Ambulatory Care Nursing Certification Review

Ambulatory Care Nursing Certification Review What documents primarily defines the scope of telehealth nursing practice - ✔✔Nurse State Practice Acts In School Age Children with acute vomiting, rehydration therapy migh ...

Ambulatory Care Nursing Certification Review What documents primarily defines the scope of telehealth nursing practice - ✔✔Nurse State Practice Acts In School Age Children with acute vomiting, rehydration therapy might include which of the following - ✔✔half-strength sports drinks and popscicles Which of the following are signs of volume overleoad in a chronic heart failure patient - ✔✔Edema, Dyspenea, Neck vein distension, sudden weight gain Joshua is a 5 year old with siclke cell disease. his mother called to report that Joshua has a fever over 101.5 orally. The nurse should: - ✔✔tell the mother to bring Joshua in right away to be evaluated. The following are elements of Dieteary Approches to Stop hypertension (DASH) - ✔✔Low Cholesterol and toal fat, reducted sweets, high fiber Untreated Hypertension may lead to - ✔✔organ damage in the eyes? Promoting advocacy and positive patient/family relations includes - ✔✔Providing service recovery processes that resolve patient/family complaints or concerns Which of the following scenarios potentially violates the confidentiality of a patient's protected health information - ✔✔Talking to an elderly patient's daughter about the need to bring the patient back for another appointment because tests came back with some abnormalities Activities taht require ambulatory nurses to apply critical thinking include - ✔✔Analyzing information in development of a diagnosis and plan of care Which organization has established criteria for accepted nursing languages and approves languages meeting the criteria - ✔✔American Nurses Association Federal and state laws require public health reporting in which of the following situations - ✔✔Diagnosis of a serious communicable disease Decision support tools, such as prototcols, guidelines or algorithms, generally have the following characteristics - ✔✔They provide standardization and decrease omissions The Ambulatory Care Nursing Conceptual Framework is a diagram that specifies - ✔✔Concepts that form the focus of nursing practice and the relationship among those concepts The purposes of nursing practice standards include - ✔✔Serve as a guide for the structure and processes in the delivery of nursing care Which of the following is true about delegation by a registered nurse - ✔✔The delegating nurse remains ultimately responsible for the service Which of the following would be a semi-critical item and require high level disinfection - ✔✔and endoscope used for upper gastroenterological procedures Primary prevention of Human Immunodeficiency Virus and other sexually transmitted diseases would include the following - ✔✔A) Use of Condoms and avoidance of anonymous partners. B) Vaccination against herpes, hepatitis, and menigococcal infections, C) Prophylactic antibiotics or any oral sex D) Annual Health Screenings Mr. McIntire is a 37 year old patient who has a 25 a pack-year history of smoking. Today he has told his physician that he is ready to quit, and Ryan, the ambulatory care nurse, has been asked to assist Mr. McIntire. Which of the following describes a potential method to assist this patient to quit smoking? - ✔✔A) Explain that relapsing is part of the process B) Advise Mr. McIntire about the harms of smoking, which impact nearly every organ in the body C) Set specific goals and a quit date D) Use motivational interviewing to help him understand his ambivalence about quitting The nurse is educating an adult patient regarding medications for asthma. Which order would be most appropriate for administration? - ✔✔ Telephone triage may be a responsibility of the ambulatory care nurse. What are the appropriate components of telephone triage? - ✔✔ What are the best question types to ask when gaining information from a patient? - ✔✔ In what order would the nurse prioritize the care of the following patients presenting to the clinic at the same time: a parent carrying a smiling infant with a fever, a pale and sweaty male with flank pain for tow days, a carpenter with a nail in his thumb, and a three year old with vomiting? - ✔✔ Mom has described her child's symptoms as a fever for three days and vomiting for the last 24 hours. She states the child has been very sleepy for the last two to three hours. What subtle symptom alerts the nurse that this child needs to be seen as soon as possible. - ✔✔ The ambulatory care nurse takes a phone call from the daughter of a 60 year old male stating that he isn't himself today. When questioned further, the nurse discovers that the man has had periods of slurred speech for a few minutes on two occasions in the last 24 hours. What is your recommendation for this caller regarding what should be done for her father? - ✔✔ A 70 year old female prsents to the ambulatory care clinic complaining of fatigue. You begin your triage assessment and she has a heart rate of 50, a repsiratory rate of 24, and a blood pressure of 70/40. She denies chest pain, but you notice she rubs her elbows and states her arthritis is acting up. What would be your first priority when caring for this patient? - ✔✔ A mother presents to the ambulatory clinic with a very wheezy three year old in her arms. You notice the child is pale and listless. What is your immediate response? - ✔✔ What nonverbal clues would indicate that a patient of any age is having difficulty breathing? - ✔✔ What would be the most appropriate order of importance for information an adult client shares when coming to a clinic visit? - ✔✔ A 50 year old male comes to the clinic stating he cannot shake this "flu". You observe that he is clammy, plae, and has an irregular heart rate. He is a large man with a rugged appearance. He is friendly and apolgetic for bothering you with his silly complaints. What is your plan of care for this patient? - ✔✔ The ambulatory care setting must include which of the following for the nurse to be able to properly triage a patient? - ✔✔ The nurse working in the ambulatory care setting must have which of the following skills to perform the role of triage nurse? - ✔✔ The triage nurse is responsible for screening, assesment, and the initial patient contact in the ambulatory care setting. It is important to look for verbal and nonverbal clues when doing a triage assessment. What important information should the triage nurse screen for with every patient on every health visit, regardless of complaint? - ✔✔ What is the most appropriate way to ask a patient about possible physical abuse during the triage process? - ✔✔ Which invasive procedures would a nurse in the ambulatory care setting be expected to perform as part of his or her scope of practice? - ✔✔ An adult male presents to the ambulatory care setting with a 24 hour history of wheezing, coughing, and shortness of breath. What would be the most appropriate invasive procedure that he may require from the nurse in this setting? - ✔✔ Which noninvasive procedure is part of a routine school physical for students in kindergarten that can be performed in the ambulatory care setting? - ✔✔ Which ambulatory care team member may be responsible for sterilization or disinfection of the equipment in a clinic setting? - ✔✔ Describe the process of protecting the privacy of the patient during a non invasive procedure, such as and EKG - ✔✔ An 18 year old female presents to the ambulatory care clinic complaining of pelvic pain and foul discharge. What would be the most appropriate nursing interventions for this patient? - ✔✔ What best describes the advantages of doing on site testing for patients, such as glucose monitoring, urine tests, rapid strep cultures, or blood tests to diagnose flulike symptoms? - ✔✔ What would be the result of improper sterilization or disinfection of equiptment in the ambulatory care setting? - ✔✔ What should the nurse understand about the physical assessment of a patient in the ambulatory care setting? - ✔✔ A parent brings her teenage son into the ambulatory care facility stating that he has been wheezing for a day or two with no history of asthma. The boy does not appear to be in distress but does have an audible wheeze. What non invasive procedure might a nurse consider as part of the physical assessment? - ✔✔ The nurse in the ambulatory care setting is caring for a young mother and her toddler. Which statment demonstrates that primary prevention is part of the role of the ambulatory care nurse? - ✔✔ A nurse working in the ambulatory care setting is offering patient education to a 50 year old male client. Which statement demonstrates an understanding of the meaning of secondary prevention? - ✔✔ The nurse in the ambulatory care setting is triaging a teen with a fever, sore throat, and rash. Which statement correctly demonstrates a clear understanding of treatment planning and implementation? - ✔✔ What disease entitiy/client would respond best with a consistent continuity of care over a longer length of time? - ✔✔ That types of ancillary testing or consultations may the ambulatory care nurse need to coordinate for a client who first appears for treatment in the ambulatory care setting? - ✔✔ Which client/incident presenting to an ambulatory care facility may need to be referred to another facility as part of the appropriate treatment and implementation? - ✔✔ Which statement correctly demonstrates the responsibility of the nurse to a chronically ill patient? - ✔✔ Which statement best describes understanding the role of ambulatory care nursing in the cost of care for clients? - ✔✔ Which statement demonstrates the nurse using outside resources when providing client care? - ✔✔ A nurse refers a client to the community hospital education program for new diabetics. Which category of care management does this fall under? - ✔✔ The nurse practicing in an amublatory care setting understanding that performance improvement becomes part of the responsibility of the health-care team. Which item would be a performance improvement indicator for an ambulatory care facility and the health-care team? - ✔✔