Questions 9

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Nursing Process Practice Questions Quizlet Questions

Question 1 of 5

The nurse observes the temperature record of a client and relates the fever to the brain infection the client currently has. The nurse knows that a high temperature may lead to an increased cerebral irritation. Which of the ff measures can help the nurse control the clients body temperature? Choose all that apply

Correct Answer: A

Rationale: The correct answer is A: Providing tepid sponge bath. This measure helps lower body temperature through evaporation of water from the skin. It is effective in managing fever without causing shivering or discomfort. Ice packs (B) can lead to vasoconstriction and shivering, raising body temperature. Antipyretics (C) are drugs that can reduce fever but may not address the underlying cause. Keeping the room warm (D) can exacerbate fever by hindering heat dissipation.

Question 2 of 5

During outcome identification and planning, from what part of the nursing diagnoses are outcomes derived?

Correct Answer: C

Rationale: During outcome identification and planning, outcomes are derived from the problem statement of the nursing diagnoses. This is because the problem statement clearly defines the patient's health issue or condition that needs to be addressed, thus guiding the development of specific, measurable, and achievable outcomes. The defining characteristics (choice A) describe the signs and symptoms of the health problem but do not directly lead to outcome identification. The related factors (choice B) represent the potential causes or contributing factors to the health problem and are not used to derive outcomes. The database (choice D) consists of the patient's health history, assessment data, and laboratory findings, which are essential for diagnosing but do not directly determine outcomes. Therefore, the correct answer is C as it directly informs the outcomes to be achieved.

Question 3 of 5

To combat the most common adverse effects of chemotherapy, the nurse would administer an:

Correct Answer: A

Rationale: The correct answer is A: Antiemetic. Chemotherapy commonly causes nausea and vomiting as adverse effects. Antiemetics are medications specifically designed to prevent or alleviate nausea and vomiting. Administering an antiemetic helps to manage these side effects and improve the patient's comfort and compliance with treatment. Antibiotics (choice B) are used to treat bacterial infections and are not directly related to combating chemotherapy side effects. Antimetabolites (choice C) are a type of chemotherapy drug, not used to combat its side effects. Anticoagulants (choice D) are used to prevent blood clots and are not indicated for managing chemotherapy-related nausea and vomiting.

Question 4 of 5

A patient is treated with IV methylprednisolone (Solu-medrol) for emphysema. What is the purpose of corticosteroid treatment in lung disease?

Correct Answer: D

Rationale: The correct answer is D: Reduce airway inflammation. Corticosteroids like methylprednisolone are used in emphysema to reduce inflammation in the airways, which can help improve lung function and symptoms. Corticosteroids work by suppressing the immune response that leads to inflammation in the airways. This can help decrease swelling, mucus production, and constriction of the airways, all of which contribute to the symptoms of emphysema. Dry secretions (choice A) and improving oxygen-carrying capacity (choice B) are not the primary purposes of corticosteroid treatment in emphysema. Treating infection that causes a low level of hemoglobin (choice C) is not relevant to corticosteroid treatment for emphysema.

Question 5 of 5

A patient’s son decides to stay at the bedside while his father is confused. When developing the plan of care for this patient, what should the nurse do?

Correct Answer: D

Rationale: The correct answer is D: Involve the son in the plan of care as much as possible. This is important for several reasons. Firstly, involving the son promotes family-centered care, which can improve patient outcomes. Secondly, the son may provide valuable insights into the patient's preferences and needs. Thirdly, it can help reduce the patient's confusion by providing familiar support. Option A is incorrect as it disregards the potential benefits of involving family members. Option B is incorrect as it focuses on the patient's rest without considering the emotional support the son may provide. Option C is incorrect as it assumes the gender of the family member matters more than their relationship to the patient.

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