RN FUNDAMENTALS PRACTICE AREVIEW 2021

PRACTICE A REPASO Avocado in Nursing Delegation Care manessment Client right Continuous off care Technology informatic Responsibility legal right Safety Infection control Fall prevention Therapeutic communicat ...

PRACTICE A REPASO Avocado in Nursing Delegation Care manessment Client right Continuous off care Technology informatic Responsibility legal right Safety Infection control Fall prevention Therapeutic communication Prevention Self-care-autonomy Basis care, and comfort (ADL) Mobility Comfort intervention Medication administration IV therapy Personal hygiene Oral care Complication of diagnostic care Nursing process Air way ABC DISCHARGE Transmission precaution Hang hygiene Restriction Development strategies Grief and love Nasogastric tube Polity care Route administration and safe medication Medication reconciliation Education when patient injection self Pain manessment Tracheotomy care 4 steps physical assessment Auscultation heart sound Standard precaution Vitals signs Teen word collaboration Even dent and missing practice Health professional communication with other A nurse is caring for a client who has a Clostridium difficile infection. which of the following solutions should the nurse use to perform hand hygiene while caring for this client? Mild soap A nurse is preparing to remove a client's peripheral IV catheter. After performing hand hygiene and applying clean gloves, which of the following actions should the nurse take first? Clamp the infusion tubing A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of the following actions should the nurse plan to take? Administer an analgesic 30 minutes before starting the procedure. A nurse is collecting data from a client who has an NG tube set to low intermittent suction. Which of the following findings indicates hypomagnesemia? Positive Chvostek's sign A nurse is caring for a female client who has urinary incontinence. Which of the following actions should the nurse take? Apply a moisture skin barrier to the clients perineal area A nurse is reinforcing teaching with a client about smoking cessation. Which of the following should the nurse identify as the first stage of health behavior change? Precontemplation A nurse is repositioning a client who has quadriplegia and is in the supine position. Which of the following actions should the nurse take to prevent client musculoskeletal injury? Internally rotated the clients’ hips by using a trochanter roll. A nurse is providing wound care for a group of clients. Which of the following wounds should the nurse identify as healing by secondary intention? A Stage 3 pressure ulcer on the coccyx A nurse is reinforcing preoperative teaching with a client who does not speak the same language as the nurse. Which of the following actions should the nurse take? Provide handouts written in the client's primary language A nurse is contributing to a plan of care for a client who has a new prescription for a wrist restraint. Which of the following actions should the nurse include in the plan? Pad bony prominence on the wrist A nurse is calculating the intake and output for a client over the last 8 hr. The client is receiving a continuous IV infusion at 150 mL/ hr and had 4 oz of juice and 0.5 L of water. How many mL of fluid should the nurse document as the client's intake for the last 8 hr? Continuous IV infusion: 150 mL × 8 hr = 1,200 mL Juice: 1 oz = 30 mL 4 oz × 30 mL = 120 mL of juice Water: 1 L = 1,000 mL 0.5 L × 1,000 mL = 500 mL of water Then, add all three together to find the total fluid intake: IV infusion + Juice + Water = Total fluid intake 1,200 + 120 + 500 = 1,820 mL A nurse is assisting with the admission of a client who has brought her medications to the facility. Which of the following action should the nurse take? Compare the medications the provider has prescribed with the client's medications from home. A nurse is moving a client up in bed with the assistance of a second nurse. Which of the following actions should the nurse take? Place feet apart with the foot nearest the head of the client's bed in front of the other foot. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent urinary tract infections? Drain urine from the tubing before ambulation A nurse is reinforcing teaching about hospice care measures with the family of a client who is dying. Which of the following statements by a member of the client's family indicates an understanding of the teaching? We will keep her room cool to help her breathe better