Nursing Final test 4

A client is diagnosed with terminal cancer. The nurse observes the client's family assisting with all ADLs. Which of the following rationales for self-care should the nurse communicate to the family?
A) Allowing the client to function independently will strengthen her
muscles and promote healing.
B) The client needs to be given privacy at times for
self-reflecting and organizing her life.
C) Her sense of loss can be lessened through retaining
control of certain areas of her life.
D) Performing ADLs is required prior to discharge from an
acute care facility.

Which is a sign of impending death?
A) elevated blood pressure
B) Labored Breathing
C) Warm extremeties

A nurse is caring for a client who recently overdosed on amphetaminies and is experiencing
sensory overload. Which of the following interventions should the nurse
implement?
A) Immediately complete a thorough
assessment.
B) Put the client in a room with a client who is hearing
impaired.
C) Provide a private room and limit stimulation.
D) Talk loudly to the client and encourage ambulation.

An entry in a client's chart states the wound drainage is "sanguineous". That means it is:
A) watery in appearance
B) Green-tinged or yellow
C) Bright Red
D) Foul-smellig

Which of the following is an example of a wond healing by secondary intention?
A) A bone fracture that is casted
B) A sprained ankle
C) an open burn area
D) A sutured surgical incision

Which of the following risk factors for developing pressure ulcers does this client have?
A) Limited Mobility
B) Incontinence
C) Dehydration
D) Nutritional Impairment

Which of the following statements describes a stage III pressure ulcer?
A) The skin is reddened and does not blanch with pressure
B) The ulcer extends past te subQ tissue to the muscle
C) The ulcer is a abrassion or a blister

Which Source of law best adresses a situation where a nurse accidentally adminisgers an incoreect dosage of morphine sulfate to the client?
A) Civil law
B) Criminal law
C) Common Law
D) Administrative law

A registered nurse interprets a scribbled medication order by the attending physician as 25 mg. The nurse administers 25 mg of the medication to a client, and then discovers that the dose was incorrectly interpreted and should have
been 15 mg. Who would ultimately be responsible for the error?
A) Nurse
B) Assisting resident
C) Pharmacist
D) Attending Physician

Wich one of the following individuals may legally give informed consent?
A) A 56-year-old who does not understand the proposed
B) A sedated 42-year-old preoperative client
C) A 16-year-old for her newborn child
D) The friend of an 84-year-old marreid client
treatment plan

The nurse understands the implicatinos of the Patient Self-Determination act. This legislation requires that:
A) Info be provided to the client regarding rights for refusal of care
B) Clients designate a power of attorney
C) Organ donation is required upon death, if possible
D) DNR orders for clients meet standard criteria

The nurse stealing narcotics from an acute care nursing unit is guilty of a?
A) Civil
offense
B) Criminal offense
C) Common law offense
D) Administrative law offense

The case of a nurse accused of unethical nursing conduct will be heard by the state board
of nursing. This is an example of:
A) Civil
law
B) Criminal law
C) Common law
D) Administrative law

The nurse is having difficulty reading the prescribed dosage on a handwritten order for a
pain medication. The most appropriate action to ensure the client's safety and to minimize legal issues is for the nurse to:
A) Consult a current drug book to determine the normal dosage
B) Ask another RN to confirm the order
C) Request the pharmacist to interpret the order
D) Call the health care provider to clarify the order
range

Which of the following statements best reflects a nurse's understanding of the proper critical thinking process regarding the need for personal malpractice insurance
A)
"The state's Good Samaritan laws protect me outside of the hospital."
B) "I work in a very low risk area of nursing, so I
don't really have a need."
C) "The hospital carries its own malpractice insurance, so I don't need extra."
D) "Lawsuits can occur years after the event, so I carry my own liability insurance."

Which of the following statements made by a nurse puts the nurse at risk for assault of
the client?
A)
"You will be sorry if you don't agree to take this medication."
B) "You can't refuse this medication if you really want to feel better."
C) "I'll be so disappointed in you if you don't take
your medication."
D) "I'll tell your son you aren't cooperating if you
don't take your medication."

Which of the following nursing statements reflects the best understanding of the importance of appropriate nursing documentation regarding risk management?
A) "If the client isn't compliant, I'm sure to put that in mynotes."
B) "I'm always careful to document any changes in the
client's condition."
C) "My notes are the proof that I provided the client
with effective, appropriate care."
D) "When there is a lawsuit, the nursing notes are the first thing the attorney looks at

A nurse's use of ethical responsibility can best be seen in which of the following
nursing actions?
A) Delivery
of competent care
B) Formation of interpersonal relationships
C) Correct application of the nursing process
D) Evaluation of new computerized technologies

A nursing student that immediately informs her clinical instructor after she realizesthat she has administered the wrong dose of medication to a patient is best described professionally as:
A) Compliant
B) Trustworthy
C) Accountable
D) Confident