? From FB Flashcards
A client who is committed under the mental health act (1992) is discharged from hospital on leave. When visited by the community mental health nurse he refused his injection of antipsychotic medication which is due that day. The best intial approach to this would be:
a. explain that this will mean his immediate return to hospital.
b. visit again the next day and attempt to persuade the client to accept his medication.
c. inform the medical staff so that the client’s legal status can be changed.
d. explore with the client alternative forms of treatment to medication.
A - explain that this will mean his immediate return to hospital.
An attempt to commit suicide is most likely to occur during which of the following phases of hospitalisation?
a. immediately following hospital admission.
b. when depression starts to lift.
c. at the point of deepest depression.
d. shortly before hospital discharge.
For people with DM polyuria is the result of:
a. increased glomerular permeability due to generalized vascular damage.
b. increased glomerular filtration due to decreased serum albumin concentration.
c. increased volume of glomerular filtrate due to elevate BP.
d. decreased water reabsorption due to high tubular osmotic pressure.
Mr Josh is admitted with a diagnosis of possible TB or pheumonia. Several diagnositc tests are performed. As a general rule, the test most valuable in the selection of an antibiotic is the:
a. susceptibility test.
b. tissue culture test.
c. serology test.
d. sensitivity test of organism.
A women is admitted to the hospital with a ruptured ectopis pregnancy. A laparotomy is scheduled. Preoperative, which of the following goals is most important for the nurse to include on the cleint’s plan of care?
a. fluid replacement
b. pain relief.
c. emotional support
d. respiratory therapy.
Four clients have requested medication for pain. Which client should receive pain medication first?
a. a 35yr old who fractures of the right femur.
b. an 18yr old who is one post appendectomy.
c. a 55yr old with diverticulitis.
d. a 47yr old who one week post myocardial infarction.
A 7yr old boy with a compound fracture of the left femur is being admitted to a paediatric unit. Which of the following actions is best for the nurse to take?
a. ask the nursing assistant to obtain the child’s vital signs while the nurse obtains a history from the parents.
b. ask the EN to assess the peripheral pulses of the child’s left leg while the nurse completes the admission forms.
c. ask the EN to stay with the child and his parents while the nurse obtains phone orders from the physician.
d. Ask the nursing assistant to obtain equipment for the child’s care while nurse talks with the child and his parents.
Which of the following task is appropriate for the nurse to delegate to an experienced nursing assistant?
a. obtain a 24hour diet recall from the patient recently admitted with AN.
b. Obtain a clean catch urine specimen from the patient suspected of having a UTI?
c. Observe the amount and characteristics of the returns from a continuous bladder irrigation for a patient after a transurethral resection.
d. Observe a patient newly diagnosed with DM practice injection techniques using an orange.
Which of the following patients should the nurse on a paediatric unit assign to the EN?
a. A 3yr girl admitted yesterday with larnygotracheobronchitis who has a tracheotomy.
b. A 5yr old girl admitted after gastric lavage for tylenol ingestion.
c. A 6yr old boy admitted for a fracture of the femur in balanced suspension traction.
d. A 10yr old boy admitted for observation after an acute asthmatic attack.
A home care nurse is planning her visits for the day. Which of the following patients should the nurse visit first?
a. A 62yr old man two days after an inguinal hernia repair.
b. A 40yr old women with Type 1 DM with a foot ulcer.
c. A 76yr old man with COPD.
d. A 50yr old women 3 days after a right mastectomy.
