NURSING PRACTICE I – Foundation of PROFESSIONAL Nursing Practice Situation 1 – Mr. Ibarra is assigned to the triage area and while on duty, he assesses the condition of Mrs. Simon who came in with asthma. She has difficulty breathing and her respiratory rate is 40 per minute. Mr. Ibarra is asked to inject the client epinephrine 0.3 mg subcutaneously subcutaneously.. 1. The indication for epinephrine injection for Mrs. Simon is to: A. Reduce anaphylaxis B. Relieve hypersensitivity to allergen C. Relieve respiratory distress due to bronchial spasm D. Restore client’s cardiac rhythm 2. When preparing the epinephrine ep inephrine injection from an ampule, the nurse initially: A. Taps Taps the ampule at the top to allow fluid to flow to the base of the ampule B. Checks expiration date of the medication ampule C. Removes needle cap of syringe and pulls plunger to expel air D. Breaks the neck of the ampule with a gauze wrapped around it 3. Mrs. Simon is obese. When administering a subcutaneous injection to an obese patient, it is best for the nurse to: A. Inject needle at a 15 degree angle over the stretched skin of the client B. Pinch skin at the injection site and use airlock technique C. Pull skin of patient down to administer the drug in a Z track D. Spread skin or pinch at the injection site and inject needle at a 45-90 degree angle 4. When preparing for a subcutaneous injection, the proper size of syringe and needle would be : A. Syringe 3-5 ml and needle gauge 21 to 23 B. Tuberculin Tuberculin syringe 1 ml with needle gauge 26 or 27 C. Syringe 2 ml and needle gauge 22 D. Syringe 1-3 ml and needle gauge 25 to 2 7 5. The rationale for giving medications through the subcutaneous route is: A. There are many alternative sites for subcutaneous injection B. Absorption Absorption time of the medicine is slower C. There are less pain receptors in this area D. The medication can be injected while the client is in any position Situation 2 – The use of massage and meditation to help decrease stress and pain have been strongly recommended based on documented testimonials. 6. Martha wants to do a study on this topic: “Effects of massage and meditation on stress and pain”. The type of research that best suits this topic is: A. Applied research B. Qualitative research C. Basic research D. Quantitative research 7. The type of research design that does not manipulate independent variable is: A. Experimental design B. Quasi-experimental design C. Non-experimental design D. Quantitative design 8. This research topic has the potential to contribute to nursing because it seeks to A. include new modalities of care B. resolve a clinical problem C. clarify an ambiguous modality of care D. enhance client care 9. Martha does review of related literature for the purpose of A. determine statistical treatment of data research B. gathering data about what is already known or unknown about the problem C. to identify if problem can be replicated D. answering the research question 10. Client’s rights should be protected when doing research using human subjects. Martha identifies these rights as follows EXCEPT EXCEPT:: A. right of self-determinatio self-determination n B. right to compensation C. right of privacy D. right not to be harmed Situation 3 – Richard has a nursing diagnosis of ineffective airway clearance related to excessive secretions and is at risk for infection because of retained secretions. Part of Nurse Mario’s nursing care plan is to loosen and remove excessive secretions in the airway.
11. Mario listens to Richard’s bilateral sounds and finds that congestion is in the upper lobes of the lungs. The appropriate 11. position to drain the anterior and posterior apical segments of the lungs when Mario does percussion would be: A. Client lying on his back then flat on his abdomen on Trendelenburg position B. Client seated upright in bed or on a chair then leaning forward in sitting position then flat on his back and on his abdomen C. Client lying flat on his back and then flat on his abdomen D. Client lying on his right then left side on Trendel Trendelenburg enburg position 12. When documenting outcome of Richard’s treatment Mario should include the following in his recording EXCEPT: EXCEPT: A. Color, Color, amount and consistency of sputum B. Character of breath sounds and respiratory rate before and after procedure C. Amount of fluid intake of client before and after the procedure D. Significant changes in vital signs 13. When assessing Richard for chest percussion or chest vibration and postural drainage, Mario would focus on the following EXCEPT EXCEPT:: A. Amount of food and fluid taken during the last meal before treatment B. Respiratory rate, breath sounds and location of congestion C. Teaching Teaching the client’s relatives to perform the procedure D. Doctor’s order regarding position restrictions and client’s tolerance for lying flat 14. Mario prepares Richard for postural drainage and percussion. Which of the following is a special consideration when doing the procedure? A. Respiratory rate of 16 to 20 per minute B. Client can tolerate sitting and lying positions C. Client has no signs of infection D. Time Time of last food f ood and fluid intake of the client 15. The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is: A. Percussion uses only one hand while vibration uses both hands B. Percussion delivers cushioned blows to the chest with cupped palms while vibration gently shakes secretion loose on the exhalation cycle C. In both percussion and vibration the hands are on top of each other and hand action is in tune with client’s breath rhythm D. Percussion slaps the chest to loosen secretions while vibration shakes the secretions along with the inhalation of air Situation 4 – A 61 year old man, Mr. Regalado, is admitted to the private ward for observation after complaints of severe chest pain. You You are assigned to take care of the client. 16. When doing an initial assessment, the best way for you to identify the client’s priority problem is to: A. Interview the client for chief complaints and other symptoms B. Talk Talk to the relatives to gather data about history of illness C. Do auscultation to check for chest congestion D. Do a physical ph ysical examination while asking the client relevant questions 17. Upon establishing Mr. Regalado’s nursing needs, the next nursing approach would be to: A. Introduce the client to the ward staff to put the client and family at ease B. Give client and relatives a brief tour of the physical set up the unit C. Take Take his vital signs for a baseline assessment D. Establish priority needs and implement appropriate interventions 18. Mr. Regalado Regalado says he has “trouble going to sleep”. In order to plan your nursing intervention you will: A. Observe his sleeping patterns in the next few days B. Ask him what he means by this statement C. Check his physical environment to decrease noise level D. Take Take his blood pressure before sleeping and upon waking up 19. Mr. Regalado’s lower extremities extremities are swollen and shiny shiny.. He has pitting pedal edema. When taking care of Mr. Regalado, which of the following interventions would be the most appropriate immediate nursing approach? A. Moisturize lower extremities to prevent skin irritation B. Measure fluid intake and output to decrease edema C. Elevate lower extremities for postural drainage D. Provide the client a list of food low in sodium 20. Mr. Regalado will be discharged from your unit within the hour. Nursing actions when preparing a client for discharge include all EXCEPT: A. Making a final physical assessment before client leaves the hospital B. Giving instructions about his medication regimen C. Walking the client to the hospital exit to ensure his safety D. Proper recording of pertinent data
Situation 5 – Nancy, Nancy, mother of 2 young kids, 36 years old, had a mammogram and was told that she has breast cysts and that she may need surgery. This This causes her anxiety as shown by increase in her pulse and respiratory rate, sweating and feelings of tension. 21. Considering her level of anxiety anxiety,, the nurse can best assist Nancy by: A. Giving her activities to divert her attention B. Giving detailed explanations about the treatments she will undergo C. Preparing her and her family in case surgery is not successful D. Giving her clear but brief information at the level of her understanding 22. Nancy blames God for her situation. She is easily provoked to tears and wants to be left alone, refusing to eat or talk to her family. A religious person before, she now refuses to pray or go to church stating that God has abandoned her. The nurse understands that Nancy is grieving for her self and is in the stage of: A. bargaining B. denial C. anger D. acceptance 23. The nurse visits Nancy and prods her to eat her food. Nancy replies “what’s the use? My time is running out.” The nurse’s best response would be: A. “The doctor ordered full diet for you so that you will be strong for surgery” B. “I understand how you feel but you have to try for your children’s sake” C. “Have you told your doctor how you feel? Are you changing your mind about your surgery?” D. “You “You sound like you are giving up.” 24. The nurse feels sad about Nancy’s illness and tells her head nurse during the end of shift endorsement that “it’s unfair for Nancy to have cancer when she is still so young and with two kids”. The best response of the head nurse would be: A. Advise Advise the nurse to “be strong and learn to control her feelings” B. Assign the nurse to another client to avoid sympathy for the client C. Reassure the nurse that the client has hope if she goes through all treatments prescribed for her D. Ask the other nurses what they feel about the patient to find out if they share the same feelings 25. Realizing that she feels angry about Nancy’s condition, the nurse learns that being self-aware is a conscious process that she should do in any situation like this because: A. This is a necessary part of the nurse – client relationship process B. The nurse is a role model for the client and should be strong C. How the nurse thinks and feels affect her actions towards her client and her work D. The nurse has to be therapeutic at all times and should not be affected Situation 6 – Mrs. Seva, 52 years old, asks you about possible problems regarding her elimination now that she is in the menopausal stage. 26. Instruction on health promotion regarding urinary elimination is important. Which would you include? A. Hold urine as long as she can before emptying the bladder to strengthen her sphincter muscles B. If burning sensation is experienced while voiding, drink pineapple juice C. After urination, urination, wipe from anal area up towards the pubis D. Tell Tell client to empty the bladder at each voiding 27. Mrs. Seva also tells the nurse that she is often constipated. Because she is aging, what physical changes predispose her to constipation? A. inhibition of the parasympathetic reflex B. weakness of sphincter muscles of anus C. loss of tone of the smooth muscles of the colon D. decreased ability to absorb fluids in the lower intestines 28. The nurse understands that one of these factors contributes to constipation: A. excessive exercise B. high fiber diet C. no regular time for defecation daily D. prolonged use of laxatives 29. Mrs. Seva talks about fear of being incontinent due to a prior experience of dribbling urine when laughing or sneezing and when she has a full bladder. Your Your most appropriate instruction would be to: A. tell client to drink less fluids to avoid accidents B. instruct client to start wearing thin adult diapers C. ask the client to bring change of underwear “just in case” D. teach client pelvic exercise to strengthen perineal muscles 30. Mrs. Seva asked for instructions for skin care for her mother who has urinary incontinence and is almost always in bed. Your Your instruction would focus on prevention of skin irritation and breakdown by: A. Using thick diapers to absorb urine well B. Drying the skin with baby powder to prevent or mask the smell of ammonia C. Thorough washing, rising and drying of skin area that get wet with urine D. Making sure that linen are smooth and dry at all times
Situation 7 – Using Maslow’s need theory, Airway Airway,, Breathing and Circulation are the physiological p hysiological needs vital to life. The nurse’s knowledge and ability to identify and immediately intervene to meet these needs is important to save lives. 31. Which of these clients has a problem with the transport of oxygen from the lungs to the tissues: A. Carol with tumor in the brain B. Theresa with anemia C. Sonnyboy with a fracture in the femur D. Brigitte with diarrhea 32. You You noted from the lab exams in the chart of M. Santos that he has reduced oxygen in the blood. This condition is called: A. Cyanosis B. Hypoxia C. Hypoxemia D. Anemia 33. You You will do nasopharyngeal suctioning on Mr. Abad. Abad. Your Your guide for the length of insertion of the tubing for an adult would be: A. tip of the nose to the base of the neck B. the distance from the tip of the nose to the middle of the neck C. the distance from the tip of the nose to the tip of the ear lobe D. eight to ten inches 34. While doing nasopharyngeal suctioning on Mr. Abad, the nurse can avoid trauma to the area by: A. Apply Apply suction for at least 20-30 seconds each time to ensure that all secretions are removed B. Using gloves to prevent introduction of pathogens to the respiratory system C. Applying Applying no suction while inserting the catheter D. Rotating catheter as it is inserter with gentle suction 35. Myrna has difficulty breathing when on her back and must sit upright in bed to breath effectively and comfortably. comfortably. The nurse documents this condition as: A. Apnea B. Orthopnea C. Dyspnea D. Tachypn Tachypnea ea Situation 8 – You You are assigned to screen for hypertension. Your task is to take blood pressure readings and you are informed about avoiding the common mistakes in BP taking that lead to false or inaccurate blood pressure readings. 36. When taking blood pressure reading the cuff should be: A. deflated fully then immediately start second reading for same client B. deflated quickly after inflating up to 180 mmHg C. large enough to wrap around upper arm of the adult client 1 cm above brachial artery D. inflated to 30 mmHg above the estimated systolic BP based on palpation of radial or bronchial artery 37. Chronic Obstructive Pulmonary Disease (COPD) (COPD) in one of the leading causes of death world wide and is a preventable disease. The primary cause of COPD is A. tobacco hack B. bronchitis C. asthma D. cigarette smoking 38. In your health education class for clients with diabetes you teach them the areas for control of Diabetes which include all EXCEPT A. regular physical activity B. thorough knowledge of foot care C. prevention nutrition D. proper nutrition 39. You You teach your clients the difference between, Type I (IDDM) and Type II (NDDM) diabetes. W hich of the following is true? A. both types diabetes mellitus clients are all prone to developing ketosis B. Type Type II (NIDDM) is more common and is also preventable compared to Type I (IDDM) diabetes which is genetic in etiology C. Type I (IIDM) is characterized by fasting hyperglycemia D. Type Type II (NIDDM) is characterized by abnormal immune response 40. Lifestyle-related diseases in general share areas common risk factors. These are the following except: A. physical activity B. smoking C. genetics D. nutrition
Situation 9 – Nurse Rivera witnesses a vehicular accident near the hospital where she works. She decides to get involved and help the victims of the accident 41. Her priority nursing action would be to: A. Assess damage to property B. Assist in the police investigation since she is a witness C. Report the incident immediately to the local police authorities D. Assess the extent of injuries incurred by the victims of the accident 42. Priority attention should be given to which of these clients? A. Linda who shows severe anxiety due to trauma of the accident B. Ryan who has chest injury, injury, is pale and with difficulty breathing C. Noel who has lacerations on the arms with mild bleeding D. Andy whose left ankle swelled and has some abrasions 43. In the emergency room, Nurse Rivera is assigned to attend to the client with lacerations on the arms. W hile assessing the extent of the wound the nurse observes that the wound is now no w starting to bleed profusely. The most immediate nursing action would be to: A. Apply antiseptic to prevent infection B. Clean the wound vigorously of contaminants C. Control and reduce bleeding of the wound D. Bandage the wound and elevate the arm 44. The nurse applies dressing on the bleeding site. This intervention is done to: A. Reduce the need to change dressing frequently B. Allow the pus to surface faster C. Protect the wound from microorganisms in the air D. Promote hemostasis 45. After the treatment, the client is sent home and asked to come back for follow-up care. Your responsibilities responsibilities when the client is to be discharged include the following EXCEPT: A. Encouraging the client to go to the outpatient clinic for follow up care B. Accurate Accurate recording of treatment done and instructions given to client C. Instructing the client to see you after discharge for further assistance D. Providing instructions regarding wound care Situation 10 – While working in the clinic, a new client, Geline, 35 years old, arrives for her doctor’s appointment. As the clinic nurse, you are to assist the client fill up forms, gather data and make an assessment. 46. The purpose of your initial nursing interview is to: A. Record pertinent information in the client’s chart for health team to read B. Assist the client find solutions to he her health concerns C. Understand her lifestyle, health needs and possible problems to develop a plan of care D. Make nursing diagnoses for identified health problems 47. While interviewing Geline, she starts to moan and doubles up in pain. She tells you that this pain occurs about an hour after taking black coffee without breakfast for a few weeks now. You You will record this as follows: A. Claims to have abdominal pains after intake of coffee unrelieved by analgesics B. After After drinking coffee, the client experienced se vere abdominal pain C. Client complained of intermittent abdominal pain an hour after drinking coffee D. Client reported abdominal pain an hour after drinking black coffee for three weeks now. 48. Geline tells you that she drinks black coffee frequently within the day to “have energy and be wide awake” and she eats nothing for breakfast and eats strictly vegetable salads for lunch and dinner to lose weight. She has lost weight during the past two weeks. In planning a healthy balanced diet with Geline, you will: A. Start her off with a cleansing diet to free her body of toxins then change to a vegetarian diet and drink plenty of fluids B. Plan a high protein diet, low carbohydrate diet for her considering her favorite food. C. Instruct her to attend classes in nutrition to find food rich in complex carbohydrates to maintain daily high energy level. D. Discuss with her the importance of eating a variety of food from major food groups with plenty of fluids. 49. Geline tells you that she drinks 4-5 cups of black coffee and diet cola drinks. She also smokes up to a pack of cigarettes daily. daily. She confesses that she is in her 2nd month of pregnancy but does not want to become fat that is why she limits her food intake. You You warn or caution her about which of the following? A. Caffeine products affect affect the central nervous system and may cause the mother to have a “nervous breakdown” B. Malnutrition and its possible effects on growth and development problems in the unborn fetus C. Caffeine causes a stimulant effect on both mother and the baby D. Studies show conclusively that caffeine causes mental retardation 50. Your Your health education plan for Geline stresses proper diet for a pregnant woman and the prevention of noncommunicable diseases that are influenced by her lifestyle. These include the following EXCEPT EXCEPT:: A. Cardiovascular diseases B. Cancer C. Diabetes Mellitus D. Osteoporosis
ANSWER KEY NURSING PRACTICE I – Foundation of PROFESSIONAL Nursing Practice Situation 1 – Mr. Ibarra is assigned to the triage area and while on duty, he assesses the condition of Mrs. Simon who came in with asthma. She has difficulty breathing and her respiratory rate is 40 per minute. Mr. Ibarra is asked to inject the client epinephrine 0.3 mg subcutaneously subcutaneously.. 1. The indication for epinephrine injection for Mrs. Simon is to: Relieve respiratory distress due to bronchial spasm 2. When preparing the epinephrine ep inephrine injection from an ampule, the nurse initially: Checks expiration date of the medication ampule 3. Mrs. Simon is obese. When administering a subcutaneous injection to an obese patient, it is best for the nurse to: Spread skin or pinch at the injection site and inject needle at a 45-90 degree angle 4. When preparing for a subcutaneous injection, the proper size of syringe and needle would be : Syringe 1-3 ml and needle gauge 25 to 27 5. The rationale for giving medications through the subcutaneous route is: Absorption time of the medicine is slower Situation 2 – The use of massage and meditation to help decrease stress and pain have been strongly recommended based on documented testimonials. 6. Martha wants to do a study on this topic: “Effects of massage and meditation on stress and pain”. The type of research that best suits this topic is: Qualitative research 7. The type of research design that does not manipulate independent variable is: Non-experimental design 8. This research topic has the potential to contribute to nursing because it seeks to enhance client care 9. Martha does review of related literature for the purpose of A. athering data about what is already known or unknown about the problem 10. Client’s rights should be protected when doing research using human subjects. Martha identifies these rights as follows EXCEPT EXCEPT:: right to compensation Situation 3 – Richard has a nursing diagnosis of ineffective airway clearance related to excessive secretions and is at risk for infection because of retained secretions. Part of Nurse Mario’s nursing care plan is to loosen and remove excessive secretions in the airway. 11. Mario listens to Richard’s bilateral sounds and finds that congestion is in the upper lobes of the lungs. The appropriate 11. position to drain the anterior and posterior apical segments of the lungs when Mario does percussion would be: Client seated upright in bed or on a chair then leaning f orward in sitting position then flat on his back and on his abdomen 12. When documenting outcome of Richard’s treatment Mario should include the following in his recording EXCEPT: EXCEPT: Amount of fluid intake of client before and after the procedure 13. When assessing Richard for chest percussion or chest vibration and postural drainage, Mario would focus on the following EXCEPT EXCEPT:: Teaching the client’s relatives to perform the procedure 14. Mario prepares Richard for postural drainage and percussion. Which of the following is a special consideration when doing the procedure? Client can tolerate sitting and lying positions 15. The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is: Percussion delivers cushioned blows to the chest with cupped palms while vibration gently shakes secretion loose on the exhalation cycle Situation 4 – A 61 year old man, Mr. Regalado, is admitted to the private ward for observation after complaints of severe chest pain. You You are assigned to take care of the client. 16. When doing an initial assessment, the best way for you to identify the client’s priority problem is to: Do a physical examination while asking the client relevant questions 17. Upon establishing Mr. Regalado’s nursing needs, the next nursing approach would be to: Establish priority needs and implement appropriate interventions
18. Mr. Regalado Regalado says he has “trouble going to sleep”. In order to plan your nursing intervention you will: Ask him what he means by this statement 19. Mr. Regalado’s lower extremities extremities are swollen and shiny shiny.. He has pitting pedal edema. When taking care of Mr. Regalado, which of the following interventions would be the most appropriate immediate nursing approach? Elevate lower extremities for postural drainage 20. Mr. Regalado will be discharged from your unit within the hour. Nursing actions when preparing a client for discharge include all EXCEPT: Walking the client to the hospital exit to ensure his safety Situation 5 – Nancy, Nancy, mother of 2 young kids, 36 years old, had a mammogram and was told that she has breast cysts and that she may need surgery. This This causes her anxiety as shown by increase in her pulse and respiratory rate, sweating and feelings of tension. 21. Considering her level of anxiety anxiety,, the nurse can best assist Nancy by: Giving her clear but brief information at the level of her understanding 22. Nancy blames God for her situation. She is easily provoked to tears and wants to be left alone, refusing to eat or talk to her family. A religious person before, she now refuses to pray or go to church stating that God has abandoned her. The nurse understands that Nancy is grieving for herself and is in the stage of: anger 23. The nurse visits Nancy and prods her to eat her food. Nancy replies “what’s the use? My time is running out.” The nurse’s best response would be: “You sound like you are giving up.” 24. The nurse feels sad about Nancy’s illness and tells her head nurse during the end of shift endorsement that “it’s unfair for Nancy to have cancer when she is still so young and with two kids”. The best response of the head nurse would be: Advise the nurse to “be strong and learn to control her feelings” 25. Realizing that she feels angry about Nancy’s condition, the nurse learns that being self-aware is a conscious process that she should do in any situation like this because: How the nurse thinks and feels affect her actions towards her client and her work Situation 6 – Mrs. Seva, 52 years old, asks you about possible problems regarding her elimination now that she is in the menopausal stage. 26. Instruction on health promotion regarding urinary elimination is important. Which would you include? Tell client to empty the bladder at each voiding 27. Mrs. Seva also tells the nurse that she is often constipated. Because she is aging, what physical changes predispose her to constipation? loss of tone of the smooth muscles of the colon 28. The nurse understands that one of these factors contributes to constipation: prolonged use of laxatives 29. Mrs. Seva talks about fear of being incontinent due to a prior experience of dribbling urine when laughing or sneezing and when she has a full bladder. Your Your most appropriate instruction would be to: teach client pelvic exercise to strengthen perineal muscles 30. Mrs. Seva asked for instructions for skin care for her mother who has urinary incontinence and is almost always in bed. Your Your instruction would focus on prevention of skin irritation and breakdown by: Thorough washing, rising and drying of skin area that get wet with urine Situation 7 – Using Maslow’s need theory, Airway Airway,, Breathing and Circulation are the physiological p hysiological needs vital to life. The nurse’s knowledge and ability to identify and immediately intervene to meet these needs is important to save lives. 31. Which of these clients has a problem with the transport of oxygen from the lungs to the tissues: Theresa with anemia 32. You You noted from the lab exams in the chart of M. Santos that he has reduced oxygen in the blood. This condition is called: Hypoxemia 33. You You will do nasopharyngeal suctioning on Mr. Abad. Abad. Your Your guide for the length of insertion of the tubing for an adult would be: the distance from the tip of the nose to the tip of the ear lobe 34. While doing nasopharyngeal suctioning on Mr. Abad, the nurse can avoid trauma to the area by: Applying no suction while inserting the catheter
35. Myrna has difficulty breathing when on her back and must sit upright in bed to breath effectively and comfortably. comfortably. The nurse documents this condition as: Orthopnea Situation 8 – You You are assigned to screen for hypertension. Your task is to take blood pressure readings and you are informed about avoiding the common mistakes in BP taking that lead to false or inaccurate blood pressure readings. 36. When taking blood pressure reading the cuff should be: deflated fully then immediately start second reading for same client 37. Chronic Obstructive Pulmonary Disease (COPD) (COPD) in one of the leading causes of death world wide and is a preventable disease. The primary cause of COPD is cigarette smoking 38. In your health education class for clients with diabetes you teach them the areas for control of Diabetes which include all EXCEPT prevention nutrition 39. You You teach your clients the difference between, Type I (IDDM) and Type II (NDDM) diabetes. W hich of the following is true? Type II (NIDDM) (NIDDM) is more common and is also preventable compared to Type I (IDDM) diabetes which is genetic in etiology 40. Lifestyle-related diseases in general share areas common risk factors. These are the following except: genetics Situation 9 – Nurse Rivera witnesses a vehicular accident near the hospital where she works. She decides to get involved and help the victims of the accident 41. Her priority nursing action would be to: Assess the extent of injuries incurred by the victims of the accident 42. Priority attention should be given to which of these clients? Ryan who has chest injury injury,, is pale and with difficulty breathing 43. In the emergency room, Nurse Rivera is assigned to attend to the client with lacerations on the arms. W hile assessing the extent of the wound the nurse observes that the wound is now no w starting to bleed profusely. The most immediate nursing action would be to: Bandage the wound and elevate the arm 44. The nurse applies dressing on the bleeding site. This intervention is done to: Promote hemostasis 45. After the treatment, the client is sent home and asked to come back for follow-up care. Your responsibilities responsibilities when the client is to be discharged include the following EXCEPT: Instructing the client to see you after discharge for further assistance Situation 10 – While working in the clinic, a new client, Geline, 35 years old, arrives for her doctor’s appointment. As the clinic nurse, you are to assist the client fill up forms, gather data and make an assessment. 46. The purpose of your initial nursing interview is to: Understand her lifestyle, health needs and possible problems to develop a plan of care 47. While interviewing Geline, she starts to moan and doubles up in pain. She tells you that this pain occurs about an hour after taking black coffee without breakfast for a few weeks now. You You will record this as follows: Client reported abdominal pain an hour after drinking black coffee for three weeks now now.. 48. Geline tells you that she drinks black coffee frequently within the day to “have energy and be wide awake” and she eats nothing for breakfast and eats strictly vegetable salads for lunch and dinner to lose weight. She has lost weight during the past two weeks. In planning a healthy balanced diet with Geline, you will: Discuss with her the importance of eating a variety of food from major food groups with plenty of fluids. 49. Geline tells you that she drinks 4-5 cups of black coffee and diet cola drinks. She also smokes up to a pack of cigarettes daily. daily. She confesses that she is in her 2nd month of pregnancy but does not want to become fat that is why she limits her food intake. You You warn or caution her about which of the following? Malnutrition and its possible effects on growth and development problems in the unborn fetus 50. Your Your health education plan for Geline stresses proper diet for a pregnant woman and the prevention of noncommunicable diseases that are influenced by her lifestyle. These include the following EXCEPT EXCEPT:: Cancer
