Chapter 30 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 30 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The nurse is working on the medical surgical unit, and is caring for a client who complains of chest 1) Assessment findings include a blood pressure of 72/40, pulse rate of 40, and respiratory rate of 32. The nurse’s priority action would be to:

1. Call a
2. Call the rapid response
3. Call the client’s primary care
4. Call the Emergency Department and request they send the ED doctor to the

Answer: B

Explanation: A) The client is still breathing, so the nurse would not call a code, but because the client is in distress, the rapid response team should be assembled. Only after calling for the rapid response team would the primary care physician be notified. The Emergency Department physician is generally busy with clients, and cannot

respond to clients admitted to the hospital in most facilities.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The client is still breathing, so the nurse would not call a code, but because the client is in distress, the rapid response team should be Only after calling for the rapid response team would the primary care physician be notified. The Emergency Department physician is generally busy with clients, and cannot

respond to clients admitted to the hospital in most facilities.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The client is still breathing, so the nurse would not call a code, but because the client is in distress, the rapid response team should be Only after calling for the rapid response team would the primary care physician be notified. The Emergency Department physician is generally busy with clients, and cannot

respond to clients admitted to the hospital in most facilities.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The client is still breathing, so the nurse would not call a code, but because the client is in distress, the rapid response team should be Only after calling for the rapid response team would the primary care physician be notified. The Emergency Department physician is generally busy with clients, and cannot

respond to clients admitted to the hospital in most facilities.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 30-1: Define the key terms used in the skills of hospital emergency measures and cardiopulmonary resuscitation.

 

• The nurse working in the pediatric department of the hospital maintains competency by annually 2) renewing which certification specific to the pediatric client?

1. A) ACLS B) BCLS C) PALS                          D) CPR

Answer: C

Explanation: A)      PALS, or pediatric advanced life support, is often mandatory for nurses working on the pediatric unit, in addition to basic cardiac life support (BCLS or CPR), required of all facility nurses. Advanced cardiac life support (ACLS) is based on the adult client, and would not be required of the nurse working on pediatrics.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. PALS, or pediatric advanced life support, is often mandatory for nurses working on the pediatric unit, in addition to basic cardiac life support (BCLS or CPR), required of all facility Advanced cardiac life support (ACLS) is based on the adult client, and would not be required of the nurse working on pediatrics.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. PALS, or pediatric advanced life support, is often mandatory for nurses working on the pediatric unit, in addition to basic cardiac life support (BCLS or CPR), required of all facility Advanced cardiac life support (ACLS) is based on the adult client, and would not be required of the nurse working on pediatrics.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. PALS, or pediatric advanced life support, is often mandatory for nurses working on the pediatric unit, in addition to basic cardiac life support (BCLS or CPR), required of all facility Advanced cardiac life support (ACLS) is based on the adult client, and would not be required of the nurse working on pediatrics.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

Objective: Learning Outcome 30-1: Define the key terms used in the skills of hospital emergency measures and cardiopulmonary resuscitation.

 

• The nurse would call the rapid response team for all of the following except: 3)
  1. Asthmatic client with a respiratory rate greater than 30 breaths per minute, oxygen saturation of 84%, and a heart rate of 142 beats per

1. A client with no history of seizures who has a sudden change in mentation and has a
2. A client who suddenly begins to talk with difficulty and is not able to move the left arm and

leg.

1. The client with a history of angina who has a PRN order for nitroglycerin who reports crushing chest

Answer: D

Explanation: A) The client with a history of angina with a PRN order for nitroglycerin should be administered the medication, and the rapid response team would be called only if the drug were not effective in resolving the pain. The other situations would be

appropriate scenarios for calling the rapid response team.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The client with a history of angina with a PRN order for nitroglycerin should be administered the medication, and the rapid response team would be called only if the drug were not effective in resolving the The other situations would be

appropriate scenarios for calling the rapid response team.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The client with a history of angina with a PRN order for nitroglycerin should be administered the medication, and the rapid response team would be called only if the drug were not effective in resolving the The other situations would be

appropriate scenarios for calling the rapid response team.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The client with a history of angina with a PRN order for nitroglycerin should be administered the medication, and the rapid response team would be called only if the drug were not effective in resolving the The other situations would be

appropriate scenarios for calling the rapid response team.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 30-2: Identify indications for requesting a rapid response team or a

cardiac/respiratory arrest team.

• The nurse enters the client’s room and finds the client pulseless and not What could the 4) nurse safely ask the unlicensed assistive personnel (UAP) to do? Select all that apply.

1. Perform chest
2. Get the crash
3. Call a code
4. Administer emergency
5. Bag the client using a bag-valve-mask until the doctor arrives to intubate the client

Answer: A, B, C, E

Explanation: A) UAPs can be very helpful during a code, and can perform chest compressions if they are CPR-certified (generally a requirement of employment). The UAP could obtain the crash cart, call a code, or bag the client if she were CPR-certified.

Medication administration can be performed only by the nurse.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. UAPs can be very helpful during a code, and can perform chest compressions if they are CPR-certified (generally a requirement of employment). The UAP could obtain the crash cart, call a code, or bag the client if she were CPR-

Medication administration can be performed only by the nurse.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. UAPs can be very helpful during a code, and can perform chest compressions if they are CPR-certified (generally a requirement of employment). The UAP could obtain the crash cart, call a code, or bag the client if she were CPR-

Medication administration can be performed only by the nurse.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. UAPs can be very helpful during a code, and can perform chest compressions if they are CPR-certified (generally a requirement of employment). The UAP could obtain the crash cart, call a code, or bag the client if she were CPR-

Medication administration can be performed only by the nurse.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. UAPs can be very helpful during a code, and can perform chest compressions if they are CPR-certified (generally a requirement of employment). The UAP could obtain the crash cart, call a code, or bag the client if she were CPR-

Medication administration can be performed only by the nurse.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

Objective: Learning Outcome 30-3: Recognize when it is appropriate to delegate aspects of CPR to unlicensed

assistive personnel.