what nursing diagnosis takes highest priority for a patient who is immobile?
a. impaired skin integrity
b. risk for injury
c. ineffective airway clearance
d. social isolation - Answer c. ineffective airway clearance
what is the best nursing intervention to maintain skin integrity for a patient on bedrest?
a. changing the bed linens every two hours
b. maintaining good oral care
c. encouraging 1000mL fluid intake daily
d. Turning the patient every two hours - Answer d. turning the patient every 2 hours
,What type of range-of-motion exercises are performed for an unconscious patient?
a. active ROM
b. active-assistive ROM
c. passive ROM - Answer c. passive ROM
what demonstrates ineffective communication? - Answer Giving your personal opinion
While the patient is talking, which of the following demonstrates the nurse is
actively listening?
a. the nurses arms are crossed while the patient is talking
b. the nurse is sitting, facing the patient
c. the nurse is standing at the foot of the patient's bed
d. the nurse is leaning away from the patient - Answer b. the nurse is sitting, facing
the patient
which of the following demonstrates effective communication, when caring for a patient
who is hearing impaired?
a. checking the patient for hearing aids and /or
glasses b. asks closed ended questions
c. speak to the patient at a higher volume
d. heave a family member with the patient at all times - Answer a. checking the patient
for hearing aids and/or glasses
during an assessment, an abdominal heart rate is heard. the nurse needs to
perform which of the following documentation?
, a. the nurse will chart by exception
b. a new care plan will be created
c. an incident report will be made
d. past history will be included in notes - Answer a. chart by exception
Which of the following does the nurse recognize as part of QSEN?
a. the nurse is the source of control in patient centered care
b. use past evidence based practice to deliver care c.
examine commonly used unsafe practices
d. only collaborate with nurses on the same unit - Answer c. examine commonly used
unsafe practices
proper sequence of donning ppe - Answer gown, mask, goggles, gloves
proper sequence of doffing ppe - Answer gloves, goggles, gown mask
which of the following indicates quality documentation of the nurse for a patient with
anxiety
a. documenting 'the patient seems anxious'
b. use abbreviations while documenting patient care
c. using simple, short sentences when documenting
d. documenting 'the patient seems nervous' - Answer c. use simple, short
sentences when documenting.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller KenAli. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.