39. In case of telephone orders, the concerned physician needs
to countersign the order within

1 Answer

Answer :

C. A time frame according to hospital policy

Related questions

Description : The most controversial way of communicating doctor’s orders is by phone. It becomes valid and legal only when A. Countersigned by the receiving RN B. Signed by the physician who gave the order C. Signed by the resident physician on duty D. Countersigned by the medical doctor

Last Answer : B. Encourage the client to discuss feelings/pain or discomfort openly

Description : Health education of the patient by the nurse a) Is an independent function of nursing practice. Health education is an independent function of nursing practice and is included in all state ... restoring health; preventing illness; and assisting people to adapt to the residual effects of illness.

Last Answer : a) Is an independent function of nursing practice. Health education is an independent function of nursing practice and is included in all state nurse practice acts.

Description : 37. When do you carry out the order of the physician?

Last Answer : B. When the physician has signed the order

Description : 30. A T-tube was inserted and the physician ordered, “Monitor the amount, color, consistency and odor of drainage.” Which of the following procedures can the nurse perform without the doctor’s order?

Last Answer : D. Emptying the drainage

Description : 90. When a telephone order is made, it should be documented by the nurse who is receiving the order. The following should be included in the order to be executed except

Last Answer : A. Time the call was made and its duration

Description : When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as a) emergency. Emergency surgery means that the patient requires immediate attention and the ... there is an indication for surgery, but failure to have surgery will not be catastrophic.

Last Answer : a) emergency. Emergency surgery means that the patient requires immediate attention and the disorder may be life-threatening.

Description : The most common complication after knee arthroscopy is a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the ... Complaints of the knee locking are associated with functioning of the injured knee prior to arthroscopy.

Last Answer : a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the pressure.

Description : The nurse anticipates that the physician will perform joint aspiration and wrapping with compression elastic dressing for which of the following musculoskeletal problems? a) Joint effusion The described ... of tissue due to insufficient blood supply and may be associated with steroid use.

Last Answer : a) Joint effusion The described treatments are used with joint effusions and hemarthrosis.

Description : When the nurse reviews the physician's progress notes for the patient who has sustained a head injury and sees that the physician observed Battle's sign when the patient was in the Emergency Department, the ... CSF) from the patient's nose. Escape of CSF from the patient's nose is termed rhinorrhea.

Last Answer : a) an area of bruising over the mastoid bone. Battle’s sign may indicate skull fracture.

Description : Before the patient diagnosed with a concussion is released from the Emergency Department, the nurse teaches the family or friends who will be tending to the patient to contact the physician or ... for short periods of time. Difficulty in waking the patient should be reported or treated immediately.

Last Answer : a) vomits. Vomiting is a sign of increasing intracranial pressure and should be reported immediately.

Description : Which of the following observations in the patient who has undergone allograft for treatment of burn site must be reported to the physician immediately? a) Crackles in the lungs Crackles in the lungs ... pain at the recipient site is anticipated since the wound has been protected by the graft.

Last Answer : a) Crackles in the lungs Crackles in the lungs may indicate a fluid buildup indicative of congestive heart failure and pulmonary edema.

Description : When the nurse prepares to give a bolus tube feeding to the patient and determines that the residual gastric content is 150 cc, her best action is to a) reassess the residual gastric content in ... residual exceeds 100 cc, the tube feeding should be withheld at that time, but not indefinitely.

Last Answer : a) reassess the residual gastric content in 1 hour. If the gastric residual exceeds 100 cc 2 hours in a row, the physician should be notified.

Description : The patient with cardiac failure is taught to report which of the following symptoms to the physician or clinic immediately? a) Persistent cough Persistent cough may indicate an onset of ... sleep through the night Frequent urination, causing interruption of sleep, should be reported immediately.

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Description : The basic difference between nursing diagnoses and collaborative problems is that a) Nurses manage collaborative problems using physician-prescribed interventions. Collaborative problems are physiologic ... or potential health problems that can be managed by independent nursing interventions.

Last Answer : a) Nurses manage collaborative problems using physician-prescribed interventions. Collaborative problems are physiologic complications that nurses monitor to detect onset or changes and manage ... physician-prescribed and nursing-prescribed interventions to minimize the complications of events.

Description : 67. The physician ordered bilateral lower extremities Doppler ultrasound. Which of the following is the physician interested to find out through this diagnostic test?

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Description : To confirm the diagnosis of cholecystitis, the attending physician ordered a procedure that can detect gallstones as small as 1 - 2 cm and inflammation. The nurse would prepare ... specific diagnostic procedure? A. Cholangiography B. Ultrasonography C. Gall bladder series D. Oral cholecystogram

Last Answer : B. Ultrasonography

Description : For women aged 19-39 years, recommended health screening diagnostic testing includes which of the following? a) Pap smear A Pap smear is recommended for women aged 19-39 years, as well as ... Bone mineral density testing Bone mineral density testing is recommended for women aged 40 years and older.

Last Answer : a) Pap smear A Pap smear is recommended for women aged 19-39 years, as well as for women aged 40 and older.

Description : In which range of body mass index (BMI) are patients considered to have increased risk for problems associated with poor nutritional status? a) Below 24 Additionally, higher mortality rates in hospitalized ... considered obese. d) Over 40 Those who have BMI over 40 are considered extremely obese.

Last Answer : a) Below 24 Additionally, higher mortality rates in hospitalized patients and community-dwelling elderly are associated with individuals who have low BMI.

Description : 79. A scrub nurse is assisting an emergency Cesarian section on a 39-year-old laundry woman. Before closing the peritoneum, the surgeon asks, How old is the client? Holding the fallopian ... there is no signed consent for tubal ligation. The nurse just demonstrated which of the following?

Last Answer : C. Advocacy

Description : Regarding tolerance and addiction, the nurse understands that a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction. b ... pain. Addiction is rare and should never be the primary concern for a patient in pain.

Last Answer : a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction.

Description : If Adidas needs to survey retailers attitudes on the availability of product literature in athletic shoe shops and needs the results within four working days, Adidas will probably use _________ survey. A)a mail B)a telephone C)a mall intercept D)a personal interview E)an in-home survey

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Description : When the patient has been field triaged and categorized as blue, the nurse recognizes that the patient requires a) fast-track or psychological support. When a patient is categorized as blue, field ... . d) urgent care. Field triaged patients who require urgent care will be categorized as green.

Last Answer : a) fast-track or psychological support. When a patient is categorized as blue, field triage has identified fasttrack or psychological support needs.

Description : Which of the following items is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person's needs? a) History of ... data Biographical information puts the health history in context but does not focus the diagnosis.

Last Answer : a) History of present illness The history of the present illness is the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs.

Description : According to Maslow, which of the following categories of needs represents the most basic? a) Physiologic needs Physiologic needs must be met before an individual is able to move ... physiologic survival. d) Belongingness Belongingness and affection needs are not essential to physiologic survival.

Last Answer : a) Physiologic needs Physiologic needs must be met before an individual is able to move toward psychological health and well-being.

Description : 44. Mang Pedring has chronic pain due to osteoarthritis and has impaired speech. Which of the following is the most appropriate to determine his medication needs for pain?

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Description : Pick out the wrong statement. (A) For a first order consecutive reaction, a tubular flow reactor as compared to a stirred tank reactor provides higher overall selectivity(B) For an ideal ... D) Reaction rate does not decrease appreciably as the reaction proceeds in case of an autocatalytic reaction

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Description : If a person has been exposed to radiation, presenting symptoms, such as nausea, vomiting, loss of appetite, diarrhea, or fatigue can be expected to occur within _______ hours after exposure? ... prodromal phase (presenting symptoms) of radiation exposure occurs within 48 to 72 hours after exposure.

Last Answer : a) 48 to 72 The prodromal phase (presenting symptoms) of radiation exposure occurs within 48 to 72 hours after exposure. Signs and symptoms include nausea, vomiting, loss of appetite, ... radiation exposure, the signs and symptoms may include fever, respiratory distress, and increased excitability.

Description : Which of the following terms refers to a state of microorganisms being present within a host without causing host interference or interaction? a) Colonization Understanding the principle of colonization ... to a particular pathogen. d) Infection Infection refers to host interaction with an organism.

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Description : During which stage or phase of bone healing after fracture is devitalized tissue removed and new bone reorganized into its former structural arrangement? a) Remodeling Remodeling is the final stage of ... occurs during the reparative stage but is disrupted by excessive motion at the fracture site.

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Description : During which stage or phase of bone healing after fracture does callus formation occur? a) Reparative Callus formation occurs during the reparative stage but is disrupted by excessive motion ... the fracture area. d) Revascularization Revascularization occurs within about 5 days after the fracture.

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Description : A post-traumatic seizure classified as early occurs a) within 1-7 days of injury. Posttraumatic seizures are classified as immediate (occurring within 24 hours of injury), early, ( ... surgery. Posttraumatic seizures occurring more than 7 days following surgery are classified as late seizures.

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Description : Which of the following nursing interventions is appropriate when caring for the awake and oriented head injury patient? a) Supply oxygen therapy to keep blood gas values within normal range. ... rails and application of mitts are the appropriate interventions in the agitated head-injured patient.

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Description : Monro-Kellie hypothesis refers to a) the dynamic equilibrium of cranial contents. The hypothesis states that because of the limited space for expansion within the skull, an increase in any ... the patient is wakeful but devoid of conscious content, without cognitive or affective mental function.

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Description : The nurse advises the patient undergoing photodynamic therapy (PDT) for macular degeneration to avoid exposure to direct sunlight or bright lights for a) the first five days after the procedure. ... should avoid exposure to direct sunlight or bright lights for the first five days post-treatment.

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Description : Ductal lavage is used for a) women at higher risk for benign proliferative breast disease. Performed in the doctor's office, a microcatheter is inserted through the nipple while instilling saline ... risk for benign proliferative breast disease; it is not specific for women with breast implants.

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Description : Rejection of a transplanted kidney within 24 hours after transplant is termed a) hyperacute rejection. Hyperacute rejection may require removal of the transplanted kidney. b) acute rejection. Acute ... term simple is not used in the categorization of types of rejection of kidney transplants.

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Description : Bladder retraining following removal of an indwelling catheter begins with instructing the patient to follow a 2-3 hour timed voiding schedule. Immediately after the removal of the indwelling ... in the bladder after voiding, straight catheterization may be performed for complete bladder emptying.

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Description : Of the following types of insulin, which is the most rapid acting? a) Humalog The onset of action of rapid-acting Humalog is within 10-15 minutes. b) Regular The onset of action of short-acting regular ... NPH is 3-4 hours. d) Ultralente The onset of action of long-acting Ultralente is 6-8 hours.

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Description : Which of the following categories of laxatives draw water into the intestines by osmosis? a) Saline agents (milk of magnesia) Saline agents use osmosis to stimulate peristalsis and act within 2 ... by surfactant action on the colonic epithelium, resulting in mixing of aqueous and fatty substances.

Last Answer : a) Saline agents (milk of magnesia) Saline agents use osmosis to stimulate peristalsis and act within 2 hours of consumption.

Description : A long-term effect of which of the following procedures post acute MI induces angioneogenesis? a) Transmyocardial laser revascularization TNR procedures usually involves making 20 to 40 channels in ventricular muscle. ... e.g., clopidigrel [Plavix]) therapy for 2 weeks and lifetime use of aspirin).

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Description : Which of the following terms refers to chest pain brought on by physical or emotional stress and relieved by rest or medication? a) angina pectoris Angina pectoris is a symptom of myocardial ischemia. ... d) ischemia Ischemia is insufficient tissue oxygenation and may occur in any part of the body.

Last Answer : a) angina pectoris Angina pectoris is a symptom of myocardial ischemia.

Description : Which of the following ranges identifies the amount of pressure within the endotracheal tube cuff that is believed to prevent both injury and aspiration? a) 20-25 mm Hg water pressure. Usually the ... pressure A measure of 0-5 mm Hg water pressure would indicate that the cuff is underinflated.

Last Answer : a) 20-25 mm Hg water pressure. Usually the pressure is maintained at less than 25 cm water pressure to prevent injury and at more than 20 cm water pressure to prevent aspiration.

Description : Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest ... finding to the physician immediately. Subcutaneous emphysema results from air entering the tissue planes.

Last Answer : a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

Description : The normal serum value for potassium is a) 3.5-5.5 mEq/L. Serum potassium must be within normal limits to prevent cardiac dysrhythmias. b) 135-145 mEq/L. Normal serum sodium is 135-145 mEq/L. c) 96-106 mEq/L. ... is 96-106 mEq/L. d) 8.5-10.5 mg/dL. Normal total serum calcium is 8.5-10.5mg/dL.

Last Answer : a) 3.5-5.5 mEq/L. Serum potassium must be within normal limits to prevent cardiac dysrhythmias.

Description : A steady state within the body is termed a) Homeostasis. When a change occurs that causes a body function to deviate from its stable range, processes are initiated to restore and maintain ... that is perceived as challenging, threatening, or damaging to the person's dynamic balance or equilibrium.

Last Answer : a) Homeostasis. When a change occurs that causes a body function to deviate from its stable range, processes are initiated to restore and maintain the steady state or homeostasis.

Description : Which of the following methods of physical examination refers to the translation of physical force into sound? a) Percussion Percussion translates the application of physical force into sound. b) Palpation ... Manipulation refers to the use of the hands to determine motion of a body part.

Last Answer : a) Percussion Percussion translates the application of physical force into sound.

Description : The charge nurse reported to the chief nurse that the Demerol 50 cc vial inventory has been incorrect for the last 24 hours. The most appropriate action of the narcotic nurse is: A. Log ... by the narcotic nurse D. Review endorsement of clients who received Demerol within the last 24 hours

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