foundations of nursing test bank

foundations of nursing test bank Related

Review foundations of nursing test bank related questions and content

The nurse is creating a care plan for a patient suffering from allergic rhinitis. Which of the following outcomes should the nurse identify?

  • A. Appropriate use of prophylactic antibiotics
  • B. Safe injection of corticosteroids
  • C. Improved skin integrity
  • D. Improved coping with lifestyle modifications
Correct Answer: D

Rationale: The correct answer is D: Improved coping with lifestyle modifications. This outcome is appropriate for a patient with allergic rhinitis as it focuses on helping the patient manage the condition through lifestyle changes, such as avoiding allergens and using medications as prescribed. By improving coping skills, the patient can better manage symptoms and reduce the impact of allergic rhinitis on daily life.

Rationale:
1. A: Appropriate use of prophylactic antibiotics is not relevant for allergic rhinitis, which is not typically treated with antibiotics.
2. B: Safe injection of corticosteroids is not a primary treatment for allergic rhinitis and may not be necessary for all patients.
3. C: Improved skin integrity is not a priority outcome for allergic rhinitis, as it primarily affects the respiratory system, not the skin.

Summary:
Improving coping with lifestyle modifications is the most relevant outcome for a patient with allergic rhinitis, as it addresses the management of symptoms and overall quality of

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Which behaviors indicate the student nurse hasa good understanding of confidentiality and the Health Insurance Portability and Accountability Act (HIPAA)? (Selectall that apply.)

  • A. Writes the patient’s room number and date of birth on a paper for school
  • B. Prints/copies material from the patient’s health record for a graded care plan
  • C. Reviews assigned patient’s record and another unassigned patient’s record
  • D. Gives a change-of-shift report to the oncoming nurse about the patient
Correct Answer: D

Rationale: Correct Answer: D

Rationale:
- Giving a change-of-shift report to the oncoming nurse about the patient is an appropriate action that maintains confidentiality by only sharing necessary patient information with authorized healthcare professionals.

- A: Writing the patient’s room number and date of birth on a paper for school is a breach of confidentiality as it exposes sensitive patient information to unauthorized individuals.

- B: Printing/copying material from the patient’s health record for a graded care plan is also a breach of confidentiality as it involves sharing patient information without proper authorization.

- C: Reviewing assigned patient’s record and another unassigned patient’s record is a violation of HIPAA as it involves accessing patient information that is not necessary for the nurse's duties, risking unauthorized disclosure.

The nurse is addressing condom use in the context of a health promotion workshop. When discussing the correct use of condoms, what should the nurse tell the attendees?

  • A. Attach the condom prior to erection.
  • B. A condom may be reused with the same partner if ejaculation has not occurred.
  • C. Use skin lotion as a lubricant if alternatives are unavailable.
  • D. Hold the condom by the cuff upon withdrawal.
Correct Answer: D

Rationale: The correct answer is D: Hold the condom by the cuff upon withdrawal. This is important because holding the condom by the cuff helps prevent any potential spillage of bodily fluids. During withdrawal, holding the condom by the base prevents it from slipping off and minimizes the risk of exposure to sexually transmitted infections.

Explanation of why other choices are incorrect:
A: Attaching the condom prior to erection is incorrect as it may lead to breakage or slipping off during intercourse.
B: Reusing a condom with the same partner is highly discouraged due to the risk of breakage, reduced effectiveness, and potential exposure to infections.
C: Using skin lotion as a lubricant is not recommended as it can degrade the condom material, increasing the risk of breakage.

A nurse preceptor is working with a student nurse.Which behavior by the student nurse will require the nurse preceptor to intervene?

  • A. Chew gum
  • B. Turn off the television.
  • C. Speak clearly and loudly
  • D. Use at least 14-point print
Correct Answer: B

Rationale: The correct answer is B because turning off the television is necessary for effective learning and communication between the nurse preceptor and student nurse. Watching TV can be distracting and disrespectful during the learning process. Choices A, C, and D are incorrect because chewing gum, speaking clearly and loudly, and using at least 14-point print are behaviors that do not hinder the learning process and can be acceptable in a professional setting.

A nurse is charting on a patient’s record. Whichaction will the nurse take that is accurate legally?

  • A. Charts legibly
  • B. States the patient is belligerent
  • C. Writes entry for another nurse
  • D. Uses correction fluid to correct error
Correct Answer: A

Rationale: The correct answer is A: Charts legibly. This is accurate legally because clear and legible documentation is crucial for accurately conveying patient information, ensuring continuity of care, and meeting legal standards. Illegible handwriting can lead to errors in patient care and legal issues.

Choice B is incorrect as labeling a patient as "belligerent" without evidence can be perceived as unprofessional and potentially harmful to the patient. Choice C is incorrect as writing an entry for another nurse can lead to inaccurate documentation and legal consequences. Choice D is incorrect because using correction fluid can raise suspicion of tampering with records and compromise the integrity of the documentation.

The nurse is teaching a health class about theChooseMyPlateprogram. Which guidelines will thenurse include in the teaching session?

  • A. Balancing sodium and potassium
  • B. Decreasing water consumption
  • C. Increasing portion size
  • D. Balancing calories
Correct Answer: D

Rationale: The correct answer is D, balancing calories. This is because the ChooseMyPlate program emphasizes the importance of maintaining a balance between the calories consumed and calories expended for overall health and weight management. By balancing calories, individuals can ensure they are meeting their nutritional needs without overeating or consuming excess calories.

A: Balancing sodium and potassium is important for managing blood pressure, but this is not a specific guideline of the ChooseMyPlate program.
B: Decreasing water consumption is not a guideline of the ChooseMyPlate program. Adequate hydration is essential for overall health.
C: Increasing portion size is not recommended in the ChooseMyPlate program. It emphasizes portion control and eating appropriate serving sizes of different food groups.

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