Basic Physical care (Part 1)
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A nurse is a person who gives medical and other attention to a sick person. Patient safety is the cornerstone of high-quality health care. Knowledge in basic physical care is an important foundation for a nurse in training. Take the quiz below and measure how much you know so far! All the best of luck!
- 1.
- A.
Tell the nursing staff they're responsible for the review and revision and welcome their recommendations for improving the materials.
- B.
Ask the two most proficient staff nurses to form a task force to review and revise client-education materials within the next 6 weeks. Have these nurses solicit input from clients and staff members.
- C.
Tell the nursing staff that the client education materials need revision. Ask the staff to select people to review the materials and make suggestions for change.
- D.
Ask the assistant manager to develop a plan for the review and revision of client-education materials.
- 2.
- A.
Serum potassium level
- B.
Lymphocyte count
- C.
Albumin level
- D.
Differential count
- 3.Two days after a right total knee replacement, a client rates his right-knee pain as 9 on a 10-point pain scale. A physician orders hydrocodone/APAP (Vicodin) 1 tablet by mouth every 4 to 6 hours as needed for pain. When a nurse notifies the physician of the client's pain, the physician states that one hydrocodone/APAP tablet should be sufficient and refuses to order anything stronger for pain. Which measure should the nurse select to act as an advocate for the client?
- A.
Follow the chain of command to obtain adequate pain relief for the client.
- B.
Document that the physician was notified of the client's pain and continue to administer hydrocodone/APAP as ordered.
- C.
Give the client 1 hydrocodone/APAP tablet every 3 hours.
- D.
Give the client 2 hydrocodone/APAP tablets every 4 hours.
- 4.
- A.
Assessing a client's pain
- B.
Taking a client's vital signs
- C.
Documenting a client's oral intake
- D.
Performing a blood glucose check
- E.
Evaluating a client's response to a blood pressure medication
- 5.
- A.
Advance directive
- B.
Living will
- C.
Health care power of attorney
- D.
Patient self-determination
- 6.
- A.
Keep instructions simple and brief because the client will have difficulty concentrating.
- B.
Speak clearly and slowly because the client will have difficulty hearing.
- C.
Assist the client with personal grooming because he'll have difficulty verbalizing his preferences.
- D.
Orient the client to time, place, and person as needed because of memory problems.
- E.
Assess vital signs frequently because vital bodily functions are affected.
- 7.
- A.
Failure to act as a client advocate
- B.
Failure to communicate with the client
- C.
Failure to assess, monitor, and communicate
- D.
Failure to protect from harm
- 8.
- A.
Apply heat to the fracture site.
- B.
Apply ice to the fracture site.
- C.
Perform ankle dorsiflexion three times per day.
- D.
Use crutches for 1 week.
- 9.
- A.
Cap
- B.
Mask
- C.
Gown
- D.
Gloves
- 10.
- A.
Reposition the client every 2 hours.
- B.
Encourage the client to walk in the hall.
- C.
Provide the client dairy products at frequent intervals.
- D.
Provide supplemental feedings between meals.
- 11.
- A.
Immediately remind the night-shift nurses of the daily calibrations.
- B.
Arrange a meeting of the day-shift and night-shift nurses.
- C.
Review the capillary glucose monitoring calibration log book.
- D.
Counsel the night charge nurse about the discrepancy.
- 12.
- A.
½″ (1 cm)
- B.
2″ (5 cm)
- C.
6″ (15 cm)
- D.
8″ (20 cm)
- 13.
- A.
Completes the vacation schedule without staff input
- B.
Delegates responsibility for evaluating the effectiveness of new equipment to the staff members who use that equipment
- C.
Identifies possible solutions to staffing problems and asks staff members for their opinions about each one
- D.
Delegates to staff responsibility for selecting a new nursing care delivery system
- 14.A nurse assists in writing a community plan for responding to a bioterrorism threat or attack. When reviewing the plan, the director of emergency operations should have the nurse correct which intervention?
- A.
All personnel should wear protective clothing, including a gown, gloves, and respiratory protection.
- B.
Clients exposed to anthrax should immediately remove contaminated clothing and place it in the hamper.
- C.
Clients should be instructed to wash thoroughly with soap and water.
- D.
Access to the area should be restricted.
- 15.
- A.
Lumbar spinal cord injury and lower extremity paralysis.
- B.
Maxillofacial injury and gurgling respirations.
- C.
Severe head injury and no blood pressure.
- D.
Second-trimester pregnancy in premature labor.
- 16.
- A.
Conduct performance evaluations in a group setting so input from peers and subordinates influences evaluation of a staff member's effectiveness.
- B.
Provide feedback on strengths as well as areas for improvement and clarify what she expects the staff member to accomplish before the next performance evaluation.
- C.
Provide written documentation of areas for improvement. Areas of strength needn't be documented because these areas are complimentary and don't describe actions the staff member must take to improve.
- D.
Whenever possible, delegate responsibility for conducting performance evaluations to primary nurses to help them achieve professional growth.
- 17.
- A.
Laterally, from the center to the opposite side
- B.
From top to bottom
- C.
In a circle around the drain, outward from the center
- D.
In a circle around the drain, from the outer border to the center
- 18.
- A.
Place the client in a prone position.
- B.
Approach the client from the left side.
- C.
Encourage deep breathing and coughing.
- D.
Discourage bending down.
- E.
Orient the client to his environment.
- F.
Administer a stool softener.
- 19.
- A.
Liquid or semiliquid stools.
- B.
Hard, brown, formed stools.
- C.
Loss of urge to defecate.
- D.
Increased appetite.
- 20.
- A.
From directly in front of the client
- B.
From the right side of the client
- C.
From the left side of the client
- D.
From directly behind the client
- 21.
- A.
Perform gentle passive range-of-motion exercises.
- B.
Gently massage the painful joints.
- C.
Use a bed cradle to keep linens from pressing on the child's joints.
- D.
Encourage the child to change position in bed every 2 hours.
- 22.
- A.
Duty, breach of duty, damages, and causation
- B.
Duty, damages, and causation
- C.
Duty, breach of duty, and damages
- D.
Breach of duty, damages, and causation
- 23.
- A.
Instructions on when and how to implement the living will
- B.
Who may uphold a living will declaration
- C.
How long the living will remains in effect
- D.
What will happen to the client's valuables after his death
- 24.
- A.
Documenting that the client is resting quietly and denies pain
- B.
Calling a family member to obtain information about the client
- C.
Giving the client the ordered as-needed pain medication
- D.
Checking vital signs and assessing for nonverbal indications of pain
- 25.
- A.
Avoid using cornstarch on the feet.
- B.
Avoid wearing canvas shoes.
- C.
Avoid using a nail clipper to cut toenails.
- D.
Avoid wearing cotton socks.
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