/all |/cleaning |/supplies |/and |/medications -Place |/the |/baby |/on |/their |/back |/to |/sleep -Test |/the |/temperature |/of |/the |/water |/before |/placing |/baby |/in |/the |/bath A |/teenager |/is |/excited |/about |/going |/on |/a |/high-adventure |/trip |/with |/his |/friends. |/Which |/statement |/by |/the |/teen |/requires |/follow |/up |/by |/the |/nurse? |/- |/CORRECT |/ANSWERS |/✔✔"We |/will |/be |/whitewater |/rafting, |/but |/I |/never |/learned |/to |/swim |/real |/well, |/but |/the |/life |/jackets |/look |/silly." The |/nurse |/is |/using |/the |/SBAR |/communication |/tool |/to |/speak |/with |/the |/healthcare |/provider. |/What |/should |/the |/nurse |/include |/under |/"A"? |/-
|/CORRECT |/ANSWERS |/✔✔The |/patient |/is |/diaphoretic, |/pale, |/with |/an |/oxygen |/saturation |/of |/88%, |/and |/rhonchi |/in |/all |/lung |/fields A |/nurse |/manager |/must |/convey |/an |/important |/message |/to |/her |/colleagues |/at |/the |/next |/meeting. |/Which |/nonverbal |/communication |/technique |/will |/enhance |/the |/importance |/of |/her |/message? |/- |/CORRECT |/ANSWERS |/✔✔Stand |/when |/making |/the |/announcement When |/documenting |/in |/the |/electronic |/health |/record |/the |/nurse |/may |/use |/which |/abbreviation(s). |/(SATA) |/- |/CORRECT |/ANSWERS |/✔✔20mL BID What |/should |/nurses |/be |/aware |/of |/when |/interpreting |/a |/patient's |/nonverbal |/communication? |/- |/CORRECT |/ANSWERS |/✔✔Nonverbal |/cues |/provide |/significant |/information |/and |/should |/be |/validated |/and |/clarified What |/strategy |/can |/be |/effective |/when |/there |/are |/barriers |/to |/communication |/between |/the |/nurse |/and |/healthcare |/provider? |/- |/CORRECT |/ANSWERS |/✔✔Remaining |/professional |/with |/an |/open |/posture |/and |/calm |/voice A |/client |/with |/Congestive |/heart |/failure |/is |/about |/to |/take |/a |/dose |/of |/furosemide |/(Lasix). |/Which |/of |/the |/following |/potassium |/levels, |/if |/noted |/in |/the |/client's |/record, |/should |/be |/reported |/before |/giving |/the
-Lower |/extremity |/edema A |/patient |/presents |/to |/the |/emergency |/department |/with |/chest |/pain |/and |/shortness |/of |/breath. |/They |/have |/been |/ruled |/out |/for |/a |/heart |/attack, |/but |/the |/nurse |/suspects |/a |/pulmonary |/embolus. |/What |/factors |/would |/support |/the |/nurse's |/suspicion? |/(Select |/all |/that |/apply) |/- |/CORRECT |/ANSWERS |/✔✔-Recent |/diagnosis |/of |/a |/deep |/vein |/thrombosis |/(DVT) -The |/chart |/states |/the |/patient |/had |/a |/total |/hip |/replacement |/ 2 |/months |/ago |/and |/is |/still |/in |/physical |/therapy -History |/of |/sickle |/cell |/anemia -Current |/use |/of |/estrogen |/based |/oral |/contraceptives |/while |/smoking A |/patient |/complains |/of |/right |/calf |/pain |/status |/post |/knee |/replacement |/surgery. |/On |/assessment, |/the |/nurse |/notes |/warmth, |/redness, |/and |/swelling |/at |/the |/site |/and |/is |/unable |/to |/palpate |/a |/pulse |/in |/that |/extremity. |/Even |/using |/a |/Doppler |/the |/nurse |/is |/unable |/to |/locate |/the |/pulse. |/What |/would |/the |/nurse |/do |/next? |/- |/CORRECT |/ANSWERS |/✔✔Call |/the |/doctor |/and |/report |/the |/abnormal |/findings |/recommending |/a |/venous |/ultrasound. The |/nurse |/understands |/which |/meal |/would |/be |/contraindicated |/for |/a |/patient |/experiencing |/complications |/related |/to |/congestive |/heart |/failure. |/- |/CORRECT |/ANSWERS |/✔✔Sliced |/honey |/ham, |/with |/a |/baked |/sweet |/potat
The |/nurse |/is |/reviewing |/the |/discharge |/orders |/for |/a |/patient |/diagnosed |/with |/congestive |/heart |/failure. |/Which |/medications |/should |/be |/included |/based |/on |/evidence-based |/core |/measures? |/(Select |/all |/that |/apply) |/- |/CORRECT |/ANSWERS |/✔✔-Carvedilol |/(Beta |/blocker) -Lisinopril |/(ACE |/when |/ejection |/fraction |/<40%) -Aspirin |/(Anti-platelet) -Atorvastatin |/(Statin) What |/nursing |/intervention |/for |/post-operative |/patients |/will |/prevent |/DVT? |/- |/CORRECT |/ANSWERS |/✔✔-Early |/Ambulation -Use |/of |/sequential |/compression |/devices -Administration |/of |/low |/does |/heparin The |/nurse |/understands |/which |/auscultation |/point |/is |/best |/for |/hearing |/a |/murmur |/of |/the |/pulmonic |/valve? |/Click |/the |/number |/that |/represents |/the |/correct |/location. |/- |/CORRECT |/ANSWERS |/✔✔Left |/of |/sternum, |/2nd |/intercostal |/space. |/(Position |/#2) The |/nurse |/uses |/the |/bell |/to |/hear |/high |/pitched |/heart |/sounds |/like |/S |/S2 |/murmurs |/or |/pericardial |/friction |/rubs. |/- |/CORRECT |/ANSWERS |/✔✔False |/(Bell |/= |/Low-pitched |/sounds |/such |/as |/s3 |/s4). A |/patient |/is |/ordered |/labetalol |/20mg |/IV |/push |/over |/ 2 |/minutes |/one |/time |/as |/needed |/for |/systolic |/BP |/greater |/than180. |/The |/pharmacy
The |/nurse |/is |/reviewing |/the |/lab |/values |/for |/a |/patient |/with |/an |/deep |/vein |/thrombosis |/and |/notes |/an |/INR |/of |/2.3. |/Select |/the |/best |/action |/by |/the |/nurse. |/- |/CORRECT |/ANSWERS |/✔✔Document |/this |/as |/a |/therapeutic |/level |/for |/this |/patient. |/(Range: |/2.0 |/- |/3.0) The |/nurse |/understands |/most |/patients |/are |/prescribed |/aspirin |/in |/the |/hospital |/for |/which |/reason? |/- |/CORRECT |/ANSWERS |/✔✔to |/prevent |/clotting The |/nurse |/is |/administering |/lisinopril |/to |/a |/patient |/with |/high |/blood |/pressure. |/The |/nurse |/understands |/this |/medication |/uses |/which |/mechanism |/in |/the |/body |/to |/lower |/the |/patient's |/blood |/pressure? |/- |/CORRECT |/ANSWERS |/✔✔The |/renin-angiotensin-aldosterone |/system During |/the |/morning |/change |/of |/shift |/report, |/a |/patient |/reports |/feeling |/light-headed |/and |/dizzy |/when |/standing. |/The |/nurse |/takes |/their |/blood |/pressure |/and |/notes |/a |/laying |/BP |/of |/146/72, |/a |/sitting |/BP |/of |/132/65, |/and |/a |/standing |/BP |/of |/112/54. |/Select |/the |/priority |/action |/by |/the |/nurse? |/- |/CORRECT |/ANSWERS |/✔✔Educate |/the |/patient |/to |/change |/positions |/slowly |/and |/call |/for |/assistance. A |/patient |/is |/taking |/Lasix |/for |/fluid |/volume |/excess |/related |/to |/Congestive |/Heart |/Failure. |/Routine |/lab |/work |/has |/shown |/the |/patient |/continues |/to |/have |/low |/potassium |/levels |/even |/with |/supplemental |/K |/ordered. |/The |/nurse |/would |/expect |/the |/physician |/to |/consider
|/changing |/the |/medication |/to |/which |/of |/the |/following. |/- |/CORRECT |/ANSWERS |/✔✔Spironolactone A |/patient |/is |/ordered |/nitroglycerin |/for |/chest |/pain. |/The |/nurse |/understands |/this |/medication |/is |/contraindicated |/in |/patients |/with |/the |/following |/conditions: |/(Select |/all |/that |/apply) |/- |/CORRECT |/ANSWERS |/✔✔-Cardiac |/tamponade -Increased |/intracranial |/pressure -Glaucoma Common |/electrolyte |/lab |/values: Magnesium Potassium Sodium |/- |/CORRECT |/ANSWERS |/✔✔Magnesium: |/1.5 |/- |/2.0 |/mEq/L Potassium: |/3.5 |/- |/ 5 |/mmol/L Sodium: |/ 135 |/- |/ 145 |/mmol/L Common |/hematology |/lab |/values: |/ Hemoglobin Hematocrit Platelets WBC PT
Orthopnea Rales |/(Crackles) Syncope Exertional |/dyspnea Shortness |/of |/breath |/(Hacking |/cough) S3 |/"Gallop" Right |/sided |/heart |/failure |/- |/CORRECT |/ANSWERS |/✔✔"Bacon |/makes |/you |/fain |/weight" |/More |/fluid |/= |/gain |/weight Bloating/edema Ascites/anorexia Congestion Oliguria |/(Decreased |/urine |/output |/during |/the |/day) Nocturia |/(due |/to |/reabsorption |/of |/fluid |/laying |/down; |/JVD) Common |/Anti-Coagulants: Coumadin |/- |/Thins |/blood |/to |/prevent |/clots Heparin |/- |/Thins |/to |/prevent |/or |/treat |/blood |/clots |/- |/CORRECT |/ANSWERS |/✔✔Antidote |/& |/Lab |/tests: Coumadin: |/Vitamin |/K; |/PT/INR Heparin: |/Protamine |/sulfate; |/PTT
Common |/Anti-Platelets: Aspirin, |/Plavix, |/Ticlid, |/REoPro, |/Intregrilin, |/Aggrastat USE: |/ Prevent |/heart |/attack |/or |/stroke, |/following |/MI |/or |/stent |/placement |/- |/CORRECT |/ANSWERS |/✔✔Patient |/education: Report |/bleeding/excessive |/bruising |/to |/your |/doctor ACE |/(Angiotensin-converting |/enzyme) |/Inhibitor |/"Pril"s Lisinopril, |/Enalapril |/- |/CORRECT |/ANSWERS |/✔✔Mechanism: |/Blocks |/renin-angiotensin-aldosterone |/system. Use: |/Lower |/BP Side |/Effect: |/Hypotension, |/dizziness, |/dry |/cough, |/angioedema, |/Hyperkalemia Contraindication: |/Pregnant/Breastfeeding Patient |/Ed.: |/Check |/PB |/daily, |/report |/dizziness, |/low |/BP, |/metallic |/taste ARBs |/(Angiotensin |/receptor |/blockers) |/"Sartan" |/ Valsartan, |/Losartan |/- |/CORRECT |/ANSWERS |/✔✔Mechanism: |/Angiotensin |/II |/receptor |/antagonist Use: |/Lower |/BP Side |/Effect: |/dizziness, |/hyperkalemia, |/headache Contraindication: |/Pregnant/breastfeeding
Digoxin |/- |/CORRECT |/ANSWERS |/✔✔Mechanism: |/Slows |/& |/regulates |/HR |/to |/allow |/for |/longer |/filling, |/increases |/contractile |/force |/= |/increase |/cardiac |/output Use: |/Control |/HR, |/treat |/A-Fib Side |/effect: |/Bradycardia, |/heart |/block, |/Digoxin |/toxicity(N/V, |/lethargy, |/visual |/changes) CAUTION: |/When |/pt |/on |/lasix, |/monitor |/for |/k+ |/drop Nursing: |/Apical |/pulse |/for |/ 1 |/full |/minute Patient |/Ed.: |/Check |/pulse |/hold |/med |/if |/<
- |/Stable |/Angina
- |/Prinzmetal |/(variant) |/Angina
- |/Unstable |/angina |/- |/CORRECT |/ANSWERS |/✔✔1. |/Stable |/- |/Most |/common |/& |/predictable; |/occurs |/with |/activity, |/stress, |/cold; |/RELIEVED: |/by |/rest |/& |/nitrates
- |/Prinzmetal |/- |/Atypical |/& |/unpredictable, |/often |/at |/night.
- |/Unstable |/- |/Occurs |/with |/increasing |/frequency, |/severity, |/and |/demand. |/Pain |/is |/unpredictable, |/may |/be |/at |/low |/activity |/or |/even |/at |/rest. |/Unstable |/= |/risk |/of |/MI
