Nội dung text RECALLS 9 - NP1 - SC
D. RA 9173 14. Since she needs to work in a hospital to get hospital experience, which part of the Nursing Law should Leah focus for her safe practice as a novice nurse? A. Scope of Nursing Practice B. Nursing Research C. Nursing Education D. Nursing Personal System 15. When Leah eventually gets employed in the hospital, she will initially be required to utilize which of the following in rendering care to her clients? A. Traditional and innovative approaches B. Therapeutic use of self C. Health teachings D. Nursing process Situation- Ben, 15 years old, has been complaining of sleep disturbance for the past 3 weeks. He related that he feels weak and has no vigor in doing his school work. He is brought to hospital for specialization. 16. As his attending nurse, what will be the best question to ask in order to find out Ben’s cause of sleep disturbance? A. “Could you tell me what you feel about school work?” B. “Is there something or anyone who is bothering you in school?” C. “Could you share with me any major problems that you have encountered in school?” D. “What is bothering you in school?” 17. The nursing diagnosis appropriate for Ben is _____. A. Insomnia B. Sleep deprivation related to problems in school C. Disturbed sleep pattern related to school problem D. Readiness for enhanced sleep 18. In order to help Ben go to sleep, what simple and inexpensive nursing intervention can the nurse provide considering the type of room Ben is confined in? A. Room should be well ventilated B. Light should be dimmed at specific time C. Putting on the air conditioning unit D. Putting on dark-colored curtains 19. If Ben cannot sleep immediately, which of the following can be provided by the nurse? A. A glass of warm milk B. A bedside story C. a sleeping pill D. a warm bed bath 20. In terms of nursing care, the BEST help that the nurse can do is to . A. Avoid giving round the clock medications B. Refrain from clutter at the nurse’s station C. Omit vital sign tasking during the sleeping time of Alex D. Tone down nurse’s voice Situation- Simon, 66 years old, a foreigner, was admitted to the hospital due to high fever for five days. His temperature on admission was 37.5 ‘C with flushed and warm to touch skin. Nurse Celine, who is his attending nurse, gave him a cool sponge bath. 21. Cool sponge bath is an independent intervention of nurse Celine aimed at . A. Alleviating discomforts of client Simon B. Generalizing full sponge bath care to client Jimmy get hospital admission policy C. Diverting the temperature of client Simon D. Normalizing the vital signs of client Simon 22. The independent nursing intervention to reduce temperature of client Simon include which of the following? Select all that apply. 1. Monitor temperature regularly 2. Offer only cold drinking water frequently 3. Provide tepid sponge bath 4. Administer Paracetamol every 4 hours 5. Encourage wearing loose cotton clothing 6. Cover with thick blankets to stimulate sweating A. 1, 3, 5 B. 1, 5, 6 C. 2, 4, 6 D. 2, 3, 4 23. Client Simon wishes to know his present temperature in Farenheit. Nurse Celine’s answer is which of the following? A. 102.2F B. 101.3F C. 100.4F D. 99.5F 24. Client Simon complains of severe chilly sensation. What regulatory function of the hypothalamus describes his reaction? A. heat production B. heat promotion C. heat adaptation D. heat conversation 25. After client Simon’s body temperature stabilized to normal, he began to complain of feeling hot and finds difficulty of adjusting to the climate two days after. What is the APPROPRIATE answer to Nurse Celine? A. “Foreigners cannot adjust to hot temperatures” B. “People from cold regions have less brown adipocytes” C. “Those who lived in cold places have lower metabolic rate than those who live in tropical region” D. “People from cold regions have more brown adipocytes” 26. Nurse Celine develops patient safety goals. What nursing goal is APPROPRIATE for safety environment? Select all that apply. 1. Reduce the risk for patient harm resulting from falls 2. Create a clean, orderly environment of patient 3. Prevent high concentration drug errors 4. Develop clean and simple signage for directions A. 1, 2 & 3 B. 1, 2 & 4 C. 2, 3 & 4 D. 3 & 4 27. Nurse Celine should prevent or reduce infectious agents PRIMARILY through the following practices. Select all that apply. 1. Clean the room with antiseptic solutions 2. Proper garbage disposal 3. Mandatory hand washing upon entry to hospital 4. Improve safety administration of medicines A. 1, 2 & 3 B. 2, 3 & 4 C. 1 & 3 D. 1 & 4 28. Nurse Celine must comply with the policies of health care facilities regarding isolation precautions. The BASIC precaution in the hospital is _______________________. A. posting of signs of silence B. limited visitors who are within the patient’s age C. private room placement D. strict utilization of personal things 29. Nurse Celine includes air-borne precautions in addition to Standard Precautions to be observed at all times. These include, EXCEPT _______. A. positioning and draping of patients B. hand washing techniques C. wearing of masks and gloves D. limited patient transport 30. To protect spreading infection from one patient to another, Nurse Celine must not forget to wash her hands _________. A. before and after making rounds and endorsement of all clients B. before and after performing procedures and in between patient care C. twice before and after all the procedures are done to all the clients D. apply alcohol before and after performing procedures to all patients Situation - Client Arvie, 33 years old, is known for his asthma attacks. His asthma attacks commonly occur at the change of climate in his hometown. He was just wearing a “sando” {sleeveless shirt} and short pants when he was admitted to the hospital. 31. What will be Nurse Chard’s PRIORITY INTERVENTION? A. Put him near the electric fan to assist him in breathing B. Ask him what triggered his attack this time 2 | Page