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Questions # 16:

A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?

Options:

A.

Observe the client’s response.

B.

Notify the physician.

C.

Change the drainage system.

D.

Observe for leaks.

Expert Solution
Questions # 17:

A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:

Options:

A.

100 ml per hour for one hour.

B.

60 ml per hour for one-half hour.

C.

120 ml per hour for one hour.

D.

50 ml per hour for one hour.

Expert Solution
Questions # 18:

In the United States, several definitions of death are currently being used. The definition that uses apnea testing and pupillary responses to light is termed:

Options:

A.

whole brain death.

B.

heart-lung death.

C.

circulatory death.

D.

higher brain death.

Expert Solution
Questions # 19:

The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?

Options:

A.

Provide a liaison to meet housing needs.

B.

Attentively listen when clients describe their feelings.

C.

Offer nurturing support for clients who are confused by the events.

D.

Provide structure for clients exhibiting moderate to severe anxiety.

Expert Solution
Questions # 20:

A risk management program within a hospital is responsible for all of the following except:

Options:

A.

identifying risks.

B.

controlling financial loss due to malpractice claims.

C.

making sure that staff follow their job descriptions.

D.

analyzing risks and trends to guide further interventions or programs.

Expert Solution
Questions # 21:

When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.

Options:

A.

pharmaceutical

B.

pharmacodynamic

C.

pharmacokinetic

D.

drug incompatibility

Expert Solution
Questions # 22:

One day postoperative, the client complains of dyspnea, and his respiratory rate (RR) is 35, slightly labored, and there are no breath sounds in the lower-right base. The nurse should suspect:

Options:

A.

cor pulmonale.

B.

atelectasis.

C.

pulmonary embolus.

D.

cardiac tamponade.

Expert Solution
Questions # 23:

Hormonal agents are used to treat some cancers. An example is:

Options:

A.

thyroxine to treat thyroid cancer.

B.

ACTH to treat adrenal carcinoma.

C.

estrogen antagonists to treat breast cancer.

D.

glucagon to treat pancreatic carcinoma.

Expert Solution
Questions # 24:

The orientation nurse educator reviewing the biohazard legend with a class of new employees states that the emblem is affixed to containers whenever:

Options:

A.

there is presence of blood and body fluids.

B.

there is the need for droplet precaution.

C.

there is contact isolation.

D.

there is the potential for airborne transmission.

Expert Solution
Questions # 25:

The tendency of a drug to combine with its receptor is called:

Options:

A.

potency.

B.

efficacy.

C.

kinetics.

D.

affinity.

Expert Solution
Questions # 26:

The three universal spiritual needs include all of the following except:

Options:

A.

meaning and purpose.

B.

love and relatedness.

C.

forgiveness.

D.

God’s permission.

Expert Solution
Questions # 27:

The gag reflex test assesses which cranial nerves?

Options:

A.

IX and X

B.

V and VII

C.

IX and XII

D.

V and X

Expert Solution
Questions # 28:

Which of the following attitudes is essential in a nurse who assists clients during crises?

Options:

A.

viewing crisis intervention as the first step in solving bigger problems

B.

wanting to help clients solve all problems identified

C.

taking an active role in guiding the process

D.

feeling that work requires identification with all of a client’s problems

Expert Solution
Questions # 29:

All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:

Options:

A.

monitoring intravenous infusion.

B.

assisting a client to the bathroom.

C.

offering fluid intake every 1–2 hours.

D.

monitoring/recording the amount of fluid taken.

Expert Solution
Questions # 30:

A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:

Options:

A.

the client has been admitted to the hospital three times in the last 2 months.

B.

the client has a Foley catheter.

C.

the client’s family is available to care for him 24 hours a day.

D.

the client is ordered to continue IV antibiotics 5 days post discharge.

Expert Solution
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