Site Loader
Get an Essay Help
Rock Street 34, San Francisco State

A diabetic patient who is hospitalized tells the nurse, “I don’t understand how I can keep my blood sugar under control at home with diet alone, because when I get sick, my blood sugar goes up.” Which response by the nurse is appropriate?

a.
“Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times.”

b.
“It is probably just coincidental that your blood sugar is high when you are ill”.

c.
“Stressors such as illness cause the release of hormones that increase blood sugar.”

d.
“Your diet is different here in the hospital than at home, and that is the most likely cause of the increased glucose level.”

c.
“Stressors such as illness cause the release of hormones that increase blood sugar.”
A patient has not been sleeping well because he is worried about losing his job and not being able to support his family. The nurse takes the patient’s vital signs and notes a pulse rate of 112 beats/min, respirations are 26 breaths/min, and his blood pressure is 166/88 instead of his usual 110-120/76-84 range. Which nursing intervention or recommendation should be used first?

a.
Relax by spending more time playing with his pet dog.

b.
Consider that a new job might be better than his present one.

c.
Slow and deepen breathing via use of a positive, repeated word.

d.
Go to sleep 30 to 60 minutes earlier each night to increase rest.

c.
Slow and deepen breathing via use of a positive, repeated word.
A patient tells the nurse, “I’m told that I should reduce the stress in my life, but I have no idea where to start.” Which would be the best initial nursing response?

a.
Why not start by learning to meditate? That technique will cover everything.”

b.
“Let’s talk about what is going on in your life and then look at possible options.”

c.
“Reading about stress and how to manage it might be a good place to start.”

d.
“In cases like yours, physical exercise works to elevate mood and reduce anxiety.”

b.
“Let’s talk about what is going on in your life and then look at possible options.”
A patient who has been complaining of intolerable stress at work has demonstrated the ability to use progressive muscle relaxation and deep breathing techniques. He will return to the clinic for follow-up evaluation in 2 weeks. Which data will best suggest that the patient is successfully using these techniques to cope more effectively with stress?

a.
He reports that his appetite, mood, and energy levels are all good.

b.
His systolic blood pressure has gone from the 140s to the 120s (mm Hg).

c.
The patient’s wife reports that he spends more time sitting quietly at home.

d.
He reports that he feels better and that things are not bothering him as much.

b.
His systolic blood pressure has gone from the 140s to the 120s (mm Hg).
The nurse is developing a care plan for a newly diagnosed cancer patient with ineffective coping skills. Which intervention would be the best example of a problem-focused coping strategy?

a.
Attending a support group for families

b.
Scheduling a regular exercise program

c.
Attending a seminar on treatment options

d.
Identifying a confidant to share feelings

c.
Attending a seminar on treatment options
A nurse has designed an individualized nursing care plan for a patient, but the patient is not meeting goals. Further assessment reveals that the patient is not following through on many items. Which action by the nurse would be best for determining the cause of the problem?

a. Reevaluate data to ensure that the diagnoses were sound.

b. Determine whether the patient agrees with the care plan.

c. Assess whether the actions were too difficult for the patient.

d. Question the patient’s reasons for not following through.

b. Determine whether the patient agrees with the care plan.
Before implementing any intervention, the nurse uses clinical reasoning to:

a.
Establish goals for a particular patient without the need for reassessment.
b.
Determine whether an intervention is correct and appropriate for the given situation.
c.
Evaluate the effectiveness of interventions.
d.
Read over the steps and perform a procedure despite lack of clinical competency.

b.
Determine whether an intervention is correct and appropriate for the given situation.
The nurse is intervening for an identified nursing diagnosis of Risk for infection. Which direct care nursing intervention is most appropriate?

a.
Counseling the family on stress reduction techniques.
b.
Teaching the patient how to use crutches.
c.
Teaching the family proper handwashing technique.
d.
Leaving side rails up at all times.

c.
Teaching the family proper handwashing technique.
Which nursing diagnostic statement is accurately written for a patient with a medical diagnosis of pneumonia?

a.
Risk for infection related to lower lobe infiltrate.
b.
Ineffective breathing pattern related to pneumonia.
c.
Risk for deficient fluid volume related to dehydration.
d.
Impaired gas exchange related to alveolar-capillary membrane changes.

d.
Impaired gas exchange related to alveolar-capillary membrane changes.
When planning patient care, a goal can be described as:

a.
An identified long-term nursing diagnosis.
b.
A statement describing the patient’s accomplishments without a time restriction.
c.
A realistic statement predicting any negative responses to treatments.
d.
A broad statement describing a desired change in patient behavior.

d.
A broad statement describing a desired change in patient behavior.
The nursing process involves which of the following steps in the clinical decision-making process? (Select all that apply.)

a.
diagnosing the disease process
b.
performing nursing interventions
c.
determining priorities of care
d.
identifying patient needs
e.
setting goals

b, c, d, e
One purpose of using standard formal nursing diagnoses in practice is to:

a.
distinguish the nurse’s role from the physician’s role
b.
allow for the communication of patient needs to assistive personnel
c.
form a language that can be encoded only by nurses
d.
help nurses focus on the scope of medical practice

a.
distinguish the nurse’s role from the physician’s role
Which of these selections is an etiology for Acute pain?

a. discomfort while changing position
b. Complaint of pain as 7 on a 0 to 10 scale
c. dull headache
d. disruption of tissue integrity

d.
disruption of tissue integrity
The patient EHR reveals that a patient has decreased oral intake, decreased oxygen saturation when ambulating, complaints of shortness of breath when getting out of bed, and a productive cough. What are the defining characteristics for the diagnostic label of Activity intolerance?

a.
Productive cough and decreased oral intake
b.
Decreased oxygen saturation when ambulating and complaints of shortness of breath when getting out of bed
c.
Decreased oral intake and decreased oxygen saturation when ambulating
d.
Complaints of shortness of breath when getting out of bed and a productive cough

b.
Decreased oxygen saturation when ambulating and complaints of shortness of breath when getting out of bed

Related Essay Examples

Post Author: Arnold

Leave a Reply

Your email address will not be published. Required fields are marked *