Chapter 35 Nursing Care in Ambulatory Settings

Chapter 35 Nursing Care in Ambulatory Settings

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.1)A nurse is planning a presentation to a group of men from the local Rotary Club about methods toreduce the occurrence of prostate cancer. The presentation will include dietary modifications thathave been found to be of benefit in reducing the risk for prostate cancer. Which of the followingfoods should the nurse emphasize as needing to be reduced or eliminated from the diet? (Select allthat apply.)1)A)Carbonated beveragesB)Fresh codfish and tunaC)Peanuts, walnuts, and sunflower seedsD)Beef and porkE)Raw fruits and vegetablesF)Whole milk, butter, and cheesesAnswer:D, FExplanation:A)Prostate cancer is linked with several risk factors, including a diet high insaturated fats. Saturated fats are most frequently from animal sources. The otheranswer choices either contain no fat or low amounts of unsaturated fats.PlanningHealth Promotion and MaintenanceApplicationB)Prostate cancer is linked with several risk factors, including a diet high insaturated fats. Saturated fats are most frequently from animal sources. The otheranswer choices either contain no fat or low amounts of unsaturated fats.PlanningHealth Promotion and MaintenanceApplicationC)Prostate cancer is linked with several risk factors, including a diet high insaturated fats. Saturated fats are most frequently from animal sources. The otheranswer choices either contain no fat or low amounts of unsaturated fats.PlanningHealth Promotion and MaintenanceApplicationD)Prostate cancer is linked with several risk factors, including a diet high insaturated fats. Saturated fats are most frequently from animal sources. The otheranswer choices either contain no fat or low amounts of unsaturated fats.PlanningHealth Promotion and MaintenanceApplicationE)Prostate cancer is linked with several risk factors, including a diet high insaturated fats. Saturated fats are most frequently from animal sources. The otheranswer choices either contain no fat or low amounts of unsaturated fats.PlanningHealth Promotion and MaintenanceApplicationF)Prostate cancer is linked with several risk factors, including a diet high insaturated fats. Saturated fats are most frequently from animal sources. The otheranswer choices either contain no fat or low amounts of unsaturated fats.PlanningHealth Promotion and MaintenanceApplication1
2)A recently licensed LPN/LVN has been hired to work in a busy plastic surgeons office. Beside thetwo surgeons, the office has one registered nurse, one other LPN/LVN, a medical assistant, and anoffice manager. One of the surgeons asks the new LPN/LVN to remove the staples from a client’sincision. The new nurse has not done this procedure before. The nurse should initially seekassistance from the:2)A)Any of the licensed staff who is available.B)Surgeon who requested the procedure.C)Registered nurse.D)Other LPN/LVN.Answer:CExplanation:A)The LPN/LVN works under the direct supervision of a registered nurse or aphysician. Initially, the newly-hired nurse should seek the assistance of the RN,who is the most appropriate licensed person to supervise the nurse doing theprocedure for the first time. If the office did not have an RN, the surgeon would bethe appropriate person from whom to initially seek assistance.ImplementationSafe, Effective Care Environment-Coordinated CareApplicationB)The LPN/LVN works under the direct supervision of a registered nurse or aphysician. Initially, the newly-hired nurse should seek the assistance of the RN,who is the most appropriate licensed person to supervise the nurse doing theprocedure for the first time. If the office did not have an RN, the surgeon would bethe appropriate person from whom to initially seek assistance.ImplementationSafe, Effective Care Environment-Coordinated CareApplicationC)The LPN/LVN works under the direct supervision of a registered nurse or aphysician. Initially, the newly-hired nurse should seek the assistance of the RN,who is the most appropriate licensed person to supervise the nurse doing theprocedure for the first time. If the office did not have an RN, the surgeon would bethe appropriate person from whom to initially seek assistance.ImplementationSafe, Effective Care Environment-Coordinated CareApplicationD)The LPN/LVN works under the direct supervision of a registered nurse or aphysician. Initially, the newly-hired nurse should seek the assistance of the RN,who is the most appropriate licensed person to supervise the nurse doing theprocedure for the first time. If the office did not have an RN, the surgeon would bethe appropriate person from whom to initially seek assistance.ImplementationSafe, Effective Care Environment-Coordinated CareApplication3)Four clients are being seen in a medical clinic. An LPN/LVN or a medical assistant will need to seeall of them to obtain vital signs, height, weight, and other basic initial information prior to theclients being seen by a nurse practitioner. It will be inappropriate for the LPN/LVN to assign themedical assistant to obtain this information from which of the following clients?3)A)A 72-year-old female who needs an EKG and has a history of a myocardial infarction 1 yearagoB)A 45-year-old female who is HIV positive and needs to have blood drawn for a viral loadC)A 38-year-old male with acute flank pain who needs to obtain a urine specimenD)A 56-year-old male who needs to have blood drawn for a screening PSAAnswer:C2
Explanation:A)The LPN/LVN should see the client who is presenting the most acute symptoms.During the initial data collection, the LPN/LVN will obtain additional informationregarding the flank pain. Either the LPN/LVN or the medical assistant can do all ofthe procedures; the focus is on which client needs additional assessment. This kindof assessment is within the scope of practice of the LPN/LVN. It is not relevant tothis question that one of the clients is HIV positive.PlanningSafe, Effective Care Environment-Coordinated CareAnalysisB)The LPN/LVN should see the client who is presenting the most acute symptoms.During the initial data collection, the LPN/LVN will obtain additional informationregarding the flank pain. Either the LPN/LVN or the medical assistant can do all ofthe procedures; the focus is on which client needs additional assessment. This kindof assessment is within the scope of practice of the LPN/LVN. It is not relevant tothis question that one of the clients is HIV positive.PlanningSafe, Effective Care Environment-Coordinated CareAnalysisC)The LPN/LVN should see the client who is presenting the most acute symptoms.During the initial data collection, the LPN/LVN will obtain additional informationregarding the flank pain. Either the LPN/LVN or the medical assistant can do all ofthe procedures; the focus is on which client needs additional assessment. This kindof assessment is within the scope of practice of the LPN/LVN. It is not relevant tothis question that one of the clients is HIV positive.PlanningSafe, Effective Care Environment-Coordinated CareAnalysisD)The LPN/LVN should see the client who is presenting the most acute symptoms.During the initial data collection, the LPN/LVN will obtain additional informationregarding the flank pain. Either the LPN/LVN or the medical assistant can do all ofthe procedures; the focus is on which client needs additional assessment. This kindof assessment is within the scope of practice of the LPN/LVN. It is not relevant tothis question that one of the clients is HIV positive.PlanningSafe, Effective Care Environment-Coordinated CareAnalysis