Smartfaith

The RN is dropping a urine specimen to the lab. Which RN action is necessary? 1.) Always put urine container in a biohazard ziplock bag 2.) Deliver by hand to lab w/in 1 hr of obtaining the specimen 3.) Deliver the urine specimen thru tubing system 4.) Label urine container w/ room # - CORRECT ANSWER 1 => ALL containers need to be in biohazard ziplock bags Explanations: 2 = not that important, do this w/ CSF; T = not necessary 3 = true; highly discouraged 4 = Do NOT do this; name, MR...

The nurse is caring for a client who has chronic kidney disease (CKD) and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, "Why can't I just take the antacid magaldrate my husband has at home?" The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following? 1. Serum phosphorus levels 2. Serum potassium levels 3. Serum magnesium levels 4. Serum calcium levels - CORRECT ANSWER 1. Serum phosp...

A night shift psychiatric RN on the unit is going out of a pt's room & notices a pt w/ bipolar experiencing an episode of mania @ RN's station. Which intervention would promote therapeutic interaction w/ the pt? 1.) Approaching pt & assertively ask him to abide by acceptable behavior 2.) Redirect the pt to room & minimize triggers of behavior 3.) Reminding pt of limits & isolating pt to his room 4.) Going over unit rules & pt's rights, then encourage pt to go to room & sleep b/c its lat...

The pt is scheduled for a pelvic ultrasound to investigate cervical CA. What instruction does the RN include during the pre-procedure teaching? 1.) NPO for 6 hrs ac procedure 2.) The ultrasound transducer might cause some discomfort while examining the abdomen 3.) Should drink 1L of H2O ac ultrasound 4.) Don't worry about the pain b/c local anesthetic will be given - CORRECT ANSWER 3 => filling the bladder w/ H2O ac the test expands the uterus, causing it to move up & our of the pelvi...

The RN is giving orders in terms of pt's room allocation; receiving plan of care & assigning tasks for LPNs. Which leadership style is she practicing? 1.) Autocratic leadership 2.) Democratic leadership 3.) Laiseiz fare leadership 4.) Transformational leadership - CORRECT ANSWER 1 => Authoritarian (autocratic) leadership. The RN manager is micromanaging the staff -> Aggressive style of leadership -micro-managing Explanations: 2 = leaders who share responsibility; teamwork 3 = L...

A med-surg RN call in sick 2hrs BEFORE beginning of shift. The supervisor floats an RN from postpartum unit. Now the team consists of a RN, UAP, & 1 RN reassigned from post-partum unit. Which pt will the charge RN assign to post-partum unit RN? (Give most stable) 1.) Pt w/ lumbar spinal cord injury required assistance to transfer to bedside commode 2.) A pt w/ hx of MI 2 days ago who is having insomnia 3.) A hospice pt exhibiting gasping resps 4.) A 24-hr post-craniotomy pt who is continuo...

The pt is scheduled for a pelvic ultrasound to investigate cervical CA. What instruction does the RN include during the pre-procedure teaching? 1.) NPO for 6 hrs ac procedure 2.) The ultrasound transducer might cause some discomfort while examining the abdomen 3.) Should drink 1L of H2O ac ultrasound 4.) Don't worry about the pain b/c local anesthetic will be given - CORRECT ANSWER 3 => filling the bladder w/ H2O ac the test expands the uterus, causing it to move up & our of the pelv...

Pt was just put on mechanical ventilation for Resp. distress. What is the most priority parameter for the RN to check after putting the pt on the machine? 1.) Resp. rate 2.) Tidal volume 3.) BP 4.) Alarm parameter - CORRECT ANSWER 3 => DECREASE CO is a complication of mechanical ventilation d/t (+) pressure w/in the chest -> intrathoracic pressure puts great pressure on heart & great vessels & decrease CO & cause HTN Explanations: 1,2 & 4 = ALL pre-set Name the 3 types of control...

The HCP recommended therapeutic massage for the pt to help w/ his leg pain. The pt later on asks the RN to explain therapeutic massage the best response by RN would be? 1.) It help w/ fluid retention 2.) It prevents blood clot formation 3.) It improves BP readings 4.) It enhances blood circulation & muscle tone - 4 => Therapeutic massage helps return blood flow to the heart. => & enhances muscle tone & joint function -> preformed slowly -pay attention to pt's response througho...

The night shift RN just got report, she is taking care of a new admission, a 5 yr-old girl w/ epiglottis. Which action is approp. for the RN to implement? 1.) Send the pt to radiology for a CXR w/ NAP 2.) Check for a gag-reflex using a tongue depressor 3.) Draw the orders for ABGs & report the results to the HCP 4.) Assess O2 sat & SpO2 & initiate IV antibiotics as ordered - CORRECT ANSWER 4 => Antibiotics should be started ASAP, epiglottis in school-aged children is Life-threatening. ...